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CPS statements > Healthy active living > Flashcards

Healthy active living Flashcards

1
Q

what is the leading cause of youth hockey injuries

A

bodychecking

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2
Q

policy should delay bodychecking until what age for elite players

A

13-14 (bantam league)

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3
Q

Hockey Canada’s four-stage skill development program for bodychecking

A

body positioning
angling
stick checking
body contact

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4
Q

what does the CPS recommend in terms of bodychecking for non competitive leagues

A

Eliminating bodychecking from all levels of organized recreational/non-elite competitive male ice hockey.

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5
Q

How much screen time is recommended <2 yo

2-4yo

A

<2: none

2-4: <1h/day

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6
Q

how much structured/unstructured activity should a child age 1-4 have

A

180 minutes per day (any intensity)

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7
Q

how much screen time and physical activity age 5-9

A

<2h/day screen time (recommended for everyone above 5 years of age)
60 minutes of moderate-vigorous physical activity
vigorous activity at least 3d per week
muscle strengthening activity at least 3 d per week

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8
Q

what is the passport to health

A

5 servings fruits/veggies, 2h max screen time, 1h physical activity, and zero-sugar sweetened beverages

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9
Q

what are some strategies to improve healthy active living

A

Remove television sets and computers from bedrooms
avoid eating in front of TV
replace screen time with physical activity
avoid sitting for prolonged periods of time, active transportation
games that promote physical activity

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10
Q

what is a strategy to recommend if they say they are too out of shape for physical activity

A

start slow- 10 minutes

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11
Q

what are some psychosocial factors that may be contributing to their child’s or adolescent’s obesity (6)

A 
stress
bullying
depression
low self-esteem
suffering neglect or maltreatment
weight bias- overweight children are often bullied
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12
Q

what are some psychosocial consequences of obesity (4)

A

mental health
self esteem
body image
lower quality of life

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13
Q

is boxing recommended for children and adolescents?

A

no!!
The Canadian Paediatric Society and the American Academy of Pediatrics oppose boxing as a sport for children and adolescents.

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14
Q

what is the most common injury associated with boxing

A

concussion

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15
Q

what is the most common cause of death associated with boxing injuries

A

subdural hemorrhage

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16
Q

what is the most significant risk associated with boxing

A

brain injury

17
Q

Do head guards or mouth guards prevent concussion?

A

No evidence that they do!

18
Q

what causes Chronic Traumatic Encephalopathy

A

repeated blows to the head

There is ample evidence indicating a cumulative effect from repeated concussive injuries

19
Q

what investigations should be done for children involved in boxing

A

preparticipation medical examinations
regular neurocognitive testing
regular ophthalmologic examinations

20
Q

what is the graduated return to play protocol

A
  1. No activity (recovery)
  2. Light aerobic activity (to increase HR)
  3. sport specific activity (add movement)
  4. non contact training drills (exercise coordination)
  5. full contact practice (restore confidence)
  6. return to play
21
Q

if there is a history of neck arthritis what should you screen for prior to starting contact sports

A

C1-C2 instability

22
Q

what are some benefits to exercise for hemophilia

risk?

A

increases bone mineral density
aerobic activity may improve coagulation
regular activity is associated with fewer bleeding episodes

risk: life threatening bleed with collision sports

23
Q

when does exercise induced bronchospasm occur?

how to prevent?

A

within 15min, resolves within 60 minutes

treat with ventolin 15-30 min prior to exercise

24
Q

what is one benefit and risk of exercise for asthma

A

may decrease exercise induced bronchospasm

risk of exercise induced bronchospasm, exposure to triggers

25
Q

what is required for a diagnosis of exercise induced bronchospasm

A

decrease in FEV1 by 10-15% after 6-8 minute challenge and a positive response to beta 2 agonist

26
Q

what are the benefits of exercise for cystic fibrosis

A

slower deterioration in lung function and greater survival
improves mucous clearance
improves endurance of respiratory muscles

27
Q

what are the exercise recommendations for CF

A

they should participate in any physical activity.
they should have exercise programs that include strength training.
Require supervised or unsupervised home exercises that elevate heart rate by 70% to 80% of maximum to increase aerobic exercise tolerance.
If they cough during exercise, they should not necessarily stop activity.
Those with severe CF should undergo exercise testing to identify maximal heart rate, levels at which oxygen desaturation and ventilation limits occur, exercise-related bronchospasm and response to therapy.
Should absolutely avoid scuba diving**
Should drink flavoured sodium chloride-containing fluids above thirst levels to prevent hyponatremic dehydration. Those with diabetes mellitus require additional carbohydrates during prolonged exercise.
With an enlarged spleen or diseased liver should avoid contact or collision sports.

28
Q

What are some physical signs of concussion (11)

A 
headache
nausea/vomiting
dizziness
amnesia
LOC
photophobia
photophobia
visual disturbance
loss of balance
poor coordination
decreased playing ability
29
Q

what are some behavioral signs of concussion (5)

A 
irritability
emotional lability
sadness
anxiety
inappropriate emotions
30
Q

what are some cognitive signs of concussion (6)

A 
delayed reaction time
difficulty concentrating
difficulty remembering
confusion
feeling in a fog
feeling dazed
31
Q

what are some sleep signs of concussion (4)

A

drowsiness
difficulty falling asleep
sleeping more
sleeping less

32
Q

what is the graduated return to learn protocol (5)

A
  1. cognitive rest- Decrease and limit cognitive tasks and screen time at home. No school.
  2. increase cognitive activities- As symptoms improve, slowly increase cognitive tasks at home in 15 min to 20 min increments.
  3. modified school attendance- start with 1/2 days or only certain subjects. Limit homework to 15-20 min intervals
  4. increase school attendance- gradually increase to full days. Limit of 1 test per day
  5. return to play- Once symptom-free and back to full-time school attendance without accommodations, the student can start with graduated return to play
33
Q

what is the graduated return to play protocol

A
  1. No activity
  2. light aerobic activity
  3. sport specific exercise
  4. Non-contact training drills
  5. full contact practice
  6. return to play

CPS statements (24 decks)

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