Exercsie Prescription. Aerobic Training

Question 1

Order these in the order they appear in The Circle of Deconditioning with Physical Disability

i. Physical
impairment
and disability
ii. Medical complications
& secondary
disabilities (1)
iii. Deconditioning
iv. Decreased exercise
tolerance or inability
to exercise
v. Physical
inactivity.
vi. Functional

Answer 1

i .Physical
impairment
and disability

vi. Functional

iv. Decreased exercise
tolerance or inability
to exercise

iii. Deconditioning

ii. Medical complications
& secondary
disabilities (1)

vi. Functional

Question 2

Why can’t the max value for VO2 be reached for people with problems due SCI?

Answer 2

Limited exercising muscle mass
ANS impairments
Motor dysfunction
Pain and Fatigue

Question 3

What the origin of the ANS

Answer 3

Brain stem

Question 4

The sympathetic NS is located?

Answer 4

T1-T5

Question 5

ANS dysfunction is usually seen in?

Answer 5

Quadraplegia, high paraplegia ( most of the trimes),

multiple sclerosis, TBI

Question 6

Where does the injury have to be for a TBI to cause ANS dysfunction

Answer 6

Level of the brainstem

Question 7

How does the ANS compensate for the widening of arteriols in active muscles during exercise?

Answer 7

By limiting flow to inactive organs

Question 8

a. Exercise hypotension can result from?

b This can result in?

Answer 8

a. Vasodilation of active muscles not being compensated by vasoconstriction
in inactive organ.

b. decreased exercise tolerance

Question 9

With ANS dysfunction HRmax can be reduced to ~____ bpm ( with lesion at ___ or above)

______ BP response to exercise
Can also _______ venous tone

Answer 9

120bpm
T1-5 or above

diminished
decreased

Question 10

Diaphragm problems are seen in SCI at or above?

Answer 10

C5

Question 11

Intercostal and thoracic muscle problems seen in SCI at and which other condtions?

Answer 11

T2-T8

Poliomyelitis and MS

Question 12

Decreased rib cage expansion due to decreased intercostal muscle activity is seen in?

Answer 12

SCI at thoracic level (T2-T8), MS, Polio

Question 13

Adrenal mal/dysFunction can occur in SCI at___?

This results in absence of ____ and _____ which are a family of _____

Answer 13

T5 and above
Epinephrin and Norepinephrine
Catecholamines

Question 14

Catecholamines act on ____ & _____ to facilitate
cardiovascular adjustments
to _______. Electrical stimulation would these people by?

Answer 14

heart and atrial circulation
exercise
Increasing Venous return and bone mineral density?

Question 15

Around what % of blood does the venous system store at rest?

Answer 15

70%

Question 16

Two venous muscle pumps?

Answer 16

Skeletal

Diaphragm

Question 17

How would one compensate for the effects on venous return caused by ANS dysfunction

Answer 17

Increase Venous return by:
-Exercising in a horizontal posture
-Use of abdominal binders and
support stockings

Question 18

How would you prevent hyperthermia

Answer 18

Maintain full hydration

Minimize alcohol and caffeine

Question 19

Why is systolic BP only slightly increased during arm exercises?

Answer 19

High level of sympathetic stimulation equilibrates some of the effects

Question 20

Why is systolic BP only slightly increased during arm exercises?

Answer 20

High level of sympathetic stimulation equilibrates some of the effects

Question 21

When doing Arm or leg cardio exercise with small or weak muscle The limiting factor to exercise will be _____________ and
not _______________

Answer 21

The muscles themselves
and not
cardio capacity