Week 4.3 Intervention for weakness 2 Flashcards
is there a lot of evidence that strength training is linked to improved function
not much
what are some modes of strength training after a stroke
PRE, circuit training, isokinetic training, functional and task specific training
in MS, strength and ___ improve fitness, function and QOL
aerobic
does strength training cause an increase in exacerbations
no!, there is minimal effect
for mild to moderate MS< what is the RT prescription
2x/week, moderate intensity
MS, what is the purpose of strengthening
to maintain strength and prevent decline in people with moderate to severe
what are the 3 pieces of medical management for GBS
DVT prophylaxis,
management of symptoms
immunotherapy, like please exchange and IVIG
why do we want to do PROM and positioning in people with GBS
maintain flexibility, prevent skin breakdown and facilitate respiratory management
TF: we can do ARM in the ascending phase
false
when can we begin AAROM AND AROM in GBS patients
when the paralysis begins to descend
what is a large concern with training in people with GBS
not to over fatigue them
what are the 3 treatments for CIDP
IVIG and plasma exchange
Corticosteroids,
rehab in strengthening, energy conservation and orthotics and ADs.
can we over fatigue CIDP patients?
yes and we shouldn’t
what is CMT
progressive hereditary defect of the motor and sensory nerves that causes progressive weakness and sensation loss
what are the treatments for CMT
strengthen what remains
stretching
orthotics (drop foot)
activity specific training
what is the general rule for exercise prescription in PPS
muscles at a 3 or below should not be exercised, but PROM and protected with activity
muscles that are a 3+ to 4 can cautiously exercise
muscles 4+ to 5 can exercise at moderate to vigorous activity, with no signs of overuse
what is the 20% rule for exercise prescription in people with PPS
establish the maximum capacity for each exercise, and begin a program at 20% that intensity, then do this 3-4x/week for a month, and increase by 10% each following month
what are some interventions for PPS
self manage lifestyle changes to reduce metabolic load education alleviate and prevent pain minimize posture and gait deviations maintain and increase function
what are some good exercises for PPS
circuit, bike, isolated muscles without weight aquatics, sit to stands, and UBE
what are some bad exercise
anything that pounds too much or is too hard a circuit
what can AD do in terms of load, mechanics
decrease it
and make mechanics more normal
what is the drug approved for ALS
riluzole
how can we help with respiratory failure in ALS
non-invasive (+) pressure ventilation and tracheostomy
should we take ALS patients about safety, educate them and talk about planning
yes
