ExRx for populations w/chronic Diseases and health conditions Exam Questions With Correct Answers
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Course
ExRx
Institution
ExRx
ExRx for populations w/chronic Diseases and
health conditions Exam Questions With
Correct Answers
Osteoarthritis - answerlocal degenerative joint disease affecting one or more multiple joints
Rheumatoid - answerChronic systemic inflammatory disease in which there's pathological
activity of imm...
ExRx for populations w/chronic Diseases and
health conditions Exam Questions With
Correct Answers
Osteoarthritis - answer✔✔local degenerative joint disease affecting one or more multiple joints
Rheumatoid - answer✔✔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 -
answer✔✔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 - answer✔✔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 - answer✔✔group of ~200 diseases characterized by uncontrolled growth and spread of
abnormal cells resulting from damage to DNA by internal and environmental exposures.
Carcinomas - answer✔✔develop epithelial cells of organs and compose ~80% of cancers
Blood - answer✔✔leukemia
immune system - answer✔✔lymphomas
connective tissue - answer✔✔sarcomas
Standard exercise testing for cancer patients - answer✔✔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
fitt recommendations for individuals with cancer: aerobic resistance and flexibility exercise -
answer✔✔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 - answer✔✔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.
Spastic CP - answer✔✔increase in muscle tone typically involving flexor muscle groups of
upper extremity and extensor muscle group
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