Exercise in Impaired Neuromuscular Systems Flashcards Preview

PTRS 825 Final Exam > Exercise in Impaired Neuromuscular Systems > Flashcards

Flashcards in Exercise in Impaired Neuromuscular Systems Deck (32)
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1

Aerobic Fitness in Stroke

40% worse than sedentary peers
VO2 peak averages 15-18 ml/kg/min - out of breath walking to fridge
CVD and CVA - primary mortality causes

2

Stroke Considerations

Hemiparesis
Atrophy
Dyscoordination
Balance impairments
Visual perception/cognitive impairments
*Fall Risk

3

Stroke Considerations

Hemodynamic abnormalities
Fatigue
Depression
Pain
Increase energy expenditure

4

Aerobic Stroke Goals

Improve or maintain CV function and functional ability
Reduce CV risk

5

Resistance Stroke Goals

Improve or maintain functional capacity
Reduce falls

6

Flexibility Stroke Goals

Improve or maintain ROM/prevent contracture

7

Aerobic Stroke Training

20-60 min
3-5x/wk
Low to moderate (40-70% peak VO2)

8

Strength Stroke Training

2-3x/wk
Low to moderate (3 x 8-10 reps)
Emphasize functional and core strength

9

Parkinson's

Progressive loss of dopaminergic cells in substantial nigra
Onset @ 50-60 years
Affects 2% over 65

10

Parkinson's Characteristics

Rigidity
Resting tremor
Bradykinesia
Gait/postural disturbances
Cognitive/affective disturbances

11

PD Considerations

Autonomic fluctuation
Impaired thermoregulation/sweating
Want to exercise at similar time every day
Orthostatic hypotension

12

PD Aerobic Goals

Be able to continue walking
Improve or maintain cardiovascular function and functional ability

13

PD Resistance Goals

Improve or maintain functional capacity
Reduce risk of falls

14

PD Flexibility Goals

Improve or maintain ROM/prevent contracture

15

PD Aerobic Training

Up to 60 min
At least 3x per week
Low to moderate (40-80% peak VO2 or HR)

16

PD Walking Training

20-30 min per day
4-6x per week
Self-selected pace

17

PD Resistance Training

At least 3x per week
Low intensity (1 x 8/12)
Exaggerate movements
Emphasis on extensor/core musculature

18

PD Flexibility Training

Gentle, static stretching
Emphasis on chest expansion
1-3x per week

19

PD Training Considerations

Increase slowly
RPE can be hard to interpret
Monitor medication changes, sweating and painful dystonia

20

Multiple Sclerosis

Chronic, demyelination of CNS
Onset @ 20-40 years

21

MS Considerations

Spasticity
Dysfunction of ANS
Cardioacceleration
Blunted BP response
Heat sensitivity

22

MS Considerations

Agonist/antagonist imbalance
Thermoregulation
Incontinence
Exacerbation/remission

23

MS Aerobic Goals

Improve or maintain CV function

24

MS Resistance Goals

Improve or maintain functional capacity
Reduce risk of falls

25

MS Flexibility Goals

Improve or maintain ROM/prevent contracture

26

MS Aerobic Training

30 min (fatigue easy)
At least 3x per week
Low to moderate (50-75% VO2) - typically low side

27

MS Resistance Training

Isotonic
Isokinetic
Perform aerobic and resistance on different days

28

MS Flexibility Training

Gentle, static stretching
5-7x per week
Prior to exercising

29

MS Training Considerations

Morning is optimal but don't overdue
Hydration critical

30

Motor Neuron Diseases

Affect upper/lower motor neurons
Inherited or sporadic
Progressive