Consider activities involving upper extremity WB in order to increase bone strength
Consider aquatic therapy as the hydrostatic pressure may increase her BP as well as her strength
Consider FES to facilitate decreased spasticity in R hand/UE
Consider cardiovascular training with emphasis on decreasing BP
The Mt. Everest athlete wins because everybody knows that when you train at high altitudes you always win because your muscles have been trained with low oxygen and now there is a ton of oxygen at sea level.
The Mt. Everest athlete loses because his blood is too viscous from increased hemoglobin and hematocrit after having lived in elevation for that long and the blood cannot circulate fast enough to provide energy to his muscles.
The Mt. Everest athlete loses because the air was so thin, lacking density and resistance, at Mt. Everest that his respiratory muscles are now weak.
The Mt. Everest athlete wins because the lack of Oxygen at high altitudes leads to increased concentric hypertrophy of muscles
Increase anaerobic metabolism
Decrease aerobic metabolism
Decrease anaerobic metabolism
Exercise at an intensity of 80% VO2 max for 10 minutes with 2 minute rest breaks
Pulmonary dysfunction under discretion of the physician
77 yo with balance deficits
82 yo with strength deficits
Recommend increased supplemental oxygen at all times in order to keep O2 sats at 100%.
Take small walks within moderate range on RPE scale instructing patient to stay between 2 and 3 and if he starts feeling winded, to stop and catch his breath
Instruct patient on pursed lip breathing
Recommend patient get oximeter for home use and use during your treatment session so patient can understand how to use it
None of the above
Performing slow and controlled leg exercises with resistance bands
Performing squats and coming up to standing as fast as he safely can
Spending 30 minutes on an exercise bike set to low resistance
Performing glute squeeze exercises while he sits in his chair, being mindful to hold the muscle contraction for 5 seconds each time
There is an overall decrease in strength and power
There is a greater proportion of Type IIB muscle fibers
There are fewer muscle fibers to a motor neuron
Decreased sound transmission, and a walking program within the 55-60% VO2 max range, for 30 minutes a day.
Bronchophony, and a walking program of 10 minute bouts, 10-30x a week
Decreased sound transmission, and a strength training program for UE 2x a week, LE 3x a week.
Rhonchi, and a HITT program in 10 minute bouts, 10-30x a week.
There is a sympathetic response below the level of injury, which is causing vasodilation and decreased blood pressure, which descending control from the brain cannot regulate. Check for noxious stimuli below level of injury, like bladder/bowel fullness.
There is a sympathetic response to positional change above the level of injury, which is causing vasoconstriction and increased blood pressure. Check for spasticity in UE.
There is a sympathetic response below the level of injury causing vasoconstriction and increased blood pressure, which descending control from the brain cannot regulate. Check for noxious stimuli below level of injury, like bladder/bowel fullness.
There is a parasympathetic response below the level of injury, which is causing vasodilation and decreased blood pressure which descending control from the brain cannot regulate. Check for spasticity in LE.
Showing the patient pictures of elderly athletes and telling them “You can do it too!”
Yes, as we age we lose motor neurons and motor units, but some of these effects are reversible. If you strength train with heavy resistance at a slow speed, you can grow back the powerful muscles you had in your twenties.
Yes, as we age we lose motor neurons and motor units, but some of these effects are reversible. The resistance provided from water during swimming is enough to improve muscle strength and balance on land.
Yes, as we age we lose motor neurons and motor units, but some of these effects are reversible. Resistance training "as fast as you can" with moderate loads will increase muscle fiber size and improve balance.
Higher glycogen stores and more capillaries in the sprinter, higher oxidative enzymes and mitochondria in the marathon runner.
Higher glycogen stores in the sprinter; more capillaries, oxidative enzymes, and mitochondria in the marathon runner.
More capillaries and mitochondria in the sprinter, higher glycogen stores and oxidative enzymes in the marathon runner.
More capillaries, oxidative enzymes and mitochondria in the sprinter; higher glycogen stores in the marathon runner.
typical untrained client
client with emphysema
Client with cystic fibrosis
patients with asthma
patients with COPD
patients with emphysema
all of these patients
Functional electrical stimulation (FES)
Decrease muscle tone
Practice motor retraining
O2 saturation levels drop below 85%
Systolic BP decreases more than 10 mmHg after the onset of activity
A 61-year-old patient reaches a heart rate of 148 beats per minute
You should immediately make the patient stop exercising in all of these situations
A patient with exercise induced asthma has a 15-20% decrease in FEV1/FVC estimated with a peak flow meter
Chronic Obstructive Pulmonary disease
Coronary artery disease
Duchenne muscular dystrophy
Friend who runs uphill
Friend who runs downhill
Friend who runs on flat terrain
Friend who does a combination of the three (uphill, downhill, and flat terrain)
Use free weights as they require greater accessory muscle activity to stabilize the load and therefore are more functional
Use machines because they load other muscles/bones too
Use machines because they will isolate one single muscle group
Use free weights because they allow for increased load on cartilage
1-RM because it is the most accurate measure of strength
7-10RM because of her age and diagnosis
5RM since it is between the 1 rep maximum and 10 rep maximum and she is middle-aged and moderately healthy
She should perform as many reps as she can every exercise session to overload the muscle
Sp02 < 90%
RR: 19 breaths/min
Use analgesics before exercise to reduce incisional pain leading to shallow breathing
Avoid lifting over >20 lbs for 6-8 weeks
Do not use the arms to get in/out of the bed, chair, or front wheel walker
Relaxation during low intensity exercise (1-2 METS)
Light aerobic exercise on the treadmill immediately to prevent the formation of clots
Here's an interesting quiz for you.