Risk Stratification/exercise prescription Flashcards

Question

Why sub maximal exercise testing?

Answer 1

- Assess current performance/patient status - Fitness - Functional limitations - Look at change over time - Examine the effect of PT intervention medications

Answer 2

- Resting vital signs: an indicator of fitness and health. Does your patient have reserve for activity - Target vital signs (endpoints of activity) - Heart rate recovery - Heart rate variability - Rate pressure product - Self-perceived rating scales (borg/borg dyspnea scale)

Answer 3

- >120 -130 - <40 bpm

Answer 4

1. 20-30 above resting 2. talk test 3. >200 4. >110 5. <88 6. >6/min 7. 11-12 (6-20 RPE) ~3 (0-10) RPE

Answer 5

- heart rate reserve - (HRR) = Max HR - resting HR) - BP - is there enough room to work - How much room - Max systolic-resting systolic

Answer 6

- Blood pressure increases about 10 mmHg per MET (moderate activity 3-5.9 METs) - HR increases about 10-15 bpm per MET - Many individuals will have abnormal responses related to deconditioning and disease

Answer 7

- TTHR = 220-age x 65% (low end of range) and TTH = 220 - age x 85% (high end of range)

Answer 8

- Heart rate reserve = [(HRmax-RHR)x%]-HR resting - THR (low end) = [(HRmax-HRresting)x60%] + HR resting - THR (High end) = [(HR max-HRresting)x80%] +HR resting - Using this method, deconditioned individuals can still benefit from work as low as 50% of HRmax or heart rate reserve method. Start low, progress as patient tolerates

Answer 9

- A measure of how quickly your HR returns to normal after you stop exercising - A shorter recovery generally indicates better CV health health and links to lower risk of developing cardiovascular disease - Generally 18 beats or higher is - recommended

Answer 10

- Generally 18 beats or higher is recommended <12 bpm in one minute is an indicator of poor cardiovascular health and increased risk for disease 0-12 = poor 12-24 = average 24-36 = good 36-48 = excellent 48-60 = superior

Answer 11

- A measure of the impact of your autonomic nervous system - HRV is a measure of variance between heartbeats or RR intervals - Higher variability indicates better fitness fitness Indicates effective autonomic nervous system input - High = sympathetic and parasympathetic nervous system work well together Rest your HR gets slower - Lower = sympathetic nervous doesn't get rest possibly due to stress

Answer 12

- Brain → ANS ANS: - Exercise and stress → sympathetic NS activation → decreased HRV: fatigue and reduced performance - OR rest and recovery → parasympathetic NS activation → growth and repair, increased HRV: readiness, increased performance

Answer 13

- Cardiovascular product or double produce RPP = SBP x HR - There is stable angina - They are seeing a physician but no evidence of tissue death - Given nitroglycerin - Ask how often do you take it and do you have it? - Used to predict the workload that corresponds with the onset of angina/claudication

Answer 14

- Onset of angina or angina like symptoms (If they are aware they have angina and it increase to moderately severe/increasing chest pain) - Drop in systolic BP of >10 mmHg from baseline despite an increase in workload - Excessive rise in BP (Systolic pressure >200 mmHg or diastolic >110 mmHg SOB, Wheezing, leg cramps or significant claudication) - Signs or poor perfusion: lightheadedness, confusion, ataxia, pallor, cyanosis, nausea, cold, clammy skin - Presence of arrhythmias other than sustained ventricular tachycardia - Failure of HR to increase with increase intensity - Subject request to stop - Physical or verbal manifestations or severe fatigue - Failure of testing equipment

Answer 15

- Cardiorespiratory endurance: The ability of the circulatory and respiratory system to supply oxygen during sustained physical activity - Body composition: The relative amounts of muscle, fat, bone, and other vital parts of the body - Muscular strength: The ability of muscle to exert force - Muscular endurance: The ability of muscle to continue to perform without fatigue - Flexibility: The range of motion available at a joint

Answer 16

- Agility: the ability to change the position of the body in space with speed and accuracy - Coordination: the ability to use the senses, such as sight and hearing, together with body parts in performing task smoothly and accurately - Balance: the maintenance of equilibrium while stationary or moving - Power: the ability or rate at which one can perform work (force or speed) - Reaction time: the time elapsed between stimulation and the beginning of the reaction to it - Speed: the ability to perform a movement within a short period of time

Answer 17

- Frequency: most days/week - Intensity: based on RPE, target training heart rate range, patient response - Time: start at an amount that the patient can tolerate Can be accumulated throughout the day - Type: a safe activity that is enjoyable and or meaningful to the patient. - Lifestyle activities - No two exercise prescriptions are the same

Answer 18

- 6-9 very light about 50-60% Max HR - 10- 12: noticable breathing deeper but comfortable ~60-70% HR max - 13-14: aware of breathing harder more difficult to hold a conversation ~70-80% max HR - 15-16: getting uncomfortable about 80-90% max HR - 17-20 maximum exertion, hard about 90-100%

Answer 19

>30 breaths per minute

Answer 20

- sympathetic system is predominant, - This indicates that the body is under stress from exercise, psychological or physical stressors.

Answer 21

- parasympathetic is functioning - A high HRV indicates better fitness and improved ability to manage and recover from physical and psychological stress.

Risk Stratification/exercise prescription Flashcards

(45 cards)