Disabilities Flashcards
10 Eligible Impairment Types
- Impaired Muscle power
- Impaired passive ROM
- Limb deficiency
- Leg length difference
- Short stature
- Hypertonia
- Ataxia
- Athetosis
- Vision impairment
- Intellectual impairment
Sports that include all impairment types
Athletics
Swimming
Sports that have one specific impairment type
Goalball
Sports that have a selection of impairment types
Equestrian
Cycling
SCI athletes elite
15% congenital
85% acquired mostly through serious traumatic accident
Young>old
Anaerobic power
Max power using immediate and short-term sources of energy production (ATP 3-4sec, P-Cr 15sec)
Anaerobic power in SCI/LL amputees/neuro disorders
Decreased muscle mass
SCI peak anaerobic power and capacity
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
Aerobic power
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
SCI Vo2 max
Often not obtained
Use VO2 peak
Tetraplegia
Often unable to obtain max HR as disruption to sympathetic stimulation
Cardio-resp fitness
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
Orthostatic hypotension
Increased risk
Hydration is important
Orthostatic hypotension management
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
Orthostatic hypotension- new spinal cord injury
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.