Lecture 5

Question 1

What does SOAP notes stand for

Answer 1

-subjective
-objective
-analysis
-plan

Question 2

What is subjective data

Answer 2

-information received from the patient

Question 3

What can be included in subjective history

Answer 3

-new or ongoing issues/concerns
-compliance with prior interventions and/or education
-report of pain, function, and mitigating factors

Question 4

What is objective data

Answer 4

-observable information that the clinician gathers during their assessment and treatment session
-based on what can be seen, measured or tested

Question 5

What could be included in objective data

Answer 5

-HR
-BP
-etc.
-treatments/interventions and education provided may also be included

Question 6

What is the analysis

Answer 6

-summary statement based on subjective and objective fundings
-contains clinicians interpretation of clients input and data gathered
-may include progression, regression or no change
-may include a summary of the clients reaction

Question 7

What is the plan

Answer 7

-a concise statement of the overall intervention plan and follow-up proposal for the next session
-may include progression precautions

Question 8

What are the submax tests we have learned in this course

Answer 8

-1 mile walk test
-beep test
-6 min walk test
-astrand cycle test
-single stage sub max treadmill walking test

Question 9

Who was the one mile track walk test designed for

Answer 9

-wide age range (18-79 years) of males and females

Question 10

Advantages of the one mile track walk test

Answer 10

-applicable to a wide range of individuals
-limited equipment needed
-familiar activity

Question 11

Disadvantages of the one mile track walk test

Answer 11

inability to monitor physiological variables during test

Question 12

Advantages of the beep test

Answer 12

-multiple stages allows for a wide range of fitness levels to be tested
-limited amount of equipment needed
-more than one participant can be tested at once
-paces individuals with pre-recorded sound signals

Question 13

Disadvantages of the beep test

Answer 13

-frequent stopping and starting
-pacing
-inability to monitor physiological variables during test
-how do we ensure this is a submaximal test

Question 14

What is the 6 minute walk test designed for

Answer 14

-assessment of individuals with chronic obstructive pulmonary disease and heart failure in older adult populations

Question 15

What does a score of less than 300 m on the 6 min walk test indicate

Answer 15

-poor short term survival

Question 16

Advantages of the 6 min walk test

Answer 16

-simple and inexpensive test
-corresponds to functional activity of daily living
-can be used with a wide population with a variety of diagnoses
-standard time rather than a predetermined distance may provide a better test of endurance
-allows participants to set their own pace and stop if necessary

Question 17

Disadvantages of the 6 min walk test

Answer 17

-requires 2 practice tests
-inability to monitor BP during test

Question 18

Advantages of the single stage submaximal treadmill walking test

Answer 18

-suitable for people with various diagnoses
-familiar activity
-single stage

Question 19

Advantages of the astrand cycling test

Answer 19

-set pedal rate and predetermined workload
-short test

Question 20

Disadvantages of the astrand cycling test

Answer 20

-underestimates vo2 for men
-overestimates vo2 for women
-may be limited by LE discomfort rather than CV status

Question 21

How to choose the right sub max test

Answer 21

-the goal of the test should be to provide a sufficient level of exercise stress without physiologic or biomechanical strain

Question 22

Things that need to be considered when determining which test to use

Answer 22

-has the test been validated in this population
-effect of a persons condition on daily function and abilities
-age
-weight
-cognitive status
-mobility, use of orthotics or prosthetics, balance, gait
-current level of pain
-client goals

Question 23

What is cardiorespiratory fitness

Answer 23

-reflects the integrated ability to transport oxygen from the atmosphere to the mitochondria to perform physical work

Question 24

Disadvantages of the single stage submaximal treadmill walking test

Answer 24

-based on HR therefore factors that affect HR must be controlled

Question 25

Absolute contraindications for the 6 min walk test

Answer 25

-unstable angina during previous month
-myocardial infarction during the previous month

Question 26

Relative contradindications of the 6 min walk test

Answer 26

resting heart rate of more than 120 bpm
-SBP more than 180 mm Hg
-DBP of more than 100 mm Hg

Question 27

What needs to apply to qualify as a steady state HR

Answer 27

-if there is a difference of less than or equal to 6 bpm than consider test finished
-if there is a difference of greater than 6 bpm then continue for another minute and check HR again

Question 28

What equation to use to take value from nomogram and convert to VO2max

Answer 28

-(nomogram value x 1000) / kg

Question 29

How to calculate someones max heart rate

Answer 29

-220-age

Question 30

When is steady state HR obtained for astrand rhyming test obtained

Answer 30

-between 5th and 6th minute

Question 31

When is steady state HR obtained for single stage treadmill walking test

Answer 31

-between 4th and 5th minute

Question 32

How to convert VO2 max to mets

Answer 32

-divide by 3.5

Question 33

What should clients heart rate be after 1 min of single stage walking test

Answer 33

-50-70%

Question 34

What speed does the beep test increase by at each level

Answer 34

-0.5 km/hr

Question 35

What speed does the beep test start at

Answer 35

-8.5 km/hr