Special Po Flashcards

1
Q

Special Considerations for Youth Training (Mode, frequency, intensity, duration, movement assessment, flexibility, resistance training, special considerations)

A

Mode- Walking, jogging, running, games, activities, sports, water activity, resistance training
Frequency- 5 to 7 days/week
Intensity- Moderate to vigorous cardio exercise training
Duration- 60 min/day
Movement Assessment- OHS, Upper Body Endurance, Single leg squat/balance
Flexibility- Flexibility Contiuum
Resistance Training- 1-2 sets of 8-12 reps at 40-70%, 2-3 days per week, Phase 1 of OPT, only moving on for mature adolescents
Special Considerations- Progression for the youth population should be based on postural control and not on the amount of weight that can be used. Make exercise fun

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2
Q

Special Considerations for Senior Training (Mode, frequency, intensity, duration, movement assessment, flexibility, resistance training, special considerations)

A

Mode- Stationary or recumbent cycling, aquatic exercise, treadmill with handrail support
Frequency- 3-5 days per week of moderate intensity activities or 3 days of vigorous intensity activities
Intensity- 40-85% of VO2 Max
Duration- 30-60 minutes/day or 8 to 10 minute bouts
Movement Assessment- Push, Pull, OH Squat, or sitting/standing into chair, single leg balance
Flexibility- SMR and Static stretching
Resistance Training- 1-3 sets of 8-20 reps at 40-80% on 3-5 days/week, Phase 1 should be mastered before moving on, phases 2-5 should be based on postural control and physician’s rec
Special Considerations- Progression should be slow, well monitored, and based on postural control. Exercises should be progressed if possible toward free sitting or standing. Normal breathing. If SMR or static isn’t tolerated, perform slow rhythmic active or dynamic stretches

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3
Q

Special Considerations for Obese Training (Mode, frequency, intensity, duration, movement assessment, flexibility, resistance training, special considerations)

A

Mode- Low impact or step aerobics, treadmill walking, rowing, or stationary cycling, water activity
Frequency- At least 5 days/week
Intensity- 60-80% of max HR, use talk test to determine exertion. Stage 1 cardio progressing to Stage 2
Duration- 40-60 minutes/day, or 20-30 min sessions twice per day
Movement Assessment- Push, Pull, single balance (if tolerated)
Flexibility- SMR (only if comfortable to client) and static
Resistance Training- 1-3 sets of 10-15 reps on 2-3 days/week. Phases 1 and 2 performed in circuit
Special Considerations- Make sure client is comfortable. Exercises should be performed seated of standing. May have other chronic diseases

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4
Q

Special Considerations for Diabetes Training (Mode, frequency, intensity, duration, movement assessment, flexibility, resistance training, special considerations)

A

Mode- Low impact activities, cycling, treadmill walking, low impact or step aerobics
Frequency- 4-7 days/week
Intensity-50-90% of max HR, Stage 1 cardio may be adjusted, progressing to stage 2 and 3 based on physician’s approval
Duration- 20-60 minutes
Movement Assessment- Push, Pull, OH squat, single leg balance/squat
Flexibility- Flexibility continuum
Resistance Training- 1-3 sets of 10-15 reps, 2-3 days/week, Phases 1 and 2
Special Considerations- Make sure client has appropriate footwear. Advise client to keep snack available during exercise. Use SMR with special care. Avoid excessive plyometric training and high intensity is not advised for typical client

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5
Q

Special Considerations for Hypertensive Training (Mode, frequency, intensity, duration, movement assessment, flexibility, resistance training, special considerations)

A

Mode-Stationary cycling, treadmill walking, rowers
Frequency- 3-7 days/week
Intensity- 50-85% of max HR. Stage 1 cardio progressing to stage 2
Duration- 30-60 minutes
Movement Assessment- Push, Pull, OH squat, single leg balance/squat
Flexibility- Static and active in standing or seated position
Resistance Training- 1-3 sets of 10-20 reps 2-3 days/week. Phases 1 and 2. Tempo should not exceed 1 sec for iso and concentric. Circuit or PHA training with appropriate rest intervals
Special Considerations- avoid heavy lifting, normal breathing. Don’t over-grip or clench fists. Modify tempo. Perform exercises in standing or seated position. Allow client to stand up slowly. Progress client slowly

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6
Q

Special Considerations for Chronic Heart Disease Training (Mode, frequency, intensity, duration, movement assessment, flexibility, resistance training, special considerations)

A

Mode-Large muscle groups, stationary cycling, treadmill walking, or rowing
Frequency- 3-5 days/week
Intensity- 40-85% of max HRR, Talk test may be more appropriate
Duration- 5-10 min warm up followed by 20-40 minutes of exercise, followed by 5-10 min cool down
Movement Assessment- Push, Pull, OH Squat, single leg balance/squat
Flexibility- Static and active in a standing or seated position
Resistance Training- 1-3 sets of 10-20 reps, 2-3 days/week, phases 1 and 2, tempo should not exceed 1 of concentric of isometric, circuit or PHA weight training
Special Considerations- Be aware that clients may have other diseases as well, avoid heavy lifting and breath normally. Don’t over grip or clench fists. Seated or standing. Progress slowly

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7
Q

Special Considerations for Osteoporosis Training (Mode, frequency, intensity, duration, movement assessment, flexibility, resistance training, special considerations)

A

Mode- Treadmill with handrail
Frequency- 2-5 days/week
Intensity- 50-90% of Max HR, Stage 1 cardio progressing into Stage 2
Duration- 20-60 minutes/day of 8-10 minute bouts
Movement Assessment- Push, Pull, OHS, sitting/standing into chair (if tolerated)
Flexibility- Static and active stretching
Resistance Training- 1-3 sets of 8-20 reps at up to 85% on 2-3 days/week, phases 1 and 2 should be mastered before moving on
Special Considerations- Progression should be slow, well monitored, and based on postural control. Progress toward free sitting/standing, focus on hips, thighs, back, and arms. Avoid excessive spinal loading on squat and leg press. Breathe normally.

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8
Q

Special Considerations for Arthritis Training (Mode, frequency, intensity, duration, movement assessment, flexibility, resistance training, special considerations)

A

Mode- Treadmill walking, stationary bike, rowers, and low impact or step aerobics
Frequency- 3 to 5 days/week
Intensity- 60-80% of Max HR, Stage 1 cardio progressing to stage 2
Duration- 30 minutes
Movement Assessment- Push, Pull, OHS, single leg balance/squat
Flexibility- SMR, static, and active
Resistance Training- 1-3 sets of 10-12 reps 2-3 days/week. Phase 1 with reduced reps. May use circuit or PHA
Special Considerations- Avoid heavy lifting and high reps. Stay in pain free ROM. Only use SMR if tolerated. May only start with 5 minutes and work up

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9
Q

Special Considerations for Cancer Training (Mode, frequency, intensity, duration, movement assessment, flexibility, resistance training, special considerations)

A

Mode- Treadmill walking, stationary bike, rowers, low impact or step aerobics
Frequency- 3-5 days/week
Intensity- 50-70% max HR, Stage 1 cardio progressing to Stage 2
Duration- 15-30 minutes per session, but may only start with 5 min/session
Movement Assessment- push, pull, OHS, single leg balance/squat
Flexibility- SMR, static, and active
Resistance Training- 1-3 sets of 10-15 reps 2-3 days/week. Phases 1 and 2. May use circuit or PHA
Special Considerations- Avoid heavy lifting. Allow for adequate rest and progress slowly. Only use SMR if tolerated and avoid if undergoing chemo or radiation.

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10
Q

Special Considerations for Pre/Post-Natal Training (Mode, frequency, intensity, duration, movement assessment, flexibility, resistance training, special considerations)

A

Mode- low impact or step aerobics, avoid jarring motions, treadmill walking, stationary cycling, and water activity
Frequency- 3-5 days/week
Intensity- Stage 1 cardio, only enter stage 2 on physician’s advice
Duration- 15-30 minutes per day. May need to only start out with 5 minutes
Movement Assessment- Push, Pull, OHS, Single leg squat/balance
Flexibility- Static, active, and SMR
Resistance Training- 2-3 days/week, using light loads at 10-12 reps. Phases 1 and 2 and only Phase 1 after 1st tri
Special Considerations-Avoid exercise in prone and supine after 1st tri. Avoid SMR on varicose veins and areas of swelling. Plyometric training is not advised in second or third tris

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11
Q

Special Considerations for Lung Disease Training (Mode, frequency, intensity, duration, movement assessment, flexibility, resistance training, special considerations)

A

Mode- Treadmill walking, stationary cycling, steppers, and elliptical trainers
Frequency- 3-5 days/week
Intensity- 40-60% of peak work capacity, Stage 1 cardio
Duration-Work up to 20-45 minutes
Movement Assessment- Push, Pull, OHS, single balance/squat
Flexibility- static, active, SMR
Resistance Training- 1 set of 8-15 reps 2-3 days/week. Phase 1, PHA recommended
Special Considerations- Upper body exercises cause increased dyspnea, allow for sufficient rest

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12
Q

Special Considerations for PAD Training (Mode, frequency, intensity, duration, movement assessment, flexibility, resistance training, special considerations)

A

Mode-Treadmill walking, stationary cycling, steppers, and elliptical
Frequency- 3-5 days/week working up to every day
Intensity- 50-85% of Max HR
Duration- Work up to 20-30 minutes
Movement Assessment- Push, Pull, OHS, Single leg squat/Balance
Flexibility- Static and Active
Resistance Training- 1-3 sets of 8-12 reps 2-3 days/week, slowly increasing to 12-20 reps. Phase 1
Special Considerations- Allow for sufficient rest, workout may start with 5-10 min. Slowly progress client

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13
Q

Mode Special Considerations (Youth, Senior, Overweight, Osteoporosis, Pregnancy, Diabetes, Hypertension, Coronary Heart Disease, Arthritis, Cancer, Chronic Lung Disease, PAD)

A

Youth- Walking, jogging, running, games, activities, sports, water activity, resistance training
Senior- Stationary or recumbent cycling, aquatic exercise, treadmill with handrail support
Overweight- Low impact or step aerobics, treadmill walking, rowing, or stationary cycling, water activity
Osteoporosis- Treadmill with handrail
Pregnancy- low impact or step aerobics, avoid jarring motions, treadmill walking, stationary cycling, and water activity
Diabetes- Low impact activities, cycling, treadmill walking, low impact or step aerobics
Hypertension- Stationary cycling, treadmill walking, rowers
Coronary Heart Disease- Large muscle groups, stationary cycling, treadmill walking, or rowing
Arthritis- Treadmill walking, stationary bike, rowers, and low impact or step aerobics
Cancer- Treadmill walking, stationary bike, rowers, low impact or step aerobics
Chronic Lung Disease- Treadmill walking, stationary cycling, steppers, and elliptical trainers
PAD- Treadmill walking, stationary cycling, steppers, and elliptical

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14
Q

Frequency Special Considerations (Youth, Senior, Overweight, Osteoporosis, Pregnancy, Diabetes, Hypertension, Coronary Heart Disease, Arthritis, Cancer, Chronic Lung Disease, PAD)

A
Youth- 5 to 7 days/week
Senior- 3-5 days per week of moderate intensity activities or 3 days of vigorous intensity activities
Overweight- At least 5 days/week
Osteoporosis- 2-5 days/week
Pregnancy- 3-5 days/week
Diabetes- 4-7 days/week
Hypertension- 3-7 days/week
Coronary Heart Disease- 3-5 days/week
Arthritis- 3 to 5 days/week
Cancer- 3-5 days/week
Chronic Lung Disease- 3-5 days/week
PAD- 3-5 days/week working up to every day
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15
Q

Intensity Special Considerations (Youth, Senior, Overweight, Osteoporosis, Pregnancy, Diabetes, Hypertension, Coronary Heart Disease, Arthritis, Cancer, Chronic Lung Disease, PAD)

A

Youth- Moderate to vigorous cardio
Senior- 40-85% of VO2 Max
Overweight- 60-80% of max HR, use talk test to determine exertion. Stage 1 cardio progressing to Stage 2
Osteoporosis- 50-90% of Max HR, Stage 1 cardio progressing into Stage 2
Pregnancy- Stage 1 cardio, only enter stage 2 on physician’s advice
Diabetes- 50-90% of max HR, Stage 1 cardio may be adjusted, progressing to stage 2 and 3 based on physician’s approval
Hypertension- 50-85% of max HR. Stage 1 cardio progressing to stage 2
Coronary Heart Disease- 40-85% of max HRR, Talk test may be more appropriate
Arthritis- 60-80% of Max HR, Stage 1 cardio progressing to stage 2
Cancer- 50-70% max HR, Stage 1 cardio progressing to Stage 2
Chronic Lung Disease- 40-60% of peak work capacity, Stage 1 cardio
PAD- 50-85% of Max HR

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16
Q

Duration Special Considerations (Youth, Senior, Overweight, Osteoporosis, Pregnancy, Diabetes, Hypertension, Coronary Heart Disease, Arthritis, Cancer, Chronic Lung Disease, PAD)

A

Youth- 60 min/day
Senior- 30-60 minutes/day or 8 to 10 minute bouts
Overweight- 40-60 minutes/day, or 20-30 min sessions twice per day
Osteoporosis- 20-60 minutes/day of 8-10 minute bouts
Pregnancy- 15-30 minutes per day. May need to only start out with 5 minutes
Diabetes- 20-60 minutes
Hypertension- 30-60 minutes
Coronary Heart Disease- 5-10 min warm up followed by 20-40 minutes of exercise, followed by 5-10 min cool down
Arthritis- 30 minutes
Cancer- 15-30 minutes per session, but may only start with 5 min/session
Chronic Lung Disease- Work up to 20-45 minutes
PAD- Work up to 20-30 minutes

17
Q

Assessment Special Considerations (Youth, Senior, Overweight, Osteoporosis, Pregnancy, Diabetes, Hypertension, Coronary Heart Disease, Arthritis, Cancer, Chronic Lung Disease, PAD)

A

Youth- OHS, Upper Body Endurance, Single leg squat/balance
Senior- Push, Pull, OH Squat, or sitting/standing into chair, single leg balance
Overweight- Push, Pull, single balance (if tolerated)
Osteoporosis- Push, Pull, OHS, sitting/standing into chair (if tolerated)
Pregnancy- Push, Pull, OHS, Single leg squat/balance
Diabetes- Push, Pull, OH squat, single leg balance/squat
Hypertension- Push, Pull, OH squat, single leg balance/squat
Coronary Heart Disease- Push, Pull, OH Squat, single leg balance/squat
Arthritis- Push, Pull, OHS, single leg balance/squat
Cancer- push, pull, OHS, single leg balance/squat
Chronic Lung Disease- Push, Pull, OHS, single balance/squat
PAD- Push, Pull, OHS, Single leg squat/Balance

18
Q

Flexibility Special Considerations (Youth, Senior, Overweight, Osteoporosis, Pregnancy, Diabetes, Hypertension, Coronary Heart Disease, Arthritis, Cancer, Chronic Lung Disease, PAD)

A

Youth- Flexibility continuum
Senior- SMR and Static stretching
Overweight- SMR (only if comfortable to client) and static
Osteoporosis- Static and active stretching
Pregnancy- Static, active, and SMR
Diabetes- Flexibility continuum
Hypertension- Static and active in standing or seated position
Coronary Heart Disease- Static and active in a standing or seated position
Arthritis- SMR, static, and active
Cancer- SMR, static, and active
Chronic Lung Disease- static, active, SMR
PAD- Static and Active

19
Q

Resistance Training Special Considerations (Youth, Senior, Overweight, Osteoporosis, Pregnancy, Diabetes, Hypertension, Coronary Heart Disease, Arthritis, Cancer, Chronic Lung Disease, PAD)

A

Youth- 1-2 sets of 8-12 reps at 40-70%, 2-3 days per week, Phase 1 of OPT, only moving on for mature adolescents
Senior- Stationary or recumbent cycling, aquatic exercise, treadmill with handrail support
Overweight- 1-3 sets of 10-15 reps on 2-3 days/week. Phases 1 and 2 performed in circuit
Osteoporosis- 1-3 sets of 8-20 reps at up to 85% on 2-3 days/week, phases 1 and 2 should be mastered before moving on
Pregnancy- 2-3 days/week, using light loads at 10-12 reps. Phases 1 and 2 and only Phase 1 after 1st tri
Diabetes- 1-3 sets of 10-15 reps, 2-3 days/week, Phases 1 and 2
Hypertension- 1-3 sets of 10-20 reps 2-3 days/week. Phases 1 and 2. Tempo should not exceed 1 sec for iso and concentric. Circuit or PHA training with appropriate rest intervals
Coronary Heart Disease- 1-3 sets of 10-20 reps, 2-3 days/week, phases 1 and 2, tempo should not exceed 1 of concentric of isometric, circuit or PHA weight training
Arthritis- 1-3 sets of 10-12 reps 2-3 days/week. Phase 1 with reduced reps. May use circuit or PHA
Cancer- 1-3 sets of 10-15 reps 2-3 days/week. Phases 1 and 2. May use circuit or PHA
Chronic Lung Disease- 1 set of 8-15 reps 2-3 days/week. Phase 1, PHA recommended
PAD- 1-3 sets of 8-12 reps 2-3 days/week, slowly increasing to 12-20 reps. Phase 1

20
Q

General Special Considerations (Youth, Senior, Overweight, Osteoporosis, Pregnancy, Diabetes, Hypertension, Coronary Heart Disease, Arthritis, Cancer, Chronic Lung Disease, PAD)

A

Youth- Progression for the youth population should be based on postural control and not on the amount of weight that can be used. Make exercise fun
Senior- Progression should be slow, well monitored, and based on postural control. Exercises should be progressed if possible toward free sitting or standing. Normal breathing. If SMR or static isn’t tolerated, perform slow rhythmic active or dynamic stretches
Overweight- Make sure client is comfortable. Exercises should be performed seated of standing. May have other chronic diseases
Osteoporosis- Progression should be slow, well monitored, and based on postural control. Progress toward free sitting/standing, focus on hips, thighs, back, and arms. Avoid excessive spinal loading on squat and leg press. Breathe normally.
Pregnancy- Avoid exercise in prone and supine after 1st tri. Avoid SMR on varicose veins and areas of swelling. Plyometric training is not advised in second or third tris
Diabetes- Make sure client has appropriate footwear. Advise client to keep snack available during exercise. Use SMR with special care. Avoid excessive plyometric training and high intensity is not advised for typical client
Hypertension- avoid heavy lifting, normal breathing. Don’t over-grip or clench fists. Modify tempo. Perform exercises in standing or seated position. Allow client to stand up slowly. Progress client slowly
Coronary Heart Disease- Be aware that clients may have other diseases as well, avoid heavy lifting and breath normally. Don’t over grip or clench fists. Seated or standing. Progress slowly
Arthritis- Avoid heavy lifting and high reps. Stay in pain free ROM. Only use SMR if tolerated. May only start with 5 minutes and work up
Cancer- Avoid heavy lifting. Allow for adequate rest and progress slowly. Only use SMR if tolerated and avoid if undergoing chemo or radiation.
Chronic Lung Disease- Upper body exercises cause increased dyspnea, allow for sufficient rest
PAD- Allow for sufficient rest, workout may start with 5-10 min. Slowly progress client