exercise prescription Flashcards
what are the exercise training principles
principle of individuality
SAID principle - specific adaptation to imposed demands
disuse/reversibility principle
overload principle
discuss the concept of principle of individuality
exercise programs should be designed for the characteristics of pt
genetics
metabolism
cellular growth
neural and endocrine regulation
give an appli of principle of individuality
young or women - less time to recover while old whould need more time
athletes require greater load compared to sedentary
discuss the concept of SAID principle
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
give an appli of SAID principle
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
discuss the concept of disuse/reversibility principle
adaptive changes are transient if u dont regularly maintain program
muscles atrophy with disuse; detraining - reduction of muscle performance
apply the concept of disuse/reversibility principle
detraining occurs after 1-2 weeks of cessation
need to maintain or regularly exercise and incorporate gains in daily activities or work or sport
discuss the concept of progressive overload
over time muscle will adapt to current load hence to progress we need to also increase the load progressively - above training or maintaining stimulus
apply the concept of progressive overload
either inc intensit/load or inc volume/reps/freq
inc strength - inc load or weight
inc endurance - inc time or reps or freq
what is the FITT-VP formula
model that helps design exercise program
freq
intensity
time
type
volume
progression
usual frequency for strengthening exercise
BID - post surgical muscles sets
3-5x per wk
2x per wk for maintenance
higher intensity - lower freq
usual frequency for endurance exercise
3-4x a wk; 2x a wk does not generally change CV
lower intensity - higher freq
usual intensity for strength training
75% of 10 RM or 7 RPE
usual intensity for endurance training
normal healthy - 70% of HRmax
sedentary - 40-50% HRmax
usual time of program for strengthening
1-2 mo. - return to function level
lifeline - maintenance
4 wks - inc strength
usual time of exercise for endurance
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
usual rep and set range for strengthening
8-12 reps at 1-3 sets with 60-90 secs rest
discuss type of training
strengthening - weights, resistance exercises
endurance - cardio or aerobic exercises
discuss volume of training
summation of reps and sets x intensity for strength
kcal per wk or METS for endurance
discuss progression for strength
submaximal - maximal
low load - high load
low volume - high volume
static - dynamic
discuss progression for endurance
inc time then freq then intensity
discuss exercise instruction
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
what is intrinsic feedback
sensory cues inherent in execution of motor task; from individual
proprioception, kinesthetic, tactile, visual and auditory
what is augmented feedback
extrinsic feedback - from PT using verbal, visual, tactile or auditory cues
supplements intrinsic feedback
discuss knowledge of performance and result
KP - feedback about quality of performance
KR - feedback about outcome of motor task
purpose of HEP
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
