Study Guide Q's: Active Older Adult Flashcards

1
Q

How do overall strength and fall rates of senior athletes compare to community dwelling older adults?

A
  • Runners (60min/week) 🡪 lower levels of disability and prolonged survival
  • Senior athletes (vs. community dwelling older adults) 🡪 faster 5xSTS time
  • Senior athletes (vs. community dwelling older adults) 🡪 lower fall rates
  • Masters athletes (w/ strength training) (vs. recreationally active, sedentary young adults) 🡪 greater leg press max strength
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe the neuromuscular changes in senior athletes in terms of losses of muscle fibers, strength, and power as well as neural control and BMD

A
  • Neuromuscular changes
    • Loss of skeletal muscle (type II fibers)
    • Women have a greater loss of strength and power than men, especially in the UEs
    • Strength loss occurs 2-5x faster than muscle mass loss, especially in the LEs
    • Reduced force due to
      • Altered neural control
      • Increased fat and CT accumulation
      • Changes in contractile units
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe the changes that occur with aerobic capacity in senior athletes

A
  • Changes in VO2 max
    • Central factors
      • CO
      • Decline in HR max
      • Ventilatio
    • Peripheral factors
      • Lower a-VO2diff
      • Loss of muscle mass
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Apply sports specific training to a senior athlete scenario

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Be able to apply this diagram to a clinical scenario

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

compare exercise recs for a senior athlete to the frail older adult

resistance training

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

compare exercise recs for a senior athelte to the frail older adult

CV training

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is anabolic resistance and how does this affect the senior athlete

A
  • blunted protein synthesis in aging athletes
    • Lengthens recovery time
    • A positive protein balance is needed throughout training
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the 6 domains of wellness

A
  1. physical
  2. mental: emotional, spiritual, intellectual
  3. social: social, occupational/vocational
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

description of physical wellness demention

A

physical functioning to the degree that allows one to perform roles in society and family

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

emotional aspect of health description

A

sense of well being and the ability to cope effectively with life’s ups and downs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

spiritual demension of health description

A

aspects of life that provide meaning and direction that connects something to greater than one’s self

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

intellectual wellness demension

A

ability to learn and use information effectively and to reason and use self efficacy in wellness endeavors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

social wellness demension description

A

meaningful relationships and presence of a social support structure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

occupational wellness demension description

A

purpose in life, a reason to get up in the morning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

describe examples of the 3 categories of prevention

A
  • Prevention: a process and an outcome achieved through health promotion and disease prevention efforts
  • Goal: using health promotion and disease prevention strategies to achieve the goal of optimal aging
  • Three primary categories of prevention
    • Primary: preventative measures
    • Secondary: screening for early detection
    • Tertiary: once diagnosis occurs/management of current conditon

be able to describe examples

17
Q

Describe the role of PT for wellness practice

A
  • Promote wellness in clinical practice, research, advocacy, and collaborative consultation
  • Promote wellness to older adult patients/clients
  • Address physical health domains of adopting an active lifestyle
  • Address physical health domains of adopting an active lifestyle
  • Injury prevention in areas of falls, workplace injury, community based injury
  • Involve multidisciplinary members and make appropriate referrals
18
Q

What is the PAR-Q?

A

screening tools used to determine an individual’s readiness to participate in a wellness program

  • The Physical Activity Readiness Questionnaire (PAR-Q) is a common method of uncovering health and lifestyle issues prior to an exercise program starting. The questionnaire is short and easy to administer and reveals any family history of illness. [It is self-report.] (from Google)
19
Q

what is the EASY tool?

A

screening tools used to determine an individual’s readiness to participate in a wellness program

20
Q

What is the get active questionnaire?

A
  • The Get Active Questionnaire along with its accompanying Reference Document enables you to make an informed decision whether you should seek further advice from a health care provider or qualified exercise professional before becoming more physically active. It is designed to be a self-administered pre-screening tool to empower individuals to be responsible for their own health and well-being. (from Google)
21
Q

what are other tools that can be used to screen for whether or not someone is able to particpate in a wellness program?

A
  • Osteoporosis
  • Fall risk
  • Senior fitness test
  • Intake form: Annual Physical Therapy Visit for Aging Adult
  • Annual Physical Therapy Visit for Aging Adult (general movement screen and SPPB)
  • Report Card: Annual Physical Therapy Visit for Aging Adult (general movement screen and 7 functional OMs)
22
Q

goal of a wellness program

A
  • promote health and prevent disease in adults 65 years and older (or 50-64 with clinically significant chronic conditions)
23
Q

Develop a wellness program that incorporates all appropriate domains and includes aerobic, strengthening, flexibility, and balance exercises to integrate preventative and therapeutic measures

AEROBIC ACTIVTY SECTION

A
  • Moderate intensity activity for 30 min 5x per week or vigorous activity 20 min, 3x per week
    • Moderate intensity: 5-6 on 10 point scale
    • Vigorous intensity: 7-8 on 10 point scale
24
Q

Develop a wellness program that incorporates all appropriate domains and includes aerobic, strengthening, flexibility, and balance exercises to integrate preventative and therapeutic measures

MUSCLE STRENGTHENING

A
  • Minimum of 2 days per week (nonconsecutive days)
  • 8-10 different exercises
    • 10-15 reps
    • Moderate (5-6/10) to high (7-8/10) effort
25
Q

Develop a wellness program that incorporates all appropriate domains and includes aerobic, strengthening, flexibility, and balance exercises to integrate preventative and therapeutic measures

FLEXIBILITY

A
  • Perform flexibility activities at least 2 days/week for at least 10min
26
Q
  • Integration of preventative and therapeutic recommendations
A
  • Older adults with one or more medical conditions: perform physical activity that is therapeutic and in a manner that safely and effectively treats the condition
  • The idea is to increase activity above resting level
  • Activity plan for those with chronic conditions
    • Physical activity is therapeutic
    • Type of activity along with intensity, duration, and frequency should integrate prevention and treatment
  • Activity plan for those who are inactive
    • Gradual (or stepwise) approach to safely increase activity level
    • 10 min multiple bouts rather than longer duration continuous bouts
  • Dose-relationship between physical activity and health: increased physical activity levels associated with prevention of weight gain
27
Q

Compare individual-level vs. community-level approaches to achieve sustainable programs for individuals

A
  • Individual level vs. community level approach
    • Sustainability is the key phrase (whatever works for that individual and what is accessible for that person)
    • Task Force on Community Preventative Services: increase access to the places of physical activity