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Cardiopulmonary PT > Exercise Prescription > Flashcards

Exercise Prescription Flashcards

(49 cards)

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1
Q

What 11 categories of information need to be reviewed prior to exercise prescription?

A
  • Review of systems: MD eval or office note
  • Current medical history
  • Past medical histroy
  • Medications
  • Symptoms
  • Blood pressure (sit to stand): orthostatic changes
  • Risk stratification
  • Work status/ physicality of work
  • Recreational activities
  • Risk factors
  • Goals
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2
Q

What 3 factors determine the volume of exercise?

A 
FIT M
F: Frequency (# sessions)
I: Intensity (how hard)
T: Time (duration of session)
M: Mode (type of activity)
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3
Q

What type of patients require a high exercise volume for treatment?

A
  • Patients who need to lose weight
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4
Q

What is the minimum frequency and duration of exercise required for a cardiopulmonary benefit to occur?

A

4 days a week; 30 minutes a day

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5
Q

What volume of exercise is required for cardiovascular benefits in terms of minutes/week, steps/day, and cals/week?

A

120 - 200 minutes/ week
10,000 steps/day
750 - 1200 cals/week

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6
Q

What volume of exercise is required for weight loss in terms of minutes/week, steps/day, and cals/week?

A

200 - 300 minutes
> 12,000 steps/day
1200 - 2000 cals/week

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7
Q

What are 6 measures of intensity of exercise?

A
  • Target heart rate
  • Rating of perceived exdrtion
  • Rating of perceived dyspnea
  • METS
  • Ischemic threshold
  • Oxygen saturation
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8
Q

What target heart rate measure is used in healthy individuals?

A

200 - age X 0.7

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9
Q

What measure of target heart rate tends to be used in cardiac patients?

A
  • Karvonen

- (HR Max - HR Rest) X Intensity (%) + HR rest

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10
Q

In what patients is a MET measure appropriate?

A

@Pts with an irregular heart rate.

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11
Q

What % max MET should be used for exercise?

A

50 - 75 %.

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12
Q

What are 8 considerations for progressing exercise?

A
  • RPE or RPD
  • THR
  • Oxygen saturation
  • Change in clinical status (symptoms/ orthopedic)
  • Ejection fraction
  • Blood pressure
  • Blood glucose
  • Goals
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13
Q

What percent of 1rep max does resistance training begin at?

A

Greater than 50 %.

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14
Q

When may a patient begin resistance training following a MI?

A
  • 5 weeks post surgery and 3 weeks of continuous cardiopulmonary exercise.
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15
Q

When may a patient begin resistance training following a CABG?

A
  • 8 weeks post surgery and following 3 weeks of continuous cardiopulmonary exercise.
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16
Q

When can a patient begin resistance training following a stent procedure?

A
  • 2 weeks following surgery.
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17
Q

What can be done in rehab before full-on resistance training begins?

A
  • Light handweights and therabands.
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18
Q

What are 6 contraindications to resistance training?

A
  • Symptomatic heart failure
  • Severe valve disease (not replaced)
  • Uncontrolled arrhythmias
  • Unstable symptoms
  • Uncontrolled hypertension
  • High intensity training with active retinopathy
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19
Q

What is hypertension?

A

SBP > 160

DBP > 100

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20
Q

What is a major concern for resistance training following CABG?

Study These Flashcards
A
  • Sternal precautions
21
Q

How long should a warm-up be?

Study These Flashcards
A

5 - 10 minutes

22
Q

How long should a cool down be?

Study These Flashcards
A

5 - 10 minutes.

23
Q

How does a patient cool down?

Study These Flashcards
A

Lower level activity

Stretching

24
Q

During what stage of exercise do arrhythmias typically occur?

Study These Flashcards
A

Following exercise without adequate cool down.

25
What are 3 types of medication/ treatment of diabetes?
- Insulin - Oral agent - Diet alterations
26
What is considered a critical blood glucose level?
> 400 | < 50
27
What level must the glucose be in order to begin exercise?
> 100
28
What activity releases insulin?
Exercise.
29
Where should insulin not be injected previous to beginning exercise?
- Into the muscle group being worked
30
What type of nutrient should be consumed to help keep blood glucose at normal levels?
Protein.
31
How should cardiac symptoms be monitored in a patient with diabetes?
- SOB - Fatigue - Patients have atypical symptoms due to neuropathy
32
How can blood sugar be kept at an adequate level for treatment?
- Time meals before treatment - Bring a snack to treatment - Eat protein
33
What effect does neuropathy have on exercise?
- Balance is affected | - Foot care
34
What is a precaution for resistance training in patients with diabetes?
- Retinopathy.
35
How can calorie burn be maximized in obese patients?
- Change up routine to keep the body burning fuel inefficiently.
36
What type of exercise for should patients with diabetes participate in using caution?
Weight-bearing exercise due to neuropathy.
37
How can an individual burn more calories if their exercise intensity is decreased?
Increase duration.
38
What non-exercise intervention can be applied to patients who are obese?
Patient education in diet.
39
What type of arrhythmias are pulmonary patients prone to?
Atrial
40
What are 3 interventions for patients with pulmonary disease?
- Postural training - Breathing training - Resistance training (especially UE)
41
What is a typical medication for pulmonary patients during exercise?
Supplemental oxygen.
42
What are 4 considerations that should be taken for patients with heart failure or low ejection fraction?
- Fluid retention (measure body weight) - Increased heart rate - Increased fatigue (slower paced progression) - Increased ventricular ectopy (may have ICD defibrillator)
43
What is the primary concern in terms of exercise prescription for a patient with arthritis?
Mode of exercise.
44
What are 2 common categories of interventions for arthritis?
- Stretching and flexibility | - Balance training
45
What can change the exercise prescription for arthritis daily?
Pain.
46
What are 2 benefits of exercise for anxiety/fear/depression?
- Builds self confidence | - Empowers patient to be believe in themselves.
47
What is the therapists role for a patient with anxiety/fear/depression?
- Reinforce progression from first week "doing better!" - Be confident - Anticipate the patient's needs
48
What type of training is good for patients with anxiety/fear/depression?
- Interval training
49
What is the treatment for peripheral vascular disease?
- Treadmill training - Walk to moderate claudication, rest and restart in 3 - 8 minute intervals - Improvement in 3 - 4 weeks. - Push into pain; let pain subside; repeat

Cardiopulmonary PT (10 decks)

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