Special Population Considerations Flashcards
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Read the first 7 Special Population Considerations flashcards as text
Which of the following is a contraindication to exercise during pregnancy according to ACOG guidelines?
Answer: Placenta previa diagnosed after 26 weeks
Placenta previa after 26 weeks is an absolute contraindication to exercise due to the high risk of hemorrhage.
A client with multiple sclerosis (MS) reports increased fatigue and symptom exacerbation during hot weather. What should the trainer do?
Answer: Exercise in a cool environment and monitor for Uhthoff's phenomenon
Uhthoff's phenomenon causes temporary MS symptom worsening with heat, so cool environments and cooling strategies are essential.
When designing a program for a client with fibromyalgia, what is the best initial approach?
Answer: Start with very low-intensity exercise and progress slowly based on tolerance
Fibromyalgia clients are highly sensitive to exercise load, so starting at low intensity with gradual progression minimizes flare-ups.
What is the primary concern when a client with peripheral arterial disease (PAD) experiences claudication pain during walking?
Answer: Reduced blood flow to the muscles causes ischemic pain that limits exercise
Claudication in PAD results from insufficient arterial blood flow to working muscles, causing ischemic pain during activity.
A client with Down syndrome is cleared for exercise. Which precaution is MOST critical before engaging in cervical spine loading exercises?
Answer: Screening for atlantoaxial instability
Atlantoaxial instability is common in Down syndrome and can cause spinal cord injury with certain neck movements.
For a client with Parkinson's disease, which training component most directly addresses the disease's hallmark motor symptoms?
Answer: Balance, coordination, and rhythmic movement training
Parkinson's disease causes tremor, rigidity, and bradykinesia, so balance and rhythmic movement training directly targets these deficits.
What is the recommended maximum heart rate target for a client with an uncomplicated pregnancy who was previously sedentary?
Answer: 140 bpm
ACOG recommends that previously sedentary pregnant women target around 140 bpm to maintain safe maternal and fetal perfusion.