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18 ORR > Therapeutic Exercises > Flashcards

Therapeutic Exercises Flashcards

1
Q

3 metabolic pathways

A
  • creatine phosphate
  • rapid glycolysis/lactic acid
  • aerobic oxidation
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2
Q

shorter more intense activity = ___

longer lower intensity = ___

A

short high intensity = anaerobic energy

longer low intensity = aerobic energy

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3
Q

maximal heart rate

A

hrmax = 220-age

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4
Q

normal stroke volume

A

60-100 ml/beat

max: 100-120
greater in supine, lower in upright

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5
Q

normal cardiac output

A

4-5 l/min

max: 20 l/min

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6
Q

normal blood flow

A

rest: 15-20% co goes to muscles
exercise: 85-90% co goes to muscles

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7
Q

normal and abnormal bp

A

sbp <120, should not exceed 260

dbp <80, should not change or can slightly incerase

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8
Q

postural considerations for bp

A

supine: sbp is lower
upright: sbp increases
dbp does not change

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9
Q

t/f hr, sbp, and dbp are higher in leg work than arm work

A

false, higher in arm work

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10
Q

effects of submaximal work

A 
hr decrease
sv increase
co does not change
o2 does not change
lactate decreased
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11
Q

effects of maximal work

A 
max hr does not change
sv increase
max co increase
o2 increase
lactate ?
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12
Q

t/f resting bp is reduced in hypertensive people after exercise

A

true

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13
Q

effects of exercise on lipid profile

A
  • total cholesterol: dec
  • hdl: inc
  • ldl: same or dec
  • tags: dec
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14
Q

t/f stored muscle glycogen decreases after exercsie

A

false

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15
Q

what is detraining

A

after 4-8 weeks

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16
Q

what is overtraining

A
  • prolonged decreased sport specific performance
  • > 2 weeks
  • fatigability, emotional changes, lack of motivation, infection, overuse injury
17
Q

physical activity readiness questionnaire

A
  • any heart conditions
  • chest pain during rest of activity
  • dizziness or loss of consciousness
  • bone or joint problem
  • meds for hcvd

yes to any = further assessment

18
Q

exercises recommended involve ___

A

large muscle groups

19
Q

intensity recommendation

A
  • at least moderate intensity

- vigorous > 60% max o2 capacity/vo2 max

20
Q

duration recommendation

A
  • duration or total caloric expenditure

- healthy adults: 1000kcal/wk

21
Q

frequency recommendation

A

3-5 days a week

22
Q

indications for stress test

A
  • suspected cad
  • known cad after mi or intervention
  • healthy asymptomatic with: high risk occupation, m >40y or women >50y who are sedentary and plan to start exercise, multiple cardiac rfs
  • valvular heart disease
  • cardiac rhythm disorders
23
Q

type 1 vs type 2 fibers

A

type 1: slow, oxidative

type 2: fast twitch

24
Q

types of muscle contractions

A
  • concentric (shorten)
  • eccentric (lengthen)
  • isometric (no change)
  • isotonic (changes length, producing limb motion)
  • isokinetic (constant velocity)
25
Q

torque velocity relationship

A
  • greatest amount of force: from muscle during fast eccentric or lengthening contractions
  • least amount of force: fast concentric or shortening muscles

fast eccentric > isometric > slow concentric > fast concentric

26
Q

methods of stretching

A
  • ballistic stretching (rapid)
  • passive (therapy)
  • static (easiest and safest)
  • neuromuscular facilitation
27
Q

proprioceptive organs

A
  • muscles (intrafusal spindle fibers)
  • skin
  • ligaments
  • joint capsules
28
Q

what are pylometrics

A
  • brief explosive maneuvers
  • consist of eccentric muscle contractions followed by concentric contraction
  • store elastic energy during eccentric phase
29
Q

t/f exercise can reduce risk for gdm and gestational hypertension

A

true

30
Q

t/f high contact sports and scuba diving is allow in pregnancy

A

false

scuba diving = decompression sickness

31
Q

general guidelines in pregnancy

A
  • mild to moderate exercise
  • at least 3x per week
  • avoid supine position
32
Q

red flag symptoms for exercising in pregnant

A
  • vaginal bleeding
  • dyspnea
  • headache
  • chest pain
  • muscle weakness
  • calf pain/swelling
  • preterm labor
  • dec fetal movements
  • amniotic fluid leak
33
Q

absolute and relative contraindications to exercise in pregnant

A

read

34
Q

recommendation for elderly exercise

A
  • 50-80% hr
  • several 10 min bouts
  • alternate weight and nonweight
  • machine > free weights
  • one set of 8-10 exercises for major muscles
35
Q

recommendations on exercise for hpn

A
  • aerobic moderate
  • 30-60 min/day
  • 2-3x/week
36
Q

recommendations for peripheral vascular disease

A
  • weight (3-5 d) + nonweight + resistance (2-3 d)
  • cycling as warm up
  • moderate
  • 30-60 min/day
37
Q

recommendation for dm

A
  • decrease insulin by 1-2 unit or increase carb intake 10-15g/30 mins
38
Q

return to exercise after covid infection

A
  1. symptomatic home management
  2. return to function at least 2 weeks since infection
  3. return to exercise
  4. health promotion patient centered goals
    5.

18 ORR (21 decks)

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