Term
Heart Rate Reserve
Define |
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Definition
The difference between the HR max and resting HR
Used in the Karvonen Equation |
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Term
Heart Rate Reserve
Equation |
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Definition
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Term
Stroke Volume
What is it's effect on Cardiovascular performance
Define |
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Definition
As a Adaptation to Cardiovascular endurance it increases
The amount of blood in the left ventricle that is ejected |
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Term
Which Energy system is used for events under 6 seconds |
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Definition
High intensity shortest duration utilizes the phosphagen energy system |
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Term
Which Energy system is used for events under 30 seconds
(very high intensity) |
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Definition
Phosphagen and fast glycolysis is the energy system for short explosive activity
sprint
plyometrics |
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Term
which enery system is used for 30 to 2 minutes
(high intensity) |
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Definition
fast Glycolisis works under 2 minutes and over 30 sec |
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Term
Which energy system would be used in exercise lasitng 2-3 minutes
(moderate intensity) |
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Definition
fast glycolysis and oxidative system
wieght lifting 1-set |
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Term
Which energy system is used in activity over 3 min. |
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Definition
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Term
How much rest(work to rest ratio) for the phospagen system
(5-10 secs of high intensity) |
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Definition
1:12 to 1:20
2 min rest for sprint |
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Term
what rest time(work/rest ratio's)would activity lasting 30 sec to 2 minutes require
(fast glycolysis) |
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Definition
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Term
what rest time(work to rest ratio)is required for activity over 3 minutes
(oxidative system) |
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Definition
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Term
concentric muscle contraction is defined as |
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Definition
a muscle action in which the muscle shortens, the contractile force is greater than the reisitance force |
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Term
isometric contraction is defined as; |
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Definition
a muscle action in which the muscle length doesn't change because the contractile force equals the resistive force |
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Term
What types of resistance could one use to foster strenght gains? |
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Definition
Gravity
Plate stacked machines
Resistance bands
Manual resistance |
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Term
What is Heart Rate Reserve? |
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Definition
Heart rate reserve (HRR) is a term used to describe the difference between a person's measured or predicted maximum heart rate and resting heart rate. Some methods of measurement of exercise intensity measure percentage of heart rate reserve. It's a part of the Karvonen equation.
HRR = HRmax − HRrest
(220-age)-(resting HR)=HRR |
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Term
Adaptations to Anerobic Training are? |
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Definition
Connective Tissue Adaptations(bone, tendon and ligament)
Muscular Adaptations(Fiber changes, Hypetrophy and Hyperplasia-debatable)
Neural Adaptations(recruitment and increased efficeincy)
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Term
How can bone formation be stimulated? |
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Definition
-use exercises that directly load the skeletal system
-use progressive resistance
-use compound movement exercises
-vary exercise selection ot present unique and new stimulus to bone |
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Term
Chronic Adaptations to Aerobic Exercise |
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Definition
Cardiovascular adaptations(dec. resting HR,inc. stroke volume, increased maximal output)
Muscular adaptations(increase in mitochondrial density, capillary density)
Connective tissue adaptations(inc. ligament and tendon strength)
Enzymatic adaptations(increased creatine and myokinase) |
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Term
What is a good way to design a exercise program for a child? |
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Definition
Dynamic Warmup to begin
Increase resistance gradually
Stress form
Can use compound exercises
2-3 non consecutive sessions per week
vary through the year |
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Term
What is a good way to design a exercise program for a older adult? |
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Definition
Stress the warm up phase
Perform stretches before and after training
Use resistance that does not overtax the musculoskeletal system
Allow 48 to 72 hours for recovery
Use a pain free ROM
Avoid Valsalva manuever |
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Term
What is the recommended fat intake for individuals? |
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Definition
20-35% of the caloric intake
unsaturated should be preffered over saturated
(plant fats over animal fats) |
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Term
What is the recommended intake of Carbohydrates in individuals?
|
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Definition
45 to 65% of their caloric intake
Fibrous is preferred to starchy
lower glycemic index is preferred to higher |
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Term
What is the recommended protien intake for individuals? |
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Definition
10-15% of the daily caloric intake
increases for athletes to 20% |
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Term
What is the optimal level of LDL cholesterol? |
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Definition
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Term
What is the optimal level of total cholesterol? |
|
Definition
less than 200 mg/dL
200-239 borderline high
over 240 high |
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Term
How would you design a weight loss program? |
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Definition
Achive a negative balanced intake
Encourage frequent meals
Perform some physical activity daily
Encourage gradual weight loss to preserve muscle mass
Encourage nutrient dense food choices that are also calorie poor |
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Term
How could you establish the weight some one should use for their resistance program? |
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Definition
1 Repetition Max(1 RM)
10 Repetition Max (10 RM)
-Preferably use compound exercises(bench press, power clean or Squat |
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Term
How could you baseline Local Muscle Endurance? |
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Definition
The partial curl up test
-perform as many without pausing(max 75)
The push up test
-perform as many to failure |
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Term
What test could you use to baseline Flexibility? |
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Definition
Sit and Reach test
Use Sit and reach box
or
-sit on floor with legs exended out
-tape a yard stick to the ground between legs
-heel should be at 15" mark
-with a flat back have them reach forward
(warm up prior)
(best of 3 tries)
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Term
What is the difference between ROM and Flexibility? |
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Definition
-ROM is the degree of movement about a joint
-Flexibility measures ROM of all joints involved in a movement as well as the tissues involved(muscles, ligaments, etc.) |
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Term
When should an athlete/patient stretch? |
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Definition
In the cool down phase in the non compromised
After the warmup phase and in the cool down phase in the compromised. |
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Term
Why is a warup period important? |
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Definition
lowered resistance in muscles
increased blood flow to muscles
initiates joint movement
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Term
What is the stretch reflex? |
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Definition
When the muscle is stretched, so is the muscle spindle . The muscle spindle records the change in length (and how fast) and sends signals to the spine which convey this information. This triggers the stretch reflex(also called the myotatic reflex which attempts to resist the change in muscle length by causing the stretched muscle to contract |
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Term
How does the stretch reflex interfere with muscle lengthening techniques? |
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Definition
Although critical to preservation, this reflex can inhibit active and passive stretching. Muscle energy techniques can be utilized to bypass this reflex thus affecting flexibility |
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Term
What if any are the differences in male and female strength gains? |
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Definition
These differences are due primarily to the male sex hormone testosterone With more muscle mass, men are generally stronger than women Body strength per unit muscle mass, however, is the same in both sexes Women have a hard time with hypertrophy but can effectively increase recruitment- leads to strength gain |
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Term
How does exercise affect cartiledge? |
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Definition
Increase in the thickness of cartilage Aerobic activity creates a pumping effect of the cartilage which is advantageous for pumping the proteoglycans into the cartilage matrix |
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Term
What is necessary before a exercise program can begin? |
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Definition
Informed Consent for cardiac screening.
PAR-Q (Physical Activity Readiness Questionnaire).
Determine type of exercise testing needed prior to
beginning exercise.
Categorize Pt. as:
•Apparently Healthy -Low
•Increased Risk- Moderate
•Known Dz. - High
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Term
When should you cease a exercise session? |
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Definition
-Onset of Angina-like symptoms
-Drop in Systolic >20 mmHg or failure Systolic to raise with exercise
-Excessive raise in Systolic >260 mmHg or Diastolic >115 mmHg
-Signs of: Ataxia, confusion, pallor, cyanosis, lightheaded, nausea
-Noticeable change in heart rhythm
-Pt. says STOP / Quits
-Equipment failure
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Term
Describe Open chain and closed chain kinematics |
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Definition
Open Chain the distal segment is moving
Closed chain the distal segment is fixed |
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Term
Describe the difference between simple and compound exercise movements? |
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Definition
Simple movements are single muscle single joint maneuvers.(curls, leg extension)
Compound movements are multi muscle multi joint exercises. (Squat, Snatch, Push ups) |
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Term
Name a weight bearing exercise for the lower body? |
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Definition
Any exercise where gravity plays a role in the difficulty of the task.
(Squat, Lunge, Push up) |
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Term
Name a Non weight bearing exercise for the lower extremity? |
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Definition
Any exercise where the resistance is applied through bands or plate loaded means.
(Leg curl, bicept curl, seated shoulder press) |
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Term
What benefits do Closed chain exercises have over open? |
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Definition
•From a biomechanical perspective it has been suggested that closed kinetic chain exercises are safer and produce forces and stresses that are potentially less of a threat to healing structures
•Closed kinetic chain exercises tend to be more functional
–Proprioceptive input
–Compressive vs. Shear force on the joints |
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Term
Describe Isokinetic Contratctions |
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Definition
•Isokinetic contractions involve moving at a fixed speed with variable resistance
–The more you exert, the more the resistance is applied |
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Term
Describe the applicability of Isokinetic movement programs? |
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Definition
–Good for rehab and muscle reeducation because of the full range of motion and controlled speed
(BiodexIsokinetic machine)
–Good for assessing the painful or weak range of a movement
–Poor for strength training in general (resistance programs need progression to increase strength) |
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Term
What is the difference in open and closed packed postitions of joints? |
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Definition
•Closed Packed
–Position of greatest joint congruency
–Ligaments and Capsules are taught
Least amount of Joint play available
•Open Packed
–Position of least joint congruency
–Ligament and Capsules are loose
Most amount of Joint play available |
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Term
What is the closed pack position of the shoulder? |
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Definition
Shoulder (GH); 90 degrees abduction, full external rot |
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Term
What is the closed packed position of the hip? |
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Definition
•Hip; full extension, Internal rotation and
abduction |
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Term
What is the closed packed position of the elbow? |
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Definition
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Term
What is the closed pack position of the Wrist? |
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Definition
Extension with radial deviation |
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Term
What factors would you take into consideration when designing a home exercise program? |
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Definition
The exercise prescription is a patient specific recommendation to accomplish specific goals while also addressing complicating factors that may be present. A needs analysis will dictate the type of activity that will create the desired results |
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Term
How would you determine what the most important factors are when creating a home program? |
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Definition
Baseline testing is important in assessing the patients strengths and weaknesses The results of baseline testing when compared to standards will provide the areas the patient is most deficient |
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Term
What information would be included in assigning a home program? |
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Definition
Program design should incorporate
–Exercise selection
–Exercise order
–Training Frequency
–Training load
–Volume
–Rest Intervals |
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Term
Which type of movement should be mastered first, simple or compound? |
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Definition
The patient should be able to perform compound movements before isolation movements/Assistance (compound to simple) |
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Term
What role do isometric exercise play in rehabilitation? |
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Definition
Beginners or patients can benefit from isometric strengthening prior to isotonic -Limited joint movement avoids substitution in movement patterns -Physisologic overflow still improves the painful range if it's within 15-20 degrees |
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Term
What benefit's are there to performing a dynamic warm up prior to exercise? |
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Definition
•There are several reasons why an active warm
up such as the DWU used in this study might
improve short-term performance. Most factors are
related to temperature and include decreased
stiffness of the muscles and joints; increased
transmission rate of nerve impulses; changes in
the force velocity relationship
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Term
A patient needs a aerobic conditioning program, how do you compile it? |
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Definition
Establish Goals and Needs Analysis
set baselines
determine Frequency
determine duration
determine work to rest ratios
Mix running styles to accomplish goals
include recovery runs |
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Term
What ar e the various running styles you could use to devise a aerobic program? |
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Definition
Interval
Repetition
Fartelek
Long Slow Distance
Pace/Tempo |
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Term
Describe Interval Running |
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Definition
Very intense( close to VO2 max)
Inetrvals last 3-5 min
1:1 work to rest ratio
For the well trained
Increases VO2 max
Increases Anerobic Metabolism |
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Term
Define Pace/Tempo Running |
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Definition
running that is slightly higher paced than the race pace, it also corresponds to the lactate threshold.
pace/tempo stresses the athlete at specific intensity and improve energy production from aerobic and anaerobic metabolism
this technique is a work hardening program(designed to make running easier, not improve speed) |
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Term
Define Repetition Training |
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Definition
Aerobic Conditioning program
Very intense(greater than VO2 Max)
30 to 90 sec
1:5 work to rest ratio
good for activities that require bursts of speed |
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Term
|
Definition
is the maximum capacity of an individual's body to transport and use oxygen during incremental exercise, which reflects the physical fitness of the individual.
With a higher exercise intensity the lactate level in the blood reaches the 'anaerobic threshold (AT), or the onset of blood lactate accumulation |
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Term
Define Anaerobic Threshold |
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Definition
With higher exercise intensity the lactate level in the blood reaches the 'anaerobic threshold (AT), or the onset of blood lactate accumulation. |
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Term
What would be the best way to estimate training HR in a female Athlete? |
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Definition
Ball State Formula
MHR (WOMEN) = 209 - (% intensity) x (age)
Example
20 yoa ♀, want to train at 80%
MHR = 209 - (.8) x (20)
MHR = 209 - 16
MHR = 193
THR = MHR x % intensity
THR = 193 x .8
THR = 154.4
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Term
What would be the best estimation meathod for Target HR? |
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Definition
Karvonen Meathod
Formula:
(220-age) - (RHR) x (EXERCISE %) + RHR = THR
Example
20 yoa ♂ RHR=70 bpm, want to train at 80% MHR
(220-20) – (70) x 80% + 70 bpm = THR
(200-70) x .8 + 70 = THR
130 x .8 + 70 = THR
104 + 70 = 174 bpm = THR
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Term
Which HR estimation formula would be best for a senior citizen? |
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Definition
Age Adjusted is best for young and old
Formula:
(220-age) - (RHR) x (EXERCISE %) + RHR = THR
Example
20 yoa ♂ RHR=70 bpm, want to train at 80% MHR
(220-20) – (70) x 80% + 70 bpm = THR
(200-70) x .8 + 70 = THR
130 x .8 + 70 = THR
104 + 70 = 174 bpm = THR
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Term
Provide a Field test to establish a base line for aerobic potential? |
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Definition
YMCA step test
Purpose: A step test provides a measure of cardio-respiratory or endurance fitness with sub maximum effort.
Equipment:
12 inch (30 cm) step
Stopwatch
Metronome at 96 bpm 24 steps/min
Stethoscope
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Term
Which Aerobic baseline field test would provide the best sampling in a conditioned individual? |
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Definition
Harvard Step Test
1.Step or platform 20 inches / 50.8 cm high
•The Pt. steps up and down on the platform at a rate of 30 steps per minute (every two seconds) for 5 minutes or until exhaustion.
The Pt. immediately sits down on completion of the test, and the total number of heart beats are counted between 1 to 1½ minutes after finishing. This is the only measure required if using the short form of the test
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Term
How would we train Aerobic Power (If asked how would you devise a aerobic home program, you would have to ask a follow up question) |
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Definition
3 to 5 times per week 20 to 45 minutes up to 60 Determine resting heart rate RHR Determine maximal heart rate MHR Heart Rate Reserve (HRR) = MHR - RHR |
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Term
How would you train Aerobic Potential (If asked how would you devise a aerobic home program, you would have to ask a follow up question) |
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Definition
20 minutes 3 times per week optimal aerobic potential 20 minutes 2 times per week (Maximum to maintain your aerobic gains) 20 minutes once a week (minimum to maintain your aerobic gains |
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Term
How would we train Aerobic Power and weight loss? (If asked how would you devise a aerobic home program, you would have to ask a follow up question) |
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Definition
30 minutes 3 times per week optimal aerobic potential and weight loss 30 minutes 2 times per week (Maximum to maintain your gains) 30 minutes once a week (Minimum to maintain your gains) |
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Term
What are the the methods of anaerobic/resistance training? |
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Definition
Isometric Isotonic Power Hypertrophy Local Muscle Endurance Strength Plyometrics |
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Term
When does resistance exercise get implemented in rehabilitation? |
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Definition
Phase III – Active Care All exercises game Choose progression appropriately Goals to Rx’ed exercise Sets and Repetitions Intensity Tempo? |
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Term
What is the resistance exercise progression? |
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Definition
Multiple Angle Isometrics – Submaximal Multiple Angle Isometrics – Maximal Short Arc Isokinetics - Submaximal Short Arc Isotonics Short Arc Isokinetics - Maximal Full ROM Isokinetics - Submaximal Full ROM Isokinetics - Maximal Full ROM Isotonics |
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Term
Name a Isometric strength training protocol? (1 of 4) |
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Definition
Hettinger–Muller Method 3 Sets: 1 Repetitions: 20 (6sec) Intensity: 80-100% max Frequency: daily Duration: 4 wks |
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Term
Name a Isometric strength training protocol? (2 of 4) |
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Definition
Rules of 10 Sets: 10 Repetitions: 10 Time: 10 sec. 10 sec. rest between reps 10 different angles Intensity: 80% max Frequency: daily Duration: 4 wks |
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Term
Name a Isometric strength training protocol? (3 of 4) |
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Definition
Hettinger–Muller Method 2 Sets: 1 Repetitions: Day 1 5 (6sec) Day 2 6 Day 3 7 Day 4 8 Intensity: 80% max Frequency: 4 consecutive days Duration: 4 wks |
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Term
Name a Isometric strength training protocol? (4 of 4) |
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Definition
Hettinger–Muller Method 1 Sets: 1 Repetitions: 1 (6sec) Intensity: 2/3 max tension Frequency: 4 consecutive days Duration: 4 wks |
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Term
How long are Isometrics effective at gaining strength? |
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Definition
Strength gains are detected in 3 weeks & max at 4 weeks. |
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Term
What is the Orthopedic protocol of resistance training? |
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Definition
Phase I Zinovieff – Beginning, Low Fatigue
Phase II DeLorme-Watkin – Endurance Building
Phase III McQueen – Strength Building |
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Term
Zinovieff Technique, explain? |
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Definition
Strength protocol; good for beginning of rehab and low fatigue patients
SET 1 – 100% 10 RM – 11 reps SET 2 – 75% 10 RM – 10 reps SET 3 – 50% 10RM – 10 reps Duration 5 weeks |
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Term
DeLorme-Watkins Regime, explain? |
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Definition
Hypertrophy protocol; good progression from Zinovieff
SET 1 – 50% 10 RM – 10 reps SET 2 – 75% 10 RM – 10 reps SET 3 – 100% 10 RM – 11 reps
Duration 5 weeks |
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Term
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Definition
Strength protocol; good progression from Delorme-Watkins
SET 1 – 100% 10 RM – 11 reps SET 2 – 100% 10 RM – 11 reps SET 3 – 100% 10 RM – 11 reps
Increase 10 lbs. if they can do over 10 reps for the next set |
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Term
Super Slow Technique, explain? |
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Definition
Good for post-op patients or when caution is needed.
SET 1 – 100% 6 RM – 7 reps SET 2 – 100% 6 RM – 7 reps SET 3 – 100% 6 RM – 7 reps Resistance is determined w/ 6RM – 10RM Concentric phase rep = 10 seconds Eccentric phase rep = 4 seconds
Max out to the 7th rep to adjust the next set. Similar to McQueen. Duration 5 weeks |
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Term
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Definition
Daily Adjustable Progressive Resistive Exercise SET 1 – 50% 10 RM – 10 reps SET 2 – 75% 10 RM - 6 reps SET 3 – 100% 10 RM – rep out SET 4 – Wt. determined by chart – rep out
# of reps on 3rd set determines the weight for the 4th set # of reps on the 4th set determines the weight for next session |
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Term
What is the importance of the 11th repetition? |
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Definition
10 RM = Always attempt to perform 11 reps Less than 10 reps achieved = Decrease Wt. Greater than 10 reps. Achieved = Increase Wt. Exactly 10 reps. Achieved = Keep Wt. Same. |
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Term
What is the progression in regards to speed of exercise? |
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Definition
SHORT ROM and SLOW velocity FULL ROM and SLOW velocity SHORT ROM and FAST velocity FULL ROM and FAST velocity |
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Term
What is the rate of atrophy when exercise is not performed? |
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Definition
Loss of strength gains occurs at 1/3 of the rate it was gained. (if you trained for 3 months it will take 9 months without training to lose the gains) 1 – 2 training sessions per week of maximal muscle contraction will maintain strength gains. Important to discuss this with patient when discharging to home exercises. |
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Term
Explain how the patient would perform the Rockport 1 Mile Fitness Walk? |
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Definition
Submaximal field test to estimate VO2max in males and females 20 to 69 years old. Pt. walks one mile as quickly as possible. Record the participant’s heart rate (HR) immediately upon the completion of the mile. It is preferable to have the participant wear a heart rate monitor for this Measurement. |
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Term
Definition of Core Exercise is? |
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Definition
an exercise that is a 1) multi-joint exercise; 2) involves larger muscle groups (e.g., chest, hip/thigh, and shoulders); and 3) can safely and effectively be used in a 1RM-testing situation |
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Term
What is basal metabolic Rate? |
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Definition
the number of calories expended at rest, usually after an overnight fast; based on age, weight, height, and gender |
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Term
What are the magnificent 7? |
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Definition
-Active Lumbar ROM -Wall Angel -Overhead Squat -Single Leg Balance -Single Leg Squat -Lunge to kneeling and return -Respiration |
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