Program Design & Implementation Flashcards

Which group of exercises makes up McGill's "Big Three" for spinal stability in clients with low back pain?

Answer: Curl-up, side bridge, bird dog

The modified curl-up, side bridge, and bird dog train core endurance with low spinal loading.

For a client recovering from a posterior-approach total hip replacement, which movement should be avoided?

Answer: Hip flexion beyond 90 degrees

Posterior precautions restrict hip flexion beyond 90°, adduction past midline, and internal rotation to prevent dislocation.

Which environmental modification is most important for clients with multiple sclerosis?

Answer: Exercising in a cool environment

Many people with MS are heat sensitive, and elevated body temperature can temporarily worsen symptoms.

Which training emphasis is particularly beneficial for clients with Parkinson's disease?

Answer: Large-amplitude movements and balance training

Large-amplitude, rhythmic movements and balance work counter bradykinesia and improve gait.

What is the best general approach to program design for a client with fibromyalgia?

Answer: Start at low intensity and progress very gradually

Low starting intensity with slow progression improves adherence and reduces symptom flare-ups.

Which progression is appropriate for balance training in an older adult at risk of falls?

Answer: Wide base of support to narrow

Balance progresses by reducing the base of support, moving from static to dynamic, and removing visual input.

A client undergoing chemotherapy has a very low neutrophil count. What precaution is most appropriate?

Answer: Avoid crowded public gyms to reduce infection risk

Neutropenia raises infection risk, so exposure to crowded or shared environments should be minimized.