KINE4412 Week 1 Intro Winter 2025 - Ontario Tech University

KINE4412: Exercise Rehabilitation I: Integrated Case Studies Week 1: Physical Activity and Exercise Recommendations Course Instructor: Laura Banks PhD, RKin and Rehabilitation Intro (Chapters 1-3) Associate Teaching Professor – Ontario Tech University  Physical activit...

KINE4412: Exercise Rehabilitation I: Integrated Case Studies Week 1: Physical Activity and Exercise Recommendations Course Instructor: Laura Banks PhD, RKin and Rehabilitation Intro (Chapters 1-3) Associate Teaching Professor – Ontario Tech University  Physical activity Any bodily movement produced by the contraction of skeletal muscles that results in a substantial increase in caloric requirements over resting energy expenditure Exercise A type of physical activity consisting of planned, structured, and repetitive bodily movement done to Key Terms improve and/or maintain one or more components of physical fitness Physical fitness A set of attributes or characteristics that individuals have or achieve that relates to their ability to perform physical activity  Relative Risk: A measure of how much a particular Key Terms risk factor (say exercise) influences the risk of a specified outcome (say, death by age 70)  1. Agility: The ability to change the position of the body in space with speed and accuracy. Key Terms: 2. Coordination: The ability to use the senses, such as sight and hearing, Skill-related together with body parts in performing tasks smoothly and accurately. Physical Fitness 3. Balance: The maintenance of equilibrium while stationary or moving. Components 4. Power: The ability/rate at which one can perform work. 5. Reaction time: The time elapsed between stimulation and the beginning of the reaction to it. 6. Speed: The ability to perform a movement within a short period of time. Key Terms: Health-Related Physical Fitness Components Cardiorespiratory endurance: Body composition: The ability of the circulatory Muscular strength: The relative amounts of and respiratory system to The ability of muscle to exert muscle, fat, bone, and other supply oxygen during force. vital parts of the body. sustained physical activity. Muscular endurance: Flexibility: The ability of muscle to The range of motion available continue to perform without at a joint. fatigue. Exercise is medicine (ACSM Textbook) To make physical activity assessment and exercise EIM targets apparently MVPA estimated from prescription standard of healthy adults vs. chronic multiplying answers from care treatment for all disease two questions: patients “On average, how many “On those days, for how days per week do you many minutes do you engage in at least moderate engage in physical activity to vigorous physical activity at this level?” like a brisk walk?” Basics of Exercise Physiology, Physical Activity, and Health Physical Activity Guidelines  http://www.csep.ca Physical Activity Guidelines: The Early Years (0 to 4 Years)  http://www.csep.ca Physical Activity Guidelines: Children (5 to 11 Years Old)  http://www.csep.ca Physical Activity Guidelines: Youth (12 to 17 Years Old) Current physical activity levels in children Trends? Trends?  http://www.csep.ca ACSM Position Stand on Physical Activity for Adults 1 Minute Reflection Demographic Physical Activity Recommendations Toddlers (“Early Years”) Children Adolescents Healthy Adults Adults with Chronic Disease Ask the Audience: What percentage of healthy Canadian adults achieve the recommended levels of daily physical activity?  1. 5% And the 2. 3. 15% 30% answer is… 4. 50% 5. 75% Disease Risk Factors Family history Hypercholesterolemia Hypertension Cigarette smoking Impaired fasting glucose Obesity Physical inactivity  What do these trends suggest? A majority of “healthy” Canadian children and Targeted interventions Direct implications for adults do not achieve to promote MVPA is health the recommended required MVPA guidelines ACSM: Chronic Care Model and Population Health “Disease burden” Recommendations for majority of patients with chronic conditions is not different from guidelines for apparently healthy persons Considerations need to be taken with the barriers to exercise for those with chronic conditions Ideas for Discussion Physical activity counseling ACSM: Health and Disease in Relation to Physical activity Downward spiral of chronic disease Increased MVPA reduces cascade of adverse effects Exercise prescription Recall: FITT Principle  C H A P T E R 02 BASIC PHYSICAL ACTIVITY AND EXERCISE RECOMMENDATIONS FOR PERSONS WITH CHRONIC CONDITIONS Chapter ?? Table 2.1 Table 2.2 Table 2.3  Exercise Testing Is an exercise test necessary for exercise management and physical activity? – Consider the prudence of the testing – Appropriate battery of tests for client Short Physical Performance Battery may be a useful alternative  C H A P T E R 03 ART OF CLINICAL EXERCISE PROGRAMMING Chapter ?? Essential Steps for Exercise Programming Step 1: assess current health status (history of the disease, current symptoms, and physical and cardiovascular restrictions and treatments) Step 2: assess current level of physical activity Step 3: identify exertional symptoms that limit physical activity (objective value, qualitative descriptions, recovery time) (continued) Essential Steps for Exercise Programming (continued) Step 4: evaluate physical function and performance Mildly impaired to normal Moderately impaired, low functioning Severely impaired, very low functioning Needs aid, debilitated (continued) Table 3.1  Essential Steps for Exercise Programming (continued) Step 5: select recommended physical performance assessments – Activities of daily living (ADL) questionnaires – Commonly used tests of physical functioning Six-minute walk test, core and lower-extremity functional test, timed up-and-go test, arm curl test (continued) Essential Steps for Exercise Programming (continued) Step 6: considerations for formal exercise tolerance testing – Balke or modified Naughton Low-level constant-increment protocol Continuous low-level ramping protocol Branching low-level protocol (continued) Essential Steps for Exercise Programming (continued) Step 7: considerations for program referral – Specific limitations in physical function – Clinical condition and safety of exercise – Patient preference – Location that encourages adherence (continued) Essential Steps for Exercise Programming (continued) Step 8: develop a strategy for monitoring progress – Monitoring participation – Monitoring clinical responses – Monitoring fitness Education of participants or patients is important