Neuromuscular Practice I W10 - High Intensity Gait Training and Aerobic Training
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46 Terms
which of the following is a priority when prescribing high intensity gait training?
achieving 70-85% of HR max or RPE 12-14
3 multiple choice options
all of the following are true of aerobic exercise except:
it is not recommended for all patients post stroke to perform exercise stress tests prior to participating in aerobic exercise
3 multiple choice options
T/F: high intensity gait training has been demonstrated to improve non-locomotor tasks like transfers and standing balance without their explicit practice
true
1 multiple choice option
which of the following is not one of the main 3 experience dependent neuroplastic "ingredients" to improve walking post stroke?
salience
3 multiple choice options
T/F: eliciting errors during ambulation training to allow patients to adjust for such errors is a strategy to improve ambulation
true
1 multiple choice option
what is the recommendation for frequency and duration of aerobic exercise?
3x/week for 8 weeks
3 multiple choice options
in high intensity gait training, which is a safe and effective example of task variability to increase demand?
transitioning from body weight support to walking without body weight support
3 multiple choice options
which three neuroplasticity principles are best for improving ambulation using high intensity gait training?
specificity, intensity, repetition
3 multiple choice options
T/F: stroke survivors are too medically fragile to participate in a high intensity intervention
false
1 multiple choice option
which of the following is considered high intensity gait training?
structured and graded walking practice at 60-80% if HHR and 70-85% HR max
3 multiple choice options
which of the following aligns with progression guidelines of aerobic exercise?
increaseintensity 5-10% of HRR every 1-4 weeks
3 multiple choice options
what is the recommended intensity and duration of aerobic training post stroke?
moderate intensity (RPE 4-5/10) x 30 min
3 multiple choice options
what is the recommended frequency and duration of aerobic exercise for post stroke patients?
3x/week for 8 weeks
3 multiple choice options
in which of the following settings should aerobic exercise be conducted?
all of these
3 multiple choice options
which of the following should be monitored/considered during aerobic exercise prescription screenings?
signs/symptoms, HR, BP, RPE, ECG PRN
3 multiple choice options
which of the following is appropriate as an aerobic exercise prescription screen?
maximal stress test on incline treadmill
3 multiple choice options
aerobic exercise prescription screen should include which of the following?
all of these
3 multiple choice options
when should aerobic exercise prescription screening take place?
at transition points along the continuum of care
3 multiple choice options
who should participate in aerobic exercise prescription screening?
all stroke survivors regardless of age or comorbidities
3 multiple choice options
T/F: cardiovascular training increases risk for adverse effects in stroke patients
false
1 multiple choice option
stroke patients have:
increased cardiovascular disease risk
3 multiple choice options
stroke patients should be considered for participation in aerobic exercise if they meet which of the following criteria
all patients following CVA can participate
3 multiple choice options
which is not an example of a submaximal exercise test?
10 MWT
3 multiple choice options
which of the following is a recommendation prior to exercise testing?
avoid caffeine 3 hours before
3 multiple choice options
what is monitored during an exercise stress test?
RPE, HR, BP
3 multiple choice options
T/F: in stroke pts aerobic exercise improves aerobic capacity, walking, vascular health, QOL, and decrease future stroke risk
true
1 multiple choice option
aerobic exercise in stroke pts should be conducted in which of the following settings?
hospitals, outpatient clinics, home/community
3 multiple choice options
how long should an aerobic training program last?
8 weeks
3 multiple choice options
what frequency of aerobic exercise should you prescribe to your post stroke pt?
3 days/week
3 multiple choice options
what aerobic exercise duration should be used in stroke patients?
>20 min
3 multiple choice options
your stroke pt cannot tolerate 20 min of aerobic exercise. what modification can you use?
administer bouts of 5 min or less with rest intervals
3 multiple choice options
you choose a moderate intensity aerobic exercise for your pt. what RPE (0-10 scale) will they report if it is truly moderate intensity?
5
3 multiple choice options
aerobic exercise should transition over time to become _____ and _____
less structured; self directed
3 multiple choice options
which 3 outcomes measures would best capture the status of your pt?
6 MWT, BP, exercise self-efficacy
3 multiple choice options
what are the 3 ingredients to improve ambulation post stroke/TBI?
intensity, specificity, repetition
3 multiple choice options
the locomotor training CPGS are for:
chronic stroke
3 multiple choice options
according to the CPG, clinicians _____ perform high intensity gait training
should
3 multiple choice options
according to the CPG, clinicians may use _____ to improve walking speed/distance
circuit training, cycling, or recumbent stepping
3 multiple choice options
virtual reality should be used for:
walking training
1 multiple choice option
according to the CPG, balance training:
may be done with virtual reality
1 multiple choice option
strength training at >70% 1RM _____ be performed for stroke patients
may
3 multiple choice options
which statement is true about HIGT movement quality?
quality improves following HIGT even if it isn't a priority
3 multiple choice options
what is considered high intensity gait training?
70-85% HR max
3 multiple choice options
T/F: HIGT improves tasks like balance and transfers
true
1 multiple choice option
T/F: body weight support devices or robotics may be indicated for non-ambulatory patients to engage in HIGT
true
1 multiple choice option
T/F: Clinicians SHOULD NOT perform BWSTT for improving walking speed and distance to improve walking speed and distance in individuals greater than 6 months stroke, iSCI or TBI
true
1 multiple choice option