10/1a Aerobic Training Prescriptions (Examination, Evaluation, Intervention)

Question 1

does VO2 increase faster with work for UE or LE

Answer 1

UE work requires more VO2 consumption than LE

Question 2

what is the significance of training reversibility?

Answer 2

everyone needs a PA prescription at discharge to allow for them to continue with exercise so that it isn’t reversed

Question 3

Considerations for exercise prescription:

Answer 3

1. Intensity, Frequency, Duration
   - pre-morbid state of conditioning
   - functional status
   - comorbid condition
2. Mode, Intensity, Frequency
   - preferences or accessibility
   - ability to self monitor
   - personality, i.e. over achiever, under achiever, rule follower

Question 4

important outline to follow when defining and tweaking aerobic training prescriptions

Answer 4

1. list items in history that are relevant for AE prescription and list what you would expect to see during systems review
2. assume screen fits hypothesis, what measure will you use to assess aerobic capacity or activity tolerance?
3. intensity of exercise that you will prescribe? Specifics using Karvonen and HR
4. Rationale for the intensity chosen
5. 2 modes of exercise that you will initially prescribe to patient
6. frequency and duration of initial exercise prescription
7. how will you monitor tolerance during exercise
8. how will you teach your patient to monitor tolerance to exercise
9. when would you check in on patient again for aerobic exercise component of PT
10. what do you check in the next encounter
11. would you alter exercise prescription if all was going well, if so how
12. what would you alter if pain was exacerbated?
13. concrete advice provided to patient as part of discharge plan