Body Mechanics
An internist refers a 275-lb patient with joint pain and gait
abnormalities to you. Would walking in water or cycling be the most
efficient exercise? Give a sample 5 day program for each type of
exercise. State your reasons for not using other forms of exercise.
Expert Solution Preview
Introduction:
When recommending exercise programs for obese individuals with joint pain and gait abnormalities, it is important to consider the impact of the exercise on the joints, cardiovascular system, and overall physical capabilities. In this case, the options of walking in water and cycling will be evaluated in terms of efficiency and feasibility, and a sample 5-day program for each type of exercise will be provided.
Answer:
When considering efficiency and feasibility, cycling would be a more optimal exercise for a 275-lb patient with joint pain and gait abnormalities. Cycling imposes less impact on the joints while providing an effective cardiovascular workout. Additionally, cycling can be easily adapted to the patient’s fitness level, as the resistance and intensity can be adjusted gradually as the patient improves.
A sample 5-day cycling program for this patient could include:
-Day 1: 5-minute warm-up, 10-minute cycling at low resistance, 5-minute cool down
-Day 2: 5-minute warm-up, 15-minute cycling at low resistance, 5-minute cool down
-Day 3: 5-minute warm-up, 20-minute cycling at moderate resistance, 5-minute cool down
-Day 4: 5-minute warm-up, 25-minute cycling at moderate resistance, 5-minute cool down
-Day 5: 5-minute warm-up, 30-minute cycling at moderate resistance, 5-minute cool down
Walking in water can also provide an effective workout with less joint impact, but the patient’s weight may cause mobility issues when in the water, making it less feasible. Additionally, access to a pool or body of water may also be limited, making it a less convenient option.
Other forms of exercise, such as running or weightlifting, would not be recommended for this patient as they would impose more joint impact and could cause further discomfort or injury. It is important to prioritize exercises that are safe and effective for the individual’s physical capabilities and limitations.
