Over the past year, the patient had noticed weakness and pain in the right upper extremity while doing her activities of daily living.
 The patient noticed a change in her right arm 
(ROOT (S (PP (IN Over) (NP (DT the) (JJ past) (NN year))) (, ,) (NP (DT the) (NN patient)) (VP (VBD had) (VP (VBN noticed) (NP (NP (NN weakness)) (CC and) (NP (NN pain))) (PP (IN in) (NP (DT the) (JJ right) (JJ upper) (NN extremity))) (SBAR (IN while) (S (VP (VBG doing) (NP (NP (PRP$ her) (NNS activities)) (PP (IN of) (NP (JJ daily) (NN living))))))))) (. .)))
(ROOT (S (NP (DT The) (NN patient)) (VP (VBD noticed) (NP (NP (DT a) (NN change)) (PP (IN in) (NP (PRP$ her) (JJ right) (NN arm)))))))
( ( Over ( the ( past year ) ) ) ( , ( ( the patient ) ( ( had ( ( ( noticed ( ( weakness and ) pain ) ) ( in ( the ( right ( upper extremity ) ) ) ) ) ( while ( doing ( ( her activities ) ( of ( daily living ) ) ) ) ) ) ) . ) ) ) )
( ( The patient ) ( noticed ( ( a change ) ( in ( her ( right arm ) ) ) ) ) )