Final

Question 1

Aerobic

Answer 1

Fuel source: glycogen, fats, protein Oxygen required System predominates over other energy systems after 2 mins of exercise Low intensity many reps

Question 2

Anaerobic

Answer 2

Fuel source: Glycogen No Oxygen required Lactic acid produced System provides energy for activity of Mod intensity and short duration; major energy source from 30-90 sec of exercise. HIgh intensity, minimal reps

Question 3

Aerobic program

Answer 3

60%-90% max HR (220 - age) Exercise HR should never exceed the symptom-limited HR achieved on an exercise test 20-30 min 3-4x wk

Question 4

Results within?

Answer 4

10-12 wks

Question 5

Buoyancy

Answer 5

Upward force of water working against gravity

Question 6

Hydrostatic pressure

Answer 6

Pressure exerted equally on all surfaces of an immersed object can reduce edema Increased depth will increase pressure

Question 7

WB and buoyancy

Answer 7

ASIS - 50% WB Xyphoid - 33% WB C7 - 10% WB

Question 8

Viscosity

Answer 8

friction between molecules of liquid resulting in resistance to flow Resistance is proportional to velocity of movement through liquid

Question 9

Surface tension

Answer 9

Surface of water acts as a membrane under tension. Resistive force of surface tension changes proportionally to the size of the object moving through the liquid

Question 10

Streamlined flow

Answer 10

Steady flow of molecules

Question 11

Turbulent flow

Answer 11

Irregular pattern of flow by water molecules Greater resistance

Question 12

aquatic therapy Clinical uses

Answer 12

ROM Pain Balance, proprioception, coordination Strength WB restrictions on land Peripheral edema in extremity Lack of progress on land

Question 13

Contraindications Aquatic Therapy

Answer 13

Infectious disease Excessive fear of water Fever or high temp Open wound Contagious skin disease Surgical incision, staple in place Serious cardiac condition Uncontrolled seizure disorder

Question 14

Precautions Aquatic therapy

Answer 14

Med controlled seizure condition Recently healed surgical incision Absent/impaires peripheral sensation Diabetes Postural Hypotension Significant vestibular disorder Resp dysfunction Colostomy Diff with bowel, bladder control Trachea tube Fear of water Poor endurance/Asthma

Question 15

Water Temp

Answer 15

Thermoneutral 31-33c (88-90.5f) > used for low level activity. ROM, relaxation, pain, coordination, gait training, low level balance) < cardiovascualr endurance, higher intensity, local m. endurance strengthening Max HR should be reduced to 10-20 bpm < traget HR

Question 16

Factors to consider with geriatrics

Answer 16

Psychological needs Social needs Multiple diagnosises Environment Balance Motivation Prevention

Question 17

Age related changes

Answer 17

Loss of bone mass Stiffening cartilage Postural changes Decreased flexibility Decreased strength Decreased m. mass Increased body fat Decreased endurance Deacreased RXN time Cardiopulmonary function Visual/auditory changes sensory changes Balance changes Cognitive changes

Question 18

Pt/Family education

Answer 18

Safe, efficient means of mobility and exercise

how to assist mobility efforts

• Bed mobility/positionsing
• Sliding board TX

Safe use of Equipment

Components of exercies program

Question 19

Plyometrics

Answer 19

Jump training, shock training

Quick powerful movements (eccentric -> concentric)

enhances the excitability of the neurologic receptors for imporved reactivity of the muscular system

Strength training and explosive movements

Question 20

Phases of plyometrics

Answer 20

Eccentric - Stretch or setting period

Amortization - Time btwn eccentric and concentric

Concentris - Facilitated shortening contraction

Question 21

Plyometrics Precautions

Answer 21

Acute inflammation or pain

Immediatley post op pathology

Gross instability