EXERCISE PRESCRIPTION FOR MY CLIENT. Advanced Exercise Prescription Dr. Keating By: James E Cappola

Client Information SEX: Male AGE: 68 WEIGHT: 268lbs HEIGHT: 6ft 2 in HR MAX: 152 bpm MEDICATIONS: QUINAPRIL- BLOOD PRESSURE NEXIUM- HEART BURN BYSTOLIC- BLOOD PRESSURE LASIX- TAKING WATER OUT OF SYSTEM BABY ASPRIN EVERY DAY- REDUCE RISK OF HEART ATTACK LIPITOR- REDUCE CHOLESTEROL

Client Goals TIME FRAME: 16 WEEKS Goals: IMPROVE BODY COMPOSITION REDUCE BLOOD PRESSURE IMPROVE CARDIOVASCULAR ENDURANCE IMPROVED QUALITY OF LIFE

Positive Risk Factors After filling out the parQ and assessing my client. I have come to the following conclusions. Age: over 45 68 years old Obesity- BMI of 30 or more BMI=34 Body fat=28% 192lbs of lean bd Blood Pressure and Cholesterol Medications

ACSM RISK STRATIFICAITON Moderate Risk

Risk Strata Explanation Being that Jim qualifies to be in the Moderate risk category, it is my job to go through the necessary precautions before we being an exercise program. Discuss exercise/Lifestyle program Recommendations for the client May participate in moderate(40%-60% Vo2R) intesity exercise without further medical clearance or testing If he wants vigorious intesity- medical clearance and a supervised exercise test is recommended OTHER INJURIES/PRECAUTIONS: none

KASCH PULSE RECOVERY TEST EXERCISE TESTING KASCH PULSE RECOVERY TEST Submaximal test *Medical approval recommended RHR-88 BPM 3 min /24 times a min without break Exactly one minute after step test- HR- 128BPM (moderate to poor result) FLEXIBILTY TESTING USING GONIOMETER

EXERCISE MODALITY Duration- TREADMILL (low impact) Frequency 3-5 days/week RPE 11 to eventually 17 Duration- Starting at 10 min/finish at 35 min Depending on progress- Speed will be adjusted from .2 to .5 weekly.

EXERCISE RX WEEK VO2 METs Karvonen % Kcal/mi n RPE Walking Speed Duration/mi n 1 11.5 3.3 40-50%- 117-123bpm 7 11 3.0 10-15 (10) 2 12.9 3.7 40-50% 7.9 12 3.5 15-20 (16) 3 45%-55%- 120-126bpm 15-20 (20) 4-5 17.1 4.9 50-60%- 123-129 bpm 10.4 13 4.0 20-25(20) 6-8 19.5 5.6 55-65% -126-132bpm 11.92 4.3 20-25(25) 9-11 21.4 6.1 60-70%- 129-135bpm 13.03 14 4.5 25-30(30) 12-14 65-75% 132-137bpm 15 25-30(33) 15&16 70-80% 135-140bpm 14.0 16 30-35(35)

Strength Training

AFTER 2ND WEEK START STRENGTH TRAINING Frequency 2-3x a week Keep the exercises functional Abductors Adductors Push/Pull ADL NO Max Lifts Keep reps around 10-12 50-60% of 1rm or pain limited

FLEXIBILITY TRAINING Frequency- 3-5x per week Dynamic Stretching before cardio Static stretching after cardio Foam roller for lower back, hip flexors, and IT bands