Determining Load, PRE, and Instructions and Contraindications to Resistance Training

Question 1

Determining Initial Resistance Load

Answer 1

Rep Max, Percent BW, Rate of Percieved Exertion

Question 2

Repetition Max

Answer 2

1-Rm, 3-RM, 6-RM, 10-RM

remember the 1-RM conversion chart

Question 3

% BW

Answer 3

works best for moderate/apparently healthy individuals

universal leg press: 50% BW

universal bench press: 30% BW

Question 4

Signs and Symptoms of Muscle Fatigue

Answer 4

1. uncomfortable sensation in muscle-pain or cramping
2. contracting muscle tremor
3. slowing movement with successive reps
4. jerky movement- not smooth
5. inability to complete entire ROM
6. Substitute movement to complete rep
7. inability to continue low-intensity physical exercise between exercises/sets
8. Decline in peak torque during isokinetic testing
9. RPE> 16 on Borg scale

Question 5

Progressive Resistance Exercise Regimens

Answer 5

Delorme Regimen

Oxford Regimen

DAPRE technique

Question 6

Delorme Regimen

Answer 6

developed concept of PRE

sets of a percentage of a 10-RM with progressive overloading

includes warm-up period

Delorme

Determine 10 RM

Set 1 - .50x10RM for 10 reps

Set 2 - .75x10RM for 10 reps

Set 3 - 1.0x10RM for 10 reps

Question 7

Oxford Regimen

Answer 7

diminishes resistance as muscle fatigues

Oxford

Determine 10 RM

Set 1 - 1.0x10RM for 10 reps

Set 2 - .75x10RM for 10 reps

Set 3 - .50x10RM for 10 reps

Question 8

DAPRE technique

Answer 8

daily adjustable PRE

DAPRE Technique (Table 6.12)

Daily Adjustable Progressive Resistive Exercise

Set- Repetitions- Amt. of Resistance

1- 10- 50% 6RM*

2- 6- 75% 6RM

3- Maximum- 100% 6RM

4 - Maximum - 100% adjusted working weight

Question 9

Examination

Answer 9

1. History and Systems screening to gain indication/contrainidication information
2. Specific tests and measures- specific information for resistance training includes quantitative baselines against which progress can be measures (MMT, rep max, goni/ROM, dynamometry)
3. evaluate findings to determine if resistance exercise is appropriate
4. determine how strengtheing will fit into plan of care with other interventions- stretching, joint mobilization, balance training, cardiorespiratory training
5. reevaluate periodically and adjust accordingly

Question 10

Preparation for Resistance exercise

Answer 10

1. select and appropraite resistance exercise
2. decide on mode of resitance (MR Mech)
3. review goals and desired functional outcomes
4. explain the exercise plan. Be sure to patient/family understands and consents
5. have patient dressed/draped accordingly
6. select firm/comfortable support surface
7. demonstrate the exercise

Question 11

Application of resistance

Answer 11

warm -up

intensity

volume

verbal or written instructions

monitoring patient

cool down

Question 12

warm up

Answer 12

five to ten minutes of light repetitie dynamic activity

site specific

Question 13

intensity

Answer 13

allow patient to practive movemet when learning under minimal load

use delorme or other volume related approach

clinical experience

qualitatively want a smooth, non-painful, non-tremulous movement

Question 14

volume

Answer 14

follow guidelines set by PRE regimen and as appropriate for goals

majority of PT resistance exercise fall within 8 to 12 repetitions and 2 to 3 sets

when increasing difficulty attempt to increase reps before weight

Question 15

verbal or written instructions

Answer 15

be specific, be clear, be non-technical, be succinct

Question 16

monitor patient when

Answer 16

before, during, and after

Question 17

cool down

Answer 17

rhythmic, unresisted tapering exercise for 5 to 10 minutes

Question 19

contraindications to resistance training

Answer 19

pain

inflammation

severe cardiopulmonary disease

Question 20

pain

Answer 20

if during unresisted motions- DO NOT implement dynammic resistance exercise

if patient experiences acute muscle pain with isometric resistance than no resistance exercise should be initiated

if pain cannot be elimated by adjusting exercise than resistance should be eliminated

Question 21

inflammation

Answer 21

absolutely contraindicated with nay neuromuscular disease (ex- Guillian-Barre, polymyositis)

acute inflammation at joint precludes dynamic resistance

Question 22

severe cardiopulmonary disease

Answer 22

patient suffering any acute symptoms (SOB, sweating, chest pain, difficulty breathing) should not participate in any type of exercise

myocardial infarction- 12 weeks post and a physician’s release to participate