Age Related Changes and Older Athletes Flashcards

1
Q

What MSK changes occur with aging?

A
  • bone loss
  • water loss
  • reduction of elastin
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2
Q

sarcopenia vs cachexia

- Which one responds well to exercises?

A

sarcopenia - age-related decline in muscle mass
- responds well to exercises

cachexia - decline in muscle/body wasting that does not respond to nutritional support

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3
Q

What type of fibers are lost w/ sarcopenia?

A

type 2 which affect strength and power

- sit to stand exercises

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4
Q

__________ exercise may not be appropriate in presence of bone loss and dried out connective tissue

A

high impact

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5
Q

clinical consequence of decline in max HR and VO2Max

A

smaller aerobic workload - pt will have less endurance

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6
Q

clinical consequence of stiffer, less compliant vascular tissue

A

higher BP, slower ventricular filling time, reduced CO

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7
Q

clinical consequence of loss of SA node cells

A

lower max HR

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8
Q

clinical consequence of reduced contractility of vascular walls

A

slower HR, lower VO2Max, smaller aerobic workload

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9
Q

clinical consequence of thickened capillary basement membrane

A

reduced arteriovenous O2 uptake

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10
Q

Connective tissue stiffness does what to the muscles?

A

increases muscular effort required for movement which leads to reduced muscle endurance

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11
Q

clinical consequence of sloughing/loss of myelin

A

slowed nerve conduction

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12
Q

clinical consequence of axonal loss

A

fewer muscle fibers, loss of fine sensation

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13
Q

clinical consequence for autonomic nervous system dysfunction

A

slower systemic function (CV, GI) w/ altered sensory input

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14
Q

clinical consequence of loss of sensory neurons

A

reduced ability to discern temp and pain

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15
Q

clinical consequence of slowed response time (reaction speed)

A

increased fall risk

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16
Q

Decreased _______ stability that can increase fall risk

A

postural

17
Q

What kind of vision changes can occur as we age?

A

loss of acuity, visual field, contrast sensitivity

18
Q

What is presbycusis?

A

progressive/sensorineural hearing loss

19
Q

What can changes in sensory function lead to?

A

depression, poor QoL, cognitive decline, mortality

20
Q

Advancing age leads to increase _______ inflammation

A

systemic

21
Q

Changes in the immune system are associated w/ what?

A
  • muscle wasting
  • obesity
  • loss of physical function
  • diminished organ function which reduces physiologic reserve
22
Q

What can significantly reduce inflammatory markers?

A

Exercise!

23
Q

What secretes inflammatory markers? What can reduce it?

A

visceral fat

- exercise reduces it

24
Q

What changes occur in endocrine function w/ aging?

A
  • altered gland function
  • decreased hormone production
  • decreased tissue repsonsiveness
25
Q

T/F: Depression is a normal part of aging

A

false - not normal but is common

26
Q

In presbycusis, ____-tone frequencies are generally affected before ___-tone frequencies

A

high tone > low tone

27
Q

What consonants are difficult to understand w/ prebycusis?

A

high-pitched - s, t, f, and g

28
Q

What is conductive hearing loss?

A

dysfunction of external and/or middle ear

- impairment across all frequencies

29
Q

How are smell and taste affected w/ age?

A

smell - less acute w/ age
- Olfactory nerve endings and mucus production decline

taste - taste bud regeneration slows after 50 y/o

30
Q

How is touch affected by aging?

A

rather normal with aging but other disease process have affect on loss of touch, pressure, temp, pain, and proprioception
- reduced number of touch receptors

31
Q

Meissner’s corpuscles

A

touch/texture

32
Q

Pacinian corpuscles

A

pressure/vibration

33
Q

Krause corpuscles

A

temperature

34
Q

proprioceptive loss w/ aging

A

loss of receptors/function changes joint biomechanics

35
Q

Altered neuromuscular control affects ___________.

Cerebral cortex cell loss = __________.

When paired w/ other sensory loss, this leads to what?

A
  • postural stability
  • reduced sensory interpretation
  • increased fall risk
36
Q

Vestibular dysfunction in aging

A

degeneration of sensory receptors in otoliths and semicircular canals lead to a decrease in number of vestibular hair cells and neurons

37
Q

ranking of thickened liquids from least thick to thicck

A
  • nectar
  • honey
  • pudding
38
Q

What are the components to the SAFE test?

A
  • waist to hip ratio
  • BP, HR, O2 stats, BMI, height, weight
  • shoulder flexion, ankle DF
  • modified Thomas, foam pillow posture test
  • 10 m walk test - fast gait speed
  • 5 times sit to stand
  • grip strength
  • single leg stance eyes closed and foam