Special Pops Exam 1 Flashcards
(30 cards)
Problem Based Management
problem vs diagnosis
side effects whoole picture with problems
SOAP notes
Subjective-history, meds, limitations, wants, why
Objective-observations, tests. find capacity to know where starting from. aerobic/anerobic
Assessment- based off 0tests. problem lists, existiong problems, prioritize
Plan-Exercise RX, risk benefit
Warm Up
Increase -O2 delivery -Blood flow -Nervous impulses -Metabolism Decrease -viscosity -pulmonary resistance *can be active or passive
Cooldown
Decrease
- body temp
- HR
- respiration
- catecholamines
- recovery time
Physiological changes with aging
- pathological or successful
- genetics
- pa
- nutrition
- disease
- social environment
- psychological attributes
Frailty
-reduced physiological reserve ass.w/ inc suseptability to disability
Interaction of physolog aging/chronic disease/seden lifestyle
-unintended wt loss
-musc weakness
-slow gait speed
FITT Formula
CV training 3-5 d/wk Intensity Moderate Strength training 2-3 d/wk Intensity Moderate Flexibility 5-7 d/wk
Neuromuscular Training
- Progressive reduce BOS
- dynamic perturbations to COG
- Postural Muscles
- Reduce Sensory input
- Taichi better than yoga b/c standing
- 2-3 d/wk reccommended
Osteoarthritis
- wt bearing jts
- degen of articular cart w/formation of new bone on surface injury/instabil/stinosis
Rheumatoid Arthritis
- 20-50
- 3:1 female/male
- slow onset
- snyovial lining thickens enzymes break down cartilage/bone
- progress to cardioplmonary dysfunction
Arthritis Management
Decrease pain inflam jt damage increase function -pt education balanced diet/wt loss -jt protection techniques -medication,ex,rest,surgery
Arthritis Symptoms
- decreased ROM
- instability
- weakness
- flares
Arthritis Exercise Complications
DECREASE -vo2, sped, ROM INCREASE -REE, metabolic cost of activiy -jt injury risk
Arthritis considerations for ex testing
- site and severity of jts dictate mode for least px
- isotonic,kinetic,metric strength tests
- vigorous contraindicated during flares
- monitor px Borg CR pain scale
Ex prescription for arthritis
- site and severity
- same as aging
- modify based on disease status
- priorities rom/stretching/muscle strengthinging/aerobic ex/recreation
- avoid during flares
- duration>intensity progression
- long warm up cool down
- px awareness (px not after 2hrs after)
- timing
- warm water
Arthritis FITT
F- CV 3-5
RT 2-3
ROM daily
I-low/med 40-60% HR
T- greater than equal to 150min/wk
T- non/low wt beaingBalance Training
-balance efficacy scale
-fallproof program
COG control
multisensory
postural strategy ankles,hips,step
gait pattern enhancement and variation
Lower Back Pain
nonspecific and specific
- infection, tumor, osteoporosis
- major trauma or multiple microtraumas
- lifestyle
LBP structures that cause pain
- inglammatory,
- nocioceptive,
- neuropathic,
- chronic/acute
Issues from LBP
- recurrence
- loss of work
- increased health care services
- decreased QOL
Exercise Considerations for LBP
- address misconceptions
- manage pain
- acute lbp (temp modification)
- meds, analgesics, nsaids, opiates, steroids, relaxants, antidepressents, drowsiness
Exercise Testing LBP
Treadmill w/practice time
-Limiting factors (px, fatigue)
Exercise Prescriptions LBP
-exercise>rest
-acute start w/min stress to back (delay hip/back exercises)
-chronic intensity, duration, graded and gradual. time not pain contingent
-cv
strength/flexibility
-adherence is key
Osteoporosis Factors
- hormones
- low BW
- low nutrition
- meds
- smoking/alcohol
- gender
- age
- body size
- ethnicity
- history
