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Pulmonary > exercise training > Flashcards

exercise training Flashcards

1
Q

what are Factors Causing Exercise Restriction?

A

ventilation disorder
gas exchange abnormalities
changes in respiratory and peripheral muscles
malnutrition

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2
Q

Hypoxemia
Disturbance in tissue oxygenation
Circulatory limitations
Change in diffusion capacity
Pulmonary hypertension
Low lactate threshold
are related to?

A

gas exchange abnormalities

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3
Q

Decreased ventilatory capacity
Restriction in expiratory airflow
Dynamic hyperinflation
increase in respiratory frequency
are related to?

A

ventilation problems

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4
Q

air is trapped blocking maximum volume of ventilation is?

A

dynamic hyperinfation

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5
Q

what are the ventilatory limitation?

A

dyspnea
lactic acidosis
hypoxemia

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6
Q

maximal ventilation during exercise is inhibited by?

A

dynamic hyperinflation

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7
Q

inspiratory capacity, Tidal volume, and Inspiratory muscle activity are decreased.
Shortness of breath increased
in?

A

COPD with dynamic hyperinflation patients

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8
Q

what Are cardiovascular limitations?

A

Angina
Hypertension
Dysrhythmia

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9
Q

Peripheral muscle
weakness
Respiratory muscle
weakness
Deconditioning
are all related to?

A

exercise intolerance

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10
Q

chest pain is?

A

angina

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11
Q

what are the changes in metabolic capacity?

A

Intramuscular pH decrease
ATP concentration decrease
Muscle lactate level increase
Ionosine monophosphate increase
Mitochondrial enzyme activity decrease

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12
Q

Decrease in type I fibers
Increase in type IIb fibers
Type I and IIa fibers
atrophy
Decreased capillarization
are related to?

A

morphological changes

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13
Q

Slow-Fatigue-resistant
Oxidative
Rich Red
Standing, Calm breathing
are related to IIa
true or false?

A

false, I

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14
Q

what are the characteristics of IIa?

A

Fast-Fatigue-resistant
Oxidative/Glycolytic
Mixed Walking,
Hyperventilate ion

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15
Q

Fast-Fatigue
Glycolytic Less
White
Jumping-Cough
are for?

A

IIb

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16
Q

in COPD quadriceps, latismuiss dorsi, and pectoralis major
are weaker than healthy people
true or false?

A

true

17
Q

the symptoms are
43% dyspnea
31% leg fatigue
26% dyspnea and leg fatigue
true or false?

A

false,
43% leg fatigue
31% dyspnea and leg fatigue
26% dyspnea

18
Q

what is the pulmonary rehab program?

A

Exercise training Oxygen
Breathing training
Patient education
Nutrition
Psychosocial and stress approaches

19
Q

endurance training can increase?

A

heart blood circulation

20
Q

Respiratory muscle weakness
and Hyperinflation effecting ventilation
how can we rehab it?

A

Insp muscle
Training
Positioning
Rollator
NIMV
Active expiration
Pursed-lip
Breathing

21
Q

what is NIMV

A

Noninvasive motion ventilation

22
Q

Ventilatory and Oxygen
transport in the lungs having hypoxia/hypercapnia during exercises can be treated by?

A

Interval training
Support O2

23
Q

if there is no hypoxia/hypercapnia we can do the endurance training
true of false?

A

true

24
Q

what are the principles of exercise training?

A

specialization
Loading
Personal differences
Reversibility

25
Q

HRmax % 60-90
VO2max % 50-80
Borg scale 4-6
are related to?

A

intensity of aerobic exercise

26
Q

what are the time, frequency, and continuity of aerobic exercise?

A

time=30 mins/day
Frequency= 3 - 5 days/weeks
Continuity= 4-6, 6-8, 12-24 weeks (gradually)

27
Q

how to test QOL or exercise tolerance?

A

Cycling ergometer / treadmill
6 min walk test/shuttle
walk test/stair climbing

28
Q

how to assess shortness of breath?

A

Modified Medical Research
Council dyspnea scale
(MRC)
Borg scale, visual analog
scale

29
Q

what are the effects of NIMS

A

Work of breathing and respiratory muscle load decreases
Improvement in arterial
blood gas
Dyspnea decreases
Endurance capacity increases

30
Q

what is the program of Peripheral muscle strength training?

A

Intensity= 1RM 80-100%
Number of reps=1-3 sets of 1-8
Resting =2-3 mins
Frequency=4-6 days /week

31
Q

what is the program of Peripheral Muscle Strength & Endurance Training?

A

Intensity =1RM 70-85 %
Number of rep=3 sets of 8-12
Resting =1-2 min
Frequency= 2-4 days/week

32
Q

what is the program of Peripheral muscle endurance training?

A

Intensity =1RM 30-60%
Number of reps=1-3 sets of 20-30
Resting= 1 min
Frequency=2-4 days/week

33
Q

aerobic training is better tolerated than strength exercise for Exercise Training and Peripheral Muscle Training
true or false?

A

false

34
Q

what are the contraindications for exercise?

A

Uncontrollable heart failure
Uncontrollable pulmonary hypertension
Acute lung infection

35
Q

what si the percentage of oxygen desaturation?

A

> %5 desaturation

36
Q

in ES
Type 2 fiber cross-section decrease
Type 1 fiber cross-section increase
true or false?

A

false, opposite

37
Q

what are the characteristics of ES?

A

Low voltage-Low frequency
stimulation
 Transition time: 200-400ms
 Stimulation frequency 8-50 Hz
 current intensity
 Frequency 3-5 days
 Duration: 4-6 weeks

Pulmonary (4 decks)

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