Medical Fitness Programs
CPTE’s exercise staff is trained to work with individuals who may have a number of medical conditions. The exercise protocols are designed to improve fitness and reduce symptoms. CPTE’s exercise specialists are trained to monitor each medical client’s status and will measure blood pressure, heart rate, blood glucose, breathing rate, lucidity, balance, and more in order to guarantee a safe and healthy exercise environment for each client. The staff is trained in CPR and Advanced Life Support in case medical care is needed.
With the consultation of physicians, CPTE has created a number of specialized exercise protocols for:
Medical Fitness Program
Considerations/Restrictions
Exercise Protocol
High Blood Pressure (BP)
Hypertension
Increased vascular stress raising BP.
Holding breath
Medication effect on HR/BP and coordination
Holding breath
Medication effect on HR/BP and coordination
Monitor BP before, during, and after exercise. Send the BP records to your physician to review progress.
Moderate exercise intensity
Monitor meds
Reduce tight grips and “pushing too hard”
Proper breathing
Moderate exercise intensity
Monitor meds
Reduce tight grips and “pushing too hard”
Proper breathing
Diabetes
Blood glucose levels before and after exercise
Symptoms of hypo and hyperglycemia
Managing blood glucose levels and needs
Symptoms of hypo and hyperglycemia
Managing blood glucose levels and needs
Monitor blood glucose before and after exercise – chart results
Low to moderate intensity exercise focusing on muscle endurance
Low to moderate intensity exercise focusing on muscle endurance
Cardiac & pulmonary rehab – Maintenance - Phase 3
Exercise and maximum heart rate (HR) restrictions.
Medications and effects with exercise.
Medications and effects with exercise.
Review hospital and physician protocols/recommendations
Follow AHA & ACSM cardiac exercise guidelines
Low to moderate intensity
Cardiovascular and weight training
Monitor HR and BP before and after exercise and recognize difficulties or increased symptoms and adjust the program as necessary.
Take appropriate action if symptoms increase.
Follow AHA & ACSM cardiac exercise guidelines
Low to moderate intensity
Cardiovascular and weight training
Monitor HR and BP before and after exercise and recognize difficulties or increased symptoms and adjust the program as necessary.
Take appropriate action if symptoms increase.
Osteoporosis
Bone health
Increased risk of fracture
Do not overload joints
Increased risk of fracture
Do not overload joints
Exercises to increase bone health
Weight bearing (closed chain exercises) with moderate load
Increase muscle endurance
Weight bearing (closed chain exercises) with moderate load
Increase muscle endurance
Pulmonary Disease (COPD)
Difficulty breathing, especially during exertion
O2 saturation rates
Medication effects with exercise
O2 saturation rates
Medication effects with exercise
Low intensity continuous exercise
Monitor breathing and recognize difficulties or increased symptoms and adjust the program as necessary.
Correct breathing during exercise
Weight training to build strength and reduce stress during exertion.
Take appropriate action if symptoms increase.
Monitor breathing and recognize difficulties or increased symptoms and adjust the program as necessary.
Correct breathing during exercise
Weight training to build strength and reduce stress during exertion.
Take appropriate action if symptoms increase.
Arthritis & Fibromyalgia
Joint pain and inflammation
Avoidance of exercise due to increased pain
Avoidance of exercise due to increased pain
Pool exercise to reduce stress on joints.
Low intensity exercises to reduce joint pain
Focus on consistency to build strength in muscles and joint stability (reduces pain)
Low intensity exercises to reduce joint pain
Focus on consistency to build strength in muscles and joint stability (reduces pain)
Stroke – Head Injury
Significant muscle and joint deterioration
Assistance with exercises
Assistance with exercises
Special devices used to help work machines and exercise devices.
Supervised programs with exercise specialists.
Teach the client how to use equipment and exercise techniques specific to their needs in a safe and effective manner.
Supervised programs with exercise specialists.
Teach the client how to use equipment and exercise techniques specific to their needs in a safe and effective manner.
Cancer
Effects of surgery on ability to exercise
Effects of radiation and chemotherapy on ability to exercise
Importance of exercise to build strength and endurance in battling the effects of therapy
Effects of radiation and chemotherapy on ability to exercise
Importance of exercise to build strength and endurance in battling the effects of therapy
Monitor white cell counts.
Exercise only when white cell counts reach a safe threshold
Exercises to build aerobic and muscle endurance.
Monitor energy levels and adjust exercise routine to match physical ability
Exercise only when white cell counts reach a safe threshold
Exercises to build aerobic and muscle endurance.
Monitor energy levels and adjust exercise routine to match physical ability
Other Physical disabilities
Muscular Dystrophy
Multiple Sclerosis
Parkinson’s Disease
Muscular Dystrophy
Multiple Sclerosis
Parkinson’s Disease
Restrictions in movement patterns and endurance
Work with PTS and physician to design an exercise routine that increases mobility and ADL (activities of daily living) capabilities
Monitor body position and correct exercise movement.
Adjust program as capabilities improve or deteriorate.
Monitor body position and correct exercise movement.
Adjust program as capabilities improve or deteriorate.
ALS – Amyotrophic Lateral Sclerosis
Progressive deterioration of muscle control.
Exercises will help reduce the rate of deterioration providing a longer quality of life as disease progresses
Exercises will help reduce the rate of deterioration providing a longer quality of life as disease progresses
Create exercise routines that increases mobility and ADL (activities of daily living) capabilities
Monitor body position and correct exercise movement.
Adjust program as capabilities improve or deteriorate.
Monitor body position and correct exercise movement.
Adjust program as capabilities improve or deteriorate.
Post Physical Therapy
Post Orthopedic Surgery
Post Orthopedic Surgery
Potential movement and strength restrictions.
Pain
Pain
Exercise specialists work with our PTs to design a safe and effective program.
Monitor position and safe technique
Recognize signs of physical difficulty or increased symptoms and adjust the program if necessary.
Monitor position and safe technique
Recognize signs of physical difficulty or increased symptoms and adjust the program if necessary.