quiz 3 Flashcards
Why does the population of patients aging with a disability return to rehab?
loss of function
joint replacements
pain
disability rights advocacy needs
Goal setting is a unique challenge for the aging population with disability because
communication
survivor mentality
What is a typical perspective of PT with aging disability population?
pain and torture
often intelligent non-compliant
This term is defined as persistent observed progressive cognitive changes that lead to functional decline, often begins as MCI
dementia
This is cognitive changes are of concern to individual and/or family, 1 or more cognitive domains impaired significantly, preserved activities of daily living
MCI
Dementia like behavior as a result of depression is _
psudeodementia
Mild memory loss associated with normal aging
Benign senescent forgetfulness
reversible, acute dementia
delirium
How are PD and dementia related?
PD is a type of dementia
patients can have both
Problems are seen with dementia
gait disturbance
reflex and tone changes
what gait disturbances occur with dementia?
ataxia
shuffling
scissoring
balance and coordination problems
What reflex and tone changes occur with dementia?
primitive reflexes return
increase in muscle tone
How do you manage dementia?
risk for falls
decline in balance/gait
decline in ADL
establish maintenance program
Intervention for dementia
sensory integration gait training balance training strengthening conditioning/walking program gait aids environmental assessment/positioning skin integrity/positioning incontinence retraining
What changes are seen with osteoporosis?
patterns of postural change
weaknesses
What are contributing factors to posture changes with osteoporosis?
postural habits
sedentary lifestyle
pain avoidance patterns
accidents and injuries over a lifetime
What should be assessed in a patient with osteoporosis?
movement analysis measure posture forward head measurement total scapular distance trunk ROM balance assessment
for healthy vertebral bodies _ for realignment
strengthening
for osteoporosis patients no spinal _ or _
flexion
rotation
What three things should be done for healthy hips in patients with osteoporosis?
strengthening
realignment
safe loading
_ first, then _ and add _ exercise later
strengthen
flexibility
loading
provide _ _ with emphasis on correct body alignment and weight-bearing forces
gait training
