Gero Test 2 Flashcards
Test Selection Criteria 2
Practicality
Psychometric
Practicality testing criteria
- medical permission or supervision
- time
- personnel/expertise
- equiptment/space
- fatiguing
- meaningful to client
Psychometric testing crieria
- Reliability
- Validity (criterion, content, predictive)
- Discrimination power (floor vs ceiling too easy too hard. responsiveness)
- Performance standarts (norm ref. criterion ref)
Static Balance
sway envelope
Dynamic balance
mobility
posture
Postural control
Anticipitory -avoid obstacles/adapt gait pattern Reactive -change occurs suddenly 3 strategies (ankle/hip/step)
Measures of balance
-static
-dynamic
-reactive postural control
-sensory integration
BERG BALANCE SCALE
Multidimensionality of balance
Proprioception
-somatosensory/visual/vestibular
Neuromuscular control
-muscle strength
Age related Changes that impair balance
- CNS
- Vision (light/depth)
- Somatosensation (vibratory thresh)
- Vestibular (vestibular ocular reflex)
- Sensory Conflict
- Motor Systems (perterbations dec strength/power/end)
- Cognitive System
- Gait
- Cadence/stride length
- Biological
- Behavioral
- Environmental
- Socioeconomic
Fear of Falling
- post fall syndrome
- Risk Factors (hx of falls, dizziness, mobility limiting conditions, self rated poor health)
Balance Efficacy Scale
- balance related self confidence
- identify specific tasks and environments adversly affect confidnce
Different Balance Tests
- Berg balance test
- Tinetti Mobility
- Functional Reach
- GETUP AND GO
- Fullerton advanced balance scale
- walki talki
- modified romberg static
- biodex balance trainer
Balance training progression
- Bilateral to unilateral
- eyes open to eyes closed
- stable to unstable
Fall proof program
- COG control
- Multisensory
- Postural strategy
- Gait pattern enhancement/variation
- strength and endurance
- flexibility
Phys changes of warm up
-active vs passive INC -O2 trans -BF -Nerve impulses -metab DEC -musc viscosity -pulmonary resistance
Guidelines of a warm up
- 12 PE 9-10 talk test
- inc body temp 10-20 min low continuous mivm
- safe and effective ruth and exercise lets>arms smaller rom>larger rom progress and monitor
- safe environment
- engage socialy
Cool Down physiological changes
- DEC
- body temp
- HR
- VE
- Blood Pooling
- Catecholamines
- Muscle soreness
- recovery
Guidelines of cool down
-low intensity
-continuous
5-10 min
-small arm mivm
-flexibility
-relaxation
-reinforce social connections
Basic Outline
10min warm up
15 min wo 5 seated/standing/dynamic
5 cool down
Principles of Group Dynamics
- team purpose
- assimilate new memo
- feedback
- gender, diversity sensitivity
- injury prevention
- empowerment
Enhancing Enjoyment
- pleasure principle
- leadership style
- creativity (music accessories)
- variety (circuit training group event trips)
Aquatics Exercise
Properties/Considerations
- hydrostatic pressure HTN
- buyoancy
- viscosity
- safety
- accommodations
- instructions
- Equipment warmup
- Aerobic ex rpe
- resistance
- cooldown
- Ai chi flexibility
Aeorbic/aquatic endurance training
-improve health/function (CV musculoskel/metabolic)
-ADLs functional relevance
-independence
(walking dancing swimming)
Guidelines Safety Endurance training
- avoid extreme temp/terrain
- progress slowly
- adequate warm up cool down
- monitor intensity
Flexibility training
- Inc ROM/mobility/balance/ADLs
- Dec stiffness
- Critical ranges MINIMUM RANGE
- putting clothes on (overhead/back)
- walking
- climbing stairs
- getting on/off toilet
Guidelines Safety for Flexibility training
- target problem its
- emphasize good form
- move slowly
- gentle tension not px
- no jerks bounce forcing
- breathing
Resistance Training
- inc strength/power/health/function/balance/ADL/Musculoskeletal/metabolic/bodycomp
- single/multijt
- muscle balance
- functional relevance
- power/endurance training
- Equiptment (balls/bands/bw)
Guidelines Safety for Resistance Training
- proper technique and ins ruction
- min risk of inn
- proper progression/warm up
- breathing
- adequate recovery
- balance and mobility
- prevent falls
- ADLs walk, climb, carry
Balance Training Guidelines
- seated/standign/moving
- sensory integration
- postural srategies
- gait pattern
- chai/wall/ handholds nearby
- proper progression of challenge
Mind Body Training
- moving meditation (CV, musculoskeletal, metabolic, psychological
- Classic (quigong/tiachi/ hath a yoga)
- Contemporary (neuromuscular integrative action/ pilates/ felden kris method)
Guidelines Safety for Mindful body training
-anatomic alignment
-proprioceptive awareness
-lack of balance/control
AVOID
-fast transitions
-consecutive complex poses
-movm require strength/flex if not modified
Functional Relevance
ADLs
Specificity
Challenge
-task and environmental demand
Accommodation
- fluctuating pain
- Gen statement perform at best of ability, in charge of how much they push themselves
Neurological Changes affecting motor learning/program design
Dec cognitive function
-motor skill learning
-simple and choice reaction time
Dec memory and attention
Qualitative Analysis of skill
Cycle of
- preperation
- observation
- evaluation
- intervention
Motor skill learning
- practice
- improvement
- consistent
- permenent
- transfer capabiliy/assessment (transfer of learning (same mivm dif context)
Gentiles Stages of learning
1 Movement coordination pattern
-regulatory and non conditions
2 Fixation (closed skill or diversification (open skill)
Introduce New Skill Motor Learning Principles for instructors
- Verbal Instruction
- Demonstration (skilled vs unskilled)
- Feedback
Verbal Instruction
Instruction -attention/memory span -terminology -focus of attention -simplify CUES -direct attention -reminders of critical features -use prior demo
Demonstration
- effective communication
- vantage pt
- correct form
- actual speed
Augmented Feedback
- facilitates learning
- clarify correction
- motivation
- knowledge of results vs performance
- frequency
