Disabilities Flashcards

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1
Q

10 Eligible Impairment Types

A
  1. Impaired Muscle power
  2. Impaired passive ROM
  3. Limb deficiency
  4. Leg length difference
  5. Short stature
  6. Hypertonia
  7. Ataxia
  8. Athetosis
  9. Vision impairment
  10. Intellectual impairment
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2
Q

Sports that include all impairment types

A

Athletics

Swimming

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3
Q

Sports that have one specific impairment type

A

Goalball

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4
Q

Sports that have a selection of impairment types

A

Equestrian

Cycling

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5
Q

SCI athletes elite

A

15% congenital
85% acquired mostly through serious traumatic accident
Young>old

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6
Q

Anaerobic power

A

Max power using immediate and short-term sources of energy production (ATP 3-4sec, P-Cr 15sec)

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7
Q

Anaerobic power in SCI/LL amputees/neuro disorders

A

Decreased muscle mass

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8
Q

SCI peak anaerobic power and capacity

A

Inversely related to level of injury
i.e. the lower the level the greater the anaerobic capacity
L4-S3 level 3-4x greater anaerobic power than levels higher than C6

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9
Q

Aerobic power

A

VO2 max traditionally used (amount O2 used per unit time)
Dependant on ability to transport, deliver and utilize O2
VO2 max= Q(CaO2-CvO2)
Q= HR x SV

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10
Q

SCI Vo2 max

A

Often not obtained

Use VO2 peak

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11
Q

Tetraplegia

A

Often unable to obtain max HR as disruption to sympathetic stimulation

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12
Q

Cardio-resp fitness

A

Impaired in high-level injuries
Decreased FVC, FEV1, FEV1/FVC ratio
Respiratory Muscle training is a novel method of training to increase ventilatory capacity and enhance performance

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13
Q

Orthostatic hypotension

A

Increased risk

Hydration is important

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14
Q

Orthostatic hypotension management

A

Elastic stockings and abdominal binders not always tolerated during exercise
IV fluids and drugs used only in an emergency
WADA banned substances
IV fluids banned unless emergency

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15
Q

Orthostatic hypotension- new spinal cord injury

A

Have been flat on back for ages, so then body unable to maintain BP of them not lying down. Body also lost some sympathetic control and autonomic NS
Also lost a lot of muscle tone- venous return etc.

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16
Q

Thermoregulation

A

Decreased hot and cold tolerance
Impaired due to disruption of autonomic + somatic nervous systems below level of injury
Increased risk of exertional hyperthermia - decreased skin blood flow and sweating

17
Q

Novel cooling methods

A

Cooling prior to exercise can improve performance

Cooling devices worn on head

18
Q

Able bodied recommendations for thermoregulation

A

Increase fitness
Avoid heat and humidity training where possible
Adequate fluid balance
Illness, sleep deprivation, alcohol intake
Appropriate clothing

19
Q

Body composition

A

Muscle wasting

Osteoporosis

20
Q

Injury

A

Injury prevalence= no significant difference compared to able-bodied in similar sports
Except higher incidence shoulder pain between 30-70%
Osteoporosis and altered sensation high suspicion of fractures
PPE- gloves, leg straps, same as able-bodied

21
Q

Skin

A

Pressure sores
Customised sports chairs
Customised sock and socket for training and event leg/limb
Customised clothing- beware seams and pockets
Regular pressure relieving
Adequate nutrition
Endurance events
Long-haul flights to international events

22
Q

Wheelchair biomechanics

A

Wheelchair-athlete interface critical to performance
Propulsion biomechanics more efficient propulsive stroke, more force per stroke
Potential increase performance through an extrinsic factor
Advances and research- biomechanical engineers available to elite teams
Lightweight, customised
Handrim diameter- sport-specific

23
Q

Boosting

A
  • Deliberate and voluntary induction of AD to improve performance
  • Clamping catheter, over tightening leg straps, sitting on sharp object
  • 10% improvement in performance over 7.5km wheelchair race
  • SBP were not elevated to dangerous level according to WHO
  • Voluntary boosting not differentiated from true AD
  • Athletes routinely checked at start line for signs: sweating, flushed face, goose bumps, anxiety and tremor
  • SBP>180mmHg twice= not able to compete
  • Boosting is prohibited by IPC