Activity & Exercise

Question 1

Activity & exercise what are we assessing 4

Answer 1

Mobility
Activity Tolerance
Body Alignment
Lordosis, kyphosis, scoliosis

Question 2

Activity tolerance involves

Answer 2

i. Physiological (difficulty breathing, HR/BP increases, any p!, weakness, fatigue)
ii. Emotional (depressed individuals, worried, anxious)
iii. Developmental (infants, toddlers-adolescences)
iv. Sleeping

Question 3

Increase in lumbar curve

Answer 3

lordosis

Question 4

Hunchback—exaggerated thoracic curve

Answer 4

kyphosis

Question 5

Nature of movement 4 things

Answer 5

Body Mechanics
Gravity
Alignment & balance
Friction

Question 6

Force that occurs in a direction opposite to movement

Answer 6

friction

Question 7

muscle contraction that changes the muscle length

Answer 7

isotonic

Question 8

tightening muscles without moving body parts

Answer 8

Isometric

Question 9

contraction of the muscle while pushing against a stationary object (ex: push up)

Answer 9

Resistive isometric

Question 10

If caregiver has to lift more than 35 lbs of pt weight

Answer 10

pt should be considered fully dependent & assistive devices should be used

Question 11

Pathological influences on body alignment, mobility & activity

Answer 11

Congenital defects
Disorders of bones, joints, and muscles (osteoporosis)
Central nervous system damage
Musculoskeletal trauma (ex: fx)

Question 12

Stage III or IV pressure ulcers

Answer 12

care should be taken to avoid shearing force

Question 13

Factors influencing activity & exercise

Answer 13

• Developmental changes
• behavioral aspects
• environmental issues
• cultural & ethnic influences
• family & social support

Question 14

Before lifting:

Answer 14

1. Assess weight
2. Determine assistance needed
3. evaluate available resources

Question 15

If fainting episode occurs

Answer 15

i. Assume wide base of support with one foot in front of other
ii. Extend one leg
iii. Let pt slide down the one leg
iv. Gently lower to the floor & protect head

Question 16

Top of walker

Answer 16

line up with crease on inside of wrist

Question 17

Walker height

Answer 17

Elbows flexed about 15-30 degrees

Question 18

Weaker leg when walking with cane

Answer 18

Weaker leg is moved forward, divide weight between cane and stronger leg

Question 19

Stronger leg when walking with cane

Answer 19

Stronger leg is advanced past cane; divide weight between cane and weaker leg

Question 20

Keep cane on

Answer 20

stronger side of body

Question 21

Measuring crutches

Answer 21

Measure arms 20-25 degrees

2-3 finger widths from axilla

Question 22

Crutches ascending stairs

Answer 22

1. Up with the good
   ii. Weight is placed on crutch
   iii. Weight is transferred from crutches to unaffected leg on stairs
   iv. Crutches are aligned with unaffected leg on stairs

Question 23

Crutches descending stairs

Answer 23

Down with the bad

Crutches, affected leg, unaffected leg

Question 24

Crutches sitting in chair

Answer 24

Both crutches are held in one hand
transfer weight to crutches ^ unaffected leg
Pt grape arm of chair with free hand & lower into chair