Long Term Exercise Training in Paraplegics and Quadraplegics (study)

Question 1

Why is regular Physical activity really important for the success in of rehab after SCI?

Answer 1

-> to reduce risk of the prevalence of morbidity diseases (such as CAD)

Question 2

What is the major cause of morbidity in SCI?

Answer 2

Coronary artery disease

Question 3

Diffeences between this study and previous studies on the same subject

Answer 3

2x/wk for 9 months, more closer to real life,

Assessed QOL and Physiological well being as well

Question 4

testing FOR ARM ERGO METER PERFORMENCE.
They use the ________ arm crank protocol. Which was used to asses the hear rate/power out in relation to _______. Sub ject performed ____ mins of ____ workloads on the monark arm errgommeter at workload of _____ (3)

Answer 4

Toronoto Arm Crank Protocol
3 submax workload
5-7 minutes of steady state @ 40,60, 80% HHR

Question 5

Did they use the same method of measuring intensity for those with attenuated HR responses?

Answer 5

No they used the borg scale of 1,2 and 4 ( 10 pts)

Question 6

For strength what did they do to prescribe intensities? What was the protocol of measuring it out?

Answer 6

1 RM was assessed for chest press , elbow flexion, and shoulder flexion maneuvers.
No method of assessment was given…

Question 7

Brfiely describe the training program

Answer 7

slow progression + intensity closely monitored

• Aerobic (arm ergometry)
• Resist training (circuit training)

Question 8

How long was each seesion

Answer 8

90-120 minutes

Question 9

Warm up?

Answer 9

Low intensity arm ergometer or wheeling around the track

Question 10

Cardio prescription

Answer 10

70% HHR or 3-4/10 for borg

starting at 5-10minute bouts and gradually increased to 15-20minutes

Question 11

Resistance training prescription and progression…
training intially consisted of _____ sets of each exercise at ____% or 1RM
Then progressed to ___ sets at ___ - ___% of 1RM

Answer 11

two sets @ 50%1RM

3 sets @ 70-80% 1RM

Question 12

Program adherence.
After the first 3 months
Between months 3 -6
months 6 and 9

Answer 12

two drop outs
Six more drops outs
Two more

Question 13

wHAT WAS THE ATTENDENCE RATE FOR THE PARTICIPANT WHO DID COMPLETE THE TEST?

Answer 13

82%

Question 14

Was the program adherence relfective of real life situations?

Answer 14

Yes

Question 15

In the graphs depicting progression via relating HR and Power output, why were the heart rates not consistent? ( Refer to pg 307 for graphs)

Answer 15

• Some used RPE to adjust intensity

- Some may not have been able to reach THR zone at preset

Question 16

Was there much clinical change in Psychological well being and QoL variables over there course of the study?

Answer 16

No, not really :(

- That’s sad :(

Question 17

the three proposed mechanism threw which exercise can prevent a decline in or enhance QoL

Answer 17

1. Exercise induced changes in pain mediate changes in QoL
2. Improved sense of mastery in physical functioning
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