Gero Test 1 Flashcards Preview

Gerokinesiology > Gero Test 1 > Flashcards

Flashcards in Gero Test 1 Deck (49)
Loading flashcards...
1

Biological Theories of Aging

-Genetic
-damage (free radicals cross linkage)
-Gradual Imbalance

2

Predictors of Successful Aging

-Genetics
-health and social services
-lifestyle choices and behaviors
-psychological attributes
-life events
-socioeconomic status
-physical and social environment
-culture and gender

3

Psychological Theories

Heirchy of needs (self actualization, transendence)
-psychological stages
-selective optimization with compensation

4

Psychological determanints

-intelligence
-cognative capacity
-self efficacy
-self esteem
-personal control
-coping style
-resillience

5

Sociological Theories

-activity
-continuity (involved in groups)
-social/physical environment ( group ex social group with social support)

6

Physical Activity

-major determinent of success
-fitness vs premature death (body/mind)
-spirit (aestetic experiences)

7

Physical Activity and Cognitive Function

-memory, attention, learning, goal setting, decision meeting, problem solving
-fit>unfit (=age)
-calcombe and kramer
executive controll tasks, controled procesing, visuospatial, sped, most improvement with executive control tasks

8

Strategies for PA promotion

-dissemination (newsletter)
-collaboration
-address barriers
-community based
maintain communication

9

CV chagnes

-wall thickening (BV, left ventricle)
-stiffness (aorta, arteries inc perif resis = inc BP)
-increased size left atrium
-Inc BP
-inc TPR MAP
-Hypertension
-dec baroflexor response

10

Neuroendocrine

-PNS slows down (ACH decHR)
-SNS (norepineph inc HR)
-dec sensitive to catecholamines (lower HRmax slower CV adaptations)
-Long Warm UP and Cool Downs

11

CV Function

-HR
-Stroke volume (lowersw/age)
-CO (Q=SVxR)
-Arteriovenous O2 diff
-blood distrib
-VO2 max lowers 10% decade

12

FICK equation

VO2=QxO2 diff a-v

13

CVD

-Coronary heart disease
-Stroke (hemoragic/ischematic. Cerebral/peripheral. paralysis/hemiplegia)
-HTN
-Percutaneous Transluminal Coronary Angioplasty (PCTA)

14

CV Risk Factors

-smilking
-Htn
-chol
-inactivity
-obesity
-diabetes
-genes
-gender
-age

15

PA and CV function

-lower resting BP,HR,Q,TPR
-strengthens resp musc
-enhance O2 difusion, oxidation
-inc BV

16

Respiratory changes

Decreased
-alveolar SA
-small airways
-elastic recoil
Increased
-physiological dead space
-large airways
-chest wall stiffness
-work to breathe

17

Lung Funcion

-Tidal volume reg rest breath
-inspiratory reserve volume
-expiratory reserve volume
-residucal volume

18

Measures

-forced vital capacity FVC
-forced expiratory volume FEV1
FEV;FVC ratio
-peak flow meter

19

Respiratory diseases

-asthma (obstruction, inflammation, reactivity
-chronic obstructive pulmonary disease COPD
-bronchitis
-emphysema
-symptoms

20

PA and Lung function

-prevent declines
-yoga tia chi (deep diaphrag breathing, inc elasticity)
-water ex

21

Adaptations for CVPA

-longer warm up and cool down
-rpe
-lower intensities
-intermittent
-avoid temp extremes

22

Musculoskeletal

-sarcopenia/dynapenia
-peak 20s/30s
-dynamic loss>static loss
-upper loss>lower loss
-dec # of fibers, size type2, contract qual
-inc 2b fib, ct, fat
-less MU
-less capilary BF

23

Neuromuscular syatem

-inc 1rm 28-152%

24

changes in muscle power

-dec 6-11% per decade

25

Changes in bone density

-1%loss/yr 30-50
-2-3% yr post menopause
-calcium reg hormones dec osteoclast activity

26

osteoporosis

-bmd <-2.5 SD
-factors smoking alcoholism EDs meds

27

EX with osteoporosis

-wt bearing
-resist (progress slow, low wt)
-circuit intervals
-support
AVOID
-painzones wrist hands
-no ext spine flex/ext

28

Diabetic neuropathy

-balance hot/cold cut/blister/infec
-limit wt bear, foot care

29

Neurological Function

-fluid inelligence insuff O2, dec NTsyn, cereb metab
-main crystallized intelligence

30

PA and Cognitive Function

1Cerebral blood flow
-lower BP, chol, blood clots, incr metab
2neuronal groth/survival
3neural efficiency
-all need for independence

31

Changes in sensory and motor function

DECREASED
-proprioception
-foot sensation
-vestibular function
-Slowed RT
INCREASED
-falls, postural instability

32

Changes in Vision

-visual acuit
-peripheral vision
-glare
-dark
depth
-contrast

33

Changes in Hearing

-acuity
-localization of sound
-mask extraneous sounds
-echoing
-tinnitus

34

Neuroligical Conditions

Parkinsons
-gait shuffle, protec from falls w/ex
Alzheimers
-balance, dementia, ex consistent w/patient

35

Meds

antidepressents/tranquilizers
-inc hr dec bp
nicotine
-inc hr bp
thyroid
-inc hr bp
alcohol
-chron inc bp
caffeine
-dep on sens

36

pre exercise and health screening

-identifies cliens at risk
-current health and pa status
-appropriate tests
-programing info

37

contraindicaions

-relative or absolute
-chest pain
-short of breath
-dizzy/fainting
-ankle swelling
-fast/irregular hr
-intermittent claudication (leg pain)
-heart murmer
-undue fatigue

38

risk factors for CVD CAD

-sudden cardiac death w/ex
-above 45
-fam history
-smoke
-htn
-dyslipidemia ad cholest
-diabetes
-obesity
-sedentary

39

Screening steps

1 informed consent
2parq
3physician consent
4health history activity questionnaire
5 feedback and confidentiality

40

informed consent

-communication
-information and consent
-description
-voluntary
-confidentiality
-med coverage
-contact info
-compreshension
-legal obligation

41

parq

sympt
-cad
-musculoskel
-limitations
-walkins
-phys consent
desc. endosement/denial

42

health history and activity questionarre

-identify contraindications, risks, limitations
-additional info
ex activities, abilities, pref
risk of med emergencies/falls
-facilitates dev of program

43

Feedback and Confidentiality

-share
-avd tech terms
-positive
-private
add screening tools
-bp
-bmi
-waist to hip
-waist circumference

44

Lab based physiological assessments

-CRF
-Musc strength
-body comp
-balance

45

CRF test

-det independence, BADL ADL
-ex presc/assessments
-indep level- risk and baseline

46

Direct CRF test

-vo2 max is more accurate
-more money
-more risk

47

indirect CRF test

-submax vo2
-less accurate
-less money
-less risk
-75% hr max

48

CRF equiptment

treadmill
-functional
cycle ergometer
-bp, work rate, upright/recumb
arm ergometer
-low/noambulation
-nustep

49

Balance

-proprioception
-neuromuscula control
Measures
-static
-dynamic
-reactive postural control
-sensory integration/organization
Force plate, balance trainer