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PTRS 745 Exam 2 > TherEx in Special Populations > Flashcards

TherEx in Special Populations Flashcards

1
Q

Content: Older Populations - Examination Strategy (7)

A
  1. Frailty - gait speed, change in activity levels, weight loss
  2. Medications
  3. CV risks
  4. Pulmonary - response to exercise
  5. Sensory - balance, fall hx, rise from floor
  6. Neuropsycological - depression, mental status
  7. Musculoskeletla - risk of osteoporosis and OA
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2
Q

Content: Risk CVD in the Elderly

A
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3
Q

Content: Pulmonary Risks in the Elderly (4)

A
  1. DVT
  2. Emphysema
  3. Chronic bronchitis
  4. Chronic fibrosis
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4
Q

Content: Pulmonary Risks and Therapy Interventions in the Elderly (5)

A
  1. Monitoring respiratory rate and 02 staruation (12-18 bpm, 91%)
  2. Supine with elevated head
  3. Cueing to increase respiratory depth and decrease respiratory rate
  4. Breathing holding should be avoided
  5. Coordinations between breathing and exercises
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5
Q

Content: Berg Interpretation

  1. Low fall risk
  2. Medium fall risk
  3. High fall risk
A
  1. 41-56
  2. 21-40
  3. 0-20
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6
Q

Content: Musculoskeletal System Changes with Aging - Muscle (2)

A
  1. Size decreased by 30-40% over lifetime
  2. Lost of strength beginning at 50 yo
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7
Q

Content: Musculoskeletal System Changes with Aging - Articular Cartilage

A

Wear and tear/Break down/Degeneration

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8
Q

Content: Musculoskeletal System Changes with Aging - Tendon

A

Loss of extensibility and joint motion

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9
Q

Content: Musculoskeletal System Changes with Aging - Bone (2)

A
  1. Loss of 30-40% of mineral bone over lifetime
  2. Loss of 50-60% of trabecular bone over lifetime
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10
Q

Content: Risk Factors for Developing Osteoporosis

  1. Age
  2. Gender
  3. Ethnicity
  4. Bone structure and body weight
  5. Hx
  6. Other
A
  1. Over 50 yo
  2. Women
  3. Causcasian and Asian
  4. Petite/Thin
  5. Family Hx, Hx of broken bones, Hip fx
  6. Cigarette/Alcohol use, RA, long term use of steroids
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11
Q

Content: Common Injuries in the Elderly (5)

A
  1. Proximal humeral fx
  2. Distal radius fx
  3. Proximal femur fx
  4. Operative fixation or arthroplasty
  5. Osteoarthrose
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12
Q

Cotent: “Parts” of Neer’s Classification for Humeral Fx (4)

A
  1. Humeral head
  2. Greater tubercle
  3. Less tubercle
  4. Diaphysis
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13
Q

Content: Conservative Tx of Humeral Head Fx (3)

A
  1. 7-10 days sling immobilization
  2. Standard Pt
  3. No manipulation to fx
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14
Q

T/F: There are better outcomes with conventional PT for Humeral Head Fx

A

False: with immediate mobilization

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15
Q

Content: Immediate Mobilization (7)

A
  1. Began 72 hours after fx
  2. Ice and cervical massage
  3. Day 1- Passive abduction (supine) – day 2 elevation in sideline
  4. External rotation on day 8
  5. Active ROM after 6 weeks
  6. Strengthening after three months
  7. Home exercises - after 4 to 6 weeks after fracture
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16
Q

Content: Patient Instruction with the Elderly (5)

A
  1. Larger print materials
  2. Slower/well articulated speech
  3. Increased repetition and caregiver help
  4. Avoid radical change
  5. Compare body with something easy to understand (ex. Car)
17
Q

Content: Considerations for Endurance Training in the Elderly (4)

A
  1. Screen for risk factors
  2. 80% Max HR is safer
  3. Beta blockers blunt HR response
  4. Use perceived exertion scales (Borg, GVA)
18
Q

Content: Considerations for Strength Training in the Elderly (2)

A
  1. Is safe if there are not contraindications
  2. Include functional training
19
Q

Content: Bone Age of Fusion

A

Humerus > Radius > Femur/Tibia > Clavicle

20
Q

Content: Epiphyseal Fx in Children (3)

A
  1. Due to excessive load
  2. At knee due to valgus force
  3. At proximal humerus due to throwing
21
Q

Content: Avulsion Fx in Children (5)

A
  1. Muscle contraction or stretch
  2. ASIS (due to sartorisus)
  3. AIIS (due to recuts)
  4. Ischial tuberosity
  5. Medial epicondyle (due to throwing)
22
Q

Content: Common Overuse Injuries in Children (3)

A
  1. Apophysitis - repetitive traction on apophysis
  2. Server disease - pain in posterior calcaneus near Achilles insertion
  3. Osgood Schlatter - pain in tibial tubercle
23
Q

Content: TherEx for Apophysitis (4)

A
  1. Cessation of offensive activity
  2. Painless stretching
  3. ROM and strenghtening
  4. Biomechanics correction for atheltic activity

PTRS 745 Exam 2 (12 decks)

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