Healthy Active Living and Sports Committee Flashcards
What percentage of normal factor levels constitute severe hemophilia?
Less than 1% to 2% of normal factor levels
What is the exercise recommendation for children with JIA?
Should participate in moderate fitness, flexibility and strengthening exercises
What needs to be done in a JIA patient who has neck arthritis that wants to participate in collision/contact sports?
Should have radiographic screening for C1-C2 instability
What is the recommendation for children with hemophilia when it comes to collision sports?
Should be carefully assessed before allowing participation in contact or collision sports. Consultation with a sport medicine physician and/or paediatric hematologist may help
What do we prescribe to reduce the risk of bleeding in sport for hemophilia patients?
Appropriate factor prophylaxis
What is the difference between Exercise-Induced Bronchospasm and Exercise-related Dyspnea?
In exercise-related dyspnea, there is no bronchial hyperresponsiveness while there is in exercise-induced bronchospasm
What findings on Exercise challenge PFTs will make you suspicious for exercise induced bronchospasm?
A drop in 10-15% of FEV1 from baseline, following rigorous exercise for approximately 6-8 minutes
What is the preferred method of diagnosing exercise induced bronchospasm in athletes?
Eucapnic voluntary hyperventilation testing
Asthmatic children in very prolonged exercise activities may benefit from what medication if they have exercise induced bronchospasm?
a long-acting beta-2 agonist (formoterol) with rapid onset (can consider a leukotriene antagonist, inhaled corticosteroids)
When, prior to exercising, should an inhaled beta agonist be taken for an asthmatic who has exercise induced bronchospasm?
15-30 minutes before exercise
What is the target HR goal of supervised or unsupervised home exercises in CF patients in order to increase their aerobic exercise tolerance?
Exercises should elevate their HR by 70-80% of maximum
What is the one form of exercise that is contraindicated in ALL patients with CF?
Scuba Diving
How can hyponatremic dehydration be prevent in CF athletes?
They shoud drink sodium-chloride-containing fluids above thirst level
CF athletes should avoid contact or collision sports if they have which CF-related complications?
Enlarged spleen or diseased liver
