Final Exam Flashcards
Adolescence stages of development
11 yrs - 18 yrs
Adolescence (erikson)
12-19 yrs / identity vs, role confusion
Pre-adolescence
rapid physical growth and secondary sex characteristcs
Girls: 8-10
Boys: 9-11
End of Puberty
Females: menses at 12-13
Males: production of sperm
Characteristics of Puberty
- Primary sex characteristics
- secondary sec characteristics
- Rapid physical growth
- Change in body proportions
Sex Characteristics
Primary: testes and ovaries
Secondary: physical appearance
Adolescence Factors Affecting Timing of Puberty
Genetics, stress, socioeconomic status, environment, nutrition, fat on body, chronic illness
Puberty in female athletes
-delayed
-ovulation occurs after period
-pubertal maturation issues
-ovulatory cycles don’t occur for months to years
Pubertal maturation
establishment of cyclic ovarian function
Puberty is second to ______ as most rapid growth
Prenatal period
Adolescence Growth spurt order
Feet, legs, trunk
Puberty Height increase
Male: 4-12 inches
Female: 2-8 inches
Puberty Weight Increase
Male: 15-65lbs
Female: 15-65lbs
Adolescence Height Increases
Girls: 13-15
Boys: 15-17
Adolescence BMI Index for age
Underweight: <5%
Healthy: 5-85%
Overweight: 85-95&
Obese: 95%
Puberty Changes in body proportions
-Nose reaches adult size first
-Hands and feet before arms and legs
-LE become longer than trunk
Bone growth stops when?
Males: 21
Girls: 18
Adolescence Bones
-Immature, porous with unstable growth plates
Adolescence Muscles
-adult muscle diameter reached at 12
-strength increases related to age
-Girls: strength levels off at 15
-Boys: strength levels off 13-20
Adolescence Cardiopulmonary System
-60-90bpm
-16-24 breaths per min
-increase in size of organs
-higher HR during exercise
-lower stroke volume
-higher cardiac output
-BP lower at rest
Adolescence temperature regulation
-greater surface area to body mass
-produce more heat
-lower sweating capacity
-increased risk for temperature related injuries
Adolescence Psychosocial development
-social antagonism: need for privacy and hate supervision, wish for independence
-self consciousness
-Search for identity
-emotion issues
Psychosocial Development Young Teens
-13-14
-most self centered
-value peer’s opinions
Psychosocial Development Middle Teens
-15-16
-better at compromising
-think more independently
-risk taking behaviors
Psychosocial Development Late Teens
-17-18
-develop seriousness
Cognitive development
-11-14
-increasingly capable of thinking hypothetically
-abstract concepts
-self relective
Adolescence Self Esteem
-small gains in second decade of life
Determined by:
attractiveness, peer acceptance, intelligence, athletics, support from peers and family
Adolescence Depression/Suicide
-3rd leading cause of death 15-24
-Masked by anxiety, ED, drugs, hyperactivity
Adolescence Destructive Behaviors
-Disordered eating (bulimia, anorexia, obesity
-Self harm
-substance abuse
Adolescence Sexuality
-48% of high schoolers have sex
-condom use is 57%
Adolescence Sport Injury Risks
-growth spurts
-increased training
-sport specialization
Relative energy deficiency in sport (RED-S)
-insufficient caloric intake or excessive expenditure
-decreased muscle strength
-chronic fatigue
-bone loss
-stress
female athlete triad
-low bone mass
-menstral disturbance
-energy deficient
Adolescence ACL injury
-can occur with growth plate fracture
-increased risk for osteoarthritis
Most common type of scoliosis
-right thoracic and left lumbar
Idiopathic adolescent scoliosis (AIS)
-most common spinal deformity with 3d rotation
AIS screening age
Girls: 10-12
Boys: 13-14
What bony landmarks are looked at for scoliosis?
-scapula (uneven), iliac crest (elevated), spinous process (body shift), arm gapping
Refferal for scoliosis
10+ degrees
Diagnosis of scoliosis
20+ degrees
Naming convention for scoliosis
Convex side and left or right
Orthotic intervention for scoliosis
25-45 degree curves
Surgical intervention for scoliosis
45-50 degree curves
ATNR Diminishing Age
3-9th months
STNR
-neck is flexed, UE flex nad LE extend
-neck is extended, UE extend and LE flex
-Emerges 6-9m
-Diminishes 9-11months
Middle age stages of development?
40-65 yrs
Middle adulthood (Erikson)
26-64yrs / generavity vs. Stagnation
Midlife crisis
-period of transition where you struggle with identity and self-confidence
-40-60s
Middle Adulthood Considerations
-role in society and functional needs
Middle Adulthood Vision
-Presbyopia: loss of accommodative ability of the lens
-reduced dim light vision
-increased glare sensitivity
-diminished color sensitivity
-increased risk of glaucoma
Middle Adulthood Hearing
-Presbycusis: age related hearing loss, begins with loss of high frequencies
-ability of to to distinguish sounds becomes harder
Middle Adulthood Muscle
-strength declines at 30
-each decade declines 5%
-increased occurrence of muscle strains
-LE strength reduced by 40% btwn 30-80
-increased fat deposits
Middle Adulthood Bone
-Osteoporosis=10% of adults over 50, risk increases 5 fold (7-35%) in women, risk increases 3 fold in men (3-11%)
Middle Adulthood Balance
-coordination declines in 30
Middle Adulthood Vestibular System
-begins to decline in 40s
-decreased sensory cells and nerve fibers 40%
-dizziness and vertigo past 50
-Increased threshold of excitation
Menopause
-absence of menses for 12 months
-average age 51
-ovaries begin to atrophy and decline of estrogen and progesterone
Perimenopause
-3-5 years before menopause
-estrogen and progesterone fluctuate
Post-menopause
-end of females reproductive years
-end of ovulation, produce small levels of estrogen and progesterone
-increased risk of heart disease and osteoporosis due to estrogen decrease
-symptoms galore
Andropause
-symptoms men have during decreased testosterone production (hypogonadism)
-increases risk of metabolic syndrome
-decrease erections, slowed ejaculation, decreased muscle mass, erectile dysfunction, hair loss, insomnia, bone loss
Middle Adulthood Cardiopulmonary Changes
-heart disease, 2nd most common cause of death 45-64
-25% of american deaths
-atherosclerosis: build up of plaque in arteries
-silent killers
-74-76bpm, BP 140/85, 10-20 respiratory rate
Middle Adulthood Cancer
-leading cause of death 45-64
-breast, prostate, lung, colon
Geriatrics Stages of Development
65+
Geriatrics Erikson
65+Ego integrity vs. dispair
For every 100 woman over 65-74 there are_____
86 men
15% of people 85+ live_____
in long term care facilites
Theories of Programmed Aging
-Hayflick Limit
-Neuroendocrine and Hormonal theory
-Caloric restriction theory
Neuroendocrine and Hormonal Therory
-aging decreases the promotion of hormones
Caloric restriction theory
-caloric restriction extends lifespan and slows aging
-reduces metabolic rate and oxidative stress
Theories of aging Stochastic
-Free radical
-error/catastrophe theory
-somatic mutation theory
-cross linking theory
Free Radical Theory
-free radicals damage cells
Error/catastrophe theory
-errors ini DNA accumulate and kill the cells
Somatic Mutation Theory
-genetic damage or mutation results from radiation
Cross linking theory
-cross-linking of proteins that slow normal cell processes
Successful Aging
-capacity to function across all domains
-physical, cognitive, active engagement, low risk of disease
Primary Aging
-inevitable and happens in all systems
Secondary Aging
-lifestyle, environment, disease
Typical aging
-gradual decline in function of most systems
Atypical Aging
-aging due to disease
-cognitive decline
Geriatric Musculoskeletal
-5-10% of muscle loss 20-50
-12-15 muscle loss each decade after 50
-peak bone density at 30
Geriatric Neuromuscular
-Decrease in brain, vascular supply
-increase risk for neuro diseases
Geriatric Neuro red flags
-loss of consciousness
-confusion
-seizures
-sudden incontinence
-sudden gait abnormalities
Geriatric Cardiopulmonary
-heart disease #1
-VO2 max decreases 10% every decade past 20
-decrease pacemaker cells
-heart cells thicken
Geriatric Visual
-Presbyopia: loss of accommodative ability of the lens
-reduced dim light vision
-diminished color sensitivity from yellowing of lens
-glaucoma, cataracts, macular degeneration, retinopathy
Cataracts
clouding of lens due to protein buildup
-70% of adults at 75