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Adaptive Physical Activity > Integrated Practice > Flashcards

Integrated Practice Flashcards

1
Q

What are the symptoms associated with BPPV?

A 
Symptoms last less than 1 min
followed by nausea and vomiting
Nystagmus
No hearing changes
Present with position changes
Feel spinning, rocking  or floor dropping
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2
Q

What is the cause of BPPV?

A

Otoconia gets loose and ends up in one of the semicircular canals; which leads to mismatch between external and internal sensory information

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3
Q

What test is used to diagnose Posterior Canal BPPV?

A

Dix-Hallpike Maneuver

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4
Q

What test is used to diagnose Lateral SCC BPPV?

A

Supine roll test

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5
Q

What is the most common t SCC to be affected by BPPV?

A

The posterior SCC

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6
Q

Name 3 signs and symptoms of Vestibular neuritis

A 
Sudden/insidious onset
Constant intense vertigo
No hearing changes
Loss of balance for 1-3 days
Gradually improves over 3 weeks
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7
Q

Name 3 signs and symptoms of Meniere’s disease

A

Unilateral pressure
Unilateral tinnitus
unilateral hearing loss
Vertigo lasting longer than 20 minutes

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8
Q

Name a type of exercise you would prescribe for vestibular neuronitis

A

Gaze stabilization
Static and dynamic balance retraining
Motion desensitization
Treatment for secondary deficits

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9
Q

What type of vestibular issue mimic’s Meniere’s but has no hearing loss associated with it?

A

Vestibular migraine

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10
Q

Name 3 red flags for dizziness assessments

A 
Numbness
Tingling
Weakness
Slurred speech
CN dysfunction
UMN signs
LOC
Rigidity
Memory loss
Vertical nystagmus
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11
Q

True or False. Visual tracking is abnormal in peripheral BPPV.

A

False

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12
Q

What score is indicative of an increased risk of falling on the Dynamic Gait index?

A

<20/24

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13
Q

What is a treatment for Geotropic lateral SCC BPPV

A

Log roll manoeuvre

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14
Q

What is a treatment for Apogeotropic lateral SCC BPPV?

A

Brandt-Daroff exercises

Log roll manoeuvre

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15
Q

Provide the parameters for a gaze stability exercise that promotes adaptation

A

F - 2xday
I - slow to begin
Time - 1 min if tolerated
Type - Stand or sitting, with a still object 3 feet away

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16
Q

Provide 4 movements to improve habituation in a patient with vestibular symptoms

A 
Sitting to supine
Supine to left roll
Supine to right roll
supine to sitting
Do these 2-3 sets per day
Rest between exercises
Do for 2 months
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17
Q

Provide two balance tests for people with vestibular dysfunction

A 
Fukuda 
Rhomberg
Berg
TUG
mCTSIB
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18
Q

What are the 4 muscles that extend at the CV junction?

A

Obliques Capitis Superior
Obliques Capitis Inferior
Rectus Capitis Posterior major and minor

19
Q

Name the 4 muscles that flex at the CV junction

A

Rectus capitis anterior and lateralis

Longus capitis and colli

20
Q

How many degrees of freedom at C0/C1?

A

two:

Flexion and sidebending with conjuct rotation

21
Q

What is the home exercise program that should be given to people with TMJ issues?

A

Rocabado 6x6

  • Clucking
  • Diaphragmatic breathing while maintaining tongue position
  • Mouth opening with tongue on roof of mouth
  • Neck flexion (15 degrees)
  • Chin tuck and hold
  • Posterior Shoulder roll
22
Q

At what CD4 count is HIV considered AIDS?

A

< 200 or presence of AIDS defining illness (cyo-megalo-virus, wasting syndrome, & enchephalopathy)

23
Q

What are 3 common impairments with HIV?

A 
Fatigue
Balance
Muscle atrophy
risk of falls/fractures
Neuropathy
increased risk of RA and osteonecrosis
weight loss
higher risk of CV disease
Cognitive impairments
24
Q

What are the parameters for aerobic exercise for a patient with asymptomatic HIV

A

F - 5 days a week
I - 80% VO2R
Time - 30 minutes
Type - e.g. cycling

25
Q

What are the parameters for resistance exercise for a patient with symptomatic HV

A

F - 2 sets of 10-12 reps; 3 days per week
I - 50% 1 RM
T - 30 minutes
Type - weight lifting

26
Q

What are the aerobic exercise parameters for someone with AIDS

A

F - 3 days per week
I - 30% VO2R
T - 20 minutes
Type - walking

27
Q

What does the PERFECT acronym stand for?

A 
Performance
Endurance
Repeated contractions
Fast contractions
Elevated
Co-contraction
Time (of involuntary contraction with cough)
28
Q

What is the knack technique?

A

When you contract PFM prior to exertion

29
Q

What is stress incontinence?

A

loss of urine on physical exertion due to decreased sphincter control

30
Q

What is urge incontinence?

A

Involuntary loss of urine associated with strong desire to void due to bladder muscle instability/ contraction abnormality

31
Q

What is the general treatment given to strengthen the PFMs

A

3 sets of 8 reps in 4 positions for 5 months

Then during maintenance phase do it for 2 sets of 12 reps

32
Q

What are 4 benefits of exercise during pregnancy?

A 
General overall health benefits
Weight control
Shorten labour
Reduce need of obsteric intervention
Reduction in gestational diabetes
33
Q

True or false. It is good to start an exercise program early in pregnancy.

A

False

34
Q

What are the three functions of the PFMs?

A

Sphincteric
Supportive
Sexual

35
Q

Which congenital lesion is highly associated with spastic diplegic CP

A

Periventricular Leukomalacia

36
Q

What are the STOP signs for infants in the NICU?

A

Apnea, hiccuping, cyanosis, dropping O2 sat, BP increases

37
Q

What is the therapeutic position that infants in the NICU are put in?

A

Simulated physiological flexion

38
Q

Which side is torticollis usually seen on with R plagiocephaly?

A

the L side

39
Q

What are the two types of Spina bifida?

A

Spina Bifida Occulta and Aperta

40
Q

What are 3 treatments that you should provide infants with Spina Bifida?

A

ROM to prevent contractures
Optimal positioning to use muscles
Facilitation of pre-ambulatory skills (roll/transition to sit/ 4 point)
Prescribe adaptive equipment

41
Q

What are the three types of brachial plexus injuries and the parts of the arm they affect?

A

Erb’s palsy = Upper arm
Klumpke’s Palsy = Lower arm
Erb-Klumpke Palsy = whole arm

42
Q

What is the treatment for Brachial plexus injuries?

A

Education: pin sleeve
Promote ROM
Facilitate AROM
Reduce neglect of involved arm

43
Q

What are the positions that a person with an amputation would need to adopt to prevent contractures in the lower limb?

A

Extension in bed
Adducted in bed
Extended in sitting (TTA)

44
Q

What three complications associated with pediatric oncology?

A

Necrosis (hip)
Fatigue
Chemo - induced neuropathy

Adaptive Physical Activity (2 decks)

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