Special Pops Exam 1

Question 1

Problem Based Management

Answer 1

problem vs diagnosis

side effects whoole picture with problems

Question 2

SOAP notes

Answer 2

Subjective-history, meds, limitations, wants, why
Objective-observations, tests. find capacity to know where starting from. aerobic/anerobic
Assessment- based off 0tests. problem lists, existiong problems, prioritize
Plan-Exercise RX, risk benefit

Question 3

Warm Up

Answer 3

Increase
-O2 delivery
-Blood flow
-Nervous impulses
-Metabolism
Decrease
-viscosity
-pulmonary resistance
*can be active or passive

Question 4

Cooldown

Answer 4

Decrease

• body temp
• HR
• respiration
• catecholamines
• recovery time

Question 5

Physiological changes with aging

Answer 5

• pathological or successful
• genetics
• pa
• nutrition
• disease
• social environment
• psychological attributes

Question 6

Frailty

Answer 6

-reduced physiological reserve ass.w/ inc suseptability to disability
Interaction of physolog aging/chronic disease/seden lifestyle
-unintended wt loss
-musc weakness
-slow gait speed

Question 7

FITT Formula

Answer 7

CV training 3-5 d/wk
Intensity Moderate
Strength training 2-3 d/wk
Intensity Moderate
Flexibility 5-7 d/wk

Question 8

Neuromuscular Training

Answer 8

• Progressive reduce BOS
• dynamic perturbations to COG
• Postural Muscles
• Reduce Sensory input
• Taichi better than yoga b/c standing
• 2-3 d/wk reccommended

Question 9

Osteoarthritis

Answer 9

• wt bearing jts

- degen of articular cart w/formation of new bone on surface injury/instabil/stinosis

Question 10

Rheumatoid Arthritis

Answer 10

• 20-50
• 3:1 female/male
• slow onset
• snyovial lining thickens enzymes break down cartilage/bone
• progress to cardioplmonary dysfunction

Question 11

Arthritis Management

Answer 11

Decrease pain inflam jt damage
increase function
-pt education balanced diet/wt loss
-jt protection techniques
-medication,ex,rest,surgery

Question 12

Arthritis Symptoms

Answer 12

• decreased ROM
• instability
• weakness
• flares

Question 13

Arthritis Exercise Complications

Answer 13

DECREASE
-vo2, sped, ROM
INCREASE
-REE, metabolic cost of activiy
-jt injury risk

Question 14

Arthritis considerations for ex testing

Answer 14

• site and severity of jts dictate mode for least px
• isotonic,kinetic,metric strength tests
• vigorous contraindicated during flares
• monitor px Borg CR pain scale

Question 15

Ex prescription for arthritis

Answer 15

• site and severity
• same as aging
• modify based on disease status
• priorities rom/stretching/muscle strengthinging/aerobic ex/recreation
• avoid during flares
• duration>intensity progression
• long warm up cool down
• px awareness (px not after 2hrs after)
• timing
• warm water

Question 16

Arthritis FITT

Answer 16

F- CV 3-5
     RT 2-3
     ROM daily
I-low/med 40-60% HR
T- greater than equal to 150min/wk
T- non/low wt beaing

Question 17

Balance Training

Answer 17

-balance efficacy scale
-fallproof program
COG control
multisensory
postural strategy ankles,hips,step
gait pattern enhancement and variation

Question 18

Lower Back Pain

Answer 18

nonspecific and specific

• infection, tumor, osteoporosis
• major trauma or multiple microtraumas
• lifestyle

Question 19

LBP structures that cause pain

Answer 19

• inglammatory,
• nocioceptive,
• neuropathic,
• chronic/acute

Question 20

Issues from LBP

Answer 20

• recurrence
• loss of work
• increased health care services
• decreased QOL

Question 21

Exercise Considerations for LBP

Answer 21

• address misconceptions
• manage pain
• acute lbp (temp modification)
• meds, analgesics, nsaids, opiates, steroids, relaxants, antidepressents, drowsiness

Question 22

Exercise Testing LBP

Answer 22

Treadmill w/practice time

-Limiting factors (px, fatigue)

Question 23

Exercise Prescriptions LBP

Answer 23

-exercise>rest
-acute start w/min stress to back (delay hip/back exercises)
-chronic intensity, duration, graded and gradual. time not pain contingent
-cv
strength/flexibility
-adherence is key

Question 24

Osteoporosis Factors

Answer 24

• hormones
• low BW
• low nutrition
• meds
• smoking/alcohol
• gender
• age
• body size
• ethnicity
• history

Question 25

Osteoporosis fracture risk

Answer 25

• hip/femoral neck breaks
• spine and wirst
• compression fractures in vertebrae

Question 26

Thoracic kyphosis

Answer 26

• increased fall risk
• back pain
• weak back extensor muscles

Question 27

Osteoporosis exercise testing

Answer 27

• fitness/fall risk assessment
• modify w/arthritis /kyphosis
• bike ergometer
• musc strength (1RM CONTRAINDICATED)
• neuromusc function
• functional

Question 28

Osteoporosis exercise prescriptions

Answer 28

-wt bearing ex
-resistance ex
-balance
AVOID
-spine flexion,twisting, compression
-explosive, high impact
-pain

Question 29

Osteoporosis Considerations

Answer 29

• safe environment (handrails)

- address fear of falling

Question 30

FITT formula for osteoporosis

Answer 30

F-CV wt bearing 3-5 d/wk
I-mod (more intensity =more stim)
T- 30-60 min
T- at risk:wt bear, rt and jumping
w/osteo wt bear, rt no jumping