Test 4 Flashcards

1
Q

What aerobic testing are we going to do on children?

A

Bruce protocol (modified)

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2
Q

What anaerobic test should we preform in exercise testing on children?

A

Wingate

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3
Q

For general health/fitness assessment in children. What should you use?

A

Fitnessgram

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4
Q

Participation in the field test (Fitnessgram) should be limited to children who are —–?

A

Free of contraindications to exercise participation or testing

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5
Q

Considerations for exercise testing in children on ergometers and treadmills

A

They must be able to be adjusted to the child’s size

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6
Q

What are 3 reasons for terminating a clinical exercise test in children?

A
  1. When diagnostic findings have been established
  2. Failure of equipment
  3. Signs or symptoms appear that put the patient at risk
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7
Q

As the number of children that are overweight/obese increases, what else increases?

A

Increase in prevalence of chronic disease development

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8
Q

What are exercise testing difficulties in children?

A
  1. Children have smaller body size
  2. Attention span
  3. Children have a poor peak performance
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9
Q

Ways to assess bone mineral density?

A

DXA, CT/MRI, Ultrasound, Biomarkers

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10
Q

Normal bone mineral density?

A

> -1.0

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11
Q

How do we improve bone density?

A
  1. Plyometric training
  2. High intensity exercise
  3. Jumping
  4. Aerobic/strength
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12
Q

What is contraindicated in exercise testing in those with osteoporosis?

A
Spinal flexion 
Kyphosis 
Balance/falls
Leg power 
Muscular strength
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13
Q

Preferred mode of exercise testing in those with osteoporosis?

A

Cycle ergometer

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14
Q

A circulatory condition in which narrowed blood vessels reduce blood flow to the limbs

A

Peripheral Arterial Disease (PAD)

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15
Q

If you have PAD you are 6.6 times more likely to die of —?

A

CVD

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16
Q

Biggest sign/symptom of PAD?

A

Intermittent claudation

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17
Q

What does PAD result in?

A

Occlusions/ stenoses

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18
Q

A condition in which cramping pain in the leg is induced by exercise or sometimes physical activity; usually a result of artery obstruction

A

Claudication

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19
Q

What is the main thing that intermittent claudication does?

A

It limits physical activity

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20
Q

Blood flow (lowers or increases) to the extremities?

A

Lowers blood flow

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21
Q

Stage of PAD where you are asymptomatic?

A

Stage 1

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22
Q

Stage of PAD where you are pain free, but have claudication when walking more than 200 meters

A

Stage IIa

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23
Q

Stage of PAD: where you have pain at rest

A

Stage 3

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24
Q

Stage of PAD: where you just have intermittent claudication?

A

Stage 2

25
Q

Stage of PAD: pain free, but claudication when walking less than 200 meters

A

Stage 2b

26
Q

Stage of PAD: where you have gangrene and tissue loss

A

Stage 4

27
Q

Is PAD exercise testing Low, Medium, or High risk?

A

High Risk

28
Q

Primary mode of exercise testing in PAD patients?

A

Treadmill

29
Q

Ankle/ brachial index is measured —–?

A

Bilaterally

30
Q

What do you measure during an exercise test for PAD patients?

A
  1. Pain during ambulation
  2. ABI
  3. Distance
  4. Time
  5. HR
  6. BP
  7. RPE
  8. Vo2 Peak
31
Q

What is a good vo2 peak for ADLs in those with PAD?

A

15 ml/kg/min

32
Q

Loss of muscle tissue due to aging?

A

Sarcopenia

33
Q

Neuromuscular changes can have a direct effect on age associated loss in muscle mass as a result of??

A

Structural changes in the neuromuscular junction

34
Q

A generic term for conditions that involve inflammation of one or more joints

A

Arthritis

35
Q

There are more than 100 different forms of arthritis, each is characterized by: –?

A
  1. Varying degrees of joint damage
  2. Restriction of movement
  3. Functional limitation
  4. Pain
36
Q

Is the prevalence of arthritis higher in males or females?

A

Females

37
Q

Leading cause of disability in United States

A

Arthritis

38
Q

Common types of arthritis?

A
  1. Osteoarthritis
  2. Rheumatoid arthritis
  3. Gout
  4. Spondylarthropathies
39
Q

Most common type of arthritis

A

Osteoarthritis

40
Q

This usually affects hands, knees, hips, feet and spine

A

Osteoarthritis

41
Q

Usually effects wrists and small joints of hands

A

Rheumatoid arthritis

42
Q

Type of arthritis Triggered by faulty immune system

A

Rheumatoid

43
Q

Form of arthritis characterized by sever pain, redness, and tenderness in joints

A

Gout

44
Q

Any joint disease of the vertebral column

A

Spondlyarthropathies

45
Q

Stages of arthritis?

A

Acute
Chronic
Chronic w/acute exacerbation of joint symptoms

46
Q

Common negative effects of arthritis:

A
  1. Exercise tolerance
  2. Muscle strength
  3. Aerobic capacity
  4. Joint range of motion
  5. Biomechanical efficiency
  6. Proprioception
47
Q

Anaerobic components that are different in children?

A
  1. Glycogen stores are lower concentration
  2. Lower PFK
  3. Lower Phosphagen stores
48
Q

How do we improve bone density?

A
  1. Pylometrics
  2. High intensity exercise
  3. Jumping
  4. Aerobic/strength
49
Q

Common fracture sites in older adults?

A
  1. Hip
  2. Vertebrae
  3. Distal forearm
50
Q

What is contraindicated in people with osteoporosis?

A
Explosive movements
High-impact stuff 
Dynamic ab exercises
Excessive trunk flexion 
Twisting 
Trunk flexion
51
Q

FITT for osteoporosis?

A

F- 3-5days
I- 40-60%HRR
T-30-60 min
T- aerobic

52
Q

Complication and considerations for sarcopenia?

A
Decreased PA
Decreased adaptability 
Increased recovery time 
Decreased bone mass
Impaired vision 
Comorbidities
53
Q

Physiological changes in people with sarcopenia?

A
  1. Decrease muscle fiber type
  2. Decreased ATP storage
  3. Decreased CP
  4. Decreased glycogen storage
  5. Decreased enzymes
  6. Decreased muscular strength
54
Q

What pulmonary, Thermoregulatory, and perceived exertion components of exercise are different in children?

A
  1. Respiratory rate increase
  2. Sweating rate is lower
  3. Longer acclamation to heat
  4. Faster cooling
  5. Greater body core temp
  6. RPE is easier
55
Q

What Cardiorespiratory components are different in children compared to adults?

A
  1. VO2max is lower
  2. HR is higher
  3. Max HR is higher
  4. Blood flow is higher
56
Q

What are some acute symptoms of arthritis?

A

Fatigue, joint pain, reduced joint nutrition

56
Q

What are some chronic symptoms of arthritis?

A

Permanent joint damage, pain at the end of normal ROM, stiffness after rest, poor posture, abnormal gait

56
Q

Non-pharmacological modalities for arthritis?

A

Education, PT, OT, Braces, Canes, walking aids, Ice, heat, weight reduction, shoe modification

56
Q

Arthritis treatments with pharmacology

A
  1. Analgesics
  2. NSAIDs
  3. DMARDs
  4. Corticosteroids
  5. Injections