Special Populations Flashcards
Exercise guidelines for CAD mode
Low-intensity endurance exercise gradually progressed to moderate-intensity
Avoid isometric exercises
1 set of 12-15 reps of 8-10 exercises
Begin at 40-50% HRR
RPE of 9-11
30 minutes or more of continuous or interval training
3-5 days per week of aerobic training and 2 days of resistance training
Exercise guidelines for hypertension
Endurance exercise should be primary mode
Isometric should be avoided
Low resistance and high reps
RPE 9-13
40-65% HRR
Gradual warm-ups and cool-downs
40-60 min sessions
4-7 days per week
Coronary artery disease
A narrowing of the coronary arteries that supply the heart with blood and oxygen
Caused by inflammatory response within arterial walls resulting from an initial injury and the deposition of plaque and cholesterol
Potential benefits of exercise for Type 1 diabetes
Improved functional capacity, reduced risk for CAD, and improved insulin-receptor sensitivity
Potential benefits of exercise for Type 2 diabetes
Prevention of CAD, stroke, peripheral vascular disease, and others diabetes-related complications
Combination of weight loss and exercise can positively affect lipid levels, thereby lowering a type 2 diabetic’s risk for heart disease
Exercise guidelines for diabetes
General aerobic endurance
2x a week resistance training
8-12 reps for 8-10 exercises
Monitor blood glucose
Moderate intensity
Type 1: gradually work up to 30 min or more per session
Type 2: 40-60 min
5-6 days per week
May need to start with several shorter daily sessions
Metabolic syndrome
A cluster of conditions that puts a person at an increased risk for developing heart disease, type 2 diabetes, and stroke
Must have 3 of the following: Elevated waist circumference, elevated triglycerides, reduced HDL cholesterol, elevated blood pressure, elevated fasting blood glucose
Exercise guidelines for metabolic syndrome
non-weight bearing activities for obese clients
2x a week resistance training
8-12 reps for 8-10 exercises
Begin at low intensity and gradually progress
200-300 minutes
3-5 days, preferably daily
Asthma
chronic inflammatory disorder characterized by: shortness of breath, wheezing, coughing, chest tightness
Exercise guidelines for asthma
Typically can follow general population exercise guidelines
Should be cleared by his or her physician
Precautions/recommendations for asthma and exercise
Have rescue medication at all times
Drink plenty of fluids
Avoid asthma triggers
Gradual and prolonged warm-ups and cool-downs
Peak exercise intensity should be determined by client’s conditioning state and asthma severity
Best to exercise in mid-to-late morning
Consistent exercise benefits clients with arthritis by
Improving daily function and enhancing quality of life
Cancer
Group of diseases in which abnormal cells divide without control
Precautions for exercise and cancer
Anemic clients should not exercise without physician clearance
Neutropenia clients should consider avoiding public gyms
Frequent vomiting/diarrhea - check with physicians before resuming exercise
Thrombocytopenia - avoid activities that increase risk of falling and physical contact
Catheter - avoid aquatic exercise
Should not exercise within 2 hours of chemotherapy or radiation
Exercise guidelines for cancer
Clients in remission and good conditioning may be able to increase intensity
Focus on duration and consistency rather than intensity
Osteoporosis
Characterized by low bone mass and disrupted microarchitecture
Exercise guidelines for osteoporosis
Exclude any jarring, high-impact activities
Balance and coordination should be included
High intensities
Can be short (5-10 minutes)
Multiple bouts of bone-loading exercises
Arthritis precautions
Avoid jarring exercises
All joints should be moved through full ROM at least once a day
Emphasize proper body alignment and exercise technique
Clients may be more limited by joint pain
Consistent exercise benefits clients with arthritis by
Improving daily function and enhancing quality of life
Exercise guidelines for chronic fatigue syndrome
Activities of daily living and walking
Low-intensity
“Regular” pattern of activity
Begin with multiple 2-5 minute exercise periods
Gradually build up to 30 minutes
3-5 days per week
Clients with low back pain should avoid
Unsupported forward flexion
Twisting at the waist
Lifting both legs simultaneously
Rapid movements