HPFW Exam 2 Study Guide PDF

STUDY GUIDE for HPFW EXAM 2 UNIT 5 -CARDIO-FITNESS 1. Understand what maximal oxygen consumption is. (DP) - The ability of the O2 transport system to deliver blood and cells to take up and utilize oxygen 2. Understand goal of submaximal aerobic testing for PT (DP and Noonan a...

STUDY GUIDE for HPFW EXAM 2 UNIT 5 -CARDIO-FITNESS 1. Understand what maximal oxygen consumption is. (DP) - The ability of the O2 transport system to deliver blood and cells to take up and utilize oxygen 2. Understand goal of submaximal aerobic testing for PT (DP and Noonan article), - Predict VO2 max - Diagnose functional limitations - Assess effectiveness of rehab strategies - Determine Athletic Staus - Ability to perform ADL 3. Example of Predictive and Performance tests (DP and Noonan article, PPT). -Predictive: -Performance -Modified Brue treadmill -Self paced walking test -Single stage submax treadmil -Modified Shuttle walking test -Canadian aerobic fitness -Bag and carry test -20 m shuttle test - Timed up and go test (TUG) - Rockport Fitness test ( 1m walk test) 4. Differentiate MET levels of intensity and Physical Activity Guidelines (ACSM p 3) -Met intensity: - Light (1.6-2.9 mets):Making bed; ironing: fishing; darts: Slow walk around house or store -Moderate ( 3.0-5.9 mets): Walking at a brisk pace: cleaning the garage: vacuuming: mopping: Basketball: dancing golf -Vigorous ( >6.0): Hiking: jogging: running: shoveling: skiing: soccer 5. Effect of some medications on HR and BP response (ACSM p 126,127, DP) -Some medications can reduce the heart rate response during ex. 6. Recommendations before submaximal testing (PPT, Noonan) -Taking pt full medical history -ensuring pt area is safe& equipment being used is working properly UNIT 6- MOBILITY 1. Understand what mobility is. (DP, K&C pg 2, 65 - The ability for the joint to move through full ROM needed to complete an activity 2. Recall normal ROM values for elbow, knee (AMA, AAOS) and related impairment -DP, Lab - Elbow: Flexion: 140 ama 150 AAOS Extention: 0 AMA & AAOS - Knee: Flexion: 150 AMA 135 AAOS Extention: 0 AMA & AAOS 3. Goals for PROM, AAROM, AROM (PPT, K&C p.66) - PROM: Maintain movement; Assist with circulation; Assist with healing: Decrease complications that arise from immobilization - AAROM: assist joint through max level to strengthen passively - AAROM & AROM same goals: Maintain elasticity: Increase circulation; develop coordination and motor skills; Provide stimulus for bone and joint tissue integrity 4. Understand Functional excursion, active and passive insufficiency (PPT, K&C p 65) - Functional Excursion: The distance that a muscle is capable of shorting after its been elongated to its max * When muscle crosses one joint* - Active insufficiency: Muscle is fully contracted and cannot produce any more tension ( end of range) *Only when muscle crosses two joints* - Passive Insufficiency: Muscle is fully lengthened and it limits motion at one of the joints it crosses *Only when muscle crosses two joint* UNIT 7- STRENGTH 1. Differentiate types of contraction and their use. (DP, K&C 195) - Isometric: static contraction without visible joint change used as a stabilization ex since not a resistance ex; decreases pain, promotes relaxation, and increases circulation - Eccentric: Muscle lengthens as it contracts; ex controlling weight weight as it lowers; Increases strength and physical performance - Concentric: Dynamic muscle activation with tension; external resistance is overcome by internal force; Increases strength and physical performance 2. Age related changes in muscle performance across the lifespan (PPT, K&C P 178) - Muscle performance decreases as we age decline begins at 25 and lower at a rate of 8-10% per decade; In late adulthood rate decreases by 15-20% 3. Provide examples of task-specific training (DP, PPT) - Task-specific training: Associated with motor learning - Ex: Traning for a a marathon; MOiuntain climbers carrying a heavy load 4. Understand 0-5 MMT Rating scale (DP) - 0: No contraction with effort - 1: some movement with gravity eliminated - 2: Partial range of motion with gravity eliminated (2-) - ROM with gravity eliminated (2) - Partial ROM in Test position (2+) - 3: Hold test position against gravity - 4: Ability to hold test position against moderate/strong pressure - 5: Ability to hold position against strong pressure 5. Understand different types of muscle performance: Power, Strength, Endurance (DP) - Power: Force x Distance in a unit of time - Strength: Amount of force exerted in a single rep max against resistance - Endurance: Ability for the muscle to repeatedly contract against external force and resist fatigue over an extended period of time 6. Differentiate Open and Close Kinetic Exercise (DP, K&C p 200) - Open chain: Movement that is non-weight bearing includes one muscle one plane and one axis usually concentric - Closed chain: Weight-bearing with multiple muscles, planes, and axis both eccentric and concentric; Task-specific and helps with joint stability UNIT 9-10- PA GUIDELINES -FITT 1. Normal response to PA – check isometric exercise too (Vitals) (PPT, ACSM p 126,127) - Hr: Increase at a rate of 10 beats/Met - BP: Increase rate of Systolic 10mmHG Diastolic peaks at 90mmHG ~ 10mmHG above per exercise values per met greater among men and increases with age 2. Obesity FITT guidelines to lose weight and maintenance (PPT, ACSM p.297) -< 150 minutes per week of PA promotes minimal weight loss  > 150 minutes per week of PA results in modest weight loss of ~ 2-3 kg > 225 – 420 minutes per week of PA results in 5-7.5 kg weight loss 3. Normal recovery response after exercise. (PPT, ACSM 126-127) - HR; decrease by at least 12 beats in the 1st min and 22 beats by the end of the second minute 4. PA guidelines for kids, adults, geriatrics : (PPT, PA Guidelines p 8) -Children: 60 minutes of moderate to vigorous activity a day - Adults: 30 minutes of moderate exercise 3 days a week or 20 minutes of vigorous intensity 3 days a week 5. Understand intensity levels in RPE-Borg scale, METs, HRR (ACSM pp 3, 146,148) - Rpe Borge Scale: - METS: Light (1.6-2.9) Moderate: (3.0-5.9) Vigorous: ( 6.0-10) - HRR: 220-Age 6. FITT parameters for adults: Cardiorespiratory and Strength training (PPT, DP, ACSM p.154) -Aerobic: 3 days a week at moderate intensity for 30-60minutes - Resistance: Train each muscle group 2 days at 60-70% of 1RM for 8-12 reps with a variety of movement 7. Differentiate types of CR Fitness: HIIT, SIT, HIFT. (PPT, ACSM p.147) - HIIT: High-Intensity Interval Training: Near maximal efforts 90-95% HR 4 intervals for 4 minutes with a 3-minute rest - SIT: Sprint Interval Training: 3 seconds 20x all-out effort with a 2-minute rest - HIFT: High-Intensity Functional Training: 3 rounds of 400m run, 10 clean and press, 10 burpees 8. Apply all previous concepts in case studies.