Unit 2 CH 27&30 Flashcards
return to work
patient's desire to return job satisfaction perception of disability previous employment age education level work tolerance disease severity family concerns coworker attitudes and restrictions support mechanisms available financial resources
what does returning to work provide
positive psychosocial, physical, and material benefits
can all people return to work
no some qualify for SSDI
what is the leading cause of disability in the US
coronary heart disease
can depression play a role in return to work
yes
when should return to work be discussed
as early as possible
what can change return to work timetable
cardiac event disease severity prognosis job requirements safety regulations employer attitudes or concerns
what can job analysis serve as a basis for
expected physical and psychological demands of the job
patient concerns
establish tentative timeline
individualize assessment and rehab
what should be considered in job analysis
weight lifting, stacking, carrying, pushing, pulling requirements
environmental conditions,
psychological stressors
traditional exercise testing
quantification of peak work capacity by treadmill or cycle ergometer
evaluate submaximal and maximal exercise induced hemodynamic response
simulated work testing
standard stress test will fulfill most work eval requirements
some work cannot be tested with stress test
on the job monitoring
performed if there are questions about whether work simulation was realistic or if the subject is having difficulty performing his or her job tasks
is maintaining an active lifestyle after a disabling health even important
yes for physical and mental health
influence of environmental conditions
heat stress
cold stress
altitude
pollutants
exercise training
planned (i.e., intentional), structured, and repetitive bodily movement done to improve or maintain one or more components of physical fitness
principle of adaptation
states that if a specific physiologic capacity is taxed by a physical training stimulus within a certain range and on a regular basis, this physiologic capacity usually expands
training threshold
point beyond which the physiologic capacity must be challenged to effect a training stimulus; this process is termed overload and is required for physiologic adaptation to occur
progression
needed as the physiologic capacities of the body increase.
detraining
cessation or diminution of training that results in a decrease in physiologic capacity — that is, the loss of previous adaptations
overtraining
when the overload is excessive relative to the amount of time allotted for recovery, resulting in a chronic overtaxing of physiologic systems and a decrease in performance
specificity
the concept that only the physiologic systems that are appropriately trained will adapt to the training
designing exercise prescription
assess health and fitness
interpret info
formulate exercise prescription based on info and goals
FITT principle
Frequency
intensity
time
type
exercise prescription
initiation stage
progression stage
maintenance stage
initiation stage
must allow time to adapt
lower intensity and duration
limit fatigue and muscle soreness
progression stage
progressive overload
frequency, intensity, and duration should not be increased together in any single week,
should not advance more than 10%
maintenance stage
goal is long term
try new activities to avoid boredom or monotony
