Chapter 22: Clients with Spinal Cord Injury, MS, Epilepsy, and Cerebral Palsy Flashcards
this results from noxious stimuli such as a destended bladder or bowel, constricting clothing and infections that cause heightened sympathetic NS activity resulting in sudden onset of hypertension
autonomic dysreflexia (AD)
higher HR, lower BP, improper temperature regulation and venous return are all exercise concerns for this special populations
SCI clients
Persons with SCI, particularly those with high lesions are unable to do this in paralyzed areas, imparing the ability to dissipate metabolic heat and places them at increased risk for heat related injuires
increase bloodflow to the skin
The inabiltiy to increase blood flow to the skin also exposes SCI clients to an increased risk of this
cold-related injuries
the major pathophysiologic problems limiting the ability of a person with SCI to engage in and adapt to exercise training are the (2)
extensive skeletal muscle paralysis
sympathetic autonomic NS impairment
common mode for exercise testing for persons with SCI
arm crank ergometer
Forced vital capacity is reduced by this much in people with SCI
50%
This is suggested to train inspiratory muscles in quadraplegics
resistive inspiratory muscle training
exaggerated muscle tone and reflexes
spasticity
people with MS are prone to this, and many different methods can be utilized to correct it
heat intolerance
increasing muscle strength, muscle tone, equalize agonist-antagonist muscle strength, and reduce spasticity are all goals of training individuals with this condition
MS
during the first few months of aerobic training for an individual with MS progression should be achieved thorugh this
increasing training volume by increasing training time or adding another day
aerboic exercise goals for this population include improving cardiovascular function, reduce the risk for CVD, and reduce activity-induced fatigue
MS
Progression should occur at this rate compared to normal individuals in people with MS
50% the rate
This type of exercise in clinets with MS should be avoided
exercise to exhaustion
This is a warning sign that an exercise program is excessive
persistent fatigue lasting more than two days
T/F: in many persons with epilepsy, regular aerobic exercise may contribute to improved seizure control
T
This percent of individuals with epilepsy may experience a precipitant seizure due to vigorous exercise
10%
T/F: there are special exercise protocols for people with epilepsy
F, they can be trained such as normal individuals
inability to perform coordinated voluntary gross and fine motor skills
apraxia
uncoordinated voluntary movements: clients with this often have a wide based gait with genu recurvatum or hyperextended knee and may exhibit mild intention tremors
ataxia
slow, writhing, contortion like motions of the appendicular musculature
athetosis
state of excessive, spontaneous movements, irregularly timed, that are nonrepetitive and abrupt, client is unable to maintain voluntary muscle contractions
chorea
impairment of voluntary movement resulting in incomplete movements
dyskinesis
sustained muscle contractions that result in twisting and repetitive movements or abnormal posture
dystonia
shock like synchronous or asynchronous contractions of a portion of a muscle, and entire muscle, or group of muscles
myoclonus
a state of increased tonus of a muscle characterized by heightened deep tendon reflexes
spasticity
this is an irreversible condition and medical and rehapilitative therapy focuses on controlling spasticity and athetosis and improving function and neuromuscular coordination
cerebral palsy
These two things are preferred modalities for exercise testing in ambulatory persons with CP
leg ergometer and the arm+leg ergometer