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PTRS 745 Exam 2 > TherEx in Special Populations > Flashcards

Flashcards in TherEx in Special Populations Deck (23)
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1

Content: Older Populations - Examination Strategy (7)

1. Frailty - gait speed, change in activity levels, weight loss

2. Medications

3. CV risks 

4. Pulmonary - response to exercise

5. Sensory - balance, fall hx, rise from floor

6. Neuropsycological - depression, mental status

7. Musculoskeletla - risk of osteoporosis and OA

2

Content: Risk CVD in the Elderly

3

Content: Pulmonary Risks in the Elderly (4)

1. DVT

2. Emphysema

3. Chronic bronchitis

4. Chronic fibrosis

4

Content: Pulmonary Risks and Therapy Interventions in the Elderly (5)

1. Monitoring respiratory rate and 02 staruation (12-18 bpm, 91%)

2. Supine with elevated head

3. Cueing to increase respiratory depth and decrease respiratory rate 

4. Breathing holding should be avoided

5. Coordinations between breathing and exercises

5

Content: Berg Interpretation

1. Low fall risk

2. Medium fall risk

3. High fall risk

1. 41-56

2. 21-40

3. 0-20

6

Content: Musculoskeletal System Changes with Aging - Muscle (2)

1. Size decreased by 30-40% over lifetime

2. Lost of strength beginning at 50 yo

7

Content: Musculoskeletal System Changes with Aging - Articular Cartilage 

Wear and tear/Break down/Degeneration 

8

Content: Musculoskeletal System Changes with Aging - Tendon 

Loss of extensibility and joint motion 

9

Content: Musculoskeletal System Changes with Aging - Bone (2)

1. Loss of 30-40% of mineral bone over lifetime

2. Loss of 50-60% of trabecular bone over lifetime 

10

Content: Risk Factors for Developing Osteoporosis 

1. Age

2. Gender

3. Ethnicity

4. Bone structure and body weight

5. Hx

6. Other

1. Over 50 yo

2. Women 

3. Causcasian and Asian 

4. Petite/Thin

5. Family Hx, Hx of broken bones, Hip fx

6. Cigarette/Alcohol use, RA, long term use of steroids

11

Content: Common Injuries in the Elderly (5)

1. Proximal humeral fx

2. Distal radius fx

3. Proximal femur fx

4. Operative fixation or arthroplasty

5. Osteoarthrose

12

Cotent: "Parts" of Neer's Classification for Humeral Fx (4)

1. Humeral head

2. Greater tubercle

3. Less tubercle

4. Diaphysis 

13

Content: Conservative Tx of Humeral Head Fx (3)

1. 7-10 days sling immobilization

2. Standard Pt

3. No manipulation to fx

14

T/F: There are better outcomes with conventional PT for Humeral Head Fx

False: with immediate mobilization 

15

Content: Immediate Mobilization (7)

1. Began 72 hours after fx

2. Ice  and cervical massage

3. Day 1- Passive abduction (supine) – day 2 elevation in sideline

4. External rotation on day 8

5. Active ROM after 6 weeks

6. Strengthening after  three months

7. Home exercises - after 4 to 6 weeks after fracture 
 

16

Content: Patient Instruction with the Elderly (5)

1. Larger print materials

2. Slower/well articulated speech

3. Increased repetition and caregiver help

4. Avoid radical change 

5. Compare body with something easy to understand (ex. Car)

17

Content: Considerations for Endurance Training in the Elderly (4)

1. Screen for risk factors

2. 80% Max HR is safer

3. Beta blockers blunt HR response

4. Use perceived exertion scales (Borg, GVA)

18

Content: Considerations for Strength Training in the Elderly (2)

1. Is safe if there are not contraindications

2. Include functional training 

19

Content: Bone Age of Fusion 

Humerus > Radius > Femur/Tibia > Clavicle 

20

Content: Epiphyseal Fx in Children (3)

1. Due to excessive load

2. At knee due to valgus force

3. At proximal humerus due to throwing 

21

Content: Avulsion Fx in Children (5)

1. Muscle contraction or stretch

2. ASIS (due to sartorisus)

3. AIIS (due to recuts)

4. Ischial tuberosity 

5. Medial epicondyle (due to throwing)

22

Content: Common Overuse Injuries in Children (3)

1. Apophysitis - repetitive traction on apophysis

       2. Server disease - pain in posterior calcaneus near Achilles insertion 

       3. Osgood Schlatter - pain in tibial tubercle

23

Content: TherEx for Apophysitis (4)

1. Cessation of offensive activity 

2. Painless stretching

3. ROM and strenghtening

4. Biomechanics correction for atheltic activity