Physical Activity Exercise And Fitness long term neuro conditions

Question 1

Exercise

Answer 1

Planned and structured and repetitive movements aim to maintain or improve physical fitness

Question 2

Fitness

Answer 2

Set of attitudes related to ability to perform physical activity skill related health related and physiological components

Includes cardiorespiratory endurance body composition muscular strength and endurance flexibility agility balance coordination power speed and reaction time

Question 3

Lack of Physical activity

Answer 3

Risk factors for noncommunicable diseases such as stroke and diabetes

Less and less physical activities occurring in adults and children worldwide

Those who don’t make time for exercise now will have to make time for ill-health later

Question 4

Recommendations

Answer 4

Bites of 10 minutes or more with 150 minutes of moderate activity per week or 75 minutes of vigourous activity and minimize sedentary behaviour

Sport exercise occupational household chores gardening et cetera

Benefits to physical and cognitive well-being

Question 5

Physical activity helps trajectory

Answer 5

Increasing activity by 30 minutes a week is health promoting

Consider both physical activity time and sedentary time

Anything is better than nothing

Question 6

Neurological conditions

Answer 6

Physical activity is beneficial in all conditions however in neurological conditions the optimal content and minimal content delivery and timing and mode of delivery is not clear

Question 7

Considerations

Answer 7

A number of systems may be affected

Number of presentations and progressions

Some conditions are progressive

Body impairments will impact on choice of activity

Needs to be safe affective and sympathetic exercise prescription

Consider underlying pathologies

Daily variations

Being active helps to focus on positive aspects of disability

Question 8

Exercise prescription in long term neurological conditions

Answer 8

Stage and severity of disease

Condition progression

Neurological symptoms

Likelihood of secondary conditions

Exercise response/recovery

Question 9

Exercise response and recovery

Answer 9

Altered system response

Neuromuscular

Cardiovascular

Autonomic- temperature

Metabolic- aerobic metabolism

Daily variability is high

Question 10

Detraining

Answer 10

Downward spiral

Effects on all systems lead to reduced mobility which leads to reduced activity and detraining and reconditioning

Decreases cardiovascular systems etc

Question 11

Exercise

Answer 11

Exercise is there a contra indicated but prescription should be modified to lie see if engagement

Safety of the delivery mechanisms and exercise content

Physical activity readiness questionnaire

Details prescriptions a medical history

Or through static intolerance

Determine the cognitive impairment

Question 12

Outcome measures

Answer 12

Consider participatory activities

Behavioural change

Key components of fitness: injuring strength speed power balance agility flexibility

Six minute walk

Sit to stand

Standing balance tests

Monitoring general health

Monitoring symptoms

Question 13

Monitoring exercise and physical activity levels

Answer 13

30 mins a week= sport England

International physical activity questionnaire

Diaries of self reporting

Monitor exertion symptoms – our perception of exertion symptoms are what limits and dictates how hard we feel we can exercise

Borg scale

Question 14

Exercise prescription setting

Answer 14

Locality

Enjoyment

Location

Support

Question 15

Exercise prescription content

Answer 15

FITT

Frequency
Intensity
Type
Training

Adaptation is key regarding the individual

Limited capacity reduced exercise capacity of approximately one third lower than sedentary matched healthy controls

Question 16

FITT

Answer 16

> Exercise dose of five or more days of 30 minutes of activity week

However benefits can be gained for one session a week

For cognitive benefits it appears that more frequent exercise is required

> Intensity

Guidelines suggest that you should meet 150 minutes of moderate or 75 minutes of vigourous

Moderate brisk walk – vigorous running

> timing at least 10 minutes and ideally lasting 30 minutes

Type

Tap into such a physical activity is no type better than another bit mode of activity may affect transfer of physical functioning

Question 17

Reduced sedentary time

Answer 17

For benefits to health and well-being

Encouraged to be exciting time

Memory it’s texting app smart watch features activity trackers

Question 18

Barriers and facilitators

Answer 18

Social and environmental factors

Transport access facilities

Negative attitude

High levels of family support

Long-term engagement requires both medical and social model

Motivators include weight loss strength gain stress management fitness and enjoyment

Question 19

Changing behaviour

Answer 19

Behaviour change theory

Supports the need to consider giving people the ability confidence and motivation to change

Behavioural change real

Capability opportunity of motivation

Setting own goals is essential