Section 1 Flashcards

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1
Q

What are the 3 phases of the ACE IFT Cardiorespiratory training program?

A

Base -> Fitness -> Performance

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2
Q

What are the 3 phases of the ACE IFT Muscular training program?

A

Functional -> Movement -> Load/Speed

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3
Q

What are characteristics of ACE IFT Base clients?

A

Those who are not consistently performing moderate-intensity cardio exercise for at least 20 mins, 3x per week.

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4
Q

What are 4 key items related to ACE IFT Base Training?

A

1) Focus on moderate-intensity cardio exercise (RPE 3-4), while keeping emphasis on enjoyment
2) keep intensities below the talk test threshold(below VT1)
3) increase duration & frequency of exercise bouts
4) progress to Fitness Training when client can complete at least 20 min of cardio exercise below the talk-test threshold at least 3x/week

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5
Q

What are 2 key items related to ACE IFT Fitness Training?

A

1) Progress cardio exercise duration & frequency based on client’s goals & available time,
2) Integrate vigorous-intensity(RPE 5-6) cardio exercise intervals with segments performed at intensities below, at, and above VT1 to just below VT2

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6
Q

What are 4 key items related to ACE IFT Performance Training?

A

1) Progress moderate & vigorous intensity cardio exercise
2) Program sufficient volume for the client to achieve goals
3) integrate near-maximal & maximal intensity (RPE 7-10) intervals performed at & above VT2 to increase aerobic capacity, speed & performance
4) Periodized training plans can be used to incorporate adequate training time below VT1, from VT1 to just below VT2 and at or above VT2

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7
Q

What is WITHIN the ACE CPT scope of practice regarding training clients w/ weight loss goals?

A

Designing exercise programs that lead to increased energy expenditure & positive changes in body composition; NOT evaluating a client’s nutrient intake to guide meal planning, NOR creating therapeutic exercise programs to help clients w/ low-back pain to improve core stability, NOR recommending nutritional supplements only after conducting extensive research on their effectiveness & safety

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8
Q

Which resource would be appropriate for an ACE CPT to utilize when providing dietary advice to clients?

A

Resources developed or endorsed by the Fed Govt (e.g., www.choosemyplate.gov); NOT textbooks on nutrition & weight loss from national publishers, NOR industry resources for PTs, NOR published articles from health & nutrition magazines & websites

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9
Q

When working with clients who have been referred by their physicians for exercise programs, what is the most important step for a PT to take?

A

Obtain written permission from the client prior to communicating with the referring physician

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10
Q

What is the primary purpose of the ACE CPT program?

A

To protect the public from harm

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11
Q

A client has soreness after a weekend tennis tournament. What is the appropriate action within the scope of practice for the ACE CPT?

A

Discuss proper techniques for stretching the affected muscles

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12
Q

According to the Centers for Disease Control & Prevention, what is a key risk factor for chronic disease?

A

Lack of physical activity

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13
Q

A client has been released from phys therapy for shoulder impingement & is now working with an ACE CPT. What is the most appropriate action for the PT to take?

A

Build on the work done in physical therapy

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14
Q

What is the most appropriate solution for an ACE CPT to provide to a client who has tight iliotibial(IT) bands?

A

Teach the client self-myofascial release techniques.

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15
Q

A client who has problems performing activities of daily living would benefit MOST from improving what?

A

Functional movements

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16
Q

How would you best describe what is at the heart of a client centered approach to PT?

A

The personal trainer is focused on the client, helping the client achieve his or her goals for health, fitness & improved quality of life.

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17
Q

A client who can walk continuously for 10 min at a moderate intensity b4 needing to take a break would start in which Cardio Training phase of the ACE IFT model?

A

Base Training

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18
Q

Which exercise would be MOST appropriate in the Movement Training phase of the ACE IFT Muscular training component?

a) body weight lunges
b) butt kicks
c) plyometric squat
d) high marches

A

A) Body-weight lunges

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19
Q

In what muscular training phase of the ACE IFT model would drills to build agility & power be incorporated?

A

Load/Speed Training

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20
Q

A periodized training plan that incorporates workouts below the first ventilatory threshold(VT1), between VT1 & the second ventilatory threshold (VT2) & above VT2, would be appropriate for what type of client?

A

A woman training to quality for the Boston Marathon; NOT a man playing local rec basketball, NOR a woman training to hike Mt Whitney, NOR a man training for a 50 mile charity bike ride

21
Q

Which of the following is one of the 5 primary movement patterns that are the focus of movement training?

a) triplanar movements
b) diagonal movements
c) jumping movements
d) single-leg movements

A

Single Leg Movements

22
Q

When a client can consistently perform moderate-intensity physical activity for 20 min or more at least 3x/week, he or she should be training in which cardio phase of the ACE IFT model?

A

Fitness training

23
Q

An ACE CPT begins working with a new client who has obesity & is apprehensive about beginning a workout program. What is most effective in helping the client achieve early success in the first session?

A

Have the client perform exercises that provide the trainer with basic feedback about the client’s current movement abilities & fitness

24
Q

What is the definition of hypertension?

A

High blood pressure, or the elevation of resting blood pressure to 130/80 mmHg or greater

25
Q

What does HIPAA stand for? What are basics?

A

Health Insurance Portability & Accountability Act; addresses use & disclosure of individuals’ protected health info.

26
Q

What is the definition of contraindications?

A

any condition that renders some particular movement, activity or treatment improper or undesireable

27
Q

Which of the following is within the ACE CPT scope of practice?

a) helping clients gain a better understanding of portion sizes & healthful foods so they can make better choices
b) providing clients w/ individualized recipes & shopping lists for 4 weeks to get them on track w/ a specialty diet
c) conducting 24-hr dietary recalls to determine nutritional needs & recommending nutritional intake
d) educating clients about resting metabolic rate (RMR) and the need to consumer fewer calories than RMR to lose weight

A

A) helping clients gain a better understanding of portion sizes & healthful foods so they can make better choices

28
Q

What is RMR?

A

Resting metabolic rate; the number of calories expended per unit time at rest, measured early in the morning after an overnight fast & at least 8 hours of sleep; approximated with various formulas

29
Q

What do most allied health certification programs, such as the credentials for reg. dieticians, occupational therapists & nurse practitioners have in common with certifications from the ACE?

A

They are accredited by the National Commission for Certifying Agencies

30
Q

What is the definition of hyperlipidemia?

A

An excess of lipids in the blood that could be primary, as in disorders of lipid metabolism, or secondary, as in uncontrolled diabetes

31
Q

What is the definition of a lipid?

A

The name for fats used in the body and bloodstream

32
Q

What does ABC stand for?

A

A - Ask open ended questions,
B - Breakdown barriers
C - Collaborate w/ client

33
Q

What is First Ventilatory threshold(VT1)?

A

Intensity of aerobic exercise at which ventilation starts to increase in a nonlinear fashion in response to an accumulation of metabolic by-products in the blood

34
Q

What is RPE?

A

Rating of perceived exertion; a scale, that provides a std means for evaluating a participant’s perception of exercise effort. Orig scale was 6-20, revised to 0-10

35
Q

What is the Second Ventilatory threshold(VT2)?

A

A metabolic marker that represents the point at which high-intensity exercise can no longer be sustained due to an accumulation of lactate

36
Q

What is definition of static balance?

A

the ability to maintain the body’s center of mass(COM) within its base of support (BOS)

37
Q

What is the definition of kinetic chain?

A

the concept that joints & segments have an effect on one another during movement

38
Q

What is definition of dynamic balance?

A

the act of maintaining postural control while moving

39
Q

What does aerobic imply?

A

in the presence of oxygen

40
Q

What does anaerobic imply?

A

without the presence of oxygen

41
Q

What are the 5 Movement Patterns

A

1) Bend & Lift
2) Single-leg
3) Pushing
4) pulling
5) rotational

42
Q

What is meant by bend & lift movements?

A

performed throughout the day as a person sits, stands, or squats down to lift an object off the floor

43
Q

What is meant by single leg movements?

A

involve single-leg balance & movement as performed during walking or going up/down stairs. Lunching movements are performed when a person steps forward to reach down with one hand to puck up something small of the floor

44
Q

What is meant by pushing movements?

A

Upper-body movements occur in 4 primary directions:

1) forward (push open door),
2) overhead(lift to a high shelf)
3) lateral (lift torso when getting up from side-lying position)
4) downward(pushing up & out the side of a pool)

45
Q

What is meant by pulling movements?

A

Occur during exercises like a seated row or pull-up or when pulling open a door

46
Q

What is meant by rotational movements?

A

Occur in the torso as a force transfers from the legs to arms (throw a ball) or during twisting movements like a dancer or golfer

47
Q

Upon what foundational element is the ACE IFT model built?

A

Developing rapport

48
Q

Strength training, body building & training for muscular endurance all fall under which Muscular Training phase of the ACE IFT model?

A

Load/Speed Training