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Geriatrics > Interventions > Flashcards

Interventions Flashcards

1
Q

Physical Stress Theory

A

Tissue needs at least 60% max capacity to change (60% HRmax or 60%RM = appropriate exercise dose).

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2
Q

Dose Response Theory

A

Negative effects of inactivity are WORSE than potential adverse effects of high intensity.

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3
Q

ACSM General Guidelines (moderate intensity)

A

150min/wk mod intensity:
3.0 to 5.9 METs
5-6 RPE (1-10 scale)
13-14 RPE (6-20 scale)

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4
Q

ACSM General Guidelines (high intensity)

A

75min/wk high intensity:
6+ METs
7-8 RPE (1-10 scale)
16-17 RPE (6-20 scale)

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5
Q

Integumentary: pressure relief guidelines

A

1in or more of material btwn surface & bony prominence.

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6
Q

Integumentary: compression guidelines

A

Venus ulcer: 30-40mmHg.
Arterial ulcer: NONE!

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7
Q

Exercise Considerations for DM

A

Mod intensity, 50%RM, 15-20 reps.
Hyperglycemia: >80% HRmax, >300 Glucose.
Hypoglycemia: insulin peak 2-5hrs after inject.

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8
Q

Exercise Considerations for Shingles

A

Low-mod intensity.
Too intense can further immunocompromise.

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9
Q

Exercise Considerations for Urinary Incontinence

A

90/90 into wall
Monster walk
Clamshells
200 PFM contractions every day

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10
Q

Exercise Considerations for RA

A

Remission = high intensity WB.
Active flare = mod intensity.

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11
Q

Exercise Considerations for Cancer

A

Remission = 60-80% RM.
Active = 40-60% RM.

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12
Q

Flexibility: stretch should be sustained for…

A

60 sec

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13
Q

How often should we reassess RM?

A

Every 2-4 weeks

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14
Q

60% 1RM = how many reps?

A

15

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15
Q

80% 1RM = how many reps?

A

8

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16
Q

Appropriate dose = how many RIR?

A

2-4

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17
Q

Appropriate dose = what % 1RM?

A

60-80%

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18
Q

Progress by ___% if in the 40-60% RM range

19
Q

Progress by ___% if in the 60-80% RM range

20
Q

Why train power in the older adult?

A

Type 2 fibers are declining. Power decreases before strength decreases.
Also better functional outcomes.

21
Q

Power parameters

A

40% 1RM
Faster speed
3-6 reps

22
Q

Efficient way to incorporate endurance, strength, and power

A

Set 1 = AMRAP (endurance)
Set 2 = strength
Set 3 = power

23
Q

Exercise Considerations for OA or DJD

A

Acutely inflamed = isometrics.
Not acutely inflamed = high intensity WB.

24
Q

Exercise Considerations for LBP

A

Extensor strength (Multifidus) IMPORTANT!
Stabilization exercises - e.g., seated isometric trunk rotation

25
Q

Exercise Considerations for Osteoporosis

A

AVOID: flex, manips, dry needling.
Trunk ext strength important.
Teach hip hinge = bend w/o trunk flex.
Plyo can stimulate osteoblasts.

26
Q

Exercise Considerations for Joint Replacements

A

Pre-hab
High intensity

27
Q

Exercise Considerations for Hip Fx

A

Fear avoidance, balance confidence - seen a lot longer than hip replacements bc of this

28
Q

Exercise Considerations for Foot Pain

A

Proper footwear = thumb-width space btwn side of met head & edge of shoe

29
Q

Cardiopulm: overall goal of interventions

A

Chest expansion

30
Q

Cardiopulm: exercise parameters

A

60-80% HRmax
20-60min continuous
Mode should work multiple large muscle groups (e.g., bicycling, dancing)

31
Q

Cardiopulm: warmup must be at least ___ and why?

A

3min
Stiffer blood vessels, slower O2 exchange, decreased SNS output.

32
Q

Exercise Considerations for COPD

A

Diaphragmatic breathing - allows lung recoil, easier to expel air out.
Diaphragm is flatter/weaker with barrel chest.

33
Q

Exercise Considerations for CHF

A

Aerobic + resistance.
Cooldown SUPER important to avoid sudden drop in venous return.

34
Q

When to STOP exercise (6)

A
  1. Failure to return to baseline in 5min.
  2. DBP drops 10-20mmHg.
  3. SBP >210-240mmHg.
  4. DBP >110mmHg.
  5. HR drops >10bpm.
  6. HR rises >50bpm with low level activity.
35
Q

Exercise Considerations for PD

A

Stretch flexors
Strengthen extensors

36
Q

What is necessary for neuroplasticity?

A

High intensity
Multimodal

37
Q

Exercise Considerations for Chronic Pain

A

Moderate intensity (60-70%) - enough to get moving but avoid pain worsening.
Eccentrics = more DOMS.
Limit passive modalities - no actual tissue pathology, so won’t do anything.

38
Q

Exercise Considerations for Falls

A

Multimodal
GAIT TRAINING
Appropriate assist device - using inappropriate device can actually increase falls.

39
Q

Fall Recovery progression

A
  1. Prone<>stand & supine<>stand.
  2. Omission of 1 limb (e.g., get up without using R arm).
  3. Omission of ipsilateral UE/LE.
40
Q

Recommended frequency for aerobic

41
Q

Recommended frequency for balance

42
Q

Recommended frequency for stretching

43
Q

Recommended frequency for strength

Geriatrics (7 decks)

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