FINALS: Geriatric Rehabilitation Flashcards

(55 cards)

1
Q

Q: How can you target more hamstrings versus gluteals during resistance exercises?

A

A: Less knee flexion emphasizes hamstrings; more knee flexion emphasizes gluteals.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Q: What is the purpose of a “Push-Up Plus”?

A

A: To strengthen scapular protraction and retraction muscles.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Q: What muscle does the Monster Walk primarily target when the band is around the knees?

A

A: The gluteus medius.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Q: Name two machines that focus on strengthening the trunk and core.

A

A: Trunk Extension Machine and Recline Abs Workout Bench.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Q: What machine would you use to strengthen hip abductors?

A

A: Hip Abduction Machine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Q: What exercise uses a rowing machine and benefits older adults?

A

A: Strengthening the upper back and improving cardiovascular fitness.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Q: Why modify resistance exercises for older adults?

A

A: To accommodate comorbidities like osteoporosis, rotator cuff injury, and shoulder OA, preventing further injury.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Q: How frequently should the same muscle group be trained?

A

A: Every 24–48 hours apart for safe adaptation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Q: What is a safer alternative to crunches for patients with osteoporosis?

A

A: Partial ROM crunches on a large gym ball or BOSU to neutral spine without full trunk flexion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Q: How should a row with anchored resistance be performed on a Swiss ball?

A

A: Pull the band toward you at shoulder height while keeping the back straight and avoiding ball rocking.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Q: What should you ensure during a crunch on a Swiss ball?

A

A: Maintain chin tuck and keep trunk steady on the ball.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Q: How many sets are generally recommended for resistance training in older adults?

A

A: Three sets with active recovery between different muscle groups.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Q: What is the recommended initial intensity for resistance training in older adults?

A

A: Around 20% of 1 RM (One Repetition Maximum), progressing by 2–10%.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Q: What percentage of older adults experience falls each year?

A

A: 1 out of 3 older adults falls each year, with 20% resulting in serious injury.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Q: Why is addressing power important in older adults?

A

A: Aging causes preferential loss of Type II muscle fibers and decreases contraction velocity, affecting functional mobility.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Q: How should power exercises be performed for older adults?

A

A: The concentric phase should be performed as fast as possible, while total movement lasts around 2–3 seconds.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Q: What are two examples of Pilates exercises beneficial for older adults?

A

A: Clamshell and Reverse Clamshell Exercises.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Q: What are the CDC fall risk screening questions?

A

Have you fallen in the past year?

How many times?

Were you injured?

Do you feel unsteady when standing or walking?

Do you have a fear of falling?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Q: What minimum dosage of exercise reduces fall risks in older adults?

A

A: 50 hours of challenging exercise (e.g., 2 hours/week for 6 months).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Q: What are key benefits of Tai Chi for older adults?

A

A: Reduces fall risk, improves pain, sleep, anxiety, and benefits heart disease, Parkinson’s, and arthritis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Q: What systems are involved in maintaining balance?

A

A: Somatosensory, visual, and vestibular systems.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Q: Give examples of static and dynamic balance exercises for older adults.

A

Static: Tandem stance, Single-leg stance

Dynamic: Sit-to-stand, Tandem walking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Q: Name two devices used to challenge balance safely.

A

A: Indo Board and Wobble Board.

4
Q

Q: What is the progression for balance challenges with eyes closed?

A

A: Standing balance → Standing balance on foam → Standing balance with eyes closed → Standing balance with eyes closed on foam.

4
Q: What is the focus of Geriatric Rehabilitation?
A: Recognizes variability of older adults, focuses on accurate examination, functional goals, promoting health, restoring function, holistic care, and recognizing life demands.
5
Q: How should you modify exercises if safety is a concern during balance training?
A: Use nearby counters, parallel bars, or walls for support, and supervise closely.
6
Q: What are two major problem areas in geriatric clients?
A: Immobility/Disability and Falls/Instability.
6
Q: What strategies help address immobility and disability in older adults?
A: Supportive relationships, promoting self-determined goals, gradual activity progression, and complication prevention.
7
Q: Name causes of falls in older adults.
A: Sensory changes, musculoskeletal changes, neuromotor changes, cardiovascular changes, medication side effects.
7
Q: List three primary benefits of exercise in older adults.
A: Slowing aging changes, supporting cognitive health, managing chronic diseases.
8
Q: What does APTA recommend regarding exercise dosing for older adults?
A: Match duration, frequency, and intensity based on individual ability and goals—"Don’t underdose."
9
Q: What is polypharmacy, and why is it important in geriatric rehabilitation?
A: Use of more than 3-4 medications; it increases fall risk and affects drug clearance in older adults.
9
Q: Give examples of strong evidence benefits of exercise in older adults.
A: Lower risk of early death, coronary heart disease, stroke, type II DM, breast/colon cancer, depression, and better cognitive function.
10
Q: What screening tool helps assess physical activity readiness in older adults?
A: PAR-Q+ (updated version for older adults).
10
Q: What is the Physical Activity Vital Signs (PAVS) tool?
A: A two-question screen assessing days and minutes of moderate/vigorous physical activity to predict metabolic outcomes and obesity risk.
11
Q: What is the FRAX tool?
A: A World Health Organization tool that calculates 10-year fracture risk based on country, BMD, age, gender, and clinical risk factors.
12
Q: What is the causal factor for 90% of appendicular fractures in older adults?
A: Falls.
13
Q: What are the components of a balanced exercise program for older adults?
A: Aerobic, flexibility, balance, and resistance exercises.
14
Q: How much moderate-intensity aerobic activity is recommended weekly for older adults?
A: 150 minutes per week or 75 minutes of vigorous-intensity activity.
14
Q: How does the "Talk Test" relate to exercise intensity?
A: Talking comfortably indicates moderate intensity; struggling to talk indicates vigorous intensity.
14
Q: What type of stretching is safest for older adults?
A: Low-intensity, long-duration stretching.
14
Q: Why is it critical for older adults to use new ROM gained through stretching?
A: To maintain flexibility and integrate it into daily activities.
15
Q: What key points must be considered when instructing balance exercises for older adults?
A: Ensure good sitting balance, provide safety measures, progress challenges carefully (base of support, surface, perturbations).
15
Q: Name two functional tasks that improve balance in older adults.
A: Sit-to-stand transitions and toe/heel walking.
16
Q: Is high-intensity resistance exercise safe for older adults?
A: Yes, up to 96 years old if properly supervised and modified as needed.
17
Q: What safety precaution is important during resistance training for older adults?
A: Avoid overtraining, observe for musculoskeletal exacerbations, and work within pain-free range.
18
Q: What is an example of a functional strengthening exercise for older adults?
A: Mini squats with or without counter support.
19
Q: Which exercise improves hip abductor strength in standing?
A: Standing hip abduction (with or without resistance band).
19
Q: What exercise strengthens upper extremities using body weight support?
A: Modified push-ups on a counter.
19
Q: Name a lower extremity strengthening exercise involving stepping.
A: Lateral step-ups using a low platform.
20
Q: Why must flexibility and resistance exercises be carefully dosed in older adults?
A: Due to slower adaptation, weaker connective tissues, and risk of injury.
21
Q: What happens after stopping resistance training in older adults?
A: Strength decreases but remains higher than pre-training levels at weeks 6 and 20 post-exercise.
22
22
23