Kin 311 In-class Scenarios: Cardio

1. The Nu-Step is one of the most popular pieces of equipment at the Center. Name 5 reasons you believe it is popular for our clients
2. What is the proper protocol (what do you need to do) when working with a client in:
   1. EZ-Glider
   2. Tilt Table
3. Why are the EZ-Glider and Tilt Table machines sometimes considered cardio exercise?

 

4. If you live with someone, practice the following:

1. Take their resting heart rate
2. Use the Karvonen formula to estimate lower 60% - upper 80% target range of HR
3. Run them through 5 minutes of exercise
4. Assess if HR was within target heart rate range

 

5. Based on your experiences with traditional gym bikes, what are three differences you can identify between those bikes (recumbent, spin, etc.) and the Nu-Step?

 

6. How do you properly set up a client on the Arm Ergometer?

1. What clients might be best suited for this machine?

 

7. What type of clients would be best suited for the MotoMed?

 

8. What are the three training modes that can be used on the MotoMed?

 

9. What did you find most interesting about the MotoMed?

1. Five reasons why Nu-Step is popular: (1) It can provide a great workout --- most report remarkable weight loss; (2) excellent lumbar support (comfortable to use even for those with back problems); (3) can be used without causing injuries to the joints of the legs; (4) clients do not report pain/numbness on their feet even after long use; (5) fun, easy to use.

2. Proper Protocol

(a) EZ Glider - When doing the easy glide, instruct the client to begin by standing with the legs slightly split with all the body weight on the heel of the injured front leg with the knee slightly bent. The motion is then started by gliding backward on the other leg. Instruct the client to stop gliding just before pain is reached. Then ask the client to move back to the starting position by using the arms and not the injured leg. The client may then begin again slowly in a  pain-free range of motion. 

(b) Tilt Table - This is a procedure done to clients with symptoms of syncope or fainting. The client is instructed to lie flat on the bed or table with special belts and is attached to an electrocardiogram (ECG) and blood pressure monitors. The bed or table is then elevated to an almost standing position while the ECG and BP are being monitored for any changes. One of the important things to do when working with a client in the tilt table is to make sure that the client removes all jewelry and other objects that may interfere with the test. Instruct client to empty bladder prior to the procedure. Ensure also that the client lies down to the bed and is safely strapped in place to avoid injury when the table is tilted. An IV line must also be started to have a patent line for the medicines or IV fluids, if needed.  

3. EZ Glider and Tilt Table machines are sometimes considered cardio exercises because as these procedures are done, the client's heart rate increases and may provide low-impact body workout that can still burn calories.

4. Resting Heart Rate is 65. Age is 50.

Karvonen Formula:         THR = [(MHR-RHR) x % Intensity]  + RHR

First, get the MHR or Maximum Heart Rate. 

MHR = 220 - Age

MHR = 220 - 50

MHR = 170 beats per minute

The THR or Target Heart Rate @ 60% is:

THR = [(170-65) x 60%] + 65

THR = [(105) x 60%] + 65

THR = 63 + 65

THR = 128 bpm

The THR or Target Heart Rate @ 80% is:

THR = [(170-65) x 80%] + 65

THR = [(105) x 80%] + 65

THR = 84 + 65

THR = 149 bpm

Therefore, an individual aged 50 with a resting heart rate of 65 doing a 60% intensity exercise is targeted to reach 128 beats per minute while he can target up to 149 beats per minute while doing an 80% intensity exercise. 

After 5 minutes of exercise, heart rate is 110 bpm; was not able to achieve the target heart rate range.

5. Three differences of gym bikes: (1) they can vary on how the person is positioned when using the bike (either upright or recumbent); (2) they can vary on what target muscles or body parts the person is working on; (3) depending on the person's fitness goals and physical health, the stationary bikes differ in price and some indoor bikes are more expensive.

6. Arm ergometers are an excellent choice for people who have limited mobility or who want to get a cardiovascular workout for their upper body. Arm ergometers are best suited for people with spinal cord injuries, multiple sclerosis, or lower body disability. Those who are recovering from foot or leg injury/surgery with clearance to continue working out may also benefit from arm ergometers. 

In setting up the client, educate the client that arm ergometers work in exactly the same way as the traditional exercise bikes but instead of the legs, he/she will be using the arms. The client can either sit on the prescribed seat, stand up, seat on a wheelchair or any chair (depending on the design). Just allow the client to grasp on the handle and turn it just like how the legs would pedal a bike.

7. Movement therapy such as MotoMed is best suited for stroke patients with hemiplegia to improve mobility and activities of daily living. 

8. The three training modes of MotoMed are (1) passive, (2) motor-supported, and (3) active. 

9. The most interesting aspect of MotoMed is that it allows alternating phases of strain and rest which I believe contributes to higher stimuli to the user thereby maximizing its benefits.