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1 Special Populations
Special Populations
88
Fitness
Professional
02/05/2014

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Term
What diseases/issuses can be reduced by aerobic exercise by elderly adults?
Definition
High BP, type II diabetes, obesity, stroke, osteoporosis
Term
What diseases/issues can be reduced by resistance training by eldery adults?
Definition
Sarcopenia, osteopenia, insulin insensitivity, unfavorable lipid profiles
Term
What are the guidelines for resistance training on seniors?
Definition
2-3 nonconsecutive days/week; use both single and multijoint movements; include major muscle groups
Term
What are the guidelines for aerobic training on seniors?
Definition
2-5 days/week, 20-60min sessions, 75%max HR, 30 min walking 5 days/week or 20 minutes jogging 3 days/week
Term
What is the exercise order for elderly adults?
Definition
begin with aerobic activity warmup, then resistance training, then static stretching
Term
what are some common conditions that elderly adults might have?
Definition
dry skin, poor balabce, flu, non-flexible, reduced tolerance to heat
Term
what is the general requirement for physical activity duration for the youth?
Definition
60 minutes daily of physical activity
Term
is resistance training for children acceptable? explain
Definition
yes. there has been no evidence in decrease of stature or epiphyseal plate fractures. however, they need guidance and supervision from an adult
Term
what are some safe guidelines for resistance training on kids?
Definition
8-12 week programs; 2-3 nonconsec. days/week. 1-3 sets, 6-15 reps, child size machines, free weights, balls etc
Term
what is responsible for strength gains in children?
Definition
neural adaptations, intrinsinc muscle adaptations, motor skills
Term
what benefits are associated with resistance training in kids?
Definition
increase in bone mineral density (BMD), enhance cariorespiratory fitness, motor skills, and lower elevated blood lipids
Term
what are benfits of exercise during pregnancy?
Definition
reduce risk of PREECLAMPSIA, recovery from labor, faster return to prepregnancy weight, reduced postpartum belly, more energy reserve
Term
what is preeclampsia?
Definition
pregnancy-induced hypertension
Term
how should a pregnant breath?
Definition
exhale on exertion (lifting phase) of every rep
Term
whats a pregnant woman's mechanical response?
Definition
center of mass changes which affects her balance, body control, and movement
Term
what are the ABSOLUTE contraindications for exercise on pregnant women
Definition
preeclampsia, rptured membranes, premature labor, persistent bleeding, heart disease, multiple birth pregnancy
Term
what are the RELATIVE contraindications for exercise on pregnant women?
Definition
poorly controlled type I diabetes, seizures, hypertension, obesity, anemia, smoking, bronchitis
Term
what are the guidelines for pregnant women exercises
Definition
15 min of moderate intensity daily, increasing to 30min of 3 days/week; 12-15 erps; avoid isometric contractions. avoid exercise in supine position after 1st trimester; dont fatigue
Term
what is the BMI difference between OVERWEIGHT and OBESE?
Definition
overweight: 25-29.9kg/m
obese: >30 kg/m
Term
what are some differences between OVERWEIGHT and OBESE?
Definition
obese have more ADIPOSE TISSURE MASS (more fat with less muscle). Obese means not only lacking physical activity but more in FOOD CONSUMPTION. Obese ppl have HIGHER METABOLIC RATE (moving heavy mass requires more energy)
Term
how do you calculate BMI in nonmetric and metric conversion?
Definition
Nonmetric: weight (lbs) / height squared (inches) x 703.
Metric: Weight (kg) / height squared (meters).
Term
how many calories and total fat should be in a LOW-CALORIES STEP I DIET?
Definition
500-1,00 kcal reduction from usual intake, and total fat should be 30% or less of total calories
Term
how much cholesterol and protein should be in a LOW-CALORIES STEP I DIET?
Definition
<300mg cholesterol, and protein should be 15% of total calories
Term
how many carbs and sodium should be in a LOW-CALORIES STEP I DIET?
Definition
carbs should be 55% of total calories, and 2.4g of sodium
Term
how much calcium and fiber should be in a LOW-CALORIES STEP I DIET?
Definition
1,000-1,500mg of calcium, 20-30g of fiber
Term
what is an appropriate INITIAL GOAL for overweight or obese clients?
Definition
reducing body weight by 10% over 6 months
Term
what is recommended physical activity DURATION for obese clients starting out?
Definition
at least 30 minutes, most days/week at moderate intensity
Term
what are some concerns of exercise for overweight or obese clients?
Definition
heat intolerence, movement restriction, weight-bearing stress, low back pain, balance
Term
what is the frequency, intensity, and duration for aerobic training on obese?
Definition
30 min most days/week, moderate (40-60% HRR) to vigorous intensity
Term
what are some guidelines and concerns for aerobic training on obese?
Definition
use low-impact activities. increase duration rather than increase intensity to optimize caloric expenditure
Term
what is the frequency, intensity, and duration for resistance training on the obese?
Definition
2-3 days/week on nonconsecutive days, 2-4 sets, 10-15 reps; major muscle groups, gradual load increses
Term
what are some guidelines and concerns for resistance training on obese?
Definition
begin with body weight axercies; intersperse with aerobic exercise
Term
what are some guidelines and concerns for flexibility trianing on obese
Definition
2-3 days/week; >4 reps per muscle group; hold static stretches for 15-60 sec
Term
how does a PT help prevent an EATING DISORDER?
Definition
educate cliens about the risks of disordered eating, and set appropriate, realistic goals
Term
what is ANOREXIA NERVOSA?
Definition
extreme weight loss, a refusal to maintain body weight, an intense fear of gaining weight, distored body image
Term
what is BULIMIA NERVOSA?
Definition
recurring episodes of binge eating followed by purging behaviors
Term
what is the FEMALE ATHLETE TRIAD?
Definition
disordered eating, amenorrhea, osteoporosis
Term
what is the programs design for clients recovering from an eating disorder?
Definition
see a physician to get a medical exam. do not prescribe an intense workout. aerobic, resistance, and flexibility trianing. make schedule to where client does not workout for 2-3 days/week. ensure hydration and rehydration
Term
what are the movement and exercise contraindications for a LUMBAR DISC INJURY?
Definition
movement contraindications: lumbar flexion and rotation
exercise contraindications: situps, knee to chest stretch, spinal twist
Term
what are the movement and exercise contraindications for a MUSCLE STRAIN?
Definition
depends on the muscle.
movement contraindications: passive lumbar flexion and active lumbar extension
exercise contraindications: knee to chest stretch
Term
what are the movement and exercise contraindications for SPONDYLOLYSIS?
Definition
movement contraindications: lumbar extension
exercise contraindications: squat, shoulder press, push press
Term
what are the movement and exercise contraindications for IMPINGEMENT SYNDROME (shoulder)?
Definition
movement contraindications: overhead with internally rotated shoulder or painful motions
exercise contraidications: shoulder press, lateral db raise, upright row, incline bench
Term
what are the movement and exercise contraindications for INSTABILITY (anterior shoulder)?
Definition
movement contraindications: anterior-external roations w/ 90 degree abduction; posterior-internal rotaions, horizontal, adduction, flexion
exercise contraindications: bench, pec deck, pushup, behind the neck lat pull down and shoulder press
Term
what are the movement and exercise contraindications for ROTATOR CUFF?
Definition
movement contraindications: resisted overhead movements
exercise contraindications: painful exercises and early quick eccentric actions
Term
what are the shoulder exercise modifications to REDUCE ANTERIOR SHOULDER STRESS for shoulder press, bench, pec deck, and lat pulldown?
Definition
shoulder press: keep barbell in front of head. bench: do not let bar touch chest. pec deck: do not let pads behind posterior body. lat pull down: keep bar in front of head or use reverse grip
Term
what are the movement and exercise contraindications for an ANKLE SPRAIN?
Definition
movement contraindications: inversion with weight bearing
exercise contraidications: activities requiring loaded or full weight bearing
Term
what are the movement and exercise contraindications for ANTERIOR KNEE PAIN?
Definition
movement contraidications: closed chain knee movements with >90 degree knee flexion or open chain knee movements 0-30 degree knee flexion
exercise contraidications: squat, lunge, end range of leg extension, stair stepper
Term
what are the movement and exercise contraindications for ACL RECONSTRUCTION?
Definition
movement contraidications: open chain knee movements <45 degree knee flexion
exercise contraidications: end range of leg extension
Term
what are the movement and exercise contraindications for TOTAL KNEE ARTHOPLASTY?
Definition
movement contraindications: closed chain knee movemens with >100 degree knee flexion, kneeling
exercise contraidications: squat, lunge
Term
what are the movement and exercise contraindications for HIP ARTHROSCOPY?
Definition
movement contraindications: forceful hip flexion, hip abduction and rotation.
exercise contraindications: ballistic or forced stretching
Term
what are the movement and exercise contraindications for OSTEOARTHRITIS?
Definition
movement contraindications: hih-impact activities
exercise contraindications: running, snow skiing, joggin
Term
what is SPINAL CORD INJURY?
Definition
the impariment or loss of motor function, sensory function, or both in the trunk or limbs due to damage to neural tissues within the spinal canal
Term
what kind of exercises are for clients with SPINAL CORD INJRY (SCI)?
Definition
exercises that enhance balance around funtional joints, strengthen msucle groups of posterior shoulder and upper back areas, and streth muscles of anterior shoulder and chest
Term
what are the recommended sets, rep, and duration of exercise for clients with SCI?
Definition
3 sets of 8-12 reps, 2-3 days/week
Term
what is MULTIPLE SCLEROSIS?
Definition
an immune-mediated disorder that occurs in genetically susceptible people
Term
what shold a PT do for clients with MULTIPLE SCLEROSIS?
Definition
enrure a cool, comfy environment and hydrate client enough to maintain temperature balance
Term
what are the modes, intensity, duration and frequiency in aerobic training for clients with MULTIPLE SCLEROSIS/
Definition
modes: cyclilng, stepping, water aerobic, walking.
intensity: 60-80% HR, 40-60% HRR. 30 min/session
duration: 2-3 days/week on nonresistance training days
Term
what are the muscle groups, intensity, and rest, sets/reps in resistance training for clients with MULTIPLE SCLEROSIS?
Definition
all major muscle groups
8-15 reps with 60-80% of 1RM
on or more sets per muscle group, at least 1 min of rest in between
Term
what is EPILEPSY?
Definition
two or more unprovoked, recurring seizures
Term
what is CELEBRAL PALSY?
Definition
chronic musculoskeletal deficits causing impaired body movement and muscle coordination
Term
what is HYPERTENSION?
Definition
systolic reading of 140+ mmHg, a dialostic reading of 90+ mmHg, or both
Term
what are some benefits of exercising for ppl with HYPERTENSION and some contraindications?
Definition
benefits: reduction in resting blood pressure over long-term
contraindications: any type of activity that would increase intrathoracic pressure, by decreasing blood flow to the heart
Term
what is COPD?
Definition
Chronic Obstructive Pumonary Disease (asthma, emphysema, bronchitis)
Term
what conditions can affect a client with ASTHMA?
Definition
extreme temperatures, time of day they workout (morning is better)
Term
what is TYPE I DIABETES?
Definition
INSULINE-DEPENDENT. associated with pancreatic beta cell destruction leading to absolute insulin deficiency
Term
what is TYPE II DIABETES?
Definition
NON-INSULIN DEPENDENT. insulin resistance in peripheral tissues and an insulin secretory deficit of the pancreatic beta cells (MOST COMMON TYPE OF DIABETES)
Term
what is GESTATIONAL DIABETES MELLITUS?
Definition
when GLUCOSE LEVEL IS ELEVATION and other diabetic symptoms appear during pregnancy in women who have no previously been diagnosed with diabetes
Term
what does exercise do for both types of diabetes?
Definition
increase INSULIN SENSITIVITY and GLUCOSE utilization, which loswers blood glucose leve. However, HYPOGLYCEMIA occurs when level is 65 mg or lower
Term
what are some contraindications to execise for clients with DIABETES?
Definition
blood glucose >250 and ketones in urine or blood glucose >300 without ketones. Severe kidney disease; loss of feeling in feet
Term
what is the intensity, frequency, and duration for aerobic exercise for diabetes?
Definition
3-7 days/week, 20-60min/day 50-80% HRR. Monitor blood glucose before and after exercise
Term
what is the intensity, frequency, and duration for resistance training for diabetes?
Definition
2-3 nonconsecutive days/week. 2-3 sets, 8-12 reps (60-80% 1RM), 8-10 multijoint exercises for major muscle groups
Term
what does aerobic exercise do for clients with HYPERLIPIDEMIA?
Definition
reduces VLDL levels with a decrease in triglycerides; raises HDLs; lowers BP, reduces insulin resistance, and improves cardiovascular function
Term
what is the frequency, intensity, and duration for aerobic exercise on HYPERLIPIDEMIA?
Definition
>5 days/week. 30-60min/day, 40-75% HRR
Term
what LIPID LEVELS are considered to be normal (LDL, HDL, Total, Serum triglyceride)?
Definition
LDL: <100
HDL: 40-60
Total cholesterol: <200
serum triglyceride: <150
Term
what is METABOLIC SYNDROME?
Definition
obesity, insulin resistance/glucose intolerance, dyslipidemia, and hypertension
Term
what symptoms of METABOLIC SYNDROME will be affected by exercise? in what ways?
Definition
OBESITY (reduces body fat), INSULINE, GLUCOSE (normalizes blood insulin levels and decreaess blood glucose levels), and it decreases BP and increases HDL levels
Term
what are the goals for clients who have had MYOCARDIAL INFARCTION?
Definition
increase aerobic capacity, decrease BP, reduce risk of CAD, increase ablity to perform dailty activities, increase muscle strength and endurance
Term
what are the goals for clients following a STROKE?
Definition
increase daily living activities, increase strength of limbs, increase range of motion, prevent joint contractures
Term
what is the exercise goal and protocol for cleints with PERIPHERAL VASCULAR DISEASE?
Definition
goal - to walk greater distances pain free.
exercises should include only walking until it hurts. then stop and do it again. duraiton should be 30-60 min
Term
what is chronic obstructive pumonary disease (COPD)?
Definition
lung disease that becomes worse and is not completely reversible (airflow limitation)
Term
what SPORT-SPECIFIC exercises are appropriate for ball dribbling and passing?
Definition
chest pass, reverse curl, close-grip bench, triceps pushdown
Term
what SPORT-SPECIFIC exercises are appropriate for ball kicking?
Definition
split squat, split squat jump, cable hip abduction and adduction, leg raise
Term
what SPORT-SPECIFIC exercises are appropriate for swimming?
Definition
lat pulldown, lunge, bent over lateral raise, standing long jump, vertical jump
Term
what SPORT-SPECIFIC exercises are appropriate for jumping?
Definition
power clean, jerk, squat, pwer snatch, jump to box, doube-leg tuck jump
Term
what SPORT-SPECIFIC exercises are appropriate for racket stroke?
Definition
db fly, wrist curl, wrist supination, wrist pronation
Term
what SPORT-SPECIFIC exercises are appropriate for rowing?
Definition
leg press, barbell bent over row, sit up
Term
what SPORT-SPECIFIC exercises are appropriate for running/sprinting?
Definition
lunge, step ups, SL straight leg deadlift, power clean, uphill sprint
Term
what SPORT-SPECIFIC exercises are appropriate for throwing/pitching?
Definition
db pullover, triceps extension, front raise, shoulder rotation
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