Module 5 - case study

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Arizona State University *

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Health Science

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Dec 6, 2023

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Module 5 – 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) Complete the ACSM pre-screening algorithm based on the available information by answering the following questions. a. Does Mrs. Case Study-BH have a know cardiovascular, metabolic, or renal disease? (1 pt) b. Does Mrs. Case Study-BH present with or report any major signs or symptoms of cardiovascular, metabolic, or renal disease? (1 pt) c. Can Mrs. Case Study-BH be considered “active” for the purpose of the ACSM pre- screening algorithm? (1 pt) d. Does Mrs. Case Study-BH need to seek medical clearance before engaging in an exercise program? (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) No No No, she is not considered active. No medical clearance is required. Poor
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) d. How would you interpret/classify her Timed Up & Go Test time? (1 pt) 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. (6 pts) Resistance Training Frequency (days/wk) Intensity* Number of sets Number of reps 4 % of 1-RM: 3 15 % of perceived intensity 65% Poor Fair worse High
List of main 4 upper body exercises. Explain any modifications to the exercises that would deviate from the way they are traditionally executed. Exercise #1: Bicep curls Exercise #2: dumbbell bench press Exercise #3: cable rows Exercise #4: push ups List of main 4 lower body exercises. Explain any modifications to the exercises that would deviate from the way they are traditionally executed. Exercise #1: goblet squats Exercise #2: calf raises (add weights in hands to increase intensity) Exercise #3: Lunges Exercise #4: Step ups (add weights or increase step height) *It is understood that a % of 1-RM would only apply to exercises where a (predicted) 1-RM is known. Otherwise, the % of perceived intensity applies (e.g. body weight exercises, resistance band exercises, dumbbell exercises etc.) Balance Training Frequency (days/wk) Number of exercises per workout Number of reps or duration for each exercise 2 3 3 List of main 4 balance exercises. Explain any modifications to the exercises that would deviate from the way they are traditionally executed (e.g., holding on, eyes open vs eyes closed, on solid ground vs foam pad, etc.). Exercise #1: tandem balance Exercise #2: single leg stance Exercise #3: planks Exercise #4: Big step to balance
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