Module 2 - case study EXW 420-

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Arizona State University *

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Health Science

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Apr 26, 2024

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pdf

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Module 2 – Case Study (19 pts) Mrs. Case Study-BH (Bone Health) Instructions • Read the case of Mrs. Case Study-BH in chapter 21 of the Exercise Testing & Prescription Textbook. In addition to the info in text, assume that o Mrs. Case Study-BH has a relative upper body strength of 0.39 o Mrs. Case Study-BH has a relative lower body strength of 0.87 o Mrs. Case Study-BH’s unilateral grip strength is 15.5 kg o Mrs. Case Study-BH’s Timed Up and Go Test (3m distance) time is 12.2 sec • Read the rest of chapter 21 with special attention to Table 21.1 • Read the exercise guidelines for people with osteoporosis in the ACSM GETP 11 th ed., chapter 10. • Answer the following questions 1) Classify Mrs. Case Study-BH’s resting blood pressure (1 pt) 2) Assess Mrs. Case Study-BH’s current muscular fitness and fall risk by answering the following questions. a. What is the percentile ranking for her relative upper body strength? (1 pt) b. What is the percentile ranking for her relative lower body strength? (1 pt) c. What is the percentile ranking for her grip strength? (1 pt) Mrs. Case Study’s relative upper body strength is in the 25 th percentile, and is classified as poor. Her relative lower body strength is in the 20 th percentile, and classified as well below average. Mrs. Case Study’s hand grip strength is less than the 5 th percentile. Her hand grip strength was 15.5 kg and the 5 th percentile is 17 kg. So, she has low handgrip strength. d. How would you interpret/classify her Timed Up & Go Test time? (1 pt) Mrs. Case Study is above the cut off score of 10 seconds for someone with osteoporosis. She is at an increased risk of falling due to her time being 12.2 seconds. N/A
e. How would you interpret/classify her fall risk? (2 pt) 3) What kind of exercises, movements, and intensities should Mrs. Case Study-BH initially avoid? Come up with three examples. (3 pts) 4) Come up with your own 1-week resistance and balance exercise program for Mr. Case-Study BP using the table below. This program should be designed to be effective in increasing the client’s bone mineral density and lowering the client’s risk of fractures and falls ( Hint: If you feel like the client would not yet be able to meet the exercise recommendations for osteoporosis, design the program so as to get the client as close to the recommendations as possible). Every cell, except the blacked-out ones, has to be filled in. You have to show your work in the box below to receive credit. (9 pts) Resistance Training Frequency (days/wk) Intensity* Number of sets Number of reps 1-3 days/wk % of 1-RM: 40%-60% 1-2 sets for first couple of weeks 8-12 reps % of perceived intensity: 40%- 60% List of main 4 upper body exercises. Explain any modifications to the exercises that would deviate from the way Exercise #1: Seated bicep Curls - Seated on a bench with proper back support. - 1-5 lb weight based on intensity Exercise #2: Stabilized Bent over Rows - Place knee and hand opposite to working arm on a bench with the back forming a table top position. 1. Toe Touches : due to full spinal flexion 2. Crunches or Sit-ups : due to full spinal flexion 3. Box Jumps: due to explosive high impact movement Any exercises including spinal flexion should be avoided. She should avoid heavy lifting in spinal flexion positions. She should begin with body weight, partial range of motion, and supported movements. High explosive movements with an increased fall risk should be avoided and substituted with slower and more controlled low force movements. Mrs. Case Study is at a high fall risk due to her very low handgrip strength and increased fall risk scoring on timed up and go test. Having a less than 16 kg handgrip strength places her at an increased risk of falling. In addition, a low hand grip strength minimizes the ability to keep oneself from falling.
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