Management of patients with MSK problems and Cardiovascular/pulmonary problems Flashcards
1
Q
Cardiovascular and pulmonary screen
A
- # 1 tool: vitals observation
- during examination: vitals with or after activity
2
Q
Exercise considerations:
Sitting
Walking
Biking
weights
aquatics
A
- Sitting: lower energy, lower risk of falls
- Walking: breathing exercises, keep in a specific RPE etc
- Biking: low impact, good for POTs
- weights: could be cardio with certain reps and sets
- aquatics:
3
Q
Goals and indications for Aquatic exercise
A
- ROM, weight bearing and cardiovascular exercises
- resistance training: water can provide resistance
- relaxation
- minimize risk of injury/reinjury
4
Q
Precautions for aquatic exercise
A
- fear of water
- respiratory disorders
- cardiac dysfunction
- small open wounds and lines
5
Q
Containdications for aquatic exercise
A
- seizure in past year
- uncompensated CHF
- unstable angina
- severe kidney disease: increase hydrostatic pressure improves venous return
- severe PVD
- open wounds without occulsive dressings
- colostomy
- water/airborne infections
- risk of bleeding or hemorrhage
- lack of bowel and bladder function
6
Q
Properties of water
A
- buoyancy
- hydrostatic pressure
- pascal’s law: pressur eapplied to a confined fluid is transmitted equally in all directions
- surface tension: increased surface area going into water makes it harder than a decreased surface area
7
Q
Weight bearing with immersion
A
C7= 10%
Xiphoid process = 33%
ASIS = 50%
8
Q
Properties of water: hydromechanics
A
- components of flow motion
- laminar flow: a type of fluid flow where fluid particles move in smooth, parallel layers
- turbulent flow: harder to get through
- drag: flippers, weigth through the water (adds resistance)
9
Q
Temperature considerations
for aquatic therapy
A
- 92-94 is therapeutic
- improve blood flow and willingness to move
- in MS it needs to be cooler to avoid a reoccurance of symptoms
- may not vasoconstriction easily when getting out of the water = dizzy and lightheaded
