Assessment Quesions Flashcards
Intervention should focus on which 3 things for management of patient with knee pain from OA
Strength training for knee extension, dynamic balance training, exercises to promote weight loss
A comprehensive exercise program for a person with osteoporosis and a history of vertebral compression fracture should include which 3 things
Dynamic balance exercises, trunk stability exercises, spine extension exercises
What is the recommendation for resistance exercise (times per week)for individuals with OA when not acutely inflamed or unstable?
What about for aerobic activity
Max of 2 days per week isotonic and dynamic exercises, 8-10 exercises, 1 set of 4-6 reps
When inflamed or unstable 2 and increase to 5-10 times per day isometric exercises, 8-10 exercises, hold contraction less then 6 seconds, progress from 1 rep to 8-10
Aerobic 3-4 days per week
Spirduso’s continuum of physical function
People 75-85 classified as either physically elite, fit, independent, frail, or dependent.
4 Principles of Mueller and Maluf’s Physical Stress Theory
Overload
Specificity
Progression
Recovery
Key Points: IIIStep Conference 2005
The mechanisms underlying acquisition of skilled movement are similar to those underlying recovery of function following a CNS lesion
1) Training must be skilled
2) Extensive practice required
3) training must involve challenge, focused attention, and motivation
Avoid artificial breakdown of the task (as in gait)
The task must be meaningful to the individual to elicit focused attention and motivation, with the possibility of failure if insufficient effort given and of reward if accomplishes task.
Goodman, Snyder, Boissonnault created ________________
In which the PT identifies clinical indicators, and particularly clusters of clinical indicators, that signal the need to consider underlying systemic disease or to perform additional specific screens, e.g. Screening unusual odors, side effects of NSAIDs
Review of Systems
Can be a patient questionnaire
Why is the HOACII useful for the clinician?
Goal-oriented, time delimited through a process by which the PT determines predictive criteria that are behaviorally based. If demonstrated, these behaviors indicate that the target anticipated problem has been addressed by reducing or eliminating the risk factors for its development.
LSVT BIG
For Parkinson’s, an extension of LSVT LOUD for speech, developed by Becky Farley. Focuses on increasing the amplitude of motor output, uses intensive task practice, to recalibrate movements by scaling them “big” so they are actually normal
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7 Emergency Situations According to Sullivan
Loss of consciousness
Extreme confusion not consistent with premorbid status
Uncontrolled Seizure Activity
Acute infection with other associated neurologic signs such as unchallenging rigidity, intense, localized back pain
Rapid onset of focal neurologic deficits suggesting stroke in progress
Evidence of spinal column Instability: decrement in motor and sensory status with position change from sit to stand, UE paresthesias with neck flexion.
Non-responsive Autonomic dysreflexia
According to the ACSM the optimal training HR for well older adults is ____ to ____ of HRmax
70-85% of HR max
Corresponds to 60-70% V02 max
The type of drug most commonly used to treat congestive heart failure:
Digitalis compounds (cardiac glycosides)
According to the AHA, stents are placed in what percent of all percutaneous transluminal cornary angioplasty procedures?
70-90%
According to the ACSM if the optimal training intensity is 60-80% VO2 max, then the corresponding optimal training HR is _____ to _____ HR max
What’s the regression equation?
70-85%
.64x%VO2max + 37
