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EXERCISE TESTING AND PRESCRIPTION IN.pptx
- 1. EXERCISE TESTING AND PRESCRIPTION IN CHILDREN, ELDERLY AND WOMEN DR ASHILA PT
- 2. CHILDREN
- 3. EXERCISE PRESCRIPTION • TYPE • IN VERY YOUNG CHILDREN, ACTIVE PLAY AND CREATIVE ACTIVITIES RATHER THAN EXERCISE • VARIETY OF ACTIVITY THAT EXERCISE ALL MAJOR MUSCLE GROUP • SHOULD INCLUDE WEIGHT BEARING ACTIVITIES • AEROBIC AND RESISTANCE TRAINING • INTENSITY • AEROBIC • AT LEAST 30 MINUTES OF MODERATE INTENSITY IN CHILDREN MORE THAN 6 YEARS OF AGE
- 4. EXERCISE PRESCRIPTION • RESISTANCE TRAINING • AVOID REPETITIVE USE OF MAXIMAL AMOUNTS OF WEIGHT IN STRENGTH TRAINING PROGRAMS UNTIL ADOLESCENCE • WEIGHT LOADS THAT PERMIT EIGHT OR MORE REPETITIONS PER SET • HEAVY WEIGHTS CAN DAMAGE DEVELOPING SKELETAL AND JOINT STRUCTURES • RESISTANCE EXERCISE SHOULD NOT PERFORMED TO THE POINT OF FATIGUE • PROGRESS BY INCREASING THE REPETITION AND THEN RESISTANCE
- 5. EXERCISE PRESCRIPTION • DURATION • RESISTANCE TRAINING • 1 TO 2 SETS OF 8 TO 10 DIFFERENT EXERCISE • 8 TO 12 REPETITIONS PER SET • REST OF 1 TO 2 MINUTES BETWEEN EACH SET • INTERSPERSE REST DAYS BETWEEN TRAINING DAYS • FREQUENCY • STRENGTH TRAINING TWICE PER WEEK • OTHER FORMS OF PHYSICAL ACTIVITY DAILY
- 6. ELDERLY
- 7. EXERCISE TESTING • MEDICAL CLEARANCE IS NECESSARY • STANDARD PROTOCOL OR WITH SOME MODIFICATIONS • FOR LOW WORK CAPACITIES INITIAL WORKLOAD IS LOW – 2 TO 3 METS AND INCREMENTS 0.5 TO 1 METS • HAND RAIL FOR BALANCE PROBLEMS AND WEAK MUSCLES • TREADMILL SPEED ADJUSTED TO WALKING ABILITY • CYCLE ERGOMETER PREFERRED FOR ELDERLY WITH BALANCE, GAIT, COORDINATION, VISION PROBLEMS AND REDUCED MUSCLE STRENGTH
- 8. EXERCISE PRESCRIPTION • AEROBIC • MODE • WALKING • STATIONARY CYCLE • AQUATIC EXERCISE • INTENSITY • STARTS AT LOW AND GRADUALLY PROGRESS • MODERATE INTENSITY OF 40% TO 60% PEAK HEART RATE • DURATION • ONE 30 MINUTES SESSION OR THREE 10 MINUTES SESSIONS
- 9. EXERCISE PRESCRIPTION • FREQUENCY • DAILY IN CASE OF LOW AND MODERATE INTENSITY • 3 TIMES/WEEK IN CASE HIGH INTENSITY • RESISTANCE TRAINING • INTENSITY • AT LEAST 1 SET OF 8 TO 10 REPETITIONS OF ALL MAJOR MUSCLE GROUPS • 10 TO 15 REPETITIONS • RATING OF 12 TO 13 BORG’S RPE SCALE • PROGRESS BY INCREASING NUMBER OF REPETITIONS FIRST AND THEN RESISTANCE
- 10. PREGNANCY
- 11. ABSOLUTE CONTRAINDICATIONS TO AEROBIC EXERCISE DURING PREGNANCY • HAEMODYNAMICALLY SIGNIFICANT HEART DISEASE • RESTRICTIVE LUNG DISEASE • INCOMPETENT CERVIX • MULTIPLE GESTATION AT RISK FOR PREMATURE LABOUR • PERSISTENT SECOND OR THIRD TRIMESTER BLEEDING • PLACENTA PRAEVIA AFTER 26 WEEKS GESTATION • PREMATURE LABOUR DURING THE CURRENT PREGNANCY • RUPTURED MEMBRANES • PREGNANCY INDUCED HYPERTENSION
- 12. RELATIVE CONTRAINDICATIONS TO AEROBIC EXERCISE DURING PREGNANCY • SEVERE ANAEMIA • UNEVALUATED MATERNAL CARDIAC ARRHYTHMIA • CHRONIC BRONCHITIS • POORLY CONTROLLED TYPE I DIABETES • EXTREME MORBID OBESITY • EXTREME UNDERWEIGHT (BODY MASS INDEX <12) • HISTORY OF EXTREMELY SEDENTARY LIFESTYLE
- 13. RELATIVE CONTRAINDICATIONS TO AEROBIC EXERCISE DURING PREGNANCY • INTRAUTERINE GROWTH RESTRICTION IN CURRENT PREGNANCY • POORLY CONTROLLED HYPERTENSION/PRE-ECLAMPSIA • ORTHOPAEDIC LIMITATIONS • POORLY CONTROLLED SEIZURE DISORDER • POORLY CONTROLLED THYROID DISEASE • HEAVY SMOKER
- 14. WARNING SIGNS TO TERMINATE EXERCISE WHILE PREGNANT • VAGINAL BLEEDING • DYSPNOEA BEFORE EXERTION • DIZZINESS • HEADACHE • CHEST PAIN • MUSCLE WEAKNESS • CALF PAIN OR SWELLING (NEED TO RULE OUT THROMBOPHLEBITIS) • PRETERM LABOUR • DECREASED FETAL MOVEMENT • AMNIOTIC FLUID LEAKAGE
- 15. MEDICAL SCREENING BEFORE EXERCISE • THE OVERALL HEALTH, OBSTETRIC, AND MEDICAL RISKS SHOULD BE REVIEWED BEFORE A PREGNANT WOMAN IS PRESCRIBED AN EXERCISE PROGRAMME • IN THE ABSENCE OF CONTRAINDICATIONS, A PREGNANT WOMAN SHOULD BE ENCOURAGED TO ENGAGE IN REGULAR, MODERATE INTENSITY PHYSICAL ACTIVITY • WILL DERIVE THE SAME ASSOCIATED HEALTH BENEFITS DURING PREGNANCY AS BEFORE PREGNANCY.
- 16. EXERCISE PRESCRIPTION • TYPE • AEROBIC • WALKING • STATIONARY CYCLING • SWIMMING • RESISTANCE • 10-12 MUSCLE GROUPS • ISOMETRIC • FLEXIBILITY
- 17. EXERCISE PRESCRIPTION • INTENSITY • MODERATE • 3-4 MET’S • 80-90% OF MHR IN PREVIOUSLY TRAINED WOMEN • 60-70% OF MHR IN PREVIOUSLY UNTRAINED WOMEN • RATING OF 12-14 (SOMEWHAT HARD) IN 6-20 BORG’S PRE SCALE • DURATION • 30 MINUTES • FREQUENCY • DAILY