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Aerobic Assessment and Protocols
Field and Calculated Baselines and Aerobic Protocols
92
Medical
Graduate
01/25/2013

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Cards

Term

Heart Rate Reserve

Define

Definition

The difference between the HR max and resting HR

Used in the Karvonen Equation

Term

Heart Rate Reserve

Equation

Definition


HRR = HRmax − HRrest

Term

Stroke Volume

What is it's effect on Cardiovascular performance

Define

Definition

As a Adaptation to Cardiovascular endurance it increases

The amount of blood in the left ventricle that is ejected

Term
Which Energy system is used for events under 6 seconds
Definition
High intensity shortest duration utilizes the phosphagen energy system
Term

Which Energy system is used for events under 30 seconds

(very high intensity)

Definition

Phosphagen and fast glycolysis is the energy system for short explosive activity

sprint

plyometrics

Term

which enery system is used for 30 to 2 minutes

(high intensity)

Definition
fast Glycolisis works under 2 minutes and over 30 sec
Term

Which energy system would be used in exercise lasitng 2-3 minutes

(moderate intensity)

Definition

fast glycolysis and oxidative system

wieght lifting  1-set

Term
Which energy system is used in activity over 3 min.
Definition
Oxidative system
Term

How much rest(work to rest ratio) for the phospagen system

(5-10 secs of high intensity)

Definition

1:12 to 1:20

 2 min rest for sprint

Term

what rest time(work/rest ratio's)would activity lasting 30 sec to 2 minutes require

(fast glycolysis)

Definition
1:3
Term

what rest time(work to rest ratio)is required for activity over 3 minutes

(oxidative system)

Definition
1:1 to 1:3
Term
concentric muscle contraction is defined as
Definition
a muscle action in which the muscle shortens, the contractile force is greater than the reisitance force
Term
isometric contraction is defined as;
Definition
a muscle action in which the muscle length doesn't change because the contractile force equals the resistive force
Term
What types of resistance could one use to foster strenght gains?
Definition

Gravity

Plate stacked  machines

Resistance bands

Manual resistance

Term
What is Heart Rate Reserve?
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

Term
Adaptations to Anerobic Training are?
Definition

Connective Tissue Adaptations(bone, tendon and ligament)

Muscular Adaptations(Fiber changes, Hypetrophy and Hyperplasia-debatable)

Neural Adaptations(recruitment and increased efficeincy)

 

 

Term
How can bone formation be stimulated?
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

Term
Chronic Adaptations to Aerobic Exercise
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)

Term
What is a good way to design a exercise program for a child?
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

Term
What is a good way to design a exercise program for a older adult?
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

Term
What is the recommended fat intake for individuals?
Definition

20-35% of the caloric intake

unsaturated should be preffered over saturated

(plant fats over animal fats)

Term

What is the recommended intake of Carbohydrates in individuals?

 

Definition

45 to 65% of their caloric intake

Fibrous is preferred to starchy

lower glycemic index is preferred to higher

Term
What is the recommended protien intake for individuals?
Definition

10-15% of the daily caloric intake

increases for athletes to 20%

Term
What is the optimal level of LDL cholesterol?
Definition
less than 100 mg/dL
Term
What is the optimal level of total cholesterol?
Definition

less than 200 mg/dL 

200-239 borderline high

over 240 high

Term
How would you design a weight loss program?
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

Term
How could you establish the weight some one should use for their resistance program?
Definition

1 Repetition Max(1 RM)

10 Repetition Max (10 RM)

-Preferably use compound exercises(bench press, power clean or Squat

Term
How could you baseline Local Muscle Endurance?
Definition

The partial curl up test

-perform as many without pausing(max 75)

The push up test

-perform as many to failure

Term
What test could you use to baseline Flexibility?
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)

 

Term
What is the difference between ROM and Flexibility?
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.)

Term
When should an athlete/patient stretch?
Definition

In the cool down phase in the non compromised

After the warmup phase and in the cool down phase in the compromised.

Term
Why is a warup period important?
Definition

lowered resistance in muscles

increased blood flow to muscles

initiates joint movement

 

Term
What is the stretch reflex?
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
Term
How does the stretch reflex interfere with muscle lengthening techniques?
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
Term
What if any are the differences in male and female strength gains?
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
Term
How does exercise affect cartiledge?
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
Term
What is necessary before a exercise program can begin?
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

 

Term
When should you cease a exercise session?
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

 

Term
Describe Open chain and closed chain kinematics
Definition

Open Chain the distal segment is moving

Closed chain the distal segment is fixed

Term
Describe the difference between simple and compound exercise movements?
Definition

Simple movements are single muscle single joint maneuvers.(curls, leg extension)

 

Compound movements are multi muscle multi joint exercises. (Squat, Snatch, Push ups)

Term
Name a weight bearing exercise for the lower body?
Definition

Any exercise where gravity plays a role in the difficulty of the task.

(Squat, Lunge, Push up)

Term
Name a Non weight bearing exercise for the lower extremity?
Definition

Any exercise where the resistance is applied through bands or plate loaded means.

(Leg curl, bicept curl, seated shoulder press)

Term
What benefits do Closed chain exercises have over open?
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
Term
Describe Isokinetic Contratctions
Definition
Isokinetic contractions involve moving at a fixed speed with variable resistance
The more you exert, the more the resistance is applied
Term
Describe the applicability of Isokinetic movement programs?
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)
Term
What is the difference in open and closed packed postitions of joints?
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

Term
What is the closed pack position of the shoulder?
Definition
Shoulder (GH); 90 degrees abduction, full external rot
Term
What is the closed packed position of the hip?
Definition
Hip; full extension, Internal rotation and
abduction
Term
What is the closed packed position of the elbow?
Definition
Full Extension
Term
What is the closed pack position of the Wrist?
Definition
Extension with radial deviation
Term
What factors would you take into consideration when designing a home exercise program?
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
Term
How would you determine what the most important factors are when creating a home program?
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
Term
What information would be included in assigning a home program?
Definition
Program design should incorporate
 
Exercise selection
Exercise order
Training Frequency
Training load
Volume
Rest Intervals
Term
Which type of movement should be mastered first, simple or compound?
Definition
The patient should be able to perform compound movements before isolation movements/Assistance (compound to simple)
Term
What role do isometric exercise play in rehabilitation?
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
Term
What benefit's are there to performing a dynamic warm up prior to exercise?
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
Term
A patient needs a aerobic conditioning program, how do you compile it?
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

Term
What ar e the various running styles you could use to devise a aerobic program?
Definition

Interval

Repetition

Fartelek

Long Slow Distance

Pace/Tempo

Term
Describe Interval Running
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

Term
Define Pace/Tempo Running
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)

Term
Define Repetition Training
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

Term
Define Lactate Threshold
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

Term
Define Anaerobic Threshold
Definition
With  higher exercise intensity the lactate level in the blood reaches the 'anaerobic threshold (AT), or the onset of blood lactate accumulation.
Term
What would be the best way to estimate training HR in a female Athlete?
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
 
Term
What would be the best estimation meathod for Target HR?
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
 
Term
Which HR estimation formula would be best for a senior citizen?
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
 
Term
Provide a Field test to establish a base line for aerobic potential?
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 

 
Term
Which Aerobic baseline field test would provide the best sampling in a conditioned individual?
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
 
 
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)
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
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)
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
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)
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)
Term
What are the the methods of anaerobic/resistance training?
Definition
Isometric
Isotonic
Power
Hypertrophy
Local Muscle Endurance
Strength
Plyometrics
Term
When does resistance exercise get implemented in rehabilitation?
Definition
Phase III – Active Care
All exercises game
Choose progression appropriately
Goals to Rx’ed exercise
Sets and Repetitions
Intensity
Tempo?
Term
What is the resistance exercise progression?
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
Term
Name a Isometric strength training protocol?
(1 of 4)
Definition
Hettinger–Muller Method 3
Sets: 1
Repetitions: 20 (6sec)
Intensity: 80-100% max
Frequency: daily
Duration: 4 wks
Term
Name a Isometric strength training protocol?
(2 of 4)
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
Term
Name a Isometric strength training protocol?
(3 of 4)
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
Term
Name a Isometric strength training protocol?
(4 of 4)
Definition
Hettinger–Muller Method 1
Sets: 1
Repetitions: 1 (6sec)
Intensity: 2/3 max tension
Frequency: 4 consecutive days
Duration: 4 wks
Term
How long are Isometrics effective at gaining strength?
Definition
Strength gains are detected in 3 weeks & max at 4 weeks.
Term
What is the Orthopedic protocol of resistance training?
Definition
Phase I
Zinovieff – Beginning, Low Fatigue

Phase II
DeLorme-Watkin – Endurance
Building

Phase III
McQueen – Strength Building
Term
Zinovieff Technique, explain?
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
Term
DeLorme-Watkins Regime, explain?
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
Term
McQueen Method, explain?
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
Term
Super Slow Technique, explain?
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
Term
D.A.P.R.E., explain?
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
Term
What is the importance of the 11th repetition?
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.
Term
What is the progression in regards to speed of exercise?
Definition
SHORT ROM and SLOW velocity
FULL ROM and SLOW velocity
SHORT ROM and FAST velocity
FULL ROM and FAST velocity
Term
What is the rate of atrophy when exercise is not performed?
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.
Term
Explain how the patient would perform the Rockport 1 Mile Fitness Walk?
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.
Term
Definition of Core Exercise is?
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
Term
What is basal metabolic Rate?
Definition
the number of calories expended at rest, usually after an overnight fast; based on age, weight, height, and gender
Term
What are the magnificent 7?
Definition
-Active Lumbar ROM
-Wall Angel
-Overhead Squat
-Single Leg Balance
-Single Leg Squat
-Lunge to kneeling and return
-Respiration
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