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EX RX Exam 1
Terms in this set (29)
Does the client exercise 3days/30min/3months?
Is there a presence of CV, renal, or metabolic disease?
Does the client display signs/symptoms of CV, renal, or metabolic disease (*mainly T1 or T2 diabetes)?
In short, what is the process for determining if a client needs physician clearance to exercise?
activities of daily living (ADL)
the 5 domains of physical activity are:
paroxysmal nocturnal dyspnea
your client told you he cannot breathe well at night, mostly when he's sleeping, this is indicative of what sign of CVD?
intermittent claudication (IC)
peripheral vascular disease often presented as calf pain, can also be called:
paint/discomfort/pressure in the chest, jaw, neck, and arms
restricted blood flow to the heart, caused by ischemia, would cause these symptoms:
-Pain/discomfort in the chest, neck, jaw, or arms that may result from ischemia
-shortness of breath at rest, or with mild exertion
-dizziness or syncope
-orthopnea or paroxysmal nocturnal dyspnea
-palpitations or tachycardia
-known heart murmur
-unusual fatigue or shortness of breath with usual activities
list the signs/symptoms of CV or metabolic disease?
HDL cholesterol (-)
what are the risk factors for CVD identified by ACSM?
physical activity that is planned , structured, repetitive, and purposeful in the sense that the improvement or maintenance of physical fitness is the objective
any bodily movement produced by skeletal muscles that results in energy expenditure above base level
Non-exercise activity thermogenesis (NEAT)
calories expended during physical activity
minimum amount of work required to produce benefit
making a system work harder than it's used to above threshold to provide benefits
can your client talk?
what are some ways to measure a client's level of activity?
specificity is tailoring a workout to target specific body systems to create appropriate overload, while individualization is still tailoring a workout, but now we're tailoring it to fit your specific client's goals, circumstances, barriers, and interests
compare specificity and individualization of a workout plan
MI is a collaborative conversation style for strengthening a person's own motivation and commitment to change
define motivational interviewing (MI)
Resist the righting reflex
Understand client's motivation
Listen to the client
Empower the client
what is the RULE of MI?
Guiding: facilitates the pt's change for themselves
what are the three MI styles?
-asking Open-ended questions
inviting the client to reflect and elaborate
comment on client's strengths, good steps, and intentions
allows for clarification
pulling together what was said
what are the core skills of MI? OARS
what are the 4 processes in MI?
1 LO2 is equal to _____ kCals
[VO2 ml/kg/min x body mass (kg)]/1000
convert your client's VO2 max to L/min from ml/kg/min
METs x 3.5 ml/kg/min
convert your client's intensity, METs, to VO2 ml/kg/min
1 lb of fat is equal to ____ kCals
1 Watt is equal to ___ kgm/min
we use these values because %VO2 max and HR don't have a strong linear relationship at the sub-maximal level, but VO2 R and HRR have a strong linear relationship and we're normally working at lower intensities with our clients anyways
why do we use %HRR and %/VO2R as a measure of intensity with our clients?
1. determine current VO2 and compare to %VO2R to create a threshold, IF your client already exercises
2. use the compendium to estimate MET levels to convert to VO2, IF your client engages in PA
3. use the chart on page 13 of Ex Rx CP, IF your client is sedentary
what are the steps to determining training zone for a client?
precautions (pertaining to your client)
EX RX has 3 main components:
ie 65-75% of target HR
what is the appropriate length of the training zone
-in order of completion
-includes WU and CD
-specific (mode of exercise is clearly ID)
-follows FITT principle
no ranges in ExRx
-intensities should be specific and individualized for YOUR CLIENT
what are the basic instructions for writing an ExRx?
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