Chapter 20: Clients with Cardiovascular and Respiratory Conditions Flashcards
Hyperthyroidism, pheochromocytoma, pypercortisolism, hyperaldosteronism and renal stenosis are all secondary causes of this disease
hypertension
This refers to left ventricular thickening/hypertrophy due to untreated or inadequately treated hypertension, history of extertional chest pain or angina, having had a heart attack, having had reperfusion surgery, and overall cardiac dysfunction
target organ damage
T/F: clients with controlled hypertension can exercise with limited restricitions
T
What training intensities are appropriate for an exercise program for an individual with hypertension
40-50% VO2max, ultimately attaining 50-85% VO2max
Contraindicated exercises for clients with hypertension
activities which increase intrathoracic pressure
musculoskeletal conditions, neurologic disorders, vascular diseases
comorbid conditions with hypertension
if comorbidites of hypertension exist, what should the personal trainer do
limit the choice of exercise
if blood pressure is stage 1 or above what should the PT do
stop the session
if the client is typically normotensive the PT should do this if blood pressure is elevated to stage 1 or above
reschedule the session and recheck before the next exercise session
duration and frequency of aerobic sessions in clients with hypertension
15-30 targeting 30-60 minutes
3-7 days/week
reps, intensity, and rest intervals for resistance training in hypertensive clients
16-20 rep/set
50-60% 1RM
2-3 minutes
Frequency, reps and duration of exercise for hypertensive clients which have been training for atleast 4-6 months
2-3 times per week
8-12 reps
30-60 minutes
goals of training a client post-MI
increase VO2max
decrease BP
reduce the risk for further coronary artery disease events
typical training intensity for a client post-MI
40% VO2max or an RPE of 9-11
Duration and frequency of workouts post MI
15-40 minutes
3-4 times/week
Resistance program post MI reps, sets, frequency
20 reps
1-3 sets
2-3 times/week
clients who have had a MI should never do this
valsalva maneuver
PTs can train clients post cerebrovascular accident if the following is true
no neurological deficit, and are released by their physician to exercise in an unmonitored setting
aerobic intensity for clients who have suffered a CVA, duration and frequency
30% peak VO2
5-60 minutes
atleast 3x/week
Eventual goal set, rep, and frequency for clients who have suffered a CVA
3 sets
8-12 reps
2-3 days/week
Clinets with peripheral vascular disease essentially have this
pain during walking
goal of training for clients with PVD
increase duration of activity
increase daily living activites, increase strength in both the involved, and uninvolved limbs, increase ROM of the involved side, and prevent joint contractures
goals for clients following CVA
improve pain response or beactive for longer periods, reduce risk of CAD, improve gait, increase daily living activities, increase work potential, improve quality of life
goals for clients with PVD
duration of aerobic exercise with clients who have PVD
walking 10-30 minutes, increasing until no breaks are needed
resistance training guidelines for those with PVD
same as hypertension
this is the only disease which is continuing to grow in its effect
COPD
T/F: patients with COPD can exercise unsupervised if cleared by a doctor
F, should exercise in a formal pulmonary and respiratory rehabilitation facility
The best way to monitor intensity in clients with asthma
RPE and the sense of SOB
what time of the day should asthma clients exercise
mid to late morning due to the daytime release of cortisol from the adrenal glands
during aerobic training with clients with asthma the RPE should be between
11 to 13, with continuous monitoring for SOB
Frequency, duration of aerobic exercise for clients with asthma
2 times/day 3-7times/week
30 minutes
