Foundations for Cardio-Aerobic Testing, Exercise Prescription, and METs PDF

Foundations for Cardio-Aerobic Testing, Exercise Prescription and METs z Ryan Rasmussen, RCEP, MK, CCT Idaho State University-Department of Physical Therapy Therapeutic Exercise Spring 2023 What is exercise? Planned Purposeful FITT-VP Progressive All we need to be aware of...

Foundations for Cardio-Aerobic Testing, Exercise Prescription and METs z Ryan Rasmussen, RCEP, MK, CCT Idaho State University-Department of Physical Therapy Therapeutic Exercise Spring 2023 What is exercise? Planned Purposeful FITT-VP Progressive All we need to be aware of is where, when, why and what stimulus will cause the adaptation response we are prescribing. Where do we start? Pre-screen Test/Assess/Baseline Goals vs Recommendations Exercise Testing/Assessments and measurable outcomes Why is using these tests and measurements important? Structure and safety for your patient/client For exercise selection in ExRx As measurable/retestable outcomes to be used in evidence of applied intervention success or failure PLANNED. PURPOSEFUL. PROGRESSIVE. What are some vitals/outcomes we can measure during these tests? Heart Rate Heart Rate Recovery Blood Pressure Response Peak Blood Pressure SpO2 Rate of perceived exercise Dyspnea Pain METs (ie workload) Treadmill Bike Specific vitals/outcomes to monitor. Be aware of additional specifics that may be essential to particular protocols. What’s the purpose? Is it appropriate for the individual? Can you use it in conjunction with an ExRx? Applying ExRx: F-frequency I-intensity T-time T-type V-Volume P-Progression Remember: Each exercise/workout/day will have? Warm-Up Exercise Cooldown Frequency Moderate-intensity aerobic exercise should be done at least 5 days ∙ week−1, or vigorous-intensity aerobic exercise done at least 3 days ∙ week−1, or a combination of moderate- and vigorous-intensity aerobic exercise done at least 3–5 days ∙ week−1. What are things to consider when prescribing the frequency? Intensity Intensity may be prescribed using multiple methods such as, but not limited to, HR reserve (HRR), rating of perceived exertion (RPE), percentage VO2max, percentage of age-predicted maximal HR, METs, etc.  Age predicted HR Heart Rate Reserve Method (HRR) (aka Karvonen Method) Target HR = (Maximum HR − Resting HR) × % intensity desired] + Resting HR RPE METs American College of Sports Medicine. ACSM's Resources for the Exercise Physiologist (American College of Sports Medicine). Wolters Kluwer Health. Kindle Edition. Rate of Perceived Exertion (RPE) Metabolic Equivalent (MET) A measurement of physical activity, representing the amount of oxygen used by the body per kg of bodyweight per minute 3.5 ml ∙ kg ∙ min 1 MET=sitting at rest Can be used or obtained for testing and ExRx METs For testing/assessment Obtained via simple walk or step tests, treadmill, cycle (leg or arm) For ExRx Prescribe dose appropriate intensity to reach recommended workload Cardio protective benefits Weight loss Daily living activities Return to work duties Return to sport Monitor and/or prescribe progressions Monitor for overtraining Time Type (Mode) Type/Mode Selection Intensity, Type/Mode, and Physical Activity Compendium of Physical Activities https://sites.google.com/site/compendiumofphysic alactivities/ Volume For caloric expenditure per week: Calories/min = [METS * 3.5 * BW in Kg]/200 Or METs * 3.5 * BW in KG= ml of O2 per minute, then convert ml to L L of O2 per minute * 5 kcal=kcal burned per minute Pattern/Progression Overload F-frequency I-intensity V-Volume Goals/Measurable T-time P-Progression Outcomes T-type  Time Type Intensity