Exercise Prescription

1
Exercise Prescription

• Chapter 10

2
Peripheral Arterial Disease

• Blockage of arteries in the lower extremities
  causing claudication
• Insufficient blood flow
• Lactic acid build up
• Burning pain
• Mostly affects older adults

3
PAD

• Goals for PAD Patients
• Improved ability to walk
• Reduce risks associated with atherosclerosis
• Increase pain tolerance in the calf
• Many PAD clients also have CAD
• GXT is recommended before beginning an exercise
  program
• Walking should be the primary mode of exercise
  (intervals are best to help manage the pain)

4
Chronic Obstructive Pulmonary Disease (COPD)

• Refers to airway resistance
• Occurs primarily in smokers
• Consisting of bronchitis, emphysema, or both
• benefits of exercise include
• Improved functional status
• Increased exercise capacity
• Improved quality of life
• The main goal is to prevent it from getting
  worse. Three to five times per week.

5
Hypertension

• Affects 50 million Americans
• Defined as a blood pressure greater than or equal
  to 140/90.
• Factors associated with hypertension
• Obesity
• Inactivity
• Alcohol
• Salt
• BPgt200/110 do not allow client to workout
• During testing, a BP gt 250/115- stop test
• Extended cool down is recommended
• Resistance training low weight high reps (only
  w/ controlled hypertension)

6
Pregnancy

• Benefits to exercise
• Similar to non-pregnant exercisers
• Ease of delivery
• Faster return to pre-pregnancy weight
• Recommendations
• Sedentary women should receive doctors approval
• Use RPE (around 11 on the Borg scale)
• Modify FITT as pregnancy progresses
• No supine activities after 1st trimester
• May need take in extra calories

7
Children

• Benefits to exercise
• Reduce body fat
• Help to avoid osteoporosis
• Slow atherosclerosis
• Recommendations
• Always emphasis enjoyment
• No maximal lifts
• Proper supervision
• Considerations
• Strength gains in pre-puberty children due to
  neurological adaptations. Post puberty strength
  gains most likely due do hypertrophy.
• Epiphyseal plates