Exercise Prescription

Question 1

Arthritis = the most ______ chronic disease population

Answer 1

sedentary

Question 2

Arthritis = higher proportion of _____/____ than other chronic diseases

Answer 2

overweight/obese

Question 3

Arthritis pt’s are at risk for developing other ________

Answer 3

comorbidities

Question 4

In RA specifically, >___% have rheumatoid cachexia

Answer 4

60

Question 5

Muscle physiology/activation is impaired during joint ____/_____; residual weakness post _____

Answer 5

pain/flares; flares

Question 6

Individuals with RA = up to ___% more likely to suffer CV events

Answer 6

60

Question 7

Individuals with AS up to __% increased risk of CV events

Answer 7

50

Question 8

_______ inflammation is a key driver compounded by inactivity

Answer 8

systemic

Question 9

Is high intensity exercise in RA safe?

Answer 9

YES

Question 10

Current recommendations = get up every __-__ minutes

Answer 10

2-3

Question 11

Can exercise make IA disease activity worse?

Answer 11

No; but can aggravate symptoms if do too much

Question 12

4 exercise red flags?

Answer 12

1. sudden sever pain and/or joint deformity, or inability to move joint
2. unable to weight bear
3. neurological signs and extremities or progressive weakness despite exercise
4. SOB / chest pain with minor exertion

Question 13

5 exercise yellow flags?

Answer 13

1. worsening pain, fatigue or AM stiffness
2. joint becomes swollen, hot or red soon after doing exercise
3. chronic pain
4. may be low motivation, fear or making joints worse
5. rx with education and reassurance, pt identified functional goals

Question 14

Arthritis pt’s should never be treated with solely _______ approaches

Answer 14

passive

Question 15

5 exercise categories you may prescribe to your arthritis pt?

Answer 15

1. ROM
2. strengthening
3. aerobic
4. flexibility
5. balance and coordination

Question 16

FITT for ROM?

Answer 16

F - daily
I - full, pain free range
T - 5-10 reps
T - active or self-assisted, non-weightbearing

Question 17

FITT for aerobic exercise?

Answer 17

F - 4-7 days/wk
I - moderate
T - 150 min/wk, bouts of 10 mins or more OR high intensity interval training if tolerated
T - whole body, dynamic

Question 18

If post exercise pain lasts more than __-__ hours, probably over did it!

Answer 18

2-3

Question 19

______ _____ _____ = occurs with articular swelling, inflammation, pain, joint laxity, and structural damage

Answer 19

arthrogenic muscle inhibition

Question 20

AMI is caused by change i the discharge of ______ receptors in damaged joint = decreased ____ _____ excitability

Answer 20

sensory; motor neuron

Question 21

AMI contributes to muscle ______

Answer 21

atrophy

Question 22

AMI is most severe in acute stages of ______ _____

Answer 22

joint damage

Question 23

Consistent evidence for ____ weakness in knee OA/RA, but clinically very often also ____ and ___ __/__ weakness as well

Answer 23

quads; hamstrings; glute max/med

Question 24

FITT for strengthening

?

Answer 24

F - 2-3 days a week
I - moderate (3-5/10 point scale)
T - 8 - 15 reps, 1-2 sets, work to fatigue
T - 8 - 10 major muscle gourds, dynamic, fx

Question 25

FITT for flexibility?

Answer 25

F - min of 2-3 days / week, daily for problem muscle groups
I - feel resistance, no pain
T - 20-30 s hold, 2-3 reps
T - static or dynamic

Question 26

Caution with _____ joints when stretching

Answer 26

effused

Question 27

FITT for balance activities ?

Answer 27

F - 4-7 days / week
I - moderate (challenging)
T - 10 min/day or more
T - static, dynamic