exercise testing

Question 1

why perform exercise testing

Answer 1

diagnois
prognose
exercise presc
treatment eval

Question 2

indications for exercise testing

Answer 2

structural / functional limitation

factors contributing to activity limitation

Question 3

does not exercise, asmpyotomic - need medical clearance

Answer 3

yes

Question 4

exercises, asmpyotomic - need medical clearance

Answer 4

no - but if going vigorous yes

Question 5

absolute contraindications

Answer 5

condition needs to stabilize first

Question 6

relative contraindication

Answer 6

can be tested after careful eval of risk/beneftis

Question 7

5 absolute contraindications

Answer 7

CHF
Unstable Angina
Uncontrolled asthma
Pulmonary Edema
Acute infection

Question 8

5 relative contraindications

Answer 8

recent MI
aortic valvue disease
resting tacky
poorly controlled dieabetes
fixed rate pacemaker

Question 9

how to standardize exercise test

Answer 9

validity and reliability

Question 10

pre test conditions

Answer 10

explain, consent
avoid heavy meal
rested
clothing
termination criteria 
environment (room time, temp)

Question 11

criteria for premature test termination

Answer 11

fatigue
light headed
confused
ataio
nausea

Question 12

ECG signs

Answer 12

sins tacky
ventricular tachy
premature vent contractions
Q wave shows up
BP below resting

Question 13

factors to consider when selecting test

Answer 13

cognitive 
age
weight
mobilty
needs
the test (valid reliable)

Question 14

predictive tests

Answer 14

submaximal used to predict aerobic

Question 15

performance tests

Answer 15

respond to standard PA

Question 16

advantages predictive test

Answer 16

frequently used
uses HR (easy to measure)

Question 17

disadvantage for predictive test

Answer 17

error
variabilty
uncomfortable (biking)

Question 18

12 minute run advantages

Answer 18

no equip
lots ppl tested
high level function ppl

Question 19

12 minute run disadvantages

Answer 19

males developed
pacing
sounds maximal
age or body weight

Question 20

20 meter shuttle advantages

Answer 20

stages
little equip
lots ppl tested

Question 21

20 meter disadvantages

Answer 21

pacing
stoping starting
making sure its submax

Question 22

1 mile walk advantages

Answer 22

wide range ppl
familiar
little equip
rehab

Question 23

1 mile walk disadvantages

Answer 23

limited data
facility
assisntat required

Question 24

modified bruce advantages

Answer 24

lots of data on it

can mesure ECG

Question 25

disadvantaged modified bruce

Answer 25

treadmill safelty | special training in measuring ECG

Question 26

Examples performance tests

Answer 26

``` self paces walking incremental shutte walking bag and carry time up and go harvard step 6 min walk ```

Question 27

advantages self paced walking test

Answer 27

mobilty devices are ok older people indentfy risk of injury

Question 28

disadvantages self paced walking test

Answer 28

doesn't measure endurance not sensitive for high level of function could be too hard

Question 29

how long is recovery in self paced walking test

Answer 29

5 min

Question 30

incremental shuttle adntages

Answer 30

simple slow can help prescribe walking speed

Question 31

incremental shuttle disadvantages

Answer 31

required near max effort | pacing

Question 32

bag and carry advantages

Answer 32

integrated endurance balance every activity

Question 33

bag and carry disadvantages

Answer 33

guidelines not well described | not specification step heigh handrail etc..

Question 34

timed up n go advantages

Answer 34

easy to do | provided mobility info

Question 35

disadvantages of times up n go

Answer 35

lack sensitivity | need data on its predictability

Question 36

Harvard step test advantages

Answer 36

simple | can be done anywhere

Question 37

disadvantages Harvard step

Answer 37

safety | fixed step height

Question 38

whats 6 min walk test predictor of

Answer 38

morbidity mortality

Question 39

T/f warm up for 6 minute ? patient should be standing before? walk with patient? motivate them?

Answer 39

False false sitting for 10 false fasle - theres are standard phrases

Question 40

what do you ask after 6 min walk test

Answer 40

borg | what kept you from walking further

Question 41

can you perform 6 min walk twice in a day

Answer 41

yes 30 min rest

Question 42

6 min walk test with or without aid

Answer 42

with

Question 43

patient on or off meds during test

Answer 43

whatever is regular and and record it

Question 44

minimally clinically importance difference

Answer 44

30 m

Question 45

advantages 6 min walk

Answer 45

``` simple functional healthy or diseased ppl own pace tested and validated ```

Question 46

disadvantages 6 min walk

Answer 46

different protocols | difficult to monitor HR

Question 47

coming measures during predictive and performance tests

Answer 47

HR, BP sp02