Endurance Training

Question 1

Endurance

Answer 1

the ability to sustain an activity (usually sub maximal) over a period of time. Both cardiovascular and muscular endurance.

Question 2

Activity tolerance

Answer 2

the amount of activity/exercise that can be sustained before becoming overexerted as measured physiologically and symptomatically, vitals, VO2 max, etc.

Question 3

how to monitor the patient

Answer 3

assessing vitals pre and post endurance tests
- heart rate
- 02 sat
- BP
- Rate of perceived exertion (RPE)
- Dyspnea scale

Question 4

RPE - normal borgs scale

Answer 4

total: 6- 20
6-11 light
12- 15 moderate
16- 20 hard

Question 5

RPE - modified borg scale

Answer 5

total 0-10
0-3: easy
4-6 : moderate/ hard
6-10 : very hard

Question 6

Dyspnea scale grade 0

Answer 6

no dyspnea. Pt is not troubled with breathlessness

Question 7

Dyspnea scale grade 1

Answer 7

slight dyspnea. pt toubled by SOB when hurrying on a level surface or walking slightly uphill

Question 8

Dyspnea scale grade 2

Answer 8

moderate dyspnea. pt walks slower then normal based on age on a level surface due to SOB or has to stop wit breath when walking on a level surface at own pace

Question 9

Dyspnea scale grade 3

Answer 9

severe dyspnea. pt has to stop for breath after walking 100 yards or after a few minuted on a level surface

Question 10

Dyspnea scale grade 4

Answer 10

very severe dyspnea. Too breathless to leave home or becomes breathless while dressing or undressing.

Question 11

6- minute walk test

Answer 11

• requires a hallway 30 meters in length
• test is self paced and sub maximal
• significant improvement should be an increase in 50 meters from first test to midterm test or final test
• norms based on age and gender

Question 12

2 minute walk test

Answer 12

• used with pts that cannot tolerate a 6 MWT
• same instructions as a 6MWT
• 5.5 meters is a meaningful change

Question 13

2 minute step test

Answer 13

• associated with the ability to perform lifestyle tasks such as walking and climbing stairs
• this is an alternate test if there is not sufficient space to conduct the 6 MWT
• patient is permitted to use a wall or chair for support
• patient must lift knee to the level between their patella and ASIS
• count the number of times the right knee is raised to the mark on the wall

Question 14

30 sec chair raise

Answer 14

• chair height 17” placed against the wall for stability
• starting postion: sitting in the middle of the chair, back straight, arms crossed over chest and feet flat on floor
• Take vitals
• demonstrate
• have pt preform
• take post vitals

Question 15

5 times sit to stand

Answer 15

• same as the 30 secs chair raise instructions but you have the pt do 5 and quickly as possible and time the pt