Interventions

Question 1

Physical Stress Theory

Answer 1

Tissue needs at least 60% max capacity to change (60% HRmax or 60%RM = appropriate exercise dose).

Question 2

Dose Response Theory

Answer 2

Negative effects of inactivity are WORSE than potential adverse effects of high intensity.

Question 3

ACSM General Guidelines (moderate intensity)

Answer 3

150min/wk mod intensity:
3.0 to 5.9 METs
5-6 RPE (1-10 scale)
13-14 RPE (6-20 scale)

Question 4

ACSM General Guidelines (high intensity)

Answer 4

75min/wk high intensity:
6+ METs
7-8 RPE (1-10 scale)
16-17 RPE (6-20 scale)

Question 5

Integumentary: pressure relief guidelines

Answer 5

1in or more of material btwn surface & bony prominence.

Question 6

Integumentary: compression guidelines

Answer 6

Venus ulcer: 30-40mmHg.
Arterial ulcer: NONE!

Question 7

Exercise Considerations for DM

Answer 7

Mod intensity, 50%RM, 15-20 reps.
Hyperglycemia: >80% HRmax, >300 Glucose.
Hypoglycemia: insulin peak 2-5hrs after inject.

Question 8

Exercise Considerations for Shingles

Answer 8

Low-mod intensity.
Too intense can further immunocompromise.

Question 9

Exercise Considerations for Urinary Incontinence

Answer 9

90/90 into wall
Monster walk
Clamshells
200 PFM contractions every day

Question 10

Exercise Considerations for RA

Answer 10

Remission = high intensity WB.
Active flare = mod intensity.

Question 11

Exercise Considerations for Cancer

Answer 11

Remission = 60-80% RM.
Active = 40-60% RM.

Question 12

Flexibility: stretch should be sustained for…

Answer 12

60 sec

Question 13

How often should we reassess RM?

Answer 13

Every 2-4 weeks

Question 14

60% 1RM = how many reps?

Answer 14

15

Question 15

80% 1RM = how many reps?

Answer 15

8

Question 16

Appropriate dose = how many RIR?

Answer 16

2-4

Question 17

Appropriate dose = what % 1RM?

Answer 17

60-80%

Question 18

Progress by ___% if in the 40-60% RM range

Answer 18

10%

Question 19

Progress by ___% if in the 60-80% RM range

Answer 19

5%

Question 20

Why train power in the older adult?

Answer 20

Type 2 fibers are declining. Power decreases before strength decreases.
Also better functional outcomes.

Question 21

Power parameters

Answer 21

40% 1RM
Faster speed
3-6 reps

Question 22

Efficient way to incorporate endurance, strength, and power

Answer 22

Set 1 = AMRAP (endurance)
Set 2 = strength
Set 3 = power

Question 23

Exercise Considerations for OA or DJD

Answer 23

Acutely inflamed = isometrics.
Not acutely inflamed = high intensity WB.

Question 24

Exercise Considerations for LBP

Answer 24

Extensor strength (Multifidus) IMPORTANT!
Stabilization exercises - e.g., seated isometric trunk rotation

Question 25

Exercise Considerations for Osteoporosis

Answer 25

AVOID: flex, manips, dry needling. Trunk ext strength important. Teach hip hinge = bend w/o trunk flex. Plyo can stimulate osteoblasts.

Question 26

Exercise Considerations for Joint Replacements

Answer 26

Pre-hab High intensity

Question 27

Exercise Considerations for Hip Fx

Answer 27

Fear avoidance, balance confidence - seen a lot longer than hip replacements bc of this

Question 28

Exercise Considerations for Foot Pain

Answer 28

Proper footwear = thumb-width space btwn side of met head & edge of shoe

Question 29

Cardiopulm: overall goal of interventions

Answer 29

Chest expansion

Question 30

Cardiopulm: exercise parameters

Answer 30

60-80% HRmax 20-60min continuous Mode should work multiple large muscle groups (e.g., bicycling, dancing)

Question 31

Cardiopulm: warmup must be at least ___ and why?

Answer 31

3min Stiffer blood vessels, slower O2 exchange, decreased SNS output.

Question 32

Exercise Considerations for COPD

Answer 32

Diaphragmatic breathing - allows lung recoil, easier to expel air out. Diaphragm is flatter/weaker with barrel chest.

Question 33

Exercise Considerations for CHF

Answer 33

Aerobic + resistance. Cooldown SUPER important to avoid sudden drop in venous return.

Question 34

When to STOP exercise (6)

Answer 34

1. Failure to return to baseline in 5min. 2. DBP drops 10-20mmHg. 3. SBP >210-240mmHg. 4. DBP >110mmHg. 5. HR drops >10bpm. 6. HR rises >50bpm with low level activity.

Question 35

Exercise Considerations for PD

Answer 35

Stretch flexors Strengthen extensors

Question 36

What is necessary for neuroplasticity?

Answer 36

High intensity Multimodal

Question 37

Exercise Considerations for Chronic Pain

Answer 37

Moderate intensity (60-70%) - enough to get moving but avoid pain worsening. Eccentrics = more DOMS. Limit passive modalities - no actual tissue pathology, so won't do anything.

Question 38

Exercise Considerations for Falls

Answer 38

Multimodal GAIT TRAINING Appropriate assist device - using inappropriate device can actually increase falls.

Question 39

Fall Recovery progression

Answer 39

1. Prone<>stand & supine<>stand. 2. Omission of 1 limb (e.g., get up without using R arm). 3. Omission of ipsilateral UE/LE.

Question 40

Recommended frequency for aerobic

Answer 40

3-5x/wk

Question 41

Recommended frequency for balance

Answer 41

1-7x/wk

Question 42

Recommended frequency for stretching

Answer 42

2-7x/wk

Question 43

Recommended frequency for strength

Answer 43

3x/wk