Exercise Sci 2 MT StudyGuide
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40 Terms
if a patient is submerged in water up to the xiphoid process of their sternum, approx. how much of their body weight are they still supporting?
25-37%
3 multiple choice options
which of the following is a disadvantage of hydrostatic pressure when immersed in water to the chest or higher
Centralization of blood flow increases blood volume to the chest which makes breathing more difficult than compared to land
3 multiple choice options
In aquatic therapy a patient is performing knee extension/flexion with inflated rings around the ankle. Which best describes the muscle group(s) and action(s) involved in this exercise?
knee extensors - concentric
knee flexors - concentric
2 multiple choice options
in your pool, you can precisely regulate water temperature between patients........ to work on stretching to lengthen tight muscle, which temperature is most appropriate
36 Degrees (96F)
1 multiple choice option
your male patient has a BMI of 32 and waist circumference of 43 IN. You counsel him that based on this information
he is classified as obesity category 1 and his risk for cardiovascular disease & type 2 diabetes is MOD high
3 multiple choice options
Per ACSM guidelines, the amount of aerobic activity needed for weight loss & retention of weight loss is
60-90 MIN 5 days a week (300-450 min/week or 250/week @ 40-59% heart rate reserve)
3 multiple choice options
Which of the following physical findings is NOT a diagnostic criteria for metabolic syndrome
elevated HDL-C
> 40 mg/dl in males & >50 mg/dl in women
3 multiple choice options
patients with obesity & apple ascites weight distribution pattern
ma have difficulty breathing in supine
3 multiple choice options
what is the primary purpose of the Egress Test in the clinical setting
to evaluate a patients potential ability to safely transfer and ambulate
3 multiple choice options
which of the following criteria is typically required for a patient to be considered for bariatric surgery
BMI > 40 kg/m OR BMI > 35 kg/m with at least one adiposity related health condition
3 multiple choice options
an exercise program for a patient with osteoporosis and a vertebral compression fracture should not include
sit ups
3 multiple choice options
a patient with a spine T score = 0.5 wants to start resistance training. this patient
has osteopenia and can safely perform resistance training using loads equal to 8-15 RM
3 multiple choice options
which of the following is the most appropriate resistance training prescription for a patient with osteoporosis and no vertebral compression fractures
low intensity resistance training at loads >15 RM, 2 days per week
3 multiple choice options
a 68 y.o male with osteopenia and a history of falls is starting a new balance program. Which exercise would be most effective for improving his dynamic balance
tandem walking
3 multiple choice options
exercise guidelines for people with osteoarthritis include
breaking up bouts of aerobic exercise into 15 min intervals to improve cardiorespiratory fitness without exacerbating joint pain
3 multiple choice options
which of the following describes the backward chaining technique for teaching patients how to recover from a fall
working on the following seq. progression as the patient is able to: lying supine, side lying, half sitting, prone kneeling, tall kneeling, kneeling on one foot, pushing to standing using a chair
3 multiple choice options
regarding exercise for individuals with hypertension the expected reduction in systolic BP
is 6-12 mmHg for aerobic exercise
3 multiple choice options
how does regular aerobic exercise reduce BP in people with hypertension
decreases peripheral resistance & heart rate at rest
3 multiple choice options
a patient has reduced ROM in their shoulder after prolonged immobilization due to a fracture. what type of stretching technique is most appropriate to restore mobility in this patient
static stretching for long duration holds to improve soft tissue extensibility
3 multiple choice options
a 45 y.o athlete is recovering from a hamstring injury........ what is the primary physiological principle behind PNF stretching technique
increases muscle length by using muscle contractions to inhibit the stretch reflex
3 multiple choice options
which of the following situations would indicate that stretching exercises are appropriate for a patient
the patient has muscle weakness & opposing muscles are shortened, limiting their ROM
3 multiple choice options
a 75 y.o female w/ a history of falls is starting a resistance training program. which prescription would be most effective in reducing her risk of future falls
closed chain LE exercise resistance
3 sets, 6 reps, load=16 RM, speed = quickly as possible safely
rest period= 2-3 mins
3 multiple choice options
which of the following is a key guiding principle for designing a resistance exercise program
matching intensity & volume of exercise to the individuals needs & goals
3 multiple choice options
a patient in the rehabilitation phase after immobilization for a fracture has begun blood flow restricted training. How does BFR facilitate hypertrophy during this phase comp. to traditional high load training
by early recruitment of type 2 muscle fibers at lower loads
3 multiple choice options
how does BFR training affect muscle protein synthesis when compared to traditional high load resistance training
MPS is similar between BFR & traditional high load training
3 multiple choice options
when prescribing BFR therapy for a patient recovering from ligament surgery, which principle should guide the initial load to safely promote muscle hypertrophy
20-40% of 1 RM with higher repetitions
3 multiple choice options
a patient recently started a HIIT program........ which physiological adaptation is most likely contributing to this improvement
increased cardiac output & stroke volume
3 multiple choice options
when comp. HIIT with moderate continuous training, which of the following adaptations is more significantly improved by HIIT
maximal oxygen uptake (VO2 Max)
3 multiple choice options
a patient recovering from a total knee replacement is 8 weeks post op........ which protocol is most appropriate
30 sec - 1 min cycling at high intensity followed by 2 mins of passive rest
3 multiple choice options
general guidelines for HIIT training for novice trainers include
intensity = 70-80% HR reserve
30 sec - 2 min work interval
1:4 to 1:1 work to rest time ration
3 multiple choice options
what action should a person with type 1 diabetes take if their blood glucose level is below 90 mg/dL before exercising
consume a small carbohydrate snack
recheck in 15 mins
proceed with exercise when blood glucose is greater than 90 mg/dL
3 multiple choice options
which blood glucose range is generally considered safe for engaging in exercise for individuals with type 2 diabetes
100 - 300 mg/dL
3 multiple choice options
a patient with knee pain returns to PT 3 days after his last treatment...... what is the BEST treatment decision regarding his exercise prescription
stay at the current level of treatment & do NOT change his home exercise program
3 multiple choice options
a patient with shoulder pain presents with the following objective data on the involved side
AROM/PROM = WNL
Shoulder flex/abduction = 5/5
Shoulder ER/IR = 4/5
U&L trap = 5/5
Scap. relocation/assistance tests = positive
arm elevation = decreases pain
rotator cuff strengthening
scapular UPWARD ROTATOR neuromuscular control training
3 multiple choice options
the patient is a 19 y.o female gymnast....... based on this information, what is her irritability & best course of treatment at this time
high irritability
relative rest
sub-max isometrics
3 multiple choice options
which of the following signs indicate tissue overload requiring regression in intervention intensity
increased redness, warmth & swelling in affected area comp. to the uninvolved side
3 multiple choice options
a patient presents to PT with osteoarthritis of the knee. the morning after performing the exercise program........ what should the PT do
decrease intensity of exercise program
3 multiple choice options
following the principles of exercise & tissue healing, a properly applied & progressed therapeutic exercise program should
determine the patients stage of recovery to progressively load the tissues for optimal adaptation
3 multiple choice options
a 65 y.o patient with knee osteoarthritis presents to PT with milk knee pain and ROM deficits....... select the most appropriate exercise to strengthen the quads
leg press @ 75%, 1 RM
3 multiple choice options
a PT is treating a patient with a painful shoulder...supraspinatus tendinopathy..... how would the treatment program be modified
instruct the patient to try isometric ABD & ER exercises to reduce pain
3 multiple choice options