This document discusses exercise program design for special populations. It defines special populations as those with cardiovascular, pulmonary, metabolic, immunological, musculoskeletal, neuromuscular, cancer, or psychological conditions. The key factors in determining an exercise program are the FITT principle, SAID principle, overload principle, and the patient's physical activity stage and health status. Programs should begin low intensity and progress gradually. Communication with the patient's healthcare provider is important. Hindrances can include a lack of teamwork or planning and relying on only one treatment approach. Evidence-based practice and past experience should guide program design tailored to the individual patient.
This document discusses exercise program design for special populations. It defines special populations as those with cardiovascular, pulmonary, metabolic, immunological, musculoskeletal, neuromuscular, cancer, or psychological conditions. The key factors in determining an exercise program are the FITT principle, SAID principle, overload principle, and the patient's physical activity stage and health status. Programs should begin low intensity and progress gradually. Communication with the patient's healthcare provider is important. Hindrances can include a lack of teamwork or planning and relying on only one treatment approach. Evidence-based practice and past experience should guide program design tailored to the individual patient.
This document discusses exercise program design for special populations. It defines special populations as those with cardiovascular, pulmonary, metabolic, immunological, musculoskeletal, neuromuscular, cancer, or psychological conditions. The key factors in determining an exercise program are the FITT principle, SAID principle, overload principle, and the patient's physical activity stage and health status. Programs should begin low intensity and progress gradually. Communication with the patient's healthcare provider is important. Hindrances can include a lack of teamwork or planning and relying on only one treatment approach. Evidence-based practice and past experience should guide program design tailored to the individual patient.
This document discusses exercise program design for special populations. It defines special populations as those with cardiovascular, pulmonary, metabolic, immunological, musculoskeletal, neuromuscular, cancer, or psychological conditions. The key factors in determining an exercise program are the FITT principle, SAID principle, overload principle, and the patient's physical activity stage and health status. Programs should begin low intensity and progress gradually. Communication with the patient's healthcare provider is important. Hindrances can include a lack of teamwork or planning and relying on only one treatment approach. Evidence-based practice and past experience should guide program design tailored to the individual patient.
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The document discusses factors to consider when designing exercise programs for special populations, including medical conditions, age, and fitness level. It also outlines principles of exercise prescription and potential hindrances to address.
Factors to consider include medical conditions, age, fitness level, current health status, and recommendations from the individual's healthcare provider. The program should start at a low-to-moderate intensity and progress gradually based on the individual.
Principles that should guide exercise prescription are FITT (frequency, intensity, type, time), SAID (specific adaptation to imposed demands), overload, specificity, adaptation, recovery, reversibility, and individuality. Stages of behavior change and the five A's model for behavior change should also be considered.
Exercise program
design for special
population ALAGAPPAN THIYAGARAJAN ORTHOPAEDIC AND SPORTS PHYSIOTHERAPIST Who are special population? Cardiovascular – Myocardial infarction, angina, peripheral vascular disease, congestive heart failure, revascularization, heart valve disorders, and/or conduction disorders. Pulmonary – Chronic obstructive pulmonary disorder, chronic restrictive pulmonary disorder, pulmonary hypertension, and/or asthma. Metabolic – Diabetes (Type I and II), overweight/obesity, pre-diabetes, metabolic syndrome, thyroid disorders, and/or end-stage renal disease. Immunological – AIDS/HIV, fibromyalgia, chronic fatigue syndrome, anaemia, autoimmune disorders (e.g., lupus, rheumatoid arthritis), and/or blood clotting disorders. Musculoskeletal – Osteoporosis, limb amputations, osteoarthritis, lower back conditions, frailty, joint disorders, joint replacements, sarcopenia, posture disorders, and cystic fibrosis. Neuromuscular – Stroke, brain injury, spinal cord disorders, multiple sclerosis, cerebral palsy, Down’s syndrome, Parkinson’s disease, epilepsy, balance disorders, and muscular dystrophy. Cancer – Multiple body systems affected. Psychological/behavioral – Disordered eating, body image disorders, depression, and chemical dependency. Special populations also include those groups of people with unique traits that are not necessarily afflicted by a chronic or temporary health condition. Females that are pregnant, postpartum and menopausal. Older adults. Children and adolescents with specific exercise prescription needs What determines exercise program design 24 years old male with no co morbid, has problem on l5-s1 disc pathology, whats your exercise program design ? 74 years old female with recently diagnosed parkinsonism, has history of DM,HT,Heart disease, what your home care exercise plan? A 6 years old female, has diagnosed with costochondirtis whats your program design? A 24 years old football athlete with post acl reconstruction with 6 weeks old wants to do skill specific program, whats your plan? 60 years old sedentary male admitted in hospital followed by post hernia repair, the general consultant refers chest physiotherapy what's your treatment plan? Theory behind exercise prescription FITT (frequency,intensity,type,time)principle SAID("Specific Adaptation to Imposed Demands.“) principle Overload ,specificity, Adaptation,Recovery,Reversibility, indiduvality principle(sports practice) Look for where you patient physical activity stages of Precontemplation, contemplation, Preparation,action, Maintenance The Five-A's Model to Facilitate Behavioural Changes of Patients in the Context of Promoting Physical Activity.(assess,advice,agree,assist,advice) Consider implementing health and skill related fitness on your prescription Use theories like learning, and periodization on to your prescription Depend on varieties of protocol, get knowledge with patient set point For patients who need special considerations, keep the following in mind: The program should begin with low-to-moderate intensity and then progress gradually. The nature of the program depends on the current health status and physical condition of the client, as well as any other factors identified in the interviewing or screening process. To cater to the needs of clients with chronic illnesses or who require special considerations, be sure to acquire the necessary education and skills. Maintain close communication with the patients primary healthcare provider, as well as obtain and adhere to his or her recommendations and guidelines for programming. When providing information to a patients healthcare provider, utilize SOAP notes for documentation of client encounters, health status, and progress. Plan according to patient needs, always work on progression Hindrance to our plans of prescription The team work in clinical set up Other related professionals(eg- yoga, fitness guru, new varieties of training) Lack of planning by the physiotherapist Patients who feel always they are right ,therapist is wrong Passive bound therapy application (pain management) Sticking to one monotonous protocol and the owner and his team mates Relaying on new techniques both on active and passive application What evidence says
There are lot of documents related to your patients requrirement
Depend on books Implement your past experiences Seek for evidence Follow the patient requirement with a tailored made protocol Recommended readings
Paul chek program design
American council on exercise- medical exercise specialist /health fitness Thank you