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clin med > Active aging > Flashcards

Active aging Flashcards

Movement systems 2 final

1
Q

what is trigs to wall score?

A

normal is within 10 cms

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2
Q

what is the scoring for the occiput to wall test

A

abnormal is greater than 4 cms

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3
Q

What is the scoring for pelvis to rib ratio?

A

increased compression fracture risk off less than 2 finger breaths.

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4
Q

what do the trigs to wall, occiput to wall, and pelvis to rib measure

A

risk for compression fractures

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5
Q

how should you does older adults so that you don’t underdose them?

A

match their frequency, duration, and intensity

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6
Q

older adults that ____________, were protected from __________. while those who remained sedentary were showed deficits of______________.

A

Active adults that:
-intiated exercises
- sustained exercise
were proceed from: age related declines
sedentary adults had deficits in:
strength
mobility
aerobic endurance

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7
Q

with exercises what scores increased

A

TUG (9.2%) Chair stands (30.6%) 6 minute walk test (10.9%)
those who were inactive had decreased scores in TUG, Chair stands, and 6 minute walk test.

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8
Q

How do you provide positive outcomes to PT care in older adults?

A

Providing positive outcomes of PT care in older adults by completing interventions that are based on best available evidence.

(1) high intensity
(2) progressive, challenging, variable
(3) unique patient goals, needs, abilities, and environment
(4) ICF model

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9
Q

depression is common in how many older adults

A

5 million/31 million of 65 + older us citizens

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10
Q

clinical depression occurs in?

A

13% of older adults over the age of 80.

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11
Q

major depression is how common in community dueling adults?

A

8-16%

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12
Q

how many older adults see a pcp for depression

A

5-10%

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13
Q

how many older adults in med sure have depression

A

10-12%

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14
Q

what are the 5 Ms of aging

A

mind
mobility
medications
multi complexity
matters most

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15
Q

what does mind mean in the 5 ms of aging

A

depression and dementia

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16
Q

what does mobility mean in the 5 ms of aging

A

balance, all functions, risk for falls

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17
Q

what does medication mean in the 5 ms of aging

A

reduce polypharmacy and manage side effects

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18
Q

what does multi complexity mean in the 5 ms of aging

A

manage health and living components

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19
Q

What does matters most mean in the 5 ms of aging?

A

meaningful to the patient and might include advanced directives

20
Q

what are the models for aging?

A

typical aging, optimal aging, successful aging

21
Q

what is meant by typical aging?

A

one or more medical conditions occurring later in life

22
Q

what is meant by optimal aging

A

compact to function in many domains (physical, functional, cognitive, emotional, social, spiritual) to ones satisfaction to ones medical condition.

23
Q

what is meant by successful aging?

A

absence of disease and disability high cognitive and physical function, active entertainment with life.

24
Q

what are the factors leading to active aging

A

-health and social services
- economic
- personal
- physical environment
- social
- behavior

25
Q

what factors play into personal determinants to active aging

A

cognitive performance
personality
behavioral
psychological

26
Q

what is a factor that plays into social determinants of active aging?

A

social relationships

27
Q

health plays into what two determinants of active aging?

A

health and social services
behavior determinants

28
Q

what is meant by fragility?

A

-decreased physiological reserves and resistance to stress
- associated with comorbities and disabilities
-weight loss
-exhaustion
- weakness
-slow walking speeds
-reduced physical activity

29
Q

what is geriatric syndrom?

A

incontince
fallls
pressure injuries
delirium
functional decline

30
Q

what are the metrics for aging

A

gait speed
6 minute walk
chair rise- 30 seconds
stair climbing (10 stairs)
floor transfers

31
Q

walking speed are what in older adults

A

functional vital signs

32
Q

what are the norms for Time up and go (TUG)

A

less than or equal to 14 sec increased fall risk
less than or equal to 9 secs predicts a disability in the next 2 years

33
Q

what is the norm for gait speed for a house hold ambulator?

A

less than 0.4 seconds

34
Q

what is the norm for gait speed for a limited community ambulator?

A

0.4-0.8 m/sec

35
Q

what is the norm for gait speed for a community ambulator?

A

0.8- 1.2 m/sec

36
Q

what is the norm gait speed that need intervention for fall risk

A

anything less than 1.0 m/s

37
Q

what is the minimum gait speed needed to cross a street?

A

1.2 m/sec and above

38
Q

What is a gait speed of MCID

A

0.1 m/sec

39
Q

what are the functional requirements for community living for older adults

A

100 feet required for errands in the community
turn around
negotiate floor and surface transitions
gait speed of 1.2 -2.9 miles per hour
need to carry at least 7 pound packages

40
Q

Failed cardiovascular measures on the SAFE senior athletes fitness exam means what?

A

Increased probability for cv diseases and diabetes militias

41
Q

What did passing the strength variables on the SAFE mean

A

predictive of fall risk
each stage passed was a decrease of 43% probability of falling

42
Q

What did passing the balance measure on the SAFE mean

A

decrease in 45% probability of falling

43
Q

the walk speed teat on the SAFE is indicative of what?

A

heart disease
stroke history
low bone density
diabetes militias

44
Q

what is the SAFE designed to do?

A

Improve athletes performance with limited validity and is designed to give athletes feedback

45
Q

what are the pros of senior fitness testing

A

Comprehensive measure of upper and lower body strength and flexibility, aerobic, endurance, agility, dynamic balance
Easy to administer, safe for moderate physical activity

**Good normative data

46
Q

what are the cons to senior fitness testing

A

General assessment
Requires certain level of fitness to assess
Biased against frail population
Still needs PT eval to assess underlying impairments that contribute to subpar scores

47
Q
A

clin med (19 decks)

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