Exercise Rx Flashcards

1
Q

TYPE:
Cardiorespiratory endurance activities: walking, jogging, cycling recommended to improve ______ ______, can be maintained at constant ____; very low interindividual variability

A

Exercise tolerance

Velocity

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2
Q

TYPE:
Dynamic arm exercise (arm ergometer): uses smaller muscle mass, results in lower ______ (___%-____% lower) than leg ergometry. At given workload, HR will be ___, SV will be ____, SBP and DBP will be ____.

A
VO2 max
60-70
Higher
Lower
Higher
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3
Q

TYPE:

Dancing, basketball, racquetball, competitive activities should not be used with _____ ____, and ____individuals.

A

High-risk symptomatic

Low-fit

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4
Q

TYPE:
Early rehab- activity is _____ (____ training), with frequent rest periods, progressing to ____ training. ____training can be incorporated in vigorous training to allow pt to work at higher percentage of VO2 max.

A

Discontinuous, interval
Continuous
Interval

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5
Q

TYPE:
Warm-up and cool-down activities:
Gradually increase or decrease ___ of exercise, promote circulatory and muscular adjustment to exercise

A

Intensity

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6
Q
TYPE:
Warm-up and cool-down activities
-what type?
-how long?
Also: Don’t recommend abrupt beginning or cessation of exercise (not safe)
A

Low-intensity cardiorespiratory endurance
Flexibility (ROM) exercises
Functional mobility activities
Duration: 5-10 minutes

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7
Q

TYPE: RESISTIVE EXERCISE
Used to improve strength/endurance in clinically stable patients. Usually prescribed after period of _____ conditioning. Moderate intensities typically used (___-___% of 1RM). Monitor responses using ______ (and why?).
Precautions: carefully monitor BP, avoid _____.
Contraindicated for pts with ___ and ___.

A
Aerobic
60-80%
**RPP- safer measure b/c incorporates BP**
Valsalva
HTN, arrhythmias
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8
Q

INTENSITY:
Prescribed as % of functional capacity revealed on ETT within range of ___-___% depending on initial level of fitness. Typical training intensity is ___-___% of functional capacity; lower training intensities may necessitate increase in training ____. Most clinicians use combination of ___, ___, and ___ to prescribe exercise intensity.

A

40-85%
60-80%
Duration
HR, RPE, METs

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9
Q

INTENSITY: Heart Rate
% of maximum HR achieved on ETT. Without ETT, what is formula?
_____% of HR max closely corresponds to ____% of functional capacity or VO2max.

A

208-0.7 x age

75-85%
60-80%

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10
Q

INTENSITY: HR
Beta blockers affect ability of HR to __in response to exercise stress.
PPM can affect ability of HR to ___ if it is fixed.
Estimated HR max used in cases where ____ ____ is given.

A

Rise
Rise
Submax test

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11
Q

INTENSITY: RPE

Useful with other measures of effort if ___ ___ or other ___ ____ are used

A

Beta blockers

HR suppressants

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12
Q

INTENSITY: METs
___-___% of functional capacity (maximal METs) are achieved on ETT.
Problems with use of METs alone to prescribe intensity:
With high intensity activities, need to adopt ____ work pattern. Varying skill level, stress of competition, or environmental stresses may affect the known ____ ____ of an activity.

A

40-85%
Discontinuous
Metabolic cost

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13
Q

DURATION:

Conditioning phase may last from __ to __ minutes, depending on _____. Increase ____, decrease duration.

A

10-60
Intensity
Intensity

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14
Q

FREQUENCY:

Depends on ___ and ___. The lower the ___, the shorter the ____, the more the ____.

A

Intensity and duration

Intensity, duration, frequency

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15
Q

FREQUENCY:
Average is ___x/week at ___ intensity. (How many METs?)
OR daily at low intensity.

A

3-5, moderate (>5 METs)

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16
Q

Exercise and progressive physical activity require monitoring of __ and __.

A

HR, BP

17
Q

PROGRESSION:
Modify exercise rx if:
-HR is ___ than THR for given intensity
-RPE is ____ (exercise perceived as ___) for given exercise
-Symptoms of ____ do not appear at given exercise intensity

A

Lower
Lower, easier
Ischemia (ex: angina)

18
Q

PROGRESSION:

Increase ___ first, then ___.

A

Duration, intensity

19
Q

Consider reduction in exercise/activity with:

  1. Acute ___
  2. Acute ___
  3. Progression of ___ ___: edema, weight gain, unstable ____
  4. Overindulgence
  5. ____ stressors
A

Illness
Injury
Cardiac disease, angina
Environmental

20
Q

Consider terminating exercise:
Absolute indications for termination-
1. Drop in ____ > ____mmHg with increased workload
2. Moderate to severe ____
3. Increasing ___ ___ symptoms (ataxia, dizzy, near syncope)
4. Signs of poor _____
5. Technical difficulties in monitoring ___ or ___.
6. Subject
7. Sustained ____
8. See this on EKG

A
SBP >10
Angina
Nervous system
Perfusion
ECG or BP
Wants to stop
VT
ST elevation > or = 1.0 mm
21
Q

Consider terminating exercise:
RELATIVE indications to stop-
1. ___ or ___ changes on ECG or marked ___ shift
2. ___ other than sustained VT (ex: multifocal PVCs, triplets, SVT, heart block, bradyarrhythmias)
3. Fatigue, ____, wheezing, leg ____, or _____
4. Development of ___ ___ ___ that can’t be distinguished from VT
5. Increasing ____ pain
6. ___ response (SBP >____ or DBP > ___).

A
ST or QRS (excessive ST depression), axial
Arrhythmias
SOB, cramps, claudication
Bundle branch block
Chest
Hypertensive, 250/115
22
Q

ExRx post-PTCA (percutaneous transluminal coronary angioplasty): how long for vigorous exercise? What can be done immediately? How to determine prescription?

A

Wait to exercise vigorously 2 weeks post-PTCA.
Can initiate walking program immediately
Post-PTCA ETT to prescribe

23
Q

ExRx post-CABG?

A
  • limit UE exercise while sternal incision healing

- avoid lifting, pushing, pulling for 4-6 wks post-op