Active aging

Question 1

what is trigs to wall score?

Answer 1

normal is within 10 cms

Question 2

what is the scoring for the occiput to wall test

Answer 2

abnormal is greater than 4 cms

Question 3

What is the scoring for pelvis to rib ratio?

Answer 3

increased compression fracture risk off less than 2 finger breaths.

Question 4

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

Answer 4

risk for compression fractures

Question 5

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

Answer 5

match their frequency, duration, and intensity

Question 6

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

Answer 6

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

Question 7

with exercises what scores increased

Answer 7

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.

Question 8

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

Answer 8

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

Question 9

depression is common in how many older adults

Answer 9

5 million/31 million of 65 + older us citizens

Question 10

clinical depression occurs in?

Answer 10

13% of older adults over the age of 80.

Question 11

major depression is how common in community dueling adults?

Answer 11

8-16%

Question 12

how many older adults see a pcp for depression

Answer 12

5-10%

Question 13

how many older adults in med sure have depression

Answer 13

10-12%

Question 14

what are the 5 Ms of aging

Answer 14

mind
mobility
medications
multi complexity
matters most

Question 15

what does mind mean in the 5 ms of aging

Answer 15

depression and dementia

Question 16

what does mobility mean in the 5 ms of aging

Answer 16

balance, all functions, risk for falls

Question 17

what does medication mean in the 5 ms of aging

Answer 17

reduce polypharmacy and manage side effects

Question 18

what does multi complexity mean in the 5 ms of aging

Answer 18

manage health and living components

Question 19

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

Answer 19

meaningful to the patient and might include advanced directives

Question 20

what are the models for aging?

Answer 20

typical aging, optimal aging, successful aging

Question 21

what is meant by typical aging?

Answer 21

one or more medical conditions occurring later in life

Question 22

what is meant by optimal aging

Answer 22

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

Question 23

what is meant by successful aging?

Answer 23

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

Question 24

what are the factors leading to active aging

Answer 24

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

Question 25

what factors play into personal determinants to active aging

Answer 25

cognitive performance personality behavioral psychological

Question 26

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

Answer 26

social relationships

Question 27

health plays into what two determinants of active aging?

Answer 27

health and social services behavior determinants

Question 28

what is meant by fragility?

Answer 28

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

Question 29

what is geriatric syndrom?

Answer 29

incontince fallls pressure injuries delirium functional decline

Question 30

what are the metrics for aging

Answer 30

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

Question 31

walking speed are what in older adults

Answer 31

functional vital signs

Question 32

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

Answer 32

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

Question 33

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

Answer 33

less than 0.4 seconds

Question 34

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

Answer 34

0.4-0.8 m/sec

Question 35

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

Answer 35

0.8- 1.2 m/sec

Question 36

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

Answer 36

anything less than 1.0 m/s

Question 37

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

Answer 37

1.2 m/sec and above

Question 38

What is a gait speed of MCID

Answer 38

0.1 m/sec

Question 39

what are the functional requirements for community living for older adults

Answer 39

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

Question 40

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

Answer 40

Increased probability for cv diseases and diabetes militias

Question 41

What did passing the strength variables on the SAFE mean

Answer 41

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

Question 42

What did passing the balance measure on the SAFE mean

Answer 42

decrease in 45% probability of falling

Question 43

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

Answer 43

heart disease stroke history low bone density diabetes militias

Question 44

what is the SAFE designed to do?

Answer 44

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

Question 45

what are the pros of senior fitness testing

Answer 45

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

Question 46

what are the cons to senior fitness testing

Answer 46

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