Lecture 6 - Considerations for various populations Flashcards
Most important consideration with children/adolescence is ___ and ___
Technique and volume
More and more children are getting injured, why?
Lack of variation in sport because they play it 12 months/year (same sport - one sport)
Name 2 common injuries in children
- Osgood Schlatter’s
- Sinding Larson Johansson Syndrome
- Legg-Calve-Perthes Disease
- Slipped Femoral Capital Epiphysis
What is Legg-Calve-Perthes disease?
Disruption of blood supply to head of femur (3-12 males)
What is Slipped-Femoral Capital Epiphysis?
Head of femur shifts at growth plate (growth spurts 12-15 males)
Principles of rehabilitation with children (4)
- Confidentiality
- Make if fun
- Speak to the child
- Choose your words wisely
Common injuries for older individuals (4)
- Postural dysfunctions
- Osteoarthritis
- Osteoporosis
- Fractures
2 main goals of rehab/RT with older individuals
- Maintain independence in functional ADLs/activities
- Improve balance and coordination
Females and people with uteruses - Menstrual considerations (3)
- Dysmenorrhea
- Iron levels
- Menstrual cycle ?
Considerations for pregnancy (3)
- Hormone release
- Increase laxity in joints (3-5 months post-partum)
- Swelling (carpal tunnel, Dequervain’s tenosynovitis, neuropathies)
Treatment considerations during pregnancy - what positions should be avoided? what type of training should be avoided?
Supine or prone
Avoid heavy lifting, and straining exercises
Treatment considerations during pregnancy - name 2 types of exercises that are good
Postural and pelvic floor exercises
Some studies have consistently examined perceived performance during various phases of the MC, and athletes identify their performance to be relatively worse in ___ and ____
Early follicular and late luteal phases
Name the phases of menstrual cycle
Menstrual Day 1-5
Follicular Day 6-14
Ovulatory Day 15-17
Luteal Day 18-28
Considerations for patients with hearing impairment (4)
- Balance can be affected - rehab goals
- Always face them when speaking
- Speak slowly, be clear and concise with explanations
- Get attention of the person before speaking to them
Considerations for patients with visual impairment (5)
- Ask to touch, provide help if they require it (do not assume)
- Communicate where you are
- Precise, clear communication with exercises
- Balance may be affected - rehab goal
- Word documents is better for talk to text
__ times longer for child with visual impairment to master skills
8 times
Why is the metabolic cost of PA is often higher than sighted athletes for visual impaired patients?
Due to increase residual muscle tension when a task is performed (can cause early fatigue)
Found that the gait in blind/visual impaired runners is ___
Asymmetric
5 considerations for transgender patients
- Social (name, pronouns, etc.)
- Hormonal (physical changes)
- Surgical (scars and fascial connection affecting performance)
- Comfort level of undress?
- Pronouns-charting (deadnames vs name)
What two components are affected with lower limb amputees?
Postural control and balance (core)
T or F: LE amputees require more energy to walk/run therefore need good CV fitness to compete at all levels of sport
TRUE
What is the most frequent injury for wheelchair users/athletes?
Overuse injuries in UE
What do you have to be mindful of for the spinal cord injuries?
Exercising in hot/humid conditions (hyperthermia)
For RT, what is important to train with spinal cord injuries?
Balance and musculature around shoulder/arm is critical
Considerations for patient with cerebral palsy (4)
- Balance
- Postural control
- Limited ROM due to spasticity
- Abnormal loading on certain areas due to lack of movement
T or F: There is a significant difference in response to training between able-bodied athletes and those with CP
FALSE, no compelling evidence of any differences
What component of training is more important for individuals with CP?
Flexibility - PNF stretching
The unaffected side will most likely develop the injuries due to the compensation from the other side that is affected
