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Flashcards in Clinical Exercise Phys Deck (30):
1

what is CEP

clinical exercise physiology

2

the CEP focuses on ?
- what is closely linked with it?

clinical setting, restoring patient mobility and functional capacity
- sports medicine

3

preeminent organization offering most recognizable competency based certification program

ACSM

4

3 positions of the health/fitness track of ACSM
2 positions of the clinical track of ACSM

1. health fitness director
2. health fitness instructor
3. health fitness leader

1. program director
2. exercise specialist

5

develops and implements a tailored physical activity, fitness and lifestyle plan to apparently healthy individuals

CSEP- CPT (certified personal trainer)

6

performs assessments, prescribes conditioning exercise, exercise supervision, counselling and healthy lifestyle education in apparently healthy individuals and or populations with medical conditions, functional limitations or disabilities associated with muscoluskeletal, cardiopulmonary, metabolic, neuromuscular, and ageing condition

CSEP-CEP (certified exercise physiologist)

7

________ represents a group of disease collectively characterized by uncontrolled growth of abnormal cells

cancer

8

more than ____ types of cancer (carcinomas, leukemias, lymphomas, sarcomas)

100

9

over all goal of health care team for cancer patients

rehabilitate patient to functional level that allows return to work and pursuit of normal recreational activities

10

estimated cancer deaths in US are mostly from ?

lung and bronchus cancer

11

3 types of cancer therapies

surgery
radiations therapy
systemic therapies

12

what are the 10 prevention goals for cancer patients

1. improve functional status
2. improve action motion for nonrestrictive segments /joints
3. prevent loss of flexibility by active and passive motion
4. stimulate peripheral and central circulation
5. increase ventilatory function
6. prevent thrombosis through physical activity
7. prevent loss of motor control and muscle strength and endurance
8. reduce rate of bone loss
9. slow loss of FFM and reduction of BMR
10. monitor signs of increased fatigue weakness, lethargy, dyspnea, pallor, dizziness, claudication, or cramping

13

effects of 6 week physical activity rehabilitation program for cancer patients suffering sever fatigue
--> what were the results

- at steady state they had decreased HR and blood lactate levels
- decreased fatigue

14

what does exercise do in regards to cancer cells

helps get blood flow into tumour cells and keeps up the immune system

15

doing exercise right after chemo help suppress the cancer by ____ %

31

16

in mice, exercise reduced the growth of cancer cells by _____ % and the tumour of exercise mice were full of?

60-70%
- natural chemo cells

17

9 protective effects of regular physical activity on cancer occurrence

1. lowers circulating levels of blood glucose and insulin
2. increases anti-inflammatory cytokines
3. increases corticosteroid hormones
4. augments insulin receptor expression in cancer fighting T cells
5. promotes interferon production
6. stimulates glycogen synthesis
7. enhances leukocyte function
8. improves ascorbic acid function
9. exerts beneficial effects on provirus or oncogene activation

18

cancer patients recieve a _____ ______ _____ to form their exercise prescription
--> procedures the same as for healthy individuals except greater attention to ?

- symptom- limited GXT
- sensations of fatigue

19

prescription for exercise for cancer patients includes ______-____, ______ and _________ PA

- symptom - limited
- progressive
- individualized

20

3 characteristics of PA for cancer

1. ambulation of any kind ASAP
2. intervals of low to moderate aerobic PA performed several times daily
3. ROM and other exercise to improve muscular strength. augment FFM and improve mobility

21

5 consensus recommendations for physical activity for cancer survivors

(same as DHHS guidelines(
1. 150 min/ week mod aerobic, 75 min vigorous
2. strength training 2-3 x week
3. avoid inactivity
4. return to normal daily activities as soon as possible
5. continue normal daily activities and exercise

22

disease affecting the heart muscle ( 6)

1. CHD
2. Angina
3. Myocardial infarction
4. Pericarditis
5. Congestive heard failure
6. Aneurysms

23

diseases affecting the heart valves (4)

1. rheumatic fever
2. endocarditis
3. mitral valve prolapse
4. congenital deformations

24

diseases affecting the cardiac NS

1. arrhythmias
2. tachycardia
3. bradycardia

25

designing aerobic exercise programs for cardiac patients should consider

1. specific pathophysiology of the disease
2. mechanisms that may limit exercise performance
3. individual differences in functional capacity

26

terms to indicate myocardial disease:

degenerative heart disease, arthrosclerosis, cardiovascular disease, coronary artery disease, arteriosclerotic cardiovascular disease, coronary artery disease, coronary heart disease

27

BP for stage 1, 2 and 3 hypertension

stage 1: systolic (140-159) diastolic (90-99)
stage 2: systolic (160-179), diastolic (100-109)
stage 3: systolic (>180), diastolic (>110)

28

systolic and diastolic BP decrease ___ to ____ mmHG with aerobic physical activity in previously sedentary individuals

- 6-10 mmHg

29

regular physical activity controls tendency for BP _____ over time

increase

30

2 contributing factors to how PA lowers Blood Pressure

1. reduced sympathetic NS activity and possible normalization of arteriole morphology decrease peripheral resistance to blood flow
2. altered renal function facilitates kidneys elimination of sodium, which reduced fluid volume