OTH: Exercise Rx For ALL (FITT)

Question 1

HIV/AIDS

Answer 1

Moderate exercise program
POSTPONE during acute infections
AEROBIC: at least 20 min, 3x/week
Progress to 45 min-1 hr, 3-4x/week
RESISTANCE: mod level, 8-10 reps

Avoid exhaustion, immune suppression can occur with intense ex
Acute stages: MILD level
Avoid CONTACT sports d/t increased bleeding risk

Question 2

CFS

Answer 2

BED REST CONTRA
AEROBIC: walking
Intensity: Low-mod
RPE of 9-12/20
Freq: 3-5d/week
Duration: to tolerance, 5 min/session initially
Progress to 40-60 min

Avoid overexertion. It is normal to have increased fatigue in first few weeks of ex. Reduce ex if symptoms increase or not feeling well

Question 3

FMS

Answer 3

Daily exercise is KEY
AEROBIC: mild-mod
Duration: 2-30 min
Progress to 30-40 min
2x/week

Avoid overuse

AQUATIC in warm water is good

Question 4

Sickle Cell Disease

Answer 4

Ex intolerance is common
Exaggerated response to exercise
Limited peak performance in pts with anemia
LOW-MOD ex
Adequate fluid intake

High level ex and dehydration may inc risk of sickle cell crisis

Question 5

Hemophilia

Answer 5

Need factor replacement before Tx
Isometric ex and aquatic therapy EARLY
Pain management with TENS
Active assisted ex
Progress to active, isokinetic, OPEN CHAIN resistance exercise
PROM RARELY (RED FLAG: no passive stretch due to MO risk

Closed chain: no, bc too much compression

Strengthen: hip, knee, elbow ext, DF

Question 6

Cancer

Answer 6

Individualized

Low-mod intensity
11-13/20 on RPE
3-5d/week
20-60 min/session

Monitor fatigue closely and 12 hours later
Avoid exhaustion