The erapeuticExercise E Sp pring2011 1 Exercis seTestingLab

ALTERGActivity
Dontheappropriatepairofshortsandgetintothemachine.Followingthecalibration,performeachof thebelowlistedactivitiesononetwogroupmembers(timepermitting)foratleast23minutesin duration. Examineeffectsofbodyweightsupportonbloodpressureandheartrateresponseinanindividual: Ambulatingatnormalspeed,100%normalweight Ambulatingatrapidspeed(>3.5mph),100%normalweight Jogging/running(dependingonability)atgoodpace,100%normalweight Ambulatingatnormalspeed,50%normalweight Ambulatingatrapidspeed(>3.5mph),50%normalweight Jogging/running(dependingonability)atgoodpace,50%normalweight

BruceTreadmillProtocol
Action: Prepareclientandcalculatepredictedmaxheartrate ObtainstandingpretestrestingHRandBP ObtainHRdataeachminuteandbloodpressuredatainthelastminuteofeach3minuteexercisestage Clientratesperceivedexertion,dyspnea,claudication,thelastminuteofeachstage,orasneeded Holdinghandrailsduringtestisdiscouragedbutmayberequiredifunstable BruceTreadmillProtocol(Notholdinghandorsiderails) Minute MPH PercentGrade 13 1.7 10 46 2.5 12 79 3.4 14 1012 4.2 16 1315 5.0 18 1618 5.5 20

Stage 1 2 3 4 5 6 NormalFindings:

METS 4.9 7.0 10.0 13.1 16.1 19.4

Increasedheartrate,SBPwithincreasingworkloads

 AbnormalFindings: HeartrateorSBPfailtoincreasewithincreasingworkloads DiastolicBPchanginggreaterthanorequalto10mmHgfromstandingrestinglevels SpecialConsiderations: Initialworkloadandsteepinclinationchangesmaybechallenging

SixMinuteWalkTest
Explainthatthepersonshouldwalkasfaraspossiblein6minutes Individualmayslowdown,stop,rest,restartasneededduringthetest Demonstratecoursetofollow,includingturns ObtainbaselineHR,BP,O2Saturation,andperceivedexertion Recordlaps,markstoppingpoint,measuredistancewalkedduringtest,andobserveactiverecovery Normalfindings: >300melapseddistanceinelderlyordebilitatedclients 1216adolescentsfoundtowalkaverageof659.8m PositiveFindings: <300msuggestsincreasedriskformortalityinadultclients <602msuggestsimprovementneededforadolescents SpecialConsiderations: AbsoluteContraindications UnstableanginaorMIwithinlastmonth RelativeContraindications RestingHR>120bpm RestingSPB>180mmHg;restingDBP>100mmHg Standardencouragementshouldalwaysbeutilized

Lookinggood. g Youhave5minutestogo Keepitup. u Youhave4minutestogo Lookinggood. g Youhave3minutestogo Keepitup. u Youhave2minutestogo Lookinggood. g Youhave1minuteto t go.

YMC CAStepTes st
Action: Usea12inch i step,exp plaintopatien nt Clientstepsupup,do owndown,up u up,downdownfor3m min Eitherfoo otmaylead(f footmustbeflat f onflooror o stepduring gtest) Maintainuprightpositionduringtest Sitimmed diatelyuponcompletion c oftestandass sessheartrat eandBP HRResponseiscomparedtonorma ativedata

YMCACycle eErgomete erTest(Pe erformforbothuppe erandlow werbody

Action Tendegre eeflexionang glewithonefoot f fullyexte endedonped dal MeasurerestingHRan ndBP 1ststage:subjectpedalsagainst.5kgresistanceat a 50rpmfor 3minutes 2nd,3rdan nd4thstagesbased b onaver rageHRrespo onsefrompre eviousstage hstage HRmustincrease+5beats/minute eforminutes2&3ofeach Ifnoincre ease,pedalex xtraminuteand a calculate atminutes3 and4 Onestage emustprovid deasteadyst tateHR>100 0BPMandsec condstagem mustprovide< <150BPM