Welcome to Gaia! :: View User's Journal | Gaia Journals

 
 

View User's Journal

Report This Entry Subscribe to this Journal
Gummy's Journal! :3 This is basically what I can actually be bothered to write about. ^^


gum disease
Community Member
avatar
0 comments
CRF - FITT
5 days per week: 150min moderate exercise - 40 - 59% VO2R/HRR.
3 days per week; 75min vigorous exercise - 60 - 89% VO2R/HRR.
3 - 5 days per week - mix of moderate + vigorous exercise.

Step ups - 1 min x 5.
Sit-to-stand 1 min x 5.

10 minutes total x 5 days per week = 50 minutes/150minute total = 100 min left.

Walking - 20 minutes x 5 days per week = 100 minutes.

Meets 150 min total.

During CRF, warm-up before conditioning.
Cool down - walk around clinic room.
Stretching before letting patient go.

Can monitor intensity via RPE scale. Educate them on how to use it, monitor at the set RPE (12 - 13 for moderate, 13- 17 for vigorous). Give them a copy for their reference at home.

Ensure that there are no overcompensatory movements when doing exercise - sit-to-stand, ensure there's no hovering. Chair securely against wall to prevent sliding. Also make sure is cushioned/comfortable for patient. Ask for feedback - give verbal encouragement + eye-contact while respecting personal space.

Monitor intensity via talk-test, if they are able to talk while sounding a bit breathless - within acceptable parameters. Unable to talk suggests intensity is too high. Check for perspiration.

Can progress intensity by increasing speed. Increasing height of steps/decreasing height of chair. Increasing duration of exercises - incrementally by minutes. 150min goal is a a minimum goal - advantageous effects if they can do double that.

Regress by doing the opposite of above.

--

FITT- strength + endurance (isometric + dynamic):
strength - ability of a muscle to exert maximal force against resistance.
endurance - ability of a muscle to exert submaximal force for extended duration of time.

Isometric:
Strength:5 d/w, 100% MVC. Hold for 5s, 5 - 10 reps. 4wk programme.
Endurance: 5 d/w - 60% MVC. Hold until fatigued - 1 per session. 4wk programme.

Dynamic:
Strength: 2 - 3 d/w, 60 - 80% 1RM. 8 - 12 reps, 2- 4 sets. 2 - 3 min rest between sets. 48hr rest between sessions. 8WK programme.
Endurance: 2 - 3 d/w. > 50% 1RM. 15 - 20 reps, >2 sets. 2 - 3 min rest between sets. 48hr rest between sessions. 8 WK programme.

Can progress exercise by increasing reps + sets or increasing resistance/weight, colour of theraband.
Progress by decreasing these things.

If there's any pain, may be prudent to regress as well.

--

Flexibility - ROM of a joint that is pain-free.
ROM - osteokinematic action of a joint to perform movements that are functional or otherwise, with or without assistance.

Static:
2 - 3 d/w. Hold for 10 - 30s to the point of slight tightness or discomfort, but not pain. Total stretch time = 60s. Programme between 3 - 12 weeks long.

Aim to use passive (external force) stretches to increase ROM - can use yoga-strap, gravity, body weight or other weights.

Must hold the joint in the target ROM in order to perform a stretch. To increase elbow flexion - flex elbow with a weight in-hand and hold - stretching the elbow extensors.




 
 
Manage Your Items
Other Stuff
Get GCash
Offers
Get Items
More Items
Where Everyone Hangs Out
Other Community Areas
Virtual Spaces
Fun Stuff
Gaia's Games
Mini-Games
Play with GCash
Play with Platinum