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Meredith Greene

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  • in reply to: NCS exam prep #17517
    Meredith Greene
    Participant

    Good Morning,
    Is there any way you can block the spam comments on your forums?
    I am preparing to take the exam (hopefully) March 2018. I have not had my application approved yet. I seem to be bogged down in the neuro-anatomy study. Re-learning all the tracts is taking so long and has me rethinking if I should even try to take the exam.
    What are your thoughts on how to prioritize the modules? I know the general function of all the tracts but have not really committed to memory the specific axonal connections and their locations.
    Thank you for any help you can give!!
    **Also, SC approved this class as a CEU provider! 3.2 credits I can send you the confirmation email if you would like.
    Meredith Greene

    in reply to: NCS Advantage #2943
    Meredith Greene
    Participant

    Regarding the 1 RM discussion…The APTA course to become a “Certified Exercise Expert for Aging Adults” recommends the following guidelines
    using the Borg RPE terms
    1. Have your patient perform (2) reps of the desired exercise with a weight you think will be appropriate.
    2. Have the patient stop and ask him “Is that exercise fairly easy, somewhat hard, or hard?”. For 60-80% of 1 RM, the answer should be “Somewhat Hard”. This subjective RPE has been correlated to 60-80% 1RM. If it’s fairly easy, it’s 30-60% 1 RM, which is what we want to use with our frail/medically more fragile patients. At this level of intensity, he should be able to perform 12-25 reps with good form and no more.
    3. Again, checking form continuously. “Somewhat hard” would be 12-14 on the Borg 20 point scale.
    I have used this method with all of my patients with whom I’m trying to establish 60-80% of 1 RM. Yes, some of them reach that with only 2#, some with manual resistance, some with 8#. I’ve seen really good results with this and it’s very easy to teach your patient how to self-progress the weight used for carryover to exercising after d/c.

    As an aside, I HIGHLY recommend this course. It is taught by 3 of the APTA leaders in Geriatric PT and 100% Evidence Based. I took it back in 2010 and it changed the way I treat.
    Good luck!

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