Lecture 8b

Question 1

conclusion of exercise for preg for chiros

Answer 1

-over 1/2 never heard of guildines but still tried to provide exercise

Question 2

what is recommendation #1 on the guideline consensus panel for exercise + preg

Answer 2

All women w/o contraindication should be active thru preg

• will help give them endurance to get thru labor/delievery
• Will help them in carrying the appropriate gear after

Question 3

sub group analysis of exercise recommendation + strength

Answer 3

Previously inactive- strong
Women with GDM- weak recommendation
Overweight/obese- strong

Question 4

did exercise during first trimester increase probs

Answer 4

didn’t increase odds of miscarriage/congenital annomolies

Question 5

what should prev active women do thru preg

Answer 5

may continue pa thru preg however may have to modify their activity as preg progesses

Question 6

pot risks of exercise for maternal

Answer 6

acute hypoglycemia
chronic fatigue
ask injury

Question 7

Risks of exercise for fetal potentially

Answer 7

acute hypoxia
reduced glucose availability
acute hyperthermia
induction of premature labor
increase incidence of miscarriage

Question 8

how many mins over a week should preg women get

Answer 8

150 mins of mod intensity exercise

<15% actually achieve this

Question 9

minimum number of days exercise should be done

Answer 9

3 days/week

Question 10

HR for exerciseing

Answer 10

140bpm

e.g., brisk walk, water aerobics, stationary cycling etc

Question 11

does exercise have a dose response relationship

Answer 11

increased intensities of PA decreases odds of preeclampsia, gestational diabetes and a reduction in depressive symptoms
–accumulating more PA over the week was associated w greater benefits

Question 12

what is recommendation 4 of the exercise building

Answer 12

incorporate a variety of aerobic and resistance training activities to achieve greater benefits
(eg, yoga, stretching, aerobic, resistance)

Question 13

What is reecoemndation 5 of preg exercises

Answer 13

Pelvic floor m training may be performed on a daily basis to reduce risk of urinary incontinence
(low quality, weak recommendation tho)

Question 14

What is recommendation number 6

Answer 14

laying on back should be avoided if dizziness, nausea or a feeling of unwell occurs (modify pos)

Question 15

What is diastasic recti and when does it typically occur

Answer 15

partial or complete seperation of the rectus abdomens mm as a result of linea alba widening (greater than 2 finger split)

mc during 3rd tri
may continue in post parts

Question 16

Postpartum exercise recomendations

Answer 16

usually diminishes postpartum

-should be encouraged to get back to exercise as soon as they are able to

Question 17

hyperthermia risk during exercise

Answer 17

exercise at 60-70 vo2 max (mod) does not raise core temp above 38

Question 18

Exercise @ altitude recommendation

Answer 18

no high intensity training at altitudes >1500-2000m if not acclimated

Question 19

Strength training recomendations

Answer 19

very little research

-avoid valsalva maneuver and excessive pressure towards pelvic floor

Question 20

Strength training recomendations post parium

Answer 20

start gradually with pelvic floor mm first

then introduce to exercises that increase intraabdominal pressure