Exercise in Chronic Disease and Disability Flashcards Preview

PTRS 825 Final Exam > Exercise in Chronic Disease and Disability > Flashcards

Flashcards in Exercise in Chronic Disease and Disability Deck (60)
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1

AIDS

Progressive destruction of CD4 or T-helper cells -> immunosupression

2

AIDS Effects

Increased susceptibility to infection
Decreased food consumption
Loss of lean body mass
Advanced tissue wasting

3

AIDS Complications

CV/Met abnormalities
Chronic diarrhea
Anemia
Muscle wasting
Peripheral neuropathy

4

Stage 1 AIDS

Asymptomatic seropositive HIV
Exercise capacity unaffected

5

Stage 2 AIDS

Early symptomatic HIV
Reduced VO2 peak and ventilatory threshold

6

Stage 3 AIDS

Dramatically reduced VO2 peak
High intensity levels may elicit nervous and endocrine abnormalities

7

Aerobic Training with AIDS Frequency

3-5 days/wk

8

Aerobic Training with AIDS Intensity

40-60% VO2 or HRR

9

Aerobic Training with AIDS Time

10 min -> 30-60 min

10

Aerobic Training with AIDS Type

Individual
Include WB
Avoid high risk/contact

11

Aerobic Training with AIDS Goal

Improve aerobic capacity over 3-6 mos

12

Resistance Training with AIDS Frequency

2-3 days/wk

13

Resistance Training with AIDS Intensity

10-12 rep
2-3 set
50% 1 RM

14

Resistance Training with AIDS Goal

Improved muscle strength, power and endurance over 3-6 mos

15

AIDS Special Considerations

STRICT adherence to precautions
Use standard contraindications for exercise
Supervise symptomatic and comorbidities in individuals

16

SCI Complications

Paresis
Atrophy
Spasticity
Impaired skin integrity
Autonomic dysreflexia
Respiratory dysfunction
Bowel/bladder dysfunction
Orthostatic hypotension

17

Autonomic Dysreflexia

Risk of SCI above T6
Due to kinked catheter, tight clothing
Could lead to malignant HTN
Sit them up, find cause and get help
Disruption of sympathetic innervation may limit HR to 115-130

18

Oxygen Consumption

VO2 peak may decrease by 26%
UE estimates VO2 by 1/2 compared to LE ergometry
Quadriplegia reduces VO2 values by 1/2-1/3 compared to paraplegia
May experience fatigue before achieving sufficient CV capacity

19

SCI Special Considerations

Depression
TBI
Improvements may be small
Closely monitor vitals
Abdominal binders, TED or compression may be beneficial

20

Aerobic Training with SCI Frequency

3-5 days/wk

21

Aerobic Training with SCI Intensity

40-60% VO2 reserve and progress to 60-80% of VO2 reserve

22

Aerobic Training with SCI Time

30-60 min
Mod 5-10 min with 5 min active recovery
Vig 10 20 min with 5 min active recovery

23

Aerobic Training with SCI Type

Arm or w/c ergometer
Swimming
Adapted aerobics
FES

24

Aerobic Training with SCI Goals

Increase active muscle mass and strength
Maximize overal strength for functional independence
Improve efficiency of manual W/C propulsion

25

Flexibility Training with SCI Goals

Improve/maintain ROM
Prevent contracture
Prevent injury

26

Resistance Training with SCI Frequency

2-4 days/wk

27

Resistance Training with SCI Intensity

2-3 x 8-12

28

Resistance Training with SCI Type

Weight machines or free weights
Wrist weights if hand impaired

29

Resistance Training with SCI Goals

Increase strength and muscle mass
Maximize functional independence
Facilitate w/c propulsion

30

Diabetes

Chronic metabolic disease
Absolute (Type I)
Relative (Type II)
Hyperglycemia (blood glucose > 120 mg/dL)