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Flashcards in Clinical Exercise Phys Deck (30):

what is CEP

clinical exercise physiology


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

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


preeminent organization offering most recognizable competency based certification program



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


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

CSEP- CPT (certified personal trainer)


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)


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



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



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


estimated cancer deaths in US are mostly from ?

lung and bronchus cancer


3 types of cancer therapies

radiations therapy
systemic therapies


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


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


what does exercise do in regards to cancer cells

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


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



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

- natural chemo cells


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


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


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

- symptom - limited
- progressive
- individualized


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


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


disease affecting the heart muscle ( 6)

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


diseases affecting the heart valves (4)

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


diseases affecting the cardiac NS

1. arrhythmias
2. tachycardia
3. bradycardia


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


terms to indicate myocardial disease:

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


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)


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

- 6-10 mmHg


regular physical activity controls tendency for BP _____ over time



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