Week 4.3 Intervention for weakness 2

Question 1

is there a lot of evidence that strength training is linked to improved function

Answer 1

not much

Question 2

what are some modes of strength training after a stroke

Answer 2

PRE, circuit training, isokinetic training, functional and task specific training

Question 3

in MS, strength and ___ improve fitness, function and QOL

Answer 3

aerobic

Question 4

does strength training cause an increase in exacerbations

Answer 4

no!, there is minimal effect

Question 5

for mild to moderate MS< what is the RT prescription

Answer 5

2x/week, moderate intensity

Question 6

MS, what is the purpose of strengthening

Answer 6

to maintain strength and prevent decline in people with moderate to severe

Question 7

what are the 3 pieces of medical management for GBS

Answer 7

DVT prophylaxis,
management of symptoms
immunotherapy, like please exchange and IVIG

Question 8

why do we want to do PROM and positioning in people with GBS

Answer 8

maintain flexibility, prevent skin breakdown and facilitate respiratory management

Question 9

TF: we can do ARM in the ascending phase

Answer 9

false

Question 10

when can we begin AAROM AND AROM in GBS patients

Answer 10

when the paralysis begins to descend

Question 11

what is a large concern with training in people with GBS

Answer 11

not to over fatigue them

Question 12

what are the 3 treatments for CIDP

Answer 12

IVIG and plasma exchange
Corticosteroids,
rehab in strengthening, energy conservation and orthotics and ADs.

Question 13

can we over fatigue CIDP patients?

Answer 13

yes and we shouldn’t

Question 14

what is CMT

Answer 14

progressive hereditary defect of the motor and sensory nerves that causes progressive weakness and sensation loss

Question 15

what are the treatments for CMT

Answer 15

strengthen what remains
stretching
orthotics (drop foot)
activity specific training

Question 16

what is the general rule for exercise prescription in PPS

Answer 16

muscles at a 3 or below should not be exercised, but PROM and protected with activity
muscles that are a 3+ to 4 can cautiously exercise
muscles 4+ to 5 can exercise at moderate to vigorous activity, with no signs of overuse

Question 17

what is the 20% rule for exercise prescription in people with PPS

Answer 17

establish the maximum capacity for each exercise, and begin a program at 20% that intensity, then do this 3-4x/week for a month, and increase by 10% each following month

Question 18

what are some interventions for PPS

Answer 18

self manage 
lifestyle changes to reduce metabolic load 
education 
alleviate and prevent pain 
minimize posture and gait deviations 
maintain and increase function

Question 19

what are some good exercises for PPS

Answer 19

circuit, bike, isolated muscles without weight aquatics, sit to stands, and UBE

Question 20

what are some bad exercise

Answer 20

anything that pounds too much or is too hard a circuit

Question 21

what can AD do in terms of load, mechanics

Answer 21

decrease it

and make mechanics more normal

Question 22

what is the drug approved for ALS

Answer 22

riluzole

Question 23

how can we help with respiratory failure in ALS

Answer 23

non-invasive (+) pressure ventilation and tracheostomy

Question 24

should we take ALS patients about safety, educate them and talk about planning

Answer 24

yes

Question 25

how can we treat bulbar dysfunction

Answer 25

change the diet and a feeding tube

Question 26

how can we manage spasticity in ALS

Answer 26

medication and standard intervention

Question 27

how can we manage pseudo bulbar affect in ALS

Answer 27

meds

Question 28

how can we treat weakness in ALS

Answer 28

submax strengthening more muscles that ARE NOT AFFECTED YET and adaptations, support, W/C, AD and technology