exercise prescription

Question 1

what are the exercise training principles

Answer 1

principle of individuality

SAID principle - specific adaptation to imposed demands

disuse/reversibility principle

overload principle

Question 2

discuss the concept of principle of individuality

Answer 2

exercise programs should be designed for the characteristics of pt

genetics
metabolism
cellular growth
neural and endocrine regulation

Question 3

give an appli of principle of individuality

Answer 3

young or women - less time to recover while old whould need more time

athletes require greater load compared to sedentary

Question 4

discuss the concept of SAID principle

Answer 4

specificity - results are dependent on type of training

transfer - carryover over of training effects to other activities

do task-specific practice for functional training or sports

Question 5

give an appli of SAID principle

Answer 5

if runner do endurance and aerobic training as well as strength training for legs

if basketball playter strengthen both UE and LE as well as core

Question 6

discuss the concept of disuse/reversibility principle

Answer 6

adaptive changes are transient if u dont regularly maintain program

muscles atrophy with disuse; detraining - reduction of muscle performance

Question 7

apply the concept of disuse/reversibility principle

Answer 7

detraining occurs after 1-2 weeks of cessation

need to maintain or regularly exercise and incorporate gains in daily activities or work or sport

Question 8

discuss the concept of progressive overload

Answer 8

over time muscle will adapt to current load hence to progress we need to also increase the load progressively - above training or maintaining stimulus

Question 9

apply the concept of progressive overload

Answer 9

either inc intensit/load or inc volume/reps/freq

inc strength - inc load or weight

inc endurance - inc time or reps or freq

Question 10

what is the FITT-VP formula

Answer 10

model that helps design exercise program

freq
intensity
time
type
volume
progression

Question 11

usual frequency for strengthening exercise

Answer 11

BID - post surgical muscles sets

3-5x per wk
2x per wk for maintenance

higher intensity - lower freq

Question 12

usual frequency for endurance exercise

Answer 12

3-4x a wk; 2x a wk does not generally change CV

lower intensity - higher freq

Question 13

usual intensity for strength training

Answer 13

75% of 10 RM or 7 RPE

Question 14

usual intensity for endurance training

Answer 14

normal healthy - 70% of HRmax

sedentary - 40-50% HRmax

Question 15

usual time of program for strengthening

Answer 15

1-2 mo. - return to function level

lifeline - maintenance

4 wks - inc strength

Question 16

usual time of exercise for endurance

Answer 16

20-30 mins at 70% HRmax; 45 mins at lower HR

10-15 mins for high intensity

5 mins period x 3 daily for deconditioned

Question 17

usual rep and set range for strengthening

Answer 17

8-12 reps at 1-3 sets with 60-90 secs rest

Question 18

discuss type of training

Answer 18

strengthening - weights, resistance exercises

endurance - cardio or aerobic exercises

Question 19

discuss volume of training

Answer 19

summation of reps and sets x intensity for strength

kcal per wk or METS for endurance

Question 20

discuss progression for strength

Answer 20

submaximal - maximal
low load - high load
low volume - high volume
static - dynamic

Question 21

discuss progression for endurance

Answer 21

inc time then freq then intensity

Question 22

discuss exercise instruction

Answer 22

select non distracting environment

demo the proper performance of exercise

guide patient in movement

use clear and concise verbal or written directions

complement with written or illustrations for HEP

end session with motivation

Question 23

what is intrinsic feedback

Answer 23

sensory cues inherent in execution of motor task; from individual

proprioception, kinesthetic, tactile, visual and auditory

Question 24

what is augmented feedback

Answer 24

extrinsic feedback - from PT using verbal, visual, tactile or auditory cues

supplements intrinsic feedback

Question 25

discuss knowledge of performance and result

Answer 25

KP - feedback about quality of performance

KR - feedback about outcome of motor task

Question 26

purpose of HEP

Answer 26

program to be done one pt progresses outside of clinic

reinforces what was done and it to avoid reoccurence or flare ups

also promotes a new active lifestyle