Immobility and rehab

Question 1

What are the recommendations regarding physical activity for elderly people?

Answer 1

150 mins of moderate exercise or 75 mins of vigorous

Muscle strengthening exercises 2x week

Question 2

What is sarcopenia?

Answer 2

Age related loss of muscle mass and function

Question 3

What is osteopenia?

Answer 3

Age related loss of bone mass exacerbated by immobility

Question 4

What is wolffs law?

Answer 4

Bone density is directly proportional to the stress put on it

Question 5

What are the consequences of bed rest on the CV system?

Answer 5

Decrease in blood volume but increased urine production
Cardiac deconditioning
Postural hypotension
DVT
Increased risk of pneumonia and infections

Question 6

What are the consequences of bed rest on the MSK system?

Answer 6

Loss of strength
Antigravity muscles more commonly affected
Increase in non-contractile tissue including collagen
Risk of contractures
Loss of bone density

Question 7

What are the principles of rehab?

Answer 7

Person centered
Goal directed
Co-ordinated
Improve outcomes

Question 8

What are SMART goals?

Answer 8

Specific
Measurable
Achievable
Realistic
Timely