Lecture 2: Exercise Testing/Prescription

Question 1

Why do we exercise test?

Answer 1

1. is there any cardio/pulm dz?
2. assess fnx aerobic capacity (fnx capacity)
3. what factor’s limit pt’s AC
4. obtain data to prescribe exercise
5. are interventions working?

Question 2

What are 2 considerations for exercise testing?

Answer 2

1. choose a test pt is able to perform

2. determine between submax and max

Question 3

What is needed to perform a max exercise test?

Answer 3

advanced life support, MD, 12 lead EKG

Question 4

At what % of VO2 or HR max will cardipulm system most likely fail?

Answer 4

85-90% or

Question 5

What important piece of data can we get from a max test?

Answer 5

real max HR and not from the formula

Question 6

What are 2 major advantages of sub max testing?

Answer 6

1. assess hemodynamic/ respiratory response and exercise limitation with low risk
2. usually easy to complete in almost all settings

Question 7

What are major contraindications for exercise testing?

Answer 7

MI within 2 days, unstable angina, new or uncontrolled arrhythmia, heart failure, pulm embolism, aortic stenosis, acute illness or fever

Question 8

What are other contraindications?

Answer 8

uncontrolled electrolyte imbalance, HR over 120 at rest, hypotension, HTN, uncontrolled metabolic dz, infections

Question 9

What possible things could worsen during an exercise test?

Answer 9

neuromuscular, Musskel, RA conditions

Question 10

What are 4 major reasons you would stop an exercise test?

Answer 10

1. abnormal hemodynamic response (HR over 85% or no raise in HR)
2. arrhytmia
3. BP drop or rise- drop in systolic greater than 10 or no increase in BP
4. PT asks you to stop

Question 11

What other lesser symptoms can lead to stopping a test?

Answer 11

angina, dizzy, pallor, nausea, severe fatigue, stridor, severe DOE, claudication (cramps)

Question 12

What is the difference between modified and normal bruce test?

Answer 12

modified adds two lower grades for debilitated patients

1.7 mph at 0% grade for 3 mins and 1.7 mph @5% grade for 3 mins

Question 13

What is the most common cycling max/sub max test?

Answer 13

Astrand Rhyming

Question 14

What are benefits of warm up?

Answer 14

mobilize blood from gut, increase CO

Question 15

What is aerobic exercise?

Answer 15

1. improves hearts ability to deliver oxygen to the tissues of the body, which will improve muscular performance and endurance
2. metabolic waste will leave muscles faster
3. aerobic metabolism improved

Question 16

How does muscle flexibility improve minute ventilation?

Answer 16

by improving posture, leads to lungs able to fill better

Question 17

What do all exercise prescriptions need?

Answer 17

mode, intensity, duration, frequency, progression

Question 18

For general population what are general parameters?

Answer 18

D: 20-60 minutes

F: 3-5 times a week

I: moderate 60-85% of max HR
RPE 11-14, 40-80% of VO2 max

M: something using large muscle groups

Question 19

What is initial phase of a new program?

Answer 19

3-7/wk @ 40-60% max HR, 15-20 mins

Question 20

What is improvement phase?

Answer 20

3-5/wk @ 60-85% max HR, 25-40 mins