final- Aging Spine/ fall prevention Flashcards
who is at risk for falls
vision problems weak muscles poor flexibility fallen before blood sugar/pressure issues
what are the ABCDEFGH of fall prevention
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
add leg strength
quadriceps
get up n move
cochrane review supports multi-component exercise
build better balance
one legged stand
tai chi
practice
create flexibility
alphabet on floor with toe
barefoot is best
drug review
change meds that cause falls
encourage
encourage patients to do 1 of ABC’s this week
fluids
drink plenty of water
get tested
blood sugar
blood pressure
heart rate
home safety checklist
especially patients with low vision
What does the spine consist of age 0-4
nucleus pulposus present
What does the spine consist of age 9-14
less nucleus, bilateral clefts form in annulus at jts of luska
What does the spine consist of age 20-35
clefts enlarge and dissect disc towards midline
What does the spine consist of age >60
disc is dry no nucleus ligament like decrease ROM more rigidity
t/f degenerative changes as seen on x-ray are a fairly good indicator of the patients pain and/or functional status
FALSE
kirkaldy-willis defintion of dysfunction
subluxation or poor biomechanics may produce a focal swelling, pain, muscle splinting
kirkaldy-willis definition of instability
trauma or prolonged dysfunction leads to aberrant motion, inability to hold the adjustment, fatigue
what should you use xrays for
educate patients on improving biomechanics
not to explain pain
what should we educate our patients on that science supports
chiro care decreases pain
quit smoking
moderation in activities and diet
goals of dysfunction
to prevent progression to chronic pain or long standing aberrant motion
goals of instability
prevent long standing aberrant motion and chronic pain:stabilize joints
goals of stabilization
to retain strength, flexibility, and ROM
