exercise training Flashcards
what are Factors Causing Exercise Restriction?
ventilation disorder
gas exchange abnormalities
changes in respiratory and peripheral muscles
malnutrition
Hypoxemia
Disturbance in tissue oxygenation
Circulatory limitations
Change in diffusion capacity
Pulmonary hypertension
Low lactate threshold
are related to?
gas exchange abnormalities
Decreased ventilatory capacity
Restriction in expiratory airflow
Dynamic hyperinflation
increase in respiratory frequency
are related to?
ventilation problems
air is trapped blocking maximum volume of ventilation is?
dynamic hyperinfation
what are the ventilatory limitation?
dyspnea
lactic acidosis
hypoxemia
maximal ventilation during exercise is inhibited by?
dynamic hyperinflation
inspiratory capacity, Tidal volume, and Inspiratory muscle activity are decreased.
Shortness of breath increased
in?
COPD with dynamic hyperinflation patients
what Are cardiovascular limitations?
Angina
Hypertension
Dysrhythmia
Peripheral muscle
weakness
Respiratory muscle
weakness
Deconditioning
are all related to?
exercise intolerance
chest pain is?
angina
what are the changes in metabolic capacity?
Intramuscular pH decrease
ATP concentration decrease
Muscle lactate level increase
Ionosine monophosphate increase
Mitochondrial enzyme activity decrease
Decrease in type I fibers
Increase in type IIb fibers
Type I and IIa fibers
atrophy
Decreased capillarization
are related to?
morphological changes
Slow-Fatigue-resistant
Oxidative
Rich Red
Standing, Calm breathing
are related to IIa
true or false?
false, I
what are the characteristics of IIa?
Fast-Fatigue-resistant
Oxidative/Glycolytic
Mixed Walking,
Hyperventilate ion
Fast-Fatigue
Glycolytic Less
White
Jumping-Cough
are for?
IIb
in COPD quadriceps, latismuiss dorsi, and pectoralis major
are weaker than healthy people
true or false?
true
the symptoms are
43% dyspnea
31% leg fatigue
26% dyspnea and leg fatigue
true or false?
false,
43% leg fatigue
31% dyspnea and leg fatigue
26% dyspnea
what is the pulmonary rehab program?
Exercise training Oxygen
Breathing training
Patient education
Nutrition
Psychosocial and stress approaches
endurance training can increase?
heart blood circulation
Respiratory muscle weakness
and Hyperinflation effecting ventilation
how can we rehab it?
Insp muscle
Training
Positioning
Rollator
NIMV
Active expiration
Pursed-lip
Breathing
what is NIMV
Noninvasive motion ventilation
Ventilatory and Oxygen
transport in the lungs having hypoxia/hypercapnia during exercises can be treated by?
Interval training
Support O2
if there is no hypoxia/hypercapnia we can do the endurance training
true of false?
true
what are the principles of exercise training?
specialization
Loading
Personal differences
Reversibility
HRmax % 60-90
VO2max % 50-80
Borg scale 4-6
are related to?
intensity of aerobic exercise
what are the time, frequency, and continuity of aerobic exercise?
time=30 mins/day
Frequency= 3 - 5 days/weeks
Continuity= 4-6, 6-8, 12-24 weeks (gradually)
how to test QOL or exercise tolerance?
Cycling ergometer / treadmill
6 min walk test/shuttle
walk test/stair climbing
how to assess shortness of breath?
Modified Medical Research
Council dyspnea scale
(MRC)
Borg scale, visual analog
scale
what are the effects of NIMS
Work of breathing and respiratory muscle load decreases
Improvement in arterial
blood gas
Dyspnea decreases
Endurance capacity increases
what is the program of Peripheral muscle strength training?
Intensity= 1RM 80-100%
Number of reps=1-3 sets of 1-8
Resting =2-3 mins
Frequency=4-6 days /week
what is the program of Peripheral Muscle Strength & Endurance Training?
Intensity =1RM 70-85 %
Number of rep=3 sets of 8-12
Resting =1-2 min
Frequency= 2-4 days/week
what is the program of Peripheral muscle endurance training?
Intensity =1RM 30-60%
Number of reps=1-3 sets of 20-30
Resting= 1 min
Frequency=2-4 days/week
aerobic training is better tolerated than strength exercise for Exercise Training and Peripheral Muscle Training
true or false?
false
what are the contraindications for exercise?
Uncontrollable heart failure
Uncontrollable pulmonary hypertension
Acute lung infection
what si the percentage of oxygen desaturation?
> %5 desaturation
in ES
Type 2 fiber cross-section decrease
Type 1 fiber cross-section increase
true or false?
false, opposite
what are the characteristics of ES?
Low voltage-Low frequency
stimulation
Transition time: 200-400ms
Stimulation frequency 8-50 Hz
current intensity
Frequency 3-5 days
Duration: 4-6 weeks