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nsca poop > Chapter 22: Clients With Spinal Cord Injury, MS, Epilepsy, And Cerebral Palsy > Flashcards

Chapter 22: Clients With Spinal Cord Injury, MS, Epilepsy, And Cerebral Palsy Flashcards

1
Q

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

A

autonomic dysreflexia (AD)

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2
Q

higher HR, lower BP, improper temperature regulation and venous return are all exercise concerns for this special populations

A

SCI clients

Spinal cord injury

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3
Q

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

A

increase bloodflow to the skin

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4
Q

The inabiltiy to increase blood flow to the skin also exposes SCI clients to an increased risk of this

A

cold-related injuries

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5
Q

the major pathophysiologic problems limiting the ability of a person with SCI to engage in and adapt to exercise training are the (2)

A

extensive skeletal muscle paralysis

sympathetic autonomic NS impairment

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6
Q

common mode for exercise testing for persons with SCI

A

arm crank ergometer

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7
Q

Forced vital capacity is reduced by this much in people with SCI

A

50%

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8
Q

This is suggested to train inspiratory muscles in quadraplegics

A

resistive inspiratory muscle training

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9
Q

exaggerated muscle tone and reflexes

A

spasticity

Clients with SCI are prone to this

Spinal cord injury

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10
Q

people with MS are prone to this, and many different methods can be utilized to correct it

A

heat intolerance

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11
Q

increasing muscle strength, muscle tone, equalize agonist-antagonist muscle strength, and reduce spasticity are all goals of training individuals with this condition

A

MS

Multiple sclerosis

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12
Q

during the first few months of aerobic training for an individual with MS progression should be achieved thorugh this

A

increasing training volume by increasing training time or adding another day

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13
Q

aerboic exercise goals for this population include improving cardiovascular function, reduce the risk for CVD, and reduce activity-induced fatigue

A

MS

Multiple sclerosis

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14
Q

Progression should occur at this rate compared to normal individuals in people with MS

A

50% the rate

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15
Q

This type of exercise in clinets with MS should be avoided

A

exercise to exhaustion

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16
Q

This is a warning sign that an exercise program is excessive

A

persistent fatigue lasting more than two days

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17
Q

T/F: in many persons with epilepsy, regular aerobic exercise may contribute to improved seizure control

A

T

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18
Q

This percent of individuals with epilepsy may experience a precipitant seizure due to vigorous exercise

A

10%

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19
Q

T/F: there are special exercise protocols for people with epilepsy

A

F, they can be trained such as normal individuals

20
Q

inability to perform coordinated voluntary gross and fine motor skills

A

apraxia

21
Q

uncoordinated voluntary movements: clients with this often have a wide based gait with genu recurvatum or hyperextended knee and may exhibit mild intention tremors

A

ataxia

22
Q

slow, writhing, contortion like motions of the appendicular musculature

A

athetosis

23
Q

state of excessive, spontaneous movements, irregularly timed, that are nonrepetitive and abrupt, client is unable to maintain voluntary muscle contractions

A

chorea

24
Q

impairment of voluntary movement resulting in incomplete movements

A

dyskinesis

25
Q

sustained muscle contractions that result in twisting and repetitive movements or abnormal posture

A

dystonia

26
Q

shock like synchronous or asynchronous contractions of a portion of a muscle, and entire muscle, or group of muscles

A

myoclonus

27
Q

a state of increased tonus of a muscle characterized by heightened deep tendon reflexes

A

spasticity

28
Q

this is an irreversible condition and medical and rehapilitative therapy focuses on controlling spasticity and athetosis and improving function and neuromuscular coordination

A

cerebral palsy

29
Q

These two things are preferred modalities for exercise testing in ambulatory persons with CP

A

leg ergometer and the arm+leg ergometer

30
Q

Spinal cord injury between T1 and C1 segments of the spine result in

A

quadriplegia (tetraplegia)

Impairment in the ARMS, trunk, legs, and pelvic region

31
Q

Spinal cord injury to segments between T2 and T12 causes impairments in the

A

Paraplegia

Trunk, legs, and pelvic organs

32
Q

What is more relevant for the personal trainer (acute/chronic) clinical manifestations of Spinal cord injury

A

Chronic

Especially cardiovascular problems

33
Q

Autonomic dysreflexia can be life threatening, thus the personal trainer should look for signs of…

A

High blood pressure or boosting

34
Q

Voluntarily inducing autonomic dysreflexia during distance events to improve performance is known as…

A

Boosting

35
Q

Most common exercise induced injuries among SCI clients occurs in the … (3)

A

Shoulders, wrists, and elbows

36
Q

To prevent injuries to the shoulder, wrist, and elbow in clients with SCI the exercise program should…

A

Stretch the anterior shoulder muscles and strengthen the posterior shoulder muscles

37
Q

In addition to higher heart rate and lower blood pressure,

these two concerns need to be addressed in clients with SCI

A

Temperature regulation

Venus return

38
Q

SCI client with injuries above T6 likely have

A

Trouble with temperature regulation

Unable to thermoregulate through sweating or shivering

39
Q

Persons with Spinal Cord Injuries have poor venous return, particularly in the __________ or ________ posture, for this reason they should be trained in the _________ posture.

A

Upright or seated

Supine

40
Q

Persons with SCI are at risk for several metabolic disturbances (t/f)

A

T

41
Q

The major pathophysiological problems limiting the ability of persons with SCI to engage in and adapt to exercise training are … (2)

A

Extensive skeletal muscle paralysis

Sympathetic autonomic nervous system impairment

42
Q

Maximal exercise testing of clients with SCI should be administered only in medical settings. However trainers can perform ________ cardiorespiratory fitness testing.

A

Submaximal

43
Q

Forced vital capacity (total volume of air forcefully exhaled) is reduced by ______ in persons with high tetraplegia

A

50%

44
Q

Resistive inspiratory muscle training (RIMT) can improve pulmonary function in people with

A

Tetraplegia (quadriplegia)

45
Q

For clients with Spinal cord injuries avoid monitoring aerobic exercise intensity with heart rate monitors and instead use…

A

RPE

nsca poop (6 decks)

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