Training Flashcards

1
Q

How do you diagnose metabolic syndrome?

A

> 3 diagnostic criteria:

  • Increased BP
  • Fasting Blood glucose
  • Waist girth
  • Triglycerides
  • Decreased HDL
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2
Q

Functional activity training - Purpose

A
  • isolate deficits in muscle performance
  • compensatory movement
  • give athlete psychological reassurance
  • determine the presence of pain
  • do as part of pre-screening
  • in rehab process
  • before return to sport
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3
Q

Functional activity training - Things to consider

A
  • stage of healing (not during acute)
  • ROM
  • strength/power/endurance
  • neuromuscular control, proprioception, core control
  • prophylactic taping/bracing/padding
  • responsibilities of the athlete
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4
Q

Functional activity training - Contraindications

A
  • persistent joint effusion
  • joint instability
  • poor motor control
  • lack of ROM
  • muscle length and appropriate muscle strength and power (at least 90%)
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5
Q

Functional activity training - Criteria for return to play

A
  • abolition of acute s&s
  • full AROM and PROM of joints involved
  • adequate muscle strength
  • power and endurance (90%)
  • Correct movement mechanics
  • adequate cardiorespiratory fitness
  • have successful completed progressive functional tests
  • psychologically ready
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6
Q

Functional activity training - Concepts

A
  • load
  • stability
  • velocity
  • direction changes
  • test environment
  • correct movement mechanics throughout
  • energy systems
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7
Q

Principles of posture training

A
  • lengthen what’s tight, strengthen what is weak
  • down grade activation in muscles that aren’t supposed to be firing
  • correct muscle imbalance or postural faults?
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8
Q

Pros and cons of a walker

A

increase balance and relieve WB (fully or partially), most stable device,

bad for small spaces or going up stairs, no arm swing, can get no wheel,

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9
Q

walker measurements

A

stand inside, handles to wrist crease or 20-30 degree elbow flexion holding the handles

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10
Q

Cane pros and cons

A

widen base of support, help balance

least stable type of aid,

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11
Q

Cane measurement

A

cane parallel to leg with tip in line with ankle, hand position: handles to wrist crease or 20-30 degree elbow flexion holding the handles

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12
Q

Quad cane pros and cons

A

Wider BOS

Not that good for stairs

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13
Q

Crutches pros and cons

A

help with lateral stability and improve balance (inc BOS), helps dec WB

Difficult to use or use properly, risk of axilla damage

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14
Q

Crutches measurements

A

have distal end 2 inch lateral and 6 inch in front anterior to foot, hands placed so handles to wrist crease or 20-30 degree elbow flexion holding the handles

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15
Q

Forearm crutches pros and cons

Which population are they normally used in?

A

allows for use of hands,

but need more arm strength to use,

usually used in higher functioning patients or may or may not use them for longer term use;

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16
Q

Forearm crutches measurements

A

cuff on prox 1/3 of forearm, 1-1.5 inches below elbow

17
Q

Step to or step through can be done with which mobility devices

A

Crutches or walker

18
Q

4 point gait

  • Synchronous or asynchronous?
  • what gait looks like?
  • With what gait aids?
  • Provides ____, ____ gait
A
  • Asynchronous
  • 4 full weightbearing points with 3-4 points of support on ground at all times
  • 1 aid advanced, then opposite LE advanced
  • BIlateral crutches, canes or walkers if FeWB
  • Provides slow, stable gait
19
Q

2 point gait

  • Synchronous or asynchronous?
  • what gait looks like?
  • With what gait aids?
  • Gait is …
A
  • Synchronous
  • Similar to 4 point (4 full weightbearing points) but only 2 points of contact maintained at all times
  • one leg and contralateral aid advance at same time
    ex. R cane and L leg together, then L cane and R leg together
  • done with bilateral crutches or canes - Modified when only 1 crutch or cane is used
  • Gait is less stable
20
Q

3 point gait

  • What does it look like?
  • What gait aids can it be done with?
  • What weight-bearing can it be done with?
A
  • 3 points of support on floor
  • Affected leg advanced, weight transferred to floor through aid via UE’s, then unaffected leg advanced and weight returned to unaffected leg
  • Can be done with crutches or a standard walker
  • NWB, FeWB or PWB (<80% can’t use CANE)
21
Q

Step to can be progressed to ____

A

step-through