C20 Flashcards

1
Q

Health fitness instructor needs to design an individualized program for special needs that understand their unqiue considerations (3)

What kind of training is needed for special needs

A
  • Strength training for special populations
    o The health fitness instructor needs to design an individualized program in close consultation with the client.
    o They must understand the client’s needs and precautions, where to get more information, be alert to problems, and know when to take action or call for medical help.
    o Resistance training has become an important component of exercise programs for athletes and for overall health and fitness in the general population.
    o In this chapter, resistance training for several populations with special needs is discussed, and different aspects and possible contraindications are considered
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2
Q

Geriatrics

A

o People reaching age 65 have an average life expectancy of an additional 18.2 years, but many will have to deal with at least one chronic condition that will impact their quality of life.
o 65 to 74 years old: 20% have difficulties with activities of daily living (ADLs); only 26% engage in regular physical activity.
o ≥75 year old: only 16% engage in regular physical activity.
o ≥85 years old: more than half have difficulties with ADLs.

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3
Q
  • Normal aging and Sarcopenia
    Causes what to the anatomically and physiologically to the body and define it
A

o Typical aging process: deleterious effects on human skeletal muscle; associated with loss of muscle mass, muscle strength and power, and even ADLs.
o Sarcopenia: progressive loss of muscle mass with advancing age; accompanied by loss of motor units.
o Overall effects of sarcopenia contribute to decline in basal metabolic rate and progressive increase in percent body fat.

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4
Q

What kind of training lessen the effects of sacropenia

A

o Resistance exercise: a powerful stimulus to lessen the effects of sarcopenia in the elderly.
o Progressive resistance training (PRT): preserves both muscle mass and strength in older adults.
o Increasing muscular strength and mass in the elderly improves functional status, independence, and overall quality of life.

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5
Q

Osteoporosis definePrevalance % fractures are attributed to this
Osteopenia define
Primary treatment of excercise
How can be bone mass be maintained for early preventiton of oseterporosis

A

o Osteoporosis: a systemic process of diminishing bone mass and deterioration of internal bone structure that results in an increased risk of fracture; known as a “silent disease” because the first sign of disease may be a fracture.
o More than 1.5 million fractures annually are attributed to osteoporosis.
o Osteopenia: death of bone cells.
o Exercise has become a primary treatment recommendation for osteoporosis.
o Evidence suggests that resistance training and weight-bearing exercise are essential for a client with osteoporosis.
o Bone mass attained early in life and maintained with exercise, diet, and lifestyle choices is the best way to prevent osteoporosis.

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6
Q

Pediatrics How many overweight
Obese?
What are the risk factors?
Children w disabilities like.. can affect physical functioning
What career choice can help?

A

o Approximately 30% of children and adolescents are overweight; about 15% are obese.
o This increases risk factors for conditions like asthma, diabetes, and hypertension.
o Some children are born with a disability, such as cerebral palsy, Down syndrome, or muscular dystrophy.
o All of these conditions and disabilities can significantly affect physical functioning during childhood.
o Health fitness professionals can play a key role in getting the pediatric population started on a lifelong path of physical fitness.

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7
Q

Healthy children and adolescents
The process of growth and *development in children (prepuberty) and adolescents (postpuberty) results in increase of
Age effect define

A

increases in muscle size and strength.
o There is an “age effect,” which means older children and adolescents will be stronger, pound for pound, than younger individuals.

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8
Q
A

ncreases muscle strength.
o Prior to puberty, anabolic hormone concentrations are low; this limits the potential for resistance training to cause significant hypertrophy.
o After puberty, both men and women are capable of changes in both muscle size and strength with properly implemented resistance training programs.
o Major concern with youth resistance training is safety.
o Improper resistance training can cause damage to epiphyseal plates, which leads to improper growth of the long bones.
o Key to safe resistance training in youth is to ensure that there is proper supervision for training and that lighter weights and higher repetitions are used.
o A properly designed and supervised resistance training program should incorporate periodization principles to vary volume and intensity throughout the year.
o Progression should emphasize increases in repetitions relative to increases in resistance.
o Very light loads should be used when new movements are being learned to ensure learning proper technique.

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9
Q

Many studies have shown that resistance training in children and adolescents effectively
Prior to puberty, what hormone concentrations are low and limits body for what muscular gain

After puberty, both men and women are capable of changes in botH muscles

A

Increases muscle strength.
o Prior to puberty, anabolic hormone concentrations are low; this limits the potential for resistance training to cause significant hypertrophy.
o After puberty, both men and women are capable of changes in both muscle size and strength with properly implemented resistance training programs.
o

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10
Q

Major concern with youth resistance training

Improper resistance training can cause damage to

What are the key to safe resistance training for youth

A properly designed and supervised resistance training program should incorporate

And Progression should emphasize increases in

When learning a new technique loads should be to —ensure —

A

Major concern with youth resistance training is safety.
o Improper resistance training can cause damage to epiphyseal plates, which leads to improper growth of the long bones.
o Key to safe resistance training in youth is to ensure that there is proper supervision for training and that lighter weights and higher repetitions are used.
o A properly designed and supervised resistance training program should incorporate periodization principles to vary volume and intensity throughout the year.
o Progression should emphasize increases in repetitions relative to increases in resistance.
o Very light loads should be used when new movements are being learned to ensure learning proper technique.

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11
Q

One of the major causes of intellectual disability is

A

o One of the major causes of intellectual disability is Down syndrome.

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12
Q

Down syndrome And affects about 1 in live births
characteristics

A

Down syndrome: genetic disorder that affects approximately 1 in 600 to 1,000 live births.
o Characterized by cognitive delay, distinct facial features such as epicanthal folds of the eyelids and a relatively flat occiput and nasal bridge, and short limbs.

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13
Q

People with DS have physiological terrible factors to what kind kind of increased risks of health problems

A

People with Down syndrome often have poor muscle tone (hypotonia) and joint laxity, which can lead to increased risk of musculoskeletal and orthopedic problems.
o

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14
Q
A

Individuals with Down syndrome have been shown to be significantly weaker than both age- and sex-matched controls.

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15
Q

Down syndrome is weaker in what to normal people

A

Individuals with Down syndrome have been shown to be significantly weaker than both age- and sex-matched controls.

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16
Q

Why are DS so weak
How can they get stronger

A

This weakness is correlated with low bone mineral density; therefore the risk of osteoporosis is elevated in those with Down syndrome.
o Resistance training greatly benefits individuals with Down syndrome by increasing muscle tone and motor activity.

17
Q

Muscular Dystrophy define
Most common form
Most common fatal childhood genetic disease and 1 in births

Describe the repeated cycles of what happens to the muscles for DMD and results in what

What kind of teatment can help deter the effects of DMD

A

o Muscular dystrophy: describes a family of genetic muscular diseases that involve dysfunction of the dystrophin glycoprotein complex in skeletal muscle; this leads to progressive muscle wasting, weakness, and disability.
o The most common form is Duchenne muscular dystrophy (DMD).
oDMD: most common fatal childhood genetic disease (1 in 3,500 births); only found in boys.
o Over time, repeated cycles of muscle degeneration and regeneration lead to a net degeneration of the muscle tissue, weakness, loss of mobility, and eventually death.
o Alternative forms of progressive resistance training program can build muscle and maintain a healthy body in individuals with DMD.

18
Q

Neuromuscular Disease is due to damage to

Common symptoms

What kind of Complex multiple-system conditions can occur

Treatment

A

o Can be due to damage or dysfunction in the CNS, the peripheral nerves, or the muscle tissue.
o Complex multiple-system conditions can occur, such as stroke and fibromyalgia.
o Common symptoms are spasticity, rigidity, weakness, and sensory loss.
o Resistance exercise can help in the rehabilitation of neuromuscular conditions where weakness is the main cause of loss of motor function.

19
Q

Define Stroke
Prevalance number and what rank of leading cause of death in US
LEADING CAUSE in US of diability is

A

o Stroke: death of brain cells as a result of impaired blood flow to the brain.
o About 750,000 people experience a stroke each year in the United States.
o Third leading cause of death in the United States and the leading cause of disability in adults.
o

20
Q

Two general categories of strokes
Define
Both can lead to muscke — and —
Motor sympytom usually more severe on
Treatment
And can help with stroke patients what teo main physiological systems

A

 ischemic strokes
 hemorrhagic strokes
o Ischemic stroke: similar to a heart attack in that occlusion of a cerebral artery occurs due to plaque formation.
o Hemorrhagic stroke: results from the loss of structural integrity of a cerebral blood vessel and subsequent bleeding.
o Both types can lead to muscle weakness and spasticity.
o Motor symptoms are typically most severe on one side of the body.
o Several studies have shown that strength training has the potential to improve function.
o Structured resistance training programs may improve a stroke patient’s cardiovascular and respiratory efficiency, thus improving quality of life.

21
Q
  • Spinal cord injury/SCI
    Most often results from motor vehicle accidents What is it%
    followed by falls % then violence % and sports injuries (%).
    Prevalnce number in US
A

o Most often results from motor vehicle accidents (50.4%) and falls (23.8%), followed by violence (11.2%) and sports injuries (9%).
o Approximately 247,000 people live with SCI in the United States.
o

22
Q

Categorization depends on the level of spinal cord injury and whether it is complete or incomplete.
Determine the injury names from vertebrae C1 to T1 and T2 to T12

These 2 groups are they either upper or lower motor neuron injuries?

What results in injuries to the lower motor neuron

Research focused on which SCI group

Treatment

A

o C1 to T1 injuries result in tetraplegia.
o T2 to T12 injuries result in paraplegia.
o These two groups are upper motor-neuron injuries.
o Injuries to T12 and lower result in paraplegia and are considered lower motor-neuron injuries.
o Research on resistance training with SCI has focused on those with paraplegia.
o Circuit resistance training has been shown to be the most effective method of improving strength and decreasing pain.
o Several precautions must be taken because of the motor and sensory deficits that result from an SCI.

23
Q
  • Cardiovascular Disease
    o Research on resistance training with SCI has focused on those

Treatment

Precautions from treatment

Higher levels of pa and — training can lower risk of developing

What two pa can improves skeletal muscle function and vascular function.

A

with paraplegia.
o Circuit resistance training has been shown to be the most effective method of improving strength and decreasing pain.
o Several precautions must be taken because of the motor and sensory deficits that result from an SCI.
o Higher levels of physical activity were associated with a lower risk of developing cardiovascular disease.
o Effects of resistance exercise may also reduce cardiovascular risk factors.
o A combination of aerobic exercise and circuit resistance training improves skeletal muscle function and vascular function.