Target
The treatment of severe or mild de-conditioned patients with diabetes requires a good evaluation of their physical abilities and limitations as well as their psychological disposition for the exercise.
Without this information, the typical exercise protocols is presented, a patient who is often in health clubs, probably too ambitious. The prevailing perception protocols are taught to trainers in the fitness market generally follow a strict attentionStability, core strength and power. Although this is a good starting point for patients is usually in the form, I found much of what is presented is very de-conditioned to be too demanding.
Experience in the management of this population is crucial, otherwise you run the risk of injury to the patient and have seen first-hand.
It should be noted here that an improvement in athletic performance and health goals are clear and that the program design must reflectonly the health concerns at this time.
Three concerns for the evaluation and recommendation of an exercise program:
Safety - Safety should be a priority in the development of a training program is especially important with the very de-conditioned people with diabetes.
Issues of mobility, circulation, blood sugar, all are considered and addressed during the development of a protocol of exercise.
Excellent clinical results results for this group regards the health concerns of clientsNot the specific sport.
In the short-term exercise has beneficial effects in dealing with the sugar, but long-term benefits are obtained by the challenge of large muscles of the body in a muscle toning exercise protocol at rest, and adding additional muscle mass.
Protocols traditional focus too much time on their core business and stability. This group should simply use as much muscle as a means to an end, the use of sugar in the blood more effectively. The protocols of basic exercise that we developedinvolve the larger muscle groups, by its nature a positive impact on core business and stability. Although in a very controlled, stable positions, such as variable resistance machines instead, there is a degree of commitment to stabilizing this very de-conditioned group. We found that the inexperienced coach after overzealous in the traditional protocols are overwhelming and frustrating patients.
Compliance - your biggest problem I'm sure you'll agree with respect.
AThey are effective protocol must be patient and based on the subjective responses of patients to you. Their goal, they do not need an aggressive protocol to the reality that most patients, even if it threatens the consequences of their illness, do not respond to a request for major changes.
This approach will go a long way in promoting compliance by the patient. With the real and understand that the patient wants and needs help, but probably not dramatic
Are changes in the short run is a psychological advantage.
The following questions will help you protect the patient's psychological preparation for the exercise. This will help define a realistic approach to the patient goes a long way to achieve compliance.
• I do not know if I can find the time.
• I'm only doing this for my health
• I do not think fun exercise
• I believe that exercise can be painful
• I'm boredslightly
• I get frustrated when I see the results
• I feel intimidated or embarrassed in a practical
• The work requirements make it difficult to exercise
• Family responsibilities may make it difficult to exercise
• My family or friends can not support my efforts to exert
• I can only exercise
• I may lose track of my goal
• The practice setting is not available to me, my needs.
What a viewProgram.
Our experience has shown a concern for the acquisition of control or recommending a program of this population group. Vast, complex, difficult is the feedback we have from patients undergo inexperienced coach or fitness club records ever.
The importance of the patient's ability to tolerate stress, both physically and mentally, can not be underestimated.
It 'very important that patients, the exercises are presented without pretensethe beginning of a program, the transition to more challenging exercises only when you present and express their comfort with the existing program. (Example: basic exercises standing exercises lying on the floor contrast).
It 'best to start conservatively, as exceeding the patient's exercise capacity, reduction of the enjoyment.
Always err on the side of too little, when the application loaded.
Coaches must not think in the case where more is better autumn.
Alsothe objective parameters heart rate zone can be difficult for this population group. A conservative indicator would be perceived exertion.
The training should emphasize proper technique and increasing physical activity the patient's tolerance for exercise. Tolerance and technology allows ... will focus on increasing the strength to renew. Loads of resistance in the% 60-80% 1RM range are essential to achieving the objectives. 1RM will not determine 1RM tests, that would be determined not wisefor this population group, but through trial and error, matching resistors, which allow a repeat of 8-15 for their suitability to exhaustion. Typically, the movement is only a positive effect on the stability and flexibility for this group.
As you know HA1C improvement is crucial to optimize clinical outcomes. The result of this protocol is a better control of blood sugar by a pair of mechanisms:
* Exercise helps to itself, blood sugar under control.
Protein *Synthesis as a result of challenging the biggest muscle is metabolically very expensive, after training, with thousands of calories.
* Adding muscle recruitment and muscle tissue at rest provides the most active, in which sugar can be switched.
To ensure that the special needs of this population group is looking for a nutritional and educational system that addresses these problems can be achieved.
A well-structured program, with a strengthening to cope with the psychological component begins"Set Mind", which is actually necessary to achieve glycemic control through proper nutrition and training program effective.
A good program, the problem of compliance.
Search for an entry level program, the strategic air-conditioning and safe on the needs of obese patients through very detailed and very comfortable transition from exercises are challenging without complexes, more slowly.
It should not be overwhelming or complex, and timeof only 2 days a week, the icing on the cake is to speak for those with an apology time.
As with any program to evaluate the patient should be performed first:
Rating:
Age 1
2 Sex
3 Weight
4 Limitations - Orthopaedic or otherwise (Thrumbosis, circulatory disorders concerns, etc.)
5 Blood Pressure
6 Drugs
7 As long as any structured exercise?
8 PAR-Q test
We put our patients are assigned one of three categories to ensureMatch fitness training protocols patients.
Level 1: Very obese diabetics - De Significantly air conditioning - very limited mobility
LEVEL 2: Overweight diabetic - De air conditioning - Mobile
LEVEL 3: Active overweight - or simply pre-diabetes diagnosis
Level 1 patients require low-impact type of equipment that allow the stabilization and comfort of a recumbent bike or mini-tramp with handles. Exercise bands are probably appropriate for this group.
Level 2 patients are on the move allows the use of more sophisticated equipment to exercise in a fitness club that the patient is stabilized in a comfortable, seated position.
Level 3 patients are likely to tolerate a more aggressive exercise protocol including exercises free weights
Based on this information, patients should follow a system that addresses the following principles for a safe and effective workout.
1 Foundation
A thorough warm-up phase, designed tobe an integral part of the program is not just an afterthought, the transition to the advanced set physiologically and psychologically comfortable, the connective tissue microtrauma that reduces pain after exercise, with a positive effect on compliance with the program. For people with circulatory problems, a slow gradual warming will help circulation to the extremities.
Super September 2
A total body workout with exercises challenging basica superset fashion to the patient's fitness level is based. Beginners will find this is the basic exercises of nature to perform convenient because they require less skill, coordination and balance. The emphasis of the largest with only the muscle itself burns lots of calories during the workout, but also stimulates the endocrine (hormonal) and protein synthesis, which is metabolically very expensive, with deposits of fat during the process of recovery. (Anabolic phase)
3Intervals
Taps interval training fat burning mechanism and effective immediately studies have shown that burns nine times the fat burning aerobics can, at the same time.
Intervals must "keep the heart" a positive effect on movement and traditional long-term, low-intensity cardiovascular exercise counter.
These three cycles combine everything you need in an exercise program. Instead of dividing the body parts on different days and Entertainmentaerobic ineffective on other days, you get the best of everything in one workout.
A minimum requirement of only two workouts a week is a long way in combating tax evasion.
This principle of training for two weeks, supported by science. Guarantee with reverse psychology and positive reinforcement for success of the program.
If you have a reasonable level of performance for the time invested in a position to demonstrate that lead to increased compliance by your patients.
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