10B: Geriatric Endurance Flashcards
What are the fundamentals of a CV screen?
- PMH
- Risk factors
- Medications
- AROM and strength
- Resting vitals
- Heart and breath sounds
- Exercising vitals as appropriate
What are examples of endurance testing?
- 30 second STS
- Step test
- 10 m walk test
- TUG
- 6/2 MWT
- 1 mile walk test
Why should you do specific endurance tests prior to exercise and activity?
Will give you a quantitative measure for endurance goals?
Why is gait speed important?
- Slow gait speed linked to increased mortality
- Linked to falls and independence
What is the cutoff gait speed for decreased risk of mortality?
> 0.6 m/s
Why is it important to assess task specific endurance?
- Quantitative measure
- Combine treatment for endurance and functional mobility
What are the three systems that can be connected with task specific training?
- Function
- Muscle strength
- Aerobic endurance
What is the OPQOL?
Older People’s - 35 questions to measure QOL across several domains
Should you design a treatment plan based on the pt’s age or function?
Function
How do you modify exercise for OA or osteoporosis?
Less weight bearing - aquatic, bike, swiss ball, elliptical
How do you modify exercise for CV health?
Watch for symptoms - low intensity for longer duration
How do you modify exercise for pulmonary impairment?
Based on dyspnea - short and frequent busts of activity with rest
When should you avoid an activity with a pt?
- Contraindicated by surgery
- Adverse response to activity at low intensities
What are CV red flags during a screen?
- Frequent chest pain or indigestion
- Chest wall pain
- Irregular pulse
- LE edema with increased activity, SOB, weight gain
- LE pain with activity
What are pulmonary red flags during a screen?
- Persistent cough
- Posture changes
- Thoracic muscular changes
- Thoracic cage pain
- History of infection, hospitalization, flu
