group presentations Flashcards
(27 cards)
which of type muscle fiber loss does not contribute to sarcopenia?
type 1
What two cutoffs that suggest the need for diagnostic imaging (MRI, DXA, CT) to assess muscle mass in a patient >65 years old?
gait speed .8m/s and low grip strength
What are three interventions have been studied in delaying the effects of sarcopenia?
Resistive exercise
Amino acid supplementation
NMES
what are the three screening tools used to diagnose? cachexia?
Body composition (fat-free mass index) >5% weight loss within the last 12 months Nutritional intake
Your patient is a 58 yo male who has been in remission for prostate cancer for 2 months. He has lost 10% of his body weight in the last 6 months. He reports decreased appetite and feeling tired when he goes up the stairs. What two appropriate exercise(s) for this patient?
Leg press: 8-12 reps to fatigue x 3 sets, 3x/week
Walking: 5/10 on RPE, 30 minutes, 5x/week
What are two cancer related fatigue measures?
MFI
FSI
What are four common aspects of a clinical presentation of someone with myasthenia gravis?
dropping eyelid
SOB
difficulty swallowing
double vision
Should a patient with myasthenia gravis be treated with high-intensity exercise?
No
What is affected by the immune system due to myasthenia gravis?
nictotinic receptors
complement proteins
what are three aspects of the clinical presentation of lupus?
arthritis of multiple joints
butterfly rash
low grade fever
what is an example of a patient with a bad lupus prognosis?
38 y/o male patient diagnosed with SLE, glomerulonephritis, and positive lupus anticoagulant 22 years ago.
Can PT cure lupus?
No
What does increased vascular resistance in pulmonary arteries results from?
Reduced endothelin-1 and increased nitric oxide and prostacyclin
What is used as the gold standard for diagnosing pulmonary artery hypertension?
Right heart catheterization
What is an example of a PAH patient where exercise intervention contraindicated?
65 y.o. w/ group I PAH, reports severe dizziness with initiation of exercise
What are two physiological scenarios that can result in feelings of fatigue in a patient with PAH?
Less oxygen at the site of the muscles
Fiber type switching from type 1 to type 2
What are common signs/symptoms of CA that PTs can assess?
Night sweats
Fatigue
Unexplained weight loss
Which patient education piece may be the LEAST helpful regarding this patient s/p Achilles Tendon Rupture?
Encouraging the patient to avoid activity and stay in bed
Fibromyalgia classified as?
A CNS disorder
Which is an intervention is appropriate for a patient presenting with severe fibromyalgia symptoms on the day of their PT visit?
Begin with relaxation techniques, move on to exercise below 5 RPE
What is the gold standard of medication for fibromyalgia treatment?
There is no single accepted treatment, medications should be individual to patients presentation and response
What are the goals of therapy for RA?
improve/maintain function
pain relief
support with ADLs
Which joints are most commonly affected by RA?
Ankle
Wrist
PIP
What is an example of an exercise prescription that would be appropriate for someone with RA?
Walk for 20 minutes at moderate intensity with 5 minute rest, walk for another 20 minutes
