Healthy active living Flashcards
what is the leading cause of youth hockey injuries
bodychecking
policy should delay bodychecking until what age for elite players
13-14 (bantam league)
Hockey Canada’s four-stage skill development program for bodychecking
body positioning
angling
stick checking
body contact
what does the CPS recommend in terms of bodychecking for non competitive leagues
Eliminating bodychecking from all levels of organized recreational/non-elite competitive male ice hockey.
How much screen time is recommended <2 yo
2-4yo
<2: none
2-4: <1h/day
how much structured/unstructured activity should a child age 1-4 have
180 minutes per day (any intensity)
how much screen time and physical activity age 5-9
<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
what is the passport to health
5 servings fruits/veggies, 2h max screen time, 1h physical activity, and zero-sugar sweetened beverages
what are some strategies to improve healthy active living
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
what is a strategy to recommend if they say they are too out of shape for physical activity
start slow- 10 minutes
what are some psychosocial factors that may be contributing to their child’s or adolescent’s obesity (6)
stress bullying depression low self-esteem suffering neglect or maltreatment weight bias- overweight children are often bullied
what are some psychosocial consequences of obesity (4)
mental health
self esteem
body image
lower quality of life
is boxing recommended for children and adolescents?
no!!
The Canadian Paediatric Society and the American Academy of Pediatrics oppose boxing as a sport for children and adolescents.
what is the most common injury associated with boxing
concussion
what is the most common cause of death associated with boxing injuries
subdural hemorrhage
what is the most significant risk associated with boxing
brain injury
Do head guards or mouth guards prevent concussion?
No evidence that they do!
what causes Chronic Traumatic Encephalopathy
repeated blows to the head
There is ample evidence indicating a cumulative effect from repeated concussive injuries
what investigations should be done for children involved in boxing
preparticipation medical examinations
regular neurocognitive testing
regular ophthalmologic examinations
what is the graduated return to play protocol
- No activity (recovery)
- Light aerobic activity (to increase HR)
- sport specific activity (add movement)
- non contact training drills (exercise coordination)
- full contact practice (restore confidence)
- return to play
if there is a history of neck arthritis what should you screen for prior to starting contact sports
C1-C2 instability
what are some benefits to exercise for hemophilia
risk?
increases bone mineral density
aerobic activity may improve coagulation
regular activity is associated with fewer bleeding episodes
risk: life threatening bleed with collision sports
when does exercise induced bronchospasm occur?
how to prevent?
within 15min, resolves within 60 minutes
treat with ventolin 15-30 min prior to exercise
what is one benefit and risk of exercise for asthma
may decrease exercise induced bronchospasm
risk of exercise induced bronchospasm, exposure to triggers
what is required for a diagnosis of exercise induced bronchospasm
decrease in FEV1 by 10-15% after 6-8 minute challenge and a positive response to beta 2 agonist
what are the benefits of exercise for cystic fibrosis
slower deterioration in lung function and greater survival
improves mucous clearance
improves endurance of respiratory muscles
what are the exercise recommendations for CF
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.
What are some physical signs of concussion (11)
headache nausea/vomiting dizziness amnesia LOC photophobia photophobia visual disturbance loss of balance poor coordination decreased playing ability
what are some behavioral signs of concussion (5)
irritability emotional lability sadness anxiety inappropriate emotions
what are some cognitive signs of concussion (6)
delayed reaction time difficulty concentrating difficulty remembering confusion feeling in a fog feeling dazed
what are some sleep signs of concussion (4)
drowsiness
difficulty falling asleep
sleeping more
sleeping less
what is the graduated return to learn protocol (5)
- cognitive rest- Decrease and limit cognitive tasks and screen time at home. No school.
- increase cognitive activities- As symptoms improve, slowly increase cognitive tasks at home in 15 min to 20 min increments.
- modified school attendance- start with 1/2 days or only certain subjects. Limit homework to 15-20 min intervals
- increase school attendance- gradually increase to full days. Limit of 1 test per day
- return to play- Once symptom-free and back to full-time school attendance without accommodations, the student can start with graduated return to play
what is the graduated return to play protocol
- No activity
- light aerobic activity
- sport specific exercise
- Non-contact training drills
- full contact practice
- return to play
