CH.16 CHRONIC HEALTH CONDITIONS AND PHYSICAL OR FUNCTIONAL LIMITATIONS PT.2 Flashcards
LEADING CAUSE OF DEATH AND DISABILITY FOR BOTH MEN AND WOMEN
CORONARY HEART DISEASE (CHD)
CAUSED BY ATHEROSCLEROSIS (PLAQUE FORMATION), LEADS TO NARROWING OF CORONARY ARTERIES AND ULTIMATELY ANGINA PECTORIS (CHEST PAIN) OR MYOCARDIAL INFARCTION (HEART ATTACK)
CHD
PRIMARY CAUSE OF CHD
POOR LIFESTYLE CHOICES
CIGARETTE SMOKING
POOR DIET
PHYSICAL INACTIVITY
EMPHASIS ON TREATING CHD IS CENTERED ON IMPROVING HEALTH OF INTERNAL LINING OF CORONARY ARTERY, CALLED WHAT ?
PLAQUE STABILIZATION
RISK OF EXERCISE FOR CLIENTS W/ CHD IS LIKELY WHAT, B/C THEY SHOULD BE WELL SCREENED AND MONITORED BY THEIR PHYSICIAN AND FITNESS STAFF
LOW
FOR A CLIENT WITH CHD PEAK O2 UPTAKE (AS WELL AS VENTILATORY THRESHOLD) IS OFTEN REDUCED B/C OF WHAT ?
COMPROMISED CARDIAC PUMP AND PERIPHERAL MUSCLE DECONDITIONING
EXERCISE PRESCRIPTION INTENSITY FOR CHD CLIENT
LOW INTENSITY
AEROBIC TRAINING FOR CHD CLIENT(DURATION, FREQUENCY, INTENSITY)
20-30 MINS
3-5 DAYS/WEEK
40-85% MAXIMAL CAPACITY
WEEKLY CALORIC GOAL FOR CHD CLIENT
1500-2000 KCALL
RESISTANCE TRAINING FOR A CHD CLIENT MAY BE STARTED AFTER WHAT ?
EXERCISING ASYMPTOMATICALLY AND COMFORTABLY FOR >3 MONTHS IN AEROBIC EXERCISE PROGRAM
EXERCISE FORMAT FOR RESISTANCE TRAINING FOR CHD CLIENT (EXERCISE, SETS AND REPS )
CIRCUIT TRAINING
8-10 EXERCISES
1-3 SETS
10-20 REPS
T OR F: CLIENTS WITH CHD MUST BE ABLE TO FIND AND MONITOR THEIR OWN PULSE RATE OR USE AN ACCURATE MONITOR TO STAY BELOW THEIR SAFE UPPER LIMIT OF EXERCISE
TRUE
INDIVIDUALS W/ CHD, IT IS IMPORTANT TO CAREFULLY MONITOR HR AND WHAT ELSE ?
RATING OF PERCEIVED EXERTION (RPE)
SIGNS OF WORSENING CHD LIKE ANGINA
FOR A CLIENT W/ CHD WHAT CAN YOU SUE TO ASSESS EXERCISE INTENSITY ?
RATE OF PERCEIVED EXERTION
EVIDENCE THAT SHOWS THAT HEART DISEASE MAY BE SLOWED OR EVEN REVERSED WHEN WHAT IS USED ?
MULTIFACTOR INTERVENTION PROGRAM OF INTENSIVE EDUCATION
EXERCISE
COUNSELING
LIPID LOWERING MEDS
WITH A CLIENT WITH CHD, EXERCISE SHOULD BE PERFORMED IN WHAT POSITION ?
SEATED OR STANDING
CLIENTS W/ CHD SHOULD PERFORM STATIC AND ACTIVE STRETCHING IN WHAT POSITION B/C MAY BE THE EASIEST AND SAFEST TO PERFORM ?
SEATED OR STANDING
CLIENT W/ CHD SHOULD PERFORM CORE EXERCISE IN WHAT POSITION ?
STANDING
A CLIENT W/ CHD, IN INITIAL MONTHS OF TRAINING, SHOULD AVOID WHAT TYPE OF TRAINING ?
PLYOMETRIC TRAINING
A CLIENT W/ CHD SHOULD PERFORM RESISTANCE TRAINING IN WHAT POSITION ?
SEATED OR STANDING POSITION
WHAT PHASE OF OPT MODEL ARE APPROPRIATE FOR A CHD CLIENT ?
PHASES 1 AND 2
CHD CLIENTS SHOULD PERFORM TRAINING PROGRAMS IN WHAT STYLE ?
CIRCUIT STYLE OR PHA TRAINING SYSTEM
DURATION OF EXERCISE FOR CHD CLIENT (WARM UP AND COOL DOWN INCLUDED)
5-10 MINS WARM UP
20-40 MINS EXERCISE
5-10 MINS COOL DOWN
BASIC EXERCISE ASSESSMENT FOR CHD CLIENT
PUSH, PULL, OH SQUAT
SINGLE LEG BALANCE (IF TOLERATED)
RESISTANCE TRAINING TEMPO FOR CHD CLIENT
TEMPO SHOULD NOT EXCEED 1 SEC OF ISOMETRIC AND CONCENTRIC PORTIONS (4/1/1)
DECREASE IN CALCIFICATION OR DENSITY OF BONE AS WELL AS REDUCED BONE MASS
OSTEOPENIA
CONDITION IN WHICH THERE IS A DECREASE IN BONE MASS AND DENSITY AS WELL AS AN INCREASE IN SPACE B/W BONES, RESULTING IN POROSITY AND FRAGILITY
OSTEOPOROSIS
CONDITION IN WHICH BONE MINERAL DENSITY (BMD) IS LOWER THAN NORMAL AND IS CONSIDERED A PRECURSOR TO OSTEOPOROSIS
OSTEOPENIA
DISEASE OF BONES IN WHICH BMD IS REDUCED, BONE MICROSTRUCTURE IS DISRUPTED AND ACTUAL PROTEINS IN BONE ARE ALTERED
OSTEOPOROSIS
2 TYPES OF OSTEOPOROSIS
TYPE 1 PRIMARY
TYPE 2 SECONDARY
TYPE OF OSTEOPOROSIS ASSOCIATED W/ NORMAL AGING AND IS ATTRIBUTABLE TO LOWER PRODUCTION OF ESTROGEN AND PROGESTERONE BOTH OF WHICH ARE INVOLVED W/ REGULATING RATE AT WHICH BONE IS LOST
PRIMARY OSTEOPOROSIS
TYPE OF OSTEOPOROSIS CAUSED BY CERTAIN MEDICAL CONDITIONS OR MEDS THAT CAN DISRUPT NORMAL BONE FORMATION, INCLUDING ALCOHOL ABUSE, SMOKING, CERTAIN DISEASE OR CERTAIN MEDS
SECONDARY OSTEOPOROSIS
T OR F: BOTH TYPES OF OSTEOPOROSIS AR NOT TREATABLE
FALSE; THEY ARE BOTH TREATABLE
TYPE 1 OSTEOPOROSIS IS MOST PREVALENT IN POSTMENOPAUSAL WOMEN B/C OF A DEFICIENCY IN WHAT (USUALLY SECONDARY TO MENOPAUSE)
ESTROGEN DEFICIENCY
OSTEOPOROSIS IS CHARACTERIZED BY AN INCREASE AND A DECREASE IN WHAT, WHICH LEADS TO A DECREASE IN BONE MINERAL DENSITY ?
INCREASE IN BONE RESORPTION (REMOVAL OF OLD BONE)
DECREASE IN BONE REMODELING (FORMATION OF NEW BONE)
OSTEOPOROSIS COMMONLY AFFECT WHAT BONES?
NECK OF FEMUR AND LUMBAR VERTEBRAE
HIGHEST AMOUNT OF BONE MASS A PERSON IS ABLE TO ACHIEVE DURING LIFETIME
PEAK BONE MASS
ONE OF THE MOST IMPORTANT INFLUENCE OF OSTEOPOROSIS
PEAK BONE MASS (OR DENSITY)
TO MAINTAIN CONSISTENT WHAT, PEOPLE MUST REMAIN ACTIVE ENOUGH TO ENSURE ADEQUATE STRESS IS BEING PLACED ON THEIR BODIES ?
BONE REMODELING
CLIENTS W/ OSTEOPOROSIS, IN ADDITION TO EXERCISE PROGRAMS, SHOULD BE ENCOURAGED TO DO WHAT ?
INCREASE DIETARY CALCIUM INTAKE
DECREASE ALCOHOL INTAKE
CEASE SMOKING
INDIVIDUALS WHO PARTICIPATE IN RESISTANCE TRAINING HAVE HOW MUCH BONE DENSITY ?
HIGHER BONE MINERAL DENSITY
RESISTANCE TRAINING CAN IMPROVE BONE MINERAL DENSITY BY NO MORE THAN WHAT % ?
5%
WHAT % OF INCREASE IN BONE MINERAL DENSITY IS NECESSARY TO OFFSET FRACTURES ?
20%
FOR OSTEOPOROSIS CLIENTS, EXERCISE THAT COMBINE WHAT MIGHT BE BEST FOR THEM ?
RESISTANCE TRAINING TO INCREASE BONE MINERAL DENSITY W/ FLEXIBILITY, CORE AND BALANCE TRAINING TO ENHANCE PROPRIOCEPTION
FOR AN OSTEOPOROSIS CLEINT, MAXIMAL O2 UPTAKE AND VENTILATORY THRESHOLD IS FREQUENTLY LOWER, AS A RESULT OF WHAT ?
CHRONIC DECONDITIONING
LOADS GREATER THAN WHAT % OF 1RM HAVE BEEN SHOWN TO IMPROVE BONE DENSITY ?
> 75 OF 1RM
FOR CLIENTS W/ SEVERE OSTEOPOROSIS , EXERCISE MODALITY SHOULD BE SHIFTED TO WHAT ?
WATER EXERCISE TO REDUCE RISK OF LOADING FRACTURE
CLIENTS W. OSTEOPOROSIS SHOULD EXERCISE IN WHAT POSITION ?
THEIR OWN IDEAL POSITION
SEATED OR STANDING
OSTEOPOROSIS AND OSTEOPENIA CLIENTS SHOULD HAVE FLEXIBILITY LIMITED TO WHAT ?
STATIC AND ACTIVE STRETCHING
INTENSITY FOR EXERCISE FOR OSTEOPOROSIS CLIENT
50-90% MAXIMAL HR
DURATION OF EXERCISE FOR OSTEOPOROSIS CLIENT
20-60 MINS/ DAY OR
8-10 MINS BOUTS
ASSESSMENT FOR OSTEOPOROSIS CLIENT
PUSH, PULL, OH SQUAT
SITTING AND STANDING INTO CHAIR (IF TOLERATED)
RESISTANCE TRAINING PARAMETERS FOR OSTEOPOROSIS CLIENT
1-3 SETS
8-20 REPS
UP TO 85% ON 2-3 DAYS/ WEEK
WHEN DEALING WITH A CLIENT W/ OSTEOPOROSIS CARE SHOULD BE TAKEN WHEN DOING MOVEMENTS W/ A LOT OF WHAT ?
SPINAL FLEXION, CRUNCHES
WHAT IS THE LEADING DETERMINING FACTOR IN BONE FORMATION ?
LOAD (RATHER THAN NUMBER OF REPS)
IT GENERALLY TAKES ABOUT HOW MANY CONSISTENT MONTHS OF EXERCISE AT RELATIVELY HIGH INTENSITIES BEFORE ANY EFFECT ON BONE MASS IS REALIZED ?
ABOUT 6 MONTHS
EXERCISE TRAINING PROGRAMS FOR OSTEOPOROSIS/ OSTEOPENIA MAY BE PERFORMED HOW ?
CIRCUIT STYLE OR PHA TRAINING SYSTEM (FOCUSING ON HIPS, THIGHS, BACK AND ARMS)
PROGRESSING EXERCISE TO WHAT POSITION WILL HELP INCREASE STRESS TO HIPS, THIGHS AND BACK AS WELL AS INCREASE DEMAND FOR BALANCE
STANDING
CHRONIC INFLAMMATION OF JOINTS
ARTHRITIS
ARTHRITIS IN WHICH CARTILAGE BECOMES SOFT, FRAYED OR THINS OUT AS A RESULT OF TRAUMA OR OTHER CONDITIONS
OSTEOARTHRITIS
ARTHRITIS PRIMARILY AFFECTING CONNECTIVE TISSUES, IN WHICH THERE IS THICKENING OF ARTICULAR SOFT TISSUE AND EXTENSION OF SYNOVIAL TISSUE OVER ARTICULAR CARTILAGES THAT HAVE BECOME ERODED
RHEUMATOID ARTHRITIS
LEADING CAUSE OF DISABILITY AMONG US ADULTS, ASSOCIATED W/ SIGNIFICANT ACTIVITY LIMITATION, WORK DISABILITY, REDUCED QUALITY OF LIFE AND HIGH HEALTHCARE COST
ARTHRITIS
2 MOST COMMON TYPES OF ARTHRITIS
OSTEOARTHRITIS
RHEUMATOID ARTHRITIS
CREATES WEARING ON SURFACES OF ARTICULATING BONES, CAUSING INFLAMMATION AND PAIN AT JOINT
OSTEOARTHRITIS
MOST COMMONLY AFFECTED JOINTS BY OSTEOARTHRITIS
HANDS, KNEES, HIPS AND SPINE
DEGENERATIVE JOINT DISEASE IN WHICH BODYS IMMUNE SYSTEM MISTAKENLY ATTACKS ITS OWN TISSUE (TISSUE IN JOINTS OR ORGANS)
RHEUMATOID ARTHRITIS
CONDITION THAT IS SYSTEMIC AND MAY AFFECT BOTH A VARIETY OF JOINTS AND ORGAN SYSTEMS; CAN CAUSE INFLAMMATORY RESPONSE IN MULTIPLE JOINTS LEADING TO PAIN AND STIFFNESS
RHEUMATOID ARTHRITIS
AFFECTS HANDS, FEET, WRISTS AND KNEES AND USUALLY CHARACTERIZED BY MORNING STIFFNESS, LASTING MORE THAN HALF AN HOUR, WHICH CAN BE BOTH ACUTE AND CHRONIC WITH EVENTUAL LOSS OF JOINT INTEGRITY
RHEUMATOID ARTHRITIS
WHEN DEALING WITH A CLIENT W/ ARTHRITIS IF PAIN IS PERSISTENT FOR MORE THAN HOW LONG AFTER EXERCISE THAN IT IS AN INDICATION THAT EXERCISE SHOULD BE MODIFIED OR ELIMINATED FROM ROUTING
MORE THAN 1 HOUR
WITH AN ARTHRITIS CLIENT, WHAT SHOULD BE AVOIDED TO DECREASE JOINT AGGRAVATION ?
EXERCISES OF HIGH INTENSITY OR INVOLVING HIGH REPS
WHAT EXERCISE FORMAT IS SUITABLE FOR CLIENTS W/ ARTHRITIS ?
LOW VOLUME CIRCUIT PROGRAM OR MULTIPLE SESSION FORMAT
CLIENTS TAKING WHAT, OVERTIME MAY HAVE OSTEOPOROSIS, INCREASED BODY MASS AND IF HISTORY OF GASTROINTESTINAL BLEEDING, ANEMIA
ORAL CORTICOSTEROIDS
T OR F: STEROIDS CAN INCREASE FRACTURE RISK
TRUE
RESEARCH INDICATES THAT PEOPLE EXHIBITING OSTEOARTHRITIS HAVE A DECREASE IN WHAT ?
STRENGTH AND PROPRIOCEPTION
LOSS IN STRENGTH IN WHAT IS A STRONG PREDICTOR OF OSTEOARTHRITIS ?
KNEE EXTENSOR PREDICTOR
SYMPTOMS OF ARTHRITIS (SUCH AS JOINT PAIN AND STIFFNESS) ARE HEIGHTENED THROUGH WHAT ?
INACTIVITY AS A RESULT OF MUSCLE ATROPHY AND LACK OF TISSUE FLEXIBILITY
FOR CLIENTS WITH ARTHRITIS, PROGRESSING EXERCISES FROM A SEATED POSITION (W/O SUPPORT) AND STANDING POSITION WILL INCREASE WHAT ?
FUNCTIONAL CAPACITY AND BALANCE
T OR F: INCREASING MUSCLE STRENGTH AND ENHANCING FLEXIBILITY THROUGH EXERCISE CAN ASSIST IN DECREASING SYMPTOMS ASSOCIATED W/ ARTHRITIS
TRUE
FLEXIBILITY STRETCHING FOR ARTHRITIS CLIENT
STATIC AND ACTIVE STRETCHING FROM SEATED OR STANDING POSITION; SMR
VERY IMPORTANT FOR ARTHRITIS CLIENTS TO INCREASE JOINT STABILITY AND BALANCE
CORE AND BALANCE EXERCISE
WHAT TYPE OF TRAINING IS NOT RECOMMENDED FOR CLIENTS W/ ARTHRITIS ?
PLYOMETRIC TRAINING
WHAT PHASE OF OPT MODEL USED WITH ARTHRITIS CLIENTS W/ MODIFIED REPS TO AVOID HEAVY, REPETITIVE JOINT LOADING THAT INCREASES STRESS TO AFFECTED JOINTS
PHASE 1 W/ MODIFIED REPS (10-12)
FREQUENCY OF TRAINING FOR ARTHRITIS CLIENTS
3-5 DAYS/ WEEK
INTENSITY OF EXERCISE FOR ARTHRITIS CLIENTS
60-80% OF MAXIMAL HR
DURATION OF EXERCISE FOR ARTHRITIS CLIENT
30 MINS
ASSESSMENT FOR ARTHRITIS CLIENT
PUSH, PULL, OH SQUAT
SINGLE LEG BALANCE
SINGLE LEG SQUAT (IF TOLERATED)
RESISTANCE TRAINING PARAMETERS FOR ARTHRITIS CLIENT
1-3 SETS
10-12 REPS
2-3 DAYS/WEEK
ANY VARIOUS TYPES OF MALIGNANT NEOPLASMS, MOST OF WHICH INVADE SURROUNDING TISSUES, MAY METASTASIZE TO SEVERAL SITES, AND ARE LIKELY TO RECUR AFTER ATTEMPTED REMOVAL AND TO CAUSE DEATH OF PT UNLESS ADEQUATELY TREATED
CANCER
SECOND LEADING CAUSE OF DEATH IN US W/ MORE THAN HALF MILLION DEATHS ANNUALLY, BEHIND CVD
CANCER
POSITIVE BENEFITS OF EXERCISE IN TREATMENT OF CANCER
IMPROVED AEROBIC AND MUSCULAR FITNESS RETENTION OF LEAN BODY MASS LESS FATIGUE IMPROVED QUALITY OF LIFE POSITIVE EFFECTS ON MOOD AND SELF CONCEPT
MEDS USED BY CANCER CLIENTS CAN RESULT IN SUBSTANTIAL ADVERSE EFFECTS LIKE WHAT ?
PERIPHERAL NERVE DAMAGE CARDIAC AND PULMONARY PROBLEMS SKELETAL MUSCLE MYOPATHY (MUSCLE WEAKNESS AND WASTING) ANEMIA NAUSEA
WHEN WORKING WITH A CANCER CLIENT ITS RECOMMENDED TO USE INTERMITTENT BOUTS OF EXERCISE TO ACCUMULATE HOW MUCH TIME OF TOTAL AEROBIC EXERCISE ?
20-30 MINS
WHAT INTENSITIES OF EXERCISE APPEAR TO HAVE MORE POSITIVE EFFECTS ON IMMUNE SYSTEM?
LOW TO MODERATE INTENSITIES FOR MODERATE DURATION
RESEARCH SHOWS THAT WHAT LEVELS OF PHYSICAL ACTIVITY SEEM TO BE ASSOCIATED W/ DECREASED INCIDENCE AND MORTALITY RATES OF CERTAIN FORMS OF CANCER ?
MODERATE TO HIGH LEVELS OF PHYSICAL ACTIVITY
WITH CANCER CLIENTS, SELF MYOFASCIAL RELEASE IS NOT RECOMMENDED IF WHAT ?
ARE RECEIVING CHEMOTHERAPY OR RADIATION TREATMENTS
FOR CANCER CLIENT, CARDIO IS VERY IMPORTANT, START WITH HOW MANY MINUTES AND PROGRESSING TO HOW MANY ?
START WITH 5 MINS OF STAGE 1 PROGRESSING UP TO 30 MINS
3-5 DAYS/WEEK
ADVANCEMENT FOR CARDIO FOR A CANCER CLIENT CAN BE PROGRESSED IF WHAT ?
APPROVAL FROM PHYSICIAN
WITH CANCER CLIENTS, PLYOMETRIC TRAINING IS NOT RECOMMENDED UNTIL CLIENT HAS SUFFICIENTLY PROGRESSED TO PERFORMING WHAT ?
3 COMPLETE PHASE 1 WORKOUTS PER WEEK
WITH CANCER CLIENTS, WHAT PHASES OF RESISTANCE TRAINING WOULD BE MOST APPROPRIATE ?
PHASES 1 AND 2
BASIC EXERCISE INTENSITY FOR CANCER CLIENT ?
50-70% OF MAXIMAL HRR
BASIC EXERCISE DURATION FOR CANCER CLIENT
15-30 MINS (START WITH 5)
ASSESSMENT FOR CANCER CLIENT
PUSH, PULL, OH SQUAT
SINGLE LEG BALANCE (IF TOLERABLE)
RESISTANCE TRAINING PARAMETERS FOR CANCER CLIENT
1-3 SETS
10-15 REPS
2-3 DAYS/WEEK
PREGNANT CLIENTS MAY CONTINUE MODERATE LEVELS OF EXERCISE UNTIL WHEN ?
3RD TRIMESTER, WHEN A LOGICAL REDUCTION IN ACTIVITY IS RECOMMENDED
GRADUAL GROWTH OF FETUS CAN ALTER POSTURE OF PREGNANT WOMEN, MAKING WHAT TYPE OF TRAINING IMPORTANT ?
FLEXIBILITY AND COR, PARTICULARLY CORE STABILIZATION EXERCISE TO IMPROVE STRENGTH OF PELVIC FLOOR MUSCULATURE
PERFORMING EXERCISES IN WHAT POSITIONS AND DOING WHAT MOTIONS ARE NOT ADVISED FOR MORE ADVANCED STAGES OF PREGNANCY (2ND AND 3RD TRIMESTER) ?
PRONE OR SUPINE OR UNCONTROLLED TWISTING MOTIONS OF TORSO
T OR F: HIP ABDUCTION/ADDUCTION MACHINES ARE ADVISED TO USE DURING PREGNANCY
FALSE; NOT ADVISED
POSTNATAL WOMEN SHOULD BE ENCOURAGED TO REEDUCATE WHAT ?
POSTURE JOINT ALIGNMENT MUSCLE IMBALANCES STABILITY MOTOR SKILLS RECRUITMENT OF DEEP CORE STABILIZERS SUCH AS TRANSVERSE ABDOMINIS, INTERNAL OBLIQUE AND PELVIC MUSCALTURE
FOR PREGNANT CLIENT, LOW MODERATE INTENSITY AEROBIC EXERCISE (40-50% OF PEAK WORK CAPACITY) SHOULD BE PERFORMED HOW MANY DAYS A WEEK, EMPHASIZING NON WEIGHT BEARING EXERCISE (SWIMMING, CYCLING)
3-5 DAYS/WEEK
EVEN IN THE ABSENCE OF EXERCISE, PREGNANCY MAY INCREASE METABOLIC DEMAND BY HOW MANY CALORIES PER DAY TO MAINTAIN ENERGY BALANCE
300 KCAL
HIGH RISK PREGNANCY CONSIDERATIONS INCLUDE WHAT ?
INDIVIDUALS OLDER THAN 35 HISTORY OF MISCARRIAGE DIABETES THYROID DISORDER ANEMIA OBESITY SEDENTARY LIFESTYLE
WITH A PREGNANT CLIENT, FOR RESISTANCE TRAINING IF CLEARED BY A PHYSICIAN WHAT TYPE OF TRAINING IS RECOMMENDED ?
CIRCUIT TRAINING
1-3 SETS
12-15 REPS
2-3 DAYS
DURATION OF EXERCISE FOR PREGNANT WOMEN ?
15-30 MINS STARTING WITH 5
ASSESSMENT FOR PREGNANT CLIENT
PUSH, PULL, OH SQUAT
SINGLE LEG SQUAT OR BALANCE
FLEXIBILITY TYPE FOR PREGNANT CLIENT
STATIC, ACTIVE STRETCHING AND SMR
WITH A PREGNANT CLIENT, SELF MYOFASCIAL RELEASE SHOULD NOT BE PERFORMED ON WHAT ?
VARICOSE VEINS THAT ARE SORE OR AREAS WHERE THERE IS SWELLING (SUCH AS CALVES)
CARDIO TRAINING FOR PREGNANT CLIENT SHOULD CONSIST OF WHAT STAGES ?
STAGE 1 AND PROGRESS TO IF PHYSICIAN APPROVES
WHAT TYPE OF TRAINING IS NOT ADVISED FOR PREGNANT CLIENTS ?
PLYOMETRIC TRAINING
WHAT PHASES OF OPT MODEL MAY BE USED WITH PREGNANT CLIENT ?
1ST TRIMESTER: PHASES 1 AND 2
2ND AND 3RD TRIMESTER: PHASE 1
CONDITION OF FIBROUS LUNG TISSUE, WHICH RESULTS IN DECREASED ABILITY TO EXPAND LUNGS
RESTRICTIVE LUNG DISEASE
CONDITION OF ALTERED AIRFLOW THROUGH LUNGS, GENERALLY CAUSED BY AIRWAY OBSTRUCTION AS A RESULT OF MUCUS PRODUCTION
CHRONIC OBSTRUCTIVE LUNG DISEASE
PRIMARY RISK FACTOR FOR THE DEVELOPMENT OF CHRONIC LUNG DISEASES
SMOKING
2 MAJOR CATEGORIES OF CHRONIC LUNG DISEASE
OBSTRUCTIVE AND RESTRICTIVE
IN RESTRICTIVE LUNG DISEASE ABILITY TO EXPAND LUNGS MAY BE DECREASED AS A RESULT OF ANY NUMBER OF CAUSES SUCH AS WHAT ?
FRACTURED RIBS, NEUROMUSCULAR DISEASE OR EVEN OBESITY
CHARACTERIZED BY CHRONIC INFLAMMATION (CAUSED PRIMARILY BY SMOKING, ALTHOUGH IN CASE OF ASTHMA MAY BE CAUSED BY ENVIRONMENTAL IRRITANTS) AND AIRWAY OBSTRUCTION VIA MUCUS PRODUCTION
CHRONIC OBSTRUCTIVE LUNG DISEASE
DISEASE CHARACTERIZED BY EXCESSIVE MUCUS PRODUCTION, BUT IS INSTEAD A GENETIC DISORDER
CYSTIC FIBROSIS
PROBLEMS THAT COME WITH RESTRICTIVE AND OBSTRUCTIVE LUNG DISEASE
DECREASED VENTILATION AND DECREASED GAS EXCHANGE ABILITY (RESULTING IN DECREASED AEROBIC CAPACITY AND ENDURANCE AND IN O2 DESATURATION
THOSE WITH WHAT ARE FREQUENTLY UNDERWEIGHT AND MAY EXHIBIT OVERALL MUSCLE WASTING WITH HYPERTROPHIED NECK MUSCLES (EXCESSIVELY USED TO ASSIST IN LABORED BREATHING)
EMPHYSEMA
THOSE WITH WHAT ARE FREQUENTLY OVERWEIGHT AND ARE BARREL CHESTED
CYSTIC FIBROSIS
THE USE OF WHAT TYPE OF TRAINING IS BEST TOLERATED BY PEOPLE WITH CHRONIC LUNG DISEASE ?
USE OF LOWER BODY CARDIO AND RESISTANCE TRAINING
T OR F: FOR A CLIENT WITH CHRONIC LUNG DISEASE, UPPER EXTREMITY EXERCISES PLACE AN INCREASED STRESS ON THE SECONDARY RESPIRATORY MUSCLES THAT ARE INVOLVED IN STABILIZING THE UPPER EXTREMITIES DURING EXERCISE
TRUE
FOR A CLIENT WITH CHRONIC LUNG DISEASE, AEROBIC EXERCISE PRESCRIPTION SHOULD BE GUIDED BY CLIENTS WHAT ?
SOB
AEROBIC EXERCISE PARAMETERS FOR CLIENT W/ CHRONIC LUNG DISEASE
40-60% PEAK WORK CAPACITY
3-5 DAYS/WEEK
20-45 MINS AS TOLERABLE
RESISTANCE TRAINING PARAMETERS FOR CLIENT WITH CHRONIC LUNG DISEASE
CIRCUIT TRAINING IN PHA FORMAT RECOMMENDED
8-10 EXERCISES
1 SET
8-15 REPS PER EXERCISE
CLIENTS W/ CHRONIC LUNG DISEASE MAY HAVE SIGNIFICANT MUSCLE WASTING AND BE WHAT ?
LOW BODY WT (BMI <18)
INSPIRATORY MUSCLE TRAINING CAN SPECIFICALLY IMPROVE WHAT ?
WORK ASSOCIATED WITH BREATHING
ASSESSMENT FOR CLIENT WITH CHRONIC LUNG DISEASE
PUSH, PULL, OH SQUAT
SINGLE LEG SQUAT OR BALANCE
MANIFESTATION OF SYMPTOMS CAUSED BY PERIPHERAL ARTERIAL DISEASE
INTERMITTENT CLAUDICATION
CONDITION CHARACTERIZED BY NARROWING OF MAJOR ARTERIES THAT ARE RESPONSIBLE FOR SUPPLYING BLOOD TO LOWER EXTREMITIES
PERIPHERAL ARTERIAL DISEASE
CHARACTERIZED BY LIMPING, LAMENESS, OR PAIN IN LOWER LEG DURING MILD EXERCISE RESULTING FROM A DECREASE IN BLOOD SUPPLY (O2) TO THE LOWER EXTREMITIES
INTERMITTENT CLAUDICATION
PRIMARY LIMITING FACTOR FOR EXERCISE IN THE CLIENT W/ PAD IS WHAT ?
LEG PAIN
EXERCISE DURATION FOR CLIENT WITH PAD
20-30 MINS TOTAL
CONTINUOUS BOUTS OF 10 MINS OR GREATER
3-5 DAYS/WEEK
PAD FREQUENTLY RESULTS IN DECREASED AEROBIC WHAT ?
CAPACITY AND ENDURANCE
PAD IS ASSOCIATED WITH WHAT ?
CHD AND DIABETES
WHAT IS NECESSARY FOR EXERCISE FOR A CLIENT W/ PAD ?
PHYSICIAN CLEARANCE
FLEXIBILITY FOR CLIENT W/ PAD
STATIC AND ACTIVE STRETCHING
T OR F: FOR A CLIENT WITH PAD, SELF MYOFASCIAL RELEASE IS NOT SUGGESTED, UNLESS APPROVED BY A PHYSICIAN
TRUE
EXERCISE BOUTS FOR CLIENTS W/ PAD SHOULD INITIALLY START FOR HOW LONG ?
5-10 MINS AND PROGRESS SLOWLY TO 20-30 MINS
EXERCISE INTENSITY FOR CLIENT W/ PAD
50-85% MAXIMAL HR
ASSESSMENT FOR PAD CLIENT
PUSH, PULL, OH SQUAT
SINGLE LEG SQUAT OR BALANCE
RESISTANCE TRAINING PARAMETERS FOR CLIENTS WITH PAD
1-3 SETS
8-12 REPS
2-3 DAYS/WEEK
SLOWLY INCREASE UP TO 12-20 REPS
MAY BE NECESSARY TO START OUT W/ HOW MANY MINS OF EXERCISE WHEN TRAINING A CLIENT W/ ARTHRITIS WHO HAS NEVER WORKED OUT BEFORE
5 MINS
IF A DIABETIC CLIENT HAS PERIPHERAL NEUROPATHY THEY SHOULD AVOID WHAT ?
FOAM ROLL OF CALVES
CLIENTS W/ CHRONIC LUNG DISEASE OFTEN HAVE SOB ALSO KNOWN AS WHAT ?
DYSPNEA
AN APPROPRIATE MOVEMENT ASSESSMENT FOR SENIOR CLIENT WHO IS SEDENTARY
PUSHING TEST
IT IS RECOMMENDED THAT CLIENTS TAKING BETA BLOCKERS FOR HTN SHOULD AVOID WHAT POSITION ?
PRONE
AN APPROPRIATE EXERCISE FOR PREGNANT CLIENT IN 3RD TRIMESTER
BALL SQUAT
AN OBESE CLIENT WHO HAS BEEN DIAGNOSED W/ PERIPHERAL ARTERY DISEASES (PAD) SHOULD BE ADVISED TO WHAT ?
STRIVE FOR 20-30 MINS OF CONTINUOUS AEROBIC EXERCISE DAILY
AN APPROPRIATE EXERCISE FOR CLIENT W/ HTN
STANDING COBRA
SAFE EXERCISE FOR CLIENT TAKING PRESCRIPTION BETA BLOCKERS FOR HTN
STANDING COBRA
AN APPROPRIATE ASSESSMENT FOR PREGNANT CLIENT
SINGLE LEG SQUAT
