Introduction: Submaximal and maximal exercise testing are two analytic methods that can be used to examine the cardiovascular, and cardiorespiratory fitness/health levels of the individual being examined. Submaximal testing is usually preferred over maximal mainly because the submaximal exam is more practical in a fitness/health environment. Both test require the individual being examined to perform controlled exercise on a(n) treadmill/ergometer until either steady state has consecutively been reached (submax), or the individual reaches their max (close to it). Being that both test are set to exceed time limits of more than 3 minutes we examine the use of the ATP-PC, Glycolytic, and Oxidative energy systems. Although a huge portion of the test involves the use of the oxidative energy system, we must remember that the three systems are co-occurrent. Both tests are very useful for assessing the pulmonary and cardiac system health of the individual being examined. This involves examining the individual’s response to the test by assessing their BP, HR, oxygen intake abilities, and using this information to infer whether they have some type of internal impairment. This includes …show more content…
We actually saw this change occur by watching the RER values increase. At the 2:30 mark Kerbi was using 100% fats as her fuel source with an RER of .75. One minute later, at an RER of .80 she was using 50% fat and 50% carbohydrates. In between minutes 6:30 with and RER of .99 and less than the 7:00 mark with an RER of 1.04 she was using primarily 100% carbohydrates as her fuel source. Lactate began accumulating in Kerbi’s blood at the 7:00 mark with an RER of 1.04, a speed of 3.4 and a grade of 14. I know this because her RER was above the 100% carbohydrate level of 1.00, and this is also the time at which she felt uncomfortable to the point that the test
The data collected during this experiment has shown that a relationship likely exists between the rate of muscle fatigue and the time spent performing vigorous exercise prior to the set of repetitive movements. This is likely due to a build-up of lactic acid and lactate as a result of anaerobic respiration occurring to provide energy for the muscle cell’s movement. As the pH of the cell would have been lowered, the enzymes necessary in the reactions would likely not be working in their optimum pH range, slowing the respiration reactions and providing an explanation to why the average number of repetitions decreased as the prior amount of exercise increased.
In a similar study, researchers determined VO2 max using four different methods of treadmill running, cycle ergometer, step test and prediction2. The results found that the treadmill had the highest VO2 max followed by the ergometer, and the step test and prediction were the lowest2. This supports the findings of our experiment, showing that VO2 max will be higher2 depending the tests mode of exercise and how trained the subject is in that exercise.
Ascertaining the adequacy of gaseous exchange is the major purpose of the respiratory assessment. The components of respiratory assessment comprises of rate, rhythm, quality of breathing, degree of effort, cough, skin colour, deformities and mental status (Moore, 2007). RR is a primary indicator among other components that assists health professionals to record the baseline findings of current ventilatory functions and to identify physiological respiratory deterioration. For instance, increased RR (tachypnoea) and tidal volume indicate the body’s attempt to correct hypoxaemia and hypercapnia (Cretikos, Bellomo, Hillman, Chen, Finfer, & Flabouris, 2008). The inclusive use of a respiratory assessment on a patient could lead to numerous potential benefits. Firstly, initial findings of respiratory assessment reveals baseline data of patient’s respiratory functions. Secondly, if the patient is on respiratory medication such as salbutamol and ipratropium bromide, the respiratory assessment enables nurses to measure the effectiveness of medications and patient’s compliance towards those medications (Cretikos, Bellomo, Hillman, Chen, Finfer, & Flabouris, 2008). Thirdly, it facilitates early identification of respiratory complications and it has the potential to reduce the risk of significant clinical
As Fink points out, Carbohydrates, in the form of glucose, are the main source of fuel for all physical activity. Fats on the other hand are primarily used as a fuel source while resting and when performing moderately to low intensity exercises. (Fink, 2012, p.3) It’s these facts that are so significant. The event she participates in will be fairly short yet very intense with that in mind as an 800-meter track athlete the Carbohydrates are going to serve her the best. She will require immediate as well as a short sustained use of energy for her event. While she will be using both energy systems Fink states she will mainly be using anaerobic energy system which “is a major contributor to intense activities that last from 1 to 3 minutes.” (Fink, 2012, p. 50)
Methods: The participants of this study took part in the Step Test which is a form of cardiovascular exercise (Kusinitz and Fine 1995). The Step Test involved the individuals stepping up and down the low step platform for a consecutive three minutes.
An electrocardiogram (ECG) is one of the primary assessments concluded on patients who are believed to be suffering from cardiac complications. It involves a series of leads attached to the patient which measure the electrical activity of the heart and can be used to detect abnormalities in the heart function. The ECG is virtually always permanently abnormal after an acute myocardial infarction (Julian, Cowan & Mclenachan, 2005). Julies ECG showed an ST segment elevation which is the earliest indication that a myocardial infarction had in fact taken place. The Resuscitation Council (2006) recommends that clinical staff use a systematic approach when assessing and treating an acutely ill patient. Therefore the ABCDE framework would be used to assess Julie. This stands for airways, breathing, circulation, disability and elimination. On admission to A&E staff introduced themselves to Julie and asked her a series of questions about what had happened to which she responded. As she was able to communicate effectively this indicates that her airways are patent. Julie looked extremely pale and short of breath and frequently complained about a feeling of heaviness which radiated from her chest to her left arm. The nurses sat Julie in an upright in order to assess her breathing. The rate of respiration will vary with age and gender. For a healthy adult, respiratory rate of 12-18 breaths per minute is considered to be normal (Blows, 2001). High rates, and especially increasing rates, are markers of illness and a warning that the patient may suddenly deteriorate. Julie’s respiratory rates were recorded to be 21 breaths per minute and regular which can be described as tachypnoea. Julies chest wall appeared to expand equally and symmetrical on each side with each breath taken. Julies SP02 levels which are an estimation of oxygen
Glycemic index is the measure of how quickly blood glucose rise after eating a particular kind of food. This is used by estimating the how much each gram of carbohydrate consumed raises a person’s glucose level. During intense exercise, the body uses glucose as energy source before it starts relying of fats. “Prolonged exercise can only be continued when there is an adequate amount of carbohydrate available to fuel muscle and the brain”(William,2004). This shows that the amount of carbohydrate/glucose that is found within the body’s tissue has a significant amount of influence to play on how effective the early hours of an exercise would be. Glycemic index helps one to know how effective the carbohydrate/glucose within the body is functioning during exercise.
Due to the strong and growing evidence in scientific literature on the beneficial effects of physical activity on health and well-being, the importance of Clinical Exercise Science has increased. Physical activity is defined as any bodily movement produced by skeletal muscles that requires energy expenditure. Exercise, is a subcategory of physical activity that is planned, structured, repetitive, and purposeful in the sense that the improvement or maintenance of one or more components of physical fitness is the objective (http://www.who.int/dietphysicalactivity/pa/en/; last accessed on 30 April 2016). Generally speaking, Clinical Exercise Science is an applied clinical branch which deals with the application of various exercise modalities for
The Queens College/McArdle Step Test, the Rockport One Mile Walk Test, and the 1.5 Mile Run Test are three different field tests that were performed in this lab that were used to measure and predict an individual’s aerobic capacity. The measurement of aerobic capacity, or VO2 max, is a valid way to assess an individual’s cardiorespiratory fitness level. VO2 max refers to the maximal amount of oxygen an individual utilizes during intensive exercise. A higher VO2 max demonstrates a more efficient cardiorespiratory system as an individual with a higher VO2 max can sustain a higher intensity for a longer
There are several important tests used by healthcare providers to determine whether an obstructive or restrictive lung disease is present. The term used to group these procedures is Pulmonary Function Tests, also called PFTs, and they do more than just determine the type of lung disease that may be present but can also provide answers as to where the problem is located as well. The term PFTs refers to a variation of different pulmonary testing that can be performed by healthcare professionals that help to give insight as to how well an individual's lungs are working. Some of these tests, such as spirometry and lung volumes provide this information by measuring airflow and lung capacity. Others such as diffusion capacity and the arterial blood
AIM: - the aim of this experiment is to find out what the effects of exercise are on the heart rate. And to record these results in various formats. VARIABLES: - * Type of exercise * Duration of exercise * Intensity of exercise * Stage of respiration
This reflection of vital signs will go into discussion about the strengths and weaknesses of each vital sign and the importance of each of them. Vital signs should be assessed many different times such as on admission to a health care facility, before and after something substantial has happened to the patient such as surgery and so forth (ref inter). I learned to assess blood pressure (BP), pulse (P), temperature (T) and respiration (R) and I will reflect and discuss which aspects were more difficult and ways to improve on them. While pulse, respiration and temperature were fairly easy to become skilled at, it was blood pressure which was a bit more difficult to understand.
[1] Lemura L.M., Von Dubillard S.P., Mookerjee S. The Effects of Physical Exercise on Functional Capacity in Adults. J Sports Med Phys Fitness 2010;40:1-10.
Dr. John Holloszy conducted an experiment to prove the importance of the mitochondria in endurance training. He had two groups of rats. One group was trained and eventually could exercise continually for four to eight hours. The untrained rats became tired after thirty minutes of exercise. Holloszy found a fifty to sixty percent increase in the mitochondrial protein and a twofold increase in oxygen consumption in the muscles of the trained rats.
Patient will display adequate gas exchange as evidence by SaO2 values and respiratory rate consistent with baseline.