lecture 17: intrto to special pops Flashcards

1
Q

what are the special populations

A

female atheletes
senior
athlets with physical and itnellectueal disability

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2
Q

what are some examples of athletes with physical and interllecttural disabi;lites

A

amputees
paralysis
CP
MS

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3
Q

what is the female athlete triad

A

low energy availability/disordered eatinng

bone loss/osteoporosis

menstrual distrubances/amenorrhea

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4
Q

what is amenorrhead

A

loss of menstral periods

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5
Q

under fuileding the body can lead to what in women

A

lowered estrogen production

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6
Q

what are some causes of amenorhea

A

Low body fat, weight loss, excessive exercise, vegetarian, chronic disease,
osteoporosis, infections etc.

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7
Q

what is oligomenorrhead

A

infrequent menstrual cycles (6-9 a years)

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8
Q

what is oligomenorrhea caused by

A

strenous acitvity and weightloss

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9
Q

what type of athleete women is at risk of oligomenorrhea

A

runenrs

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10
Q

what is dysmenorrhea

A

menstrual cramps

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11
Q

what is menorrhagia

A
  • Menstrual bleeding lasting longer than 7 days

* Heavy menstrual flow

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12
Q

what is menstral induced leg pain associated with

A

associated with ovulation

pre menstrual fluid retention

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13
Q

what is endometriosis

A

• Presence of uterine endometrial tissue outside of normal location

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14
Q

what are the SS of endometriosis

A

Severe pelvic pain, pain, dysmenorrhea, infertility- 10% of women

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15
Q

what condition can cause inferitlity

A

endometriosis

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16
Q

what are ovarian systs

A

benignn cysts around the ovary sysem

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17
Q

where can ovarian cyts develop

A

at site of ruptured ovarian follicle immediately after ocvulation

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18
Q

where can there be psin with ovarian cysts

A

Pelvic pain, low back pain, acute spastic abdominal pain

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19
Q

what is disordered deating

A
not diagnosed with actual connfition 
subclinical levels (ex: making a wieight class)
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20
Q

what are 2 common eating disorders

A

anorexia nervosa

bullimia nervosia

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21
Q

what is anorexia nervosa

A

refusal to maintain weight at minimal normal level, severe fear or gaining weight, amenorrhea

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22
Q

what is bullimea nervosa

A

binge eating, compensatory behaviours to prevent weight
gain (i.e purging, excessive exercise), 2x/week for 3 months, self evaluation
overly influenced by body shape and weight

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23
Q

bullimia and anorexia is usually assocaited with what

A

mental health issues

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24
Q

90% of anorexia is diagnosed in what populatioinn

A

female atheltes

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25
Q

what is osteopororis

A

decreased bone mass and strength

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26
Q

with osteoporosis, there is an increased risk of what

A

fractures (stress)

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27
Q

what are some common areas of frctures related ot osteoporosis

A

verttebral body, proximal femur and distal radius

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28
Q

when does cortical bone reach peak density

A

40 yrs

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29
Q

when does trabecular bone sttart having osteo

A

20 yrs

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30
Q

you lose blank percent of bone mass per year

A

1%

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31
Q

what are the risk factors of osteoporosis

A
  • Low calcium intake
  • Sedentary life
  • Tobacco use
  • Being underweight
  • Amenorrhea related to bone density loss
  • Estrogen deficiency
  • Decreased bone mineral content
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32
Q

why is sedentary life a risk factor for osteo

A

nneed increase bone impact/stress mechanial loading on bone

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33
Q

what are the warning signs fo a female athlete triad?

A

• Frequent or unexplained injuries, especially stress
fractures
• Excessive or compulsive exercise
• Change in performance (loss of strength, endurance,
speed)
• Impaired concentration
• irregular menstrual cycles
• Restrictive eating masked as “performance
enhancing” meal plan
• Use of weight loss products or supplements

34
Q

what is a common warning sign for female athelte traid

A

irregular periods
restrictive eating/weight loss supplemetns
unexplained injuries

35
Q

why is there increased joint laxity in pregnancy

A

increased hormones (ex: progesterone and relaxin)

36
Q

what should you avoid when youre preg because of joint laxity

A

ballsitric movements

37
Q

what are 4 reasons that PA is important for pregnancy

A
• Maintain level of tension
• Avoid excessive weight gain
• Avoid hypertension, water retention
• Gestational Diabetesànot enough
insulin to handle higher BG
38
Q

what is gestratinal diabetes

A

`not enough

insulin to handle higher BG

39
Q

why are women more likely to suffer from hypertension during pregnancy

A

water retention

40
Q

why is it important to maintain level of tension on body during pregnancy

A

to activate the muscles and allow for jt stability

41
Q

what are sme postural considerations for pregancy

A

increased weight on anterior side=kyphosis (need to increase strenght of back muscles)

=may eventaully led to lordogtic kyphtoic posture

42
Q

what is the exaecise prescription for pregnancy

A

30 min of more of PA (more previously healthy and uncomplicated preg)

weight training for maintenance more than gain

43
Q

how long post partum should you wait for exrecise

A

6 weeks

44
Q

if you were sedentary before pregnancy its recommended to do 30 minutes of PA during pregangcy

A

no , that recommendation is for previously healthy

start slower

45
Q

what is an absolute contnrindication for exercise with pregnancy

A

if there is a complicated pregnancy

46
Q

wht are some causes of traumatic amputation

A

MVA, explosions, machinery, objects falling, getting

trapped

47
Q

what are some cases for surgical amputations

A

if blood supply to an injured limb is lost (necrosis)

48
Q

what is congenital amputation and waht is it caused by

A

birth without a part of limb or limbs (known to be
caused by blood clots forming in the fetus causing restriction to developing
limb

49
Q

what is paralysis

A

inability tto move in part of most of the body

50
Q

what are some reasons for paralysis in terms of an injury

A

Injury
spinal cord (traumatic or congenital), spina bifida (congential defect
of spine in which cord and meninges are exposed)

51
Q

true or false: plants cannot lead to paralysis

A

false

52
Q

what is an example of an illness that casuses paraylsis

A

post polio paralysis (viral disease)

53
Q

what are some common injuries (repetive injuries) for wheelchair users

A
  • Muscular strains and contusions
  • Sprains, tendinitis, bursitis
  • Blisters, calluses
  • Lacerations, abrasions, and cuts
  • Pressure sores
  • Arthritis and joint disorders
  • Fractures
  • Hand weakness or numbness
  • Hypo and hyperthermia
54
Q

what are some common places for tendinitis in wheelchair users

A

shoulders and buceps

55
Q

what are some common palces for bursitis in wheelchair users

A

medal and lateral epicondylitis

56
Q

what si the problem with lack of senstation in paralysis

A

they may be injured and not feel it ex; pressure sores which can lead to infectiond)

57
Q

what are the most common causes of visual impairment and blindess

A

uncorrected refractive errors and cataracts (WHO)

58
Q

what are some cgallenges associated with visual imapirement

A
  • Unseen barriers
  • Failure to be able to respond to visual cues (Require auditory assistance)
  • Thought to fatigue more quickly, as one sense is taken away
59
Q

what is the most common problem for amputations

A

irritation at the junction of the amputated limb and the posthetic device

60
Q

why is there Irritation at the junction of the
amputated limb and prosthetic
device

A

beccause of a decreased sensation increase risk of injection

61
Q

what is CP

A

Non-progressive lesion or

malformation of the brain that interferes with normal brain development before, during or immediately after birth

62
Q

CP damages what areas of the brain

A

the areas that control muscle tone and spinal reflexes

63
Q

those with CP have a limited ability to do what

A

move and maintain posture and balalance

64
Q

what is multiple sclerosis

A

Multiple sclerosis (MS) is
thought to be an autoimmune
disease of the central nervous
system (brain, spinal cord)

65
Q

what does MS disease attach and what does that cause

A

The disease attacks myelin,

the protective covering of the nerves, causing inflammation and often damaging the myelin

66
Q

why is meylin necessary

A

for transmission of nerve impulses thru nerve fibers

67
Q

is CP progressive?

A

no

68
Q

is MS progressive

A

yes

69
Q

what are some SS for MS

A
  • Balance/Dizziness
  • Bladder/Bowel Dysfunction
  • Cognitive Impairment
  • Depression
  • Fatigue
  • Gait (difficulty in walking)
  • Optic neuritis
  • Pain
  • Paroxysmal (sudden/severe attack) Symptoms
  • Sensory Impairment, Numbness / Tingling
  • Sexual Dysfunction
  • Spasticity (see also Pain)
  • Tremor
  • Uhthoff’s Phenomena (Heat Intolerance)
  • Weakness
70
Q

• Uhthoff’s Phenomena

A

Heat Intolerance)

71
Q

what is the treatment for someone expereincing an MS attack after physical acitivtiy

A

cool body temp and incrase hydration to improve symptoms

72
Q

what is the caue of Intellectual disability

A

idiopahtic (but thought to be inherited by person’s parents)

73
Q

what are some example of intellectual disability

A

downsydrome

fragile X

74
Q

those with neurodevelopmental disroders have issues with what

A

disorderàIssues with conceptual skills, social skills and

practice skillsàIQs of 75 points of lower

75
Q

what is the IQ for ID

A

75 or lower

76
Q

what are some ways to identity intellectual disability young

A

limitations in adaptive behavior nd disability manifestied and documented prior to 18 years old

77
Q

true or false; aging plats a role in neurological and musculoskseltal injureis

A

true

78
Q

what are some neurological and musculosketal injuries associates with aging

A
  • Decrease in density of collagen
  • Lower tissue elasticity
  • Deterioration of muscle fibers
  • Joint degeneration
79
Q

what are some upper extremity and spinal considerations for the senior athlete

A
  • Adhesive capsulitis
  • Subacromial bursitis
  • Subacromial impingement
  • Kyphosis
  • Lumbar disc herniation’s and DDD
80
Q

what arte some lower extremity considerations for the senior athlete

A
  • Poor flexibility- strains
  • Muscle weaknesses and imbalances
  • IT band friction syndrome, bursitis
  • Degenerative meniscus tears
  • Osteoarthritis, osteochondral lesions
  • Plantar fasciitis- heel spurs
  • Fractures- falls