final- Aging Spine/ fall prevention

Question 1

who is at risk for falls

Answer 1

vision problems
weak muscles
poor flexibility
fallen before
blood sugar/pressure issues

Question 2

what are the ABCDEFGH of fall prevention

Answer 2

A: add leg strength
B: build better balance
C: create flexibility
D: drug review
E: encourage
F: fluids
G: get tested
H: home safety checklist

Question 3

add leg strength

Answer 3

quadriceps
get up n move
cochrane review supports multi-component exercise

Question 4

build better balance

Answer 4

one legged stand
tai chi
practice

Question 5

create flexibility

Answer 5

alphabet on floor with toe

barefoot is best

Question 6

drug review

Answer 6

change meds that cause falls

Question 7

encourage

Answer 7

encourage patients to do 1 of ABC’s this week

Question 8

fluids

Answer 8

drink plenty of water

Question 9

get tested

Answer 9

blood sugar
blood pressure
heart rate

Question 10

home safety checklist

Answer 10

especially patients with low vision

Question 11

What does the spine consist of age 0-4

Answer 11

nucleus pulposus present

Question 12

What does the spine consist of age 9-14

Answer 12

less nucleus, bilateral clefts form in annulus at jts of luska

Question 13

What does the spine consist of age 20-35

Answer 13

clefts enlarge and dissect disc towards midline

Question 14

What does the spine consist of age >60

Answer 14

disc is dry
no nucleus
ligament like
decrease ROM
more rigidity

Question 15

t/f degenerative changes as seen on x-ray are a fairly good indicator of the patients pain and/or functional status

Answer 15

FALSE

Question 16

kirkaldy-willis defintion of dysfunction

Answer 16

subluxation or poor biomechanics may produce a focal swelling, pain, muscle splinting

Question 17

kirkaldy-willis definition of instability

Answer 17

trauma or prolonged dysfunction leads to aberrant motion, inability to hold the adjustment, fatigue

Question 18

what should you use xrays for

Answer 18

educate patients on improving biomechanics

not to explain pain

Question 19

what should we educate our patients on that science supports

Answer 19

chiro care decreases pain
quit smoking
moderation in activities and diet

Question 20

goals of dysfunction

Answer 20

to prevent progression to chronic pain or long standing aberrant motion

Question 21

goals of instability

Answer 21

prevent long standing aberrant motion and chronic pain:stabilize joints

Question 22

goals of stabilization

Answer 22

to retain strength, flexibility, and ROM