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ExRx for populations w/chronic diseases and health conditions Questions With Answers Graded A+ Assured Success
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Standard exercise testing for cancer patients - 1. no assessment required to start light intensity waling progressive strength training or flexibility program in survivors. 2. be aware of survivors history comorbid chronic diseases and health conditions. 3. health-related fitness assessments 4....

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  • August 16, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
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  • exrx for populations wchronic diseases and health

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ExRx for populations w/chronic
diseases and health conditions
Standard exercise testing for cancer patients - 1. no assessment required to start light intensity
waling progressive strength training or flexibility program in survivors.

2. be aware of survivors history comorbid chronic diseases and health conditions.

3. health-related fitness assessments

4. no evidence for level of supervision

5. understanding most common toxicities associated w/treatments

6. 1-RM is safe



osteoarthritis - local degenerative joint disease affecting one or more multiple joints



Rheumatoid - Chronic systemic inflammatory disease in which there's pathological activity of
immune system against joint tissue



fitt recommendations for individuals with arthritis: aerobic resistance and flexibility exercise -
Frequency: aerobic exercise 3-5 days/w; resistance 2-3 days/w; flexibility/ROM exercises are
essential and should be performed daily. intensity: light to moderate intensity. 40-60% O2 consumption
reserve (VO2R) or HRR. Very light intensity aerobic exercise appropriate for deconditioned. Resistance:
high number of reps at a lower percentage of one rep max. Time: goal of >150 min/w of aerobic
exercise; start w/short bouts of 10 min. Type: aerobic exercise activities with low joint stress are
appropriate. Resistance exercise should include all major muscle groups and flexibility exercise with ROM
exercises of all major muscle groups. Progression: gradual



Special considerations for arthritis - 1. avoid strenuous exercises during acute flare ups and
periods of inflammation appropriate to gently move joints through ROM.

2. Adequate warm-up and coold down

3. individuals with pain may need interim goals of lower than recommended >150 min/w.

4. smaller amount of discomfort in muscles or joints is common. if patients pain rating 2 hours after
exercise decrease duration/intensity.

5. exercise during time of day when pain is least severe w/peak activity of pain meds.

, 6. appropriate shoes

7. incorporate functional exercises (sit-to-stand and step-ups)

8. Water temp should be 83-88 F



Cancer - group of ~200 diseases characterized by uncontrolled growth and spread of abnormal
cells resulting from damage to DNA by internal and environmental exposures.



Carcinomas - develop epithelial cells of organs and compose ~80% of cancers



Blood - leukemia



immune system - lymphomas



connective tissue - sarcomas




fitt recommendations for individuals with cancer: aerobic resistance and flexibility exercise -
Frequency: completed treatment goal for aerobic exercise should increase gradually from current
PA level to 3-5 days/w with resistance training 2-3 dayss/w. Flexibility activities can occur daily. intensity:
educate survivors to use perceived exertion to monitor intensity. Aerobic exercise should be moderate
(40-60% VO2R or HRR; rating of perceived exertion (RPE) of 12-13 on scale to vigorous (60-85% VO2R or
HRR or RPE of 12-16 scale) intensity. Moderate intensity resistance exercise should be 60-70% 1 RM.
Flexibility intensity should be mindful of ROM restrictions resultant to surgery and radiation.

Time: several short bouts during the day. Aerobic exercise should be 75 min/w of vigorous intensity or
150 min/w of moderate intensity activity or an equivalent of the two. Resistance training should be at
least 1 set of 8-12 reps. Type: aerobic exercise should be prolonged rhythmic activities using large muscle
groups. Resistance exercise should be weights resistance machines or weight-bearing functional tass
targeting all major muscle groups. Flexibility should be stretching or ROM exercises of all major muscle
groups also addressing specific areas of joint or muscle restriction. Progression: slower progression.



Cerebral Palsy - Nonprogressive lesion of brain occurring before at or soon after birth interfering
with normal brain development. Caused by damage to areas of brain controlling and coordinating
muscle tone reflexes posture and movement. Result depends on location and extent of injury.

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