Applied exercise physiology Flashcards
Effects of thoracic trauma
restrictive disorder- restruction to increasing lung volume
- unable to breath deeply
- unable to cough
- mechanism of breathing harder
Respiratory problems
- atelectasis (colllapse)
- retained secretions
- poor ventilation
- increased WOB
Consequence
- chest infection
- decreased gas exchange
- increase o2 consumption
limited response
fear
difficulty in depth of breathing
reduced diffusion
Need for exervise
reverse impairments
slow impact of impairments
rehabilitate
prevent complication of immobility
Physio
assessment
shorrt term treatment
long term rehabilitate
Factors to asses
stability oxygen saturation respiratory rate and pattern]heart rate and rhythm blood pressure drugs muscle condition joint range co-pathologies psychological factor sensory status general condition
Structure
bed sitting on bed sitting out sit to stand standing standing transfer walking stairs home exercise plan
Lung disease
reduced diffusion
- thickness of exchange
- decreased surface area
increased WOB
- airflow resistance
- tissue resistance
- altered mechancs
psychological
-fear of breathlessness
Percentage of total o2 consumption used in ventilation
normal at rest- 3%
normal exercising- 30%
COPD at rest- 40%
Exercise limitations
Fear of exercise avoidance deconditioning inactivity loss of confidence social isolation
Benefit for lung disease patients
improved mechanical efficiency desensitation to dsyphnoea (SOB) increased Hb concentratin increased myoglobin increased mitochondira cardiac hypertrophy angiogenesis musce fibre type 2b to 2a
Pulmonary rehab
Class but individual prescription supervised sessions 1-2 per week + home exercise plan educational component medical management optimized first
Heart disease
impaired increase of CO
- limited stroke volume
- altered BP response
- reduced perfusion at active muscles
Psychological
-fear
Benefit for hear disease patients
increased Hb concentratin increased myoglobin increased mitochondira cardiac hypertrophy angiogenesis musce fibre type 2b to 2a
Cardiac Rehabilitation
4 stages acute subacute outpatient independent
phase 3 -exercise class but individualily prescribes
supervised sessions
1-2 per week + home exercise plan
educational component focusing on decreasing risk factors
Assessment and monitoring tools
HR SaO2 BP SOB RPE
