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1. Glenda is 51-year-old female with a 14-year history of relapsing remitting multiple sclerosis. She is currently using Betaserone for her disease management and takes Baclofen for her spasticity. She had no other significant past medical history. She was referred to a community-based wellness program for persons with chronic neurological diseases. Her vitals include, height 5 feet 5 inches, wt. 108 pounds, BMI 18.5, heart rate at rest 80 bpm, blood pressure 100/81, tightness on left hip extension, ankle dorsiflexion, shoulder external rotation. She has decent strength in all muscle groups, and moderate proprioception in the left lower extremity. She also presents with some ataxia on the left side off her body. She is considered high fall risk and ambulates household distances with a four-wheeled walker. Functional tests data: Six-minute walk test, she walked 392 feet with her walker, and a heart rate of 108 bpm. 5 repetition sit to stand test: 14 seconds. Demonstrates poor functional endurance for walking balance and coordination. The exercise program goals are: 1) To increase gait to community distances with the use of walker or cane. 2) To improve balance and posture or control. 3) To improve long-term health and wellness. a. What are the effects of her medications on the hemodynamic responses to exercise? Type your answer here. b. Design an exercise program to help Glenda achieve her program goals. Make sure to include all the components of a training session. Each session will be 60 minutes long. Make sure to follow the ACSM’S FIT guidelines for the appropriate condition. Be specific with your plan, provide good details that clearly communicate your plan of care. Do not leave anything to interpretation. Type your answer here. C. Identify special considerations regarding exercise prescription and overall care for those with MS. Type your answer here.
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