Module 3 Flashcards
VO2 max
Maximal oxygen uptake per minute
VO2 peak
Highest oxygen consumption during exercise test
Absolute VO2
- L/min or ml/min
- No reference to body mass
Relative VO2
- ml/kg/min
- Energy cost of weight bearing exercises
- Allows comparison of cardio respiratory fitness across body sizes
Gross VO2
Rest + exercise oxygen consumption
Net VO2
Oxygen consumption of exercise only
Guidelines for exercise testing (4)
1) choose maximum or submaximal exertion test
2) VO2 Max measured directly (max) or estimated (submax.)
3) multi-stage (graded) protocols best
4) maximal test NOT more dangerous than submaximal test
VO2 attainment criterion (6)
1) Plateau in oxygen consumption
2) VO2 increase less than or equal to 150 mL/min
3) Heart rate fails to rise with increasing workload
4) RPE above 17
5) blood lactate above 8 mmol/L
6) RER above 1.15
Procedures for exercise testing (8)
1) timely delivery of pretest guidelines
2) informed consent and screening procedures
3) baseline hemodynamic assessment
4) familiarized with RPE scale
5) warm up
6) monitor RPE and hemodynamics throughout test and recovery
7) monitor client physical appearance and symptoms
8) cooldown
Reasons to terminate an exercise test (5)
- End of protocol
- equipment malfunction
- client asks to stop
- signs or symptoms indicating need to stop
- reach predetermined end point (submax.)
Signs and Symptoms for test stoppage (6)
- onset of angina or angina like symptoms
- below 10 mmHg drop in systolic from baseline
- blood pressure excessive rise: over 250 systolic or above 115 diastolic
- shortness of breath, wheezing, leg cramps, claudication
- poor perfusion signs
- noticeable change in heart rhythm
Reasons to use submaximal testing
- cost and time effective
- maybe shorter version of max test
Four assumptions of submaximal testing
1) Steady state heart rate attained and maintained at each stage
2) Linear relationship between heart rate and VO2
3) Mechanical efficiency constant for everyone
4) Heart rate max is similar for all of same age
Adjusting workload on treadmill
Speed
Incline
RPE for clamped protocol
Adjusting workload for stationary bike
Cadence
resistance
metronome can be handy
RPE for clamp protocol