Case Study- For resistance Training

947 WordsApr 9, 20094 Pages
Subjective: - The subject already is in a rehabilitation program in which he walks 3-4 times per week for 45 minutes. - The subject wants to start a resistance program, but he has never lifted weights before. - The subject suffered an inferolateral myocardial infarction (heart attack) ten months ago. - The subject considers himself “semi fit” although before the heart attack he lived a sedentary lifestyle. Objective: - Vitals: Sex- Male; Height- 5’4”; Weight-165 lbs; Age-55 - Resting Blood Pressure= 138/86 mmhg - Risk factors: Family history CVD (father was hypertensive and died of heart attack at age 52), suffered a heart attack ten months ago - Calculated VO2 Max: 35.8 ml/kg/min - 1 Repetition Max: Leg Press- 199 lbs; Leg Extension- 79 lbs; Bench Press- 128; Curl Ups- 20 (level-good); Bicep Curls- 29 lbs; Arm Extension- 27 lbs - Fitness Level: The subject falls in between the 30th and 40th percentile for his age predicted norms of maximal aerobic power, this means that 60-70% of the population have a higher VO2 max(his VO2 max his below average). - Tests Subject May Need: Every four weeks retest 1 RM and also a VO2 max test to determine progress made Assessment: - Subject has never lifted weights and has suffered a heart attack (be careful about resistance) - Family history of heart disease, Overweight(BMI-28.41) - Pre hypertensive - Unconditioned (VO2 Max-35.8 ml/kg/min) - ACSM Risk Stratification: High Risk Plan: - Goals: Short Term-- Begin a resistance training program, increase knowledge about weight training; Long term-- increase strength, increase muscular endurance, and increase overall health - Workload: The subject will begin lifting weights that are 30-40% of 1RM for upper body and 50-60% of 1 RM for lower body. The amount of weight will increase each week by 5%, 10-15 lbs for lower body and 2-5 lbs for arms (when maximum weight

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