considerations for rehabilitation in various populations Flashcards

1
Q

why do Preadolescents have more potential for increase in strength

A

due to neural factors, such as increases in motor unit activation and
synchronization, as well as enhanced motor unit recruitment and firing frequency (Haff & Triplett, 2016)

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2
Q

Most important consideration with children/adolescence

A

technique and volume

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3
Q

what plays a role in strength improvement in children and ado

A

Also suggested that improvement in motor skill performance and coordination of muscle groups

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4
Q

when is it agreed that resistance training is safe and effective for children

A

if properly supervised by qualified individuals

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5
Q

children and adolescents considerations

A

-Desire to train and ability to follow coaching instructions (Generally 7-8 year olds able to compete in sport should be ready for RT)
* Begin session with 5-10 minutes of dynamic WU
* 2-3 non-consecutive days/week (Begin with 8-15 exercises that strengthen a combination of UE, LE, core)
* Initially perform 1-2 sets of 8-15reps with light to moderate load (about 60% RM)
* FOCUS on correct exercise technique and safe training!! (teach them about their bodies)
* Include balance and coordination exercises
* Gradually progress to advanced movements that enhance power * Vary program to optimize gains and reduce boredom

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6
Q

progressions in children and adolescents

A

Match exercises with competence ability (Simple to complex (single joint exercisesàmulti joint))
* Olympic lifts involve more neural complex movement patterns so should begin with low load (i.e. wooden dowel or unloaded barbell etc.) and early in program to reduce fatigue Risk of injury during Olympic lifts is not well researched in children
* Plyometrics should be given to help develop stretch shorten cycle (Typically cyclical plyometrics needed in sport; skip, hop, run, bound, jump// Start with less complex (double leg hop) and progress (single leg hop)//EMPHASIS on proper form and landing!)
* Balance and coordination (Unstable surfacesàincrease muscle activation of the trunk//Help reduce risk of injury)
* Core and trunk control (Always a concern with lifting techniques)

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7
Q

common injuries in children

A
  • Osgood Schlatter’s :10-15yo males, 8-13yo females
  • Sinding Larson Johansson Syndrome: 8-12yo
  • Most cases resolves spontaneously with skeletal maturity:12-18months
  • Legg-Calve-Perthes Disease: Disruption of blood supply to head of femur, 3-12 (males)
  • Slipped Femoral Capital Epiphysis:Head of femur shifts at growth plate (Growth spurt- 12-15 (males))
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8
Q

rehab for children

A
  • Confidentiality
  • Make it fun!
  • Speak to the child
  • Choose your words wisely
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9
Q

older individuals common injuries

A

Postural dysfunctions, Osteoarthritis, Osteoporosis, Fractures

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10
Q

older individuals considerations

A
  • Maintain independence!
  • Improve balance and coordination * Functional activities/ADL
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11
Q

menstrual considerations

A

Dysmenorrhea
Iron levels
Menstruation cycle?

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12
Q

pregnancy considerations

A

Hormone release
Increase laxity in joints
* 3-5 months post partum

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13
Q

swelling in females

A

Carpal tunnel, Dequervain’s tenosynovitis, neuropathies

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14
Q

Treatment Considerations During Pregnancy

A
  • As changes in weight distribution occur, balance and coordination may be affected
  • Exercise programs should be modified if they pose a significant risk of abdominal injury or fatigue as opposed to relaxation and an enhanced sense of well being
  • Exercising in the supine or prone positions should be avoided after the first trimester
  • Pelvic floor exercises
  • Postural exercises
  • Avoid heavy lifting, and straining exercises should be avoided
  • Bicycle riding especially in 2nd and 3rd trimester should be avoided due to
    the risk of falling
  • Weight bearing and not weight bearing exercises
  • The intensity of exercise should be regulated by how hard a woman believes she is working (Moderate to hard is quite safe for a woman who is accustomed to this level of exercise, Do not exceed pre pregnancy levels)
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15
Q

phases of menstrual cycles

A

Some studies have consistently examined perceived performance during various phases of the MC, and athletes identify their performance to be relatively worse in the early follicular and late luteal phases.

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16
Q

The effects of menstrual cycle phase on exercise performance in eumenorrheic women: a systematic review and meta-analysis objective

A

To determine the effects of the MC on exercise performance and provide evidence-based, practical, performance recommendations to eumenorrheic (normal/regular) women

17
Q

The effects of menstrual cycle phase on exercise performance in eumenorrheic women: a systematic review and meta-analysis results

A

effect for both endurance and strength based outcomes with reduced exercise performance observed in the early follicular phase of the MC
* Largest effect was identified in the early follicular and late follicular phases
* “Low” quality of evidence

18
Q

The effects of menstrual cycle phase on exercise performance in eumenorrheic women: a systematic review and meta-analysis conclusions

A

Exercise performance might be affected in follicular phase for some athletes, but general guidelines on exercise performance across MC cannot be formed

19
Q

patients with hearing impairement considerations

A

-Balance can be affected –> rehab goals
-Always face them when speaking (Do not turn away)
-Speak slowly, be clear and concise with explanations (Louder is not always better)
-Get attention of the person before speaking to them

20
Q

patients with visual impairment considerations

A

-Ask to touch, provide help if they require it (do not assume)
-Communicate where you are (through words and touch)
-Precise, clear communication with exercises
-Balance may be affected –> rehab goal
Word documents > excel for talk to text

21
Q

patients with visual impairment considerations for rehab

A

-8x long for child with visual impairment to master skills
-Inc metabolic cost of physical activity often higher than sighted athletes (Due to increase residual muscle tension when a task is performed (can cause early fatigue))
-Found that the gait in blind/visual impaired runners is asymmetric

22
Q

transgender patients and athletes

A

Transitions
* Social (Binder, name, pronouns)
* Hormonal (Physical changes)
* Surgical (Scars and fascial connection –> affecting ROM, mobility, strength, proprio)
* Comfort level of undress?
* Pronouns-charting (deadname vs name)