Immobility and Rehabilitation

Question 1

What is sarcopenia?

Answer 1

Age related loss of muscle mass and function

Question 2

How is sarcopenia diagnosed?

Answer 2

1 + 2/3
1 - low muscle mass
2 - low muscle strength
3 - low physical performance

Question 3

What age does muscle mass start to decline?

Answer 3

30 years old

Question 4

At 60 years of age what happens?

Answer 4

Muscle mass decline accelerates

Question 5

What is loss of muscle mass with increasing fat levels?

Answer 5

Sarcopenic obesity

Question 6

Outline some causes of sarcopenia.

Answer 6

Cachexia
Malabsorption
Immobility
Motorneurone loss
Age related
Steroids

Question 7

What is the gold standard treatment for sarcopenia?

Answer 7

Resistance training to increase strength and endurance

Question 8

How much exercise should older adults be doing?

Answer 8

150 mins per week of moderate to vigorous in bouts of 10 mins or more

Question 9

Is recommended exercise the same for older and younger adults?

Answer 9

Yes

Question 10

How often should strength and balance work be carried out?

Answer 10

2x a week

Question 11

What drugs are likely to help?

Answer 11

Creatinine
ACEI’s
Calcium and vitamin D supplements

Question 12

What is reablement?

Answer 12

Reablement is the active process of an individual regaining the skills, confidence and independence to enable them to do the things for themselves, rather than having things done for them

Question 13

What is rehabilitation?

Answer 13

Rehabilitation is a personalised, interactive and collaborative process, reflecting the whole person. It enables an individual to maximise their potential to live a full and active life within their family, social networks, education/training and the workplace where appropriate

Question 14

List the consequences of sarcopenia.

Answer 14

Increased falls
Muscle weakness
Decreased exercise
Dependance on others