Exercise Prescription Flashcards
Arthritis = the most ______ chronic disease population
sedentary
Arthritis = higher proportion of _____/____ than other chronic diseases
overweight/obese
Arthritis pt’s are at risk for developing other ________
comorbidities
In RA specifically, >___% have rheumatoid cachexia
60
Muscle physiology/activation is impaired during joint ____/_____; residual weakness post _____
pain/flares; flares
Individuals with RA = up to ___% more likely to suffer CV events
60
Individuals with AS up to __% increased risk of CV events
50
_______ inflammation is a key driver compounded by inactivity
systemic
Is high intensity exercise in RA safe?
YES
Current recommendations = get up every __-__ minutes
2-3
Can exercise make IA disease activity worse?
No; but can aggravate symptoms if do too much
4 exercise red flags?
- sudden sever pain and/or joint deformity, or inability to move joint
- unable to weight bear
- neurological signs and extremities or progressive weakness despite exercise
- SOB / chest pain with minor exertion
5 exercise yellow flags?
- worsening pain, fatigue or AM stiffness
- joint becomes swollen, hot or red soon after doing exercise
- chronic pain
- may be low motivation, fear or making joints worse
- rx with education and reassurance, pt identified functional goals
Arthritis pt’s should never be treated with solely _______ approaches
passive
5 exercise categories you may prescribe to your arthritis pt?
- ROM
- strengthening
- aerobic
- flexibility
- balance and coordination
FITT for ROM?
F - daily
I - full, pain free range
T - 5-10 reps
T - active or self-assisted, non-weightbearing
FITT for aerobic exercise?
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
If post exercise pain lasts more than __-__ hours, probably over did it!
2-3
______ _____ _____ = occurs with articular swelling, inflammation, pain, joint laxity, and structural damage
arthrogenic muscle inhibition
AMI is caused by change i the discharge of ______ receptors in damaged joint = decreased ____ _____ excitability
sensory; motor neuron
AMI contributes to muscle ______
atrophy
AMI is most severe in acute stages of ______ _____
joint damage
Consistent evidence for ____ weakness in knee OA/RA, but clinically very often also ____ and ___ __/__ weakness as well
quads; hamstrings; glute max/med
FITT for strengthening
?
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
FITT for flexibility?
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
Caution with _____ joints when stretching
effused
FITT for balance activities ?
F - 4-7 days / week
I - moderate (challenging)
T - 10 min/day or more
T - static, dynamic
