Shared Flashcard Set

Details

Geriatrics - Ortho
Ortho
28
Health Care
Graduate
02/23/2013

Additional Health Care Flashcards

 


 

Cards

Term
LE anti-gravity mm strength loss
Definition

quad, glut, gastroc

sit-->stand, stairs, fall recovery important to work on

Term
Fiber types
Definition

Type II replace I

--> decreased power production - safe ambulation 

Term
Effect on Increased Body Fat on Bone Health
Definition

Loss of K+/Ca++

Less stimulation of bone through mm contraction

Term
Muscle changes
Definition

30-50% loss in strength/mass by 80

plasticity and training response ↓ after 80

resistance training 60-70 important to remain functional in 80-90

Term
Recreational Athlete
Definition
Engages in regularly but not competitively
Term
Competetive/Elite Athlete
Definition
Regular, aggressive training and competes
Term
Non-Athlete
Definition
started later in life to make a change in health status
Term
Injuries in Older Athlete
Definition

2' falls

muscle avulsion/tear

meniscal injury; DJD; inflammatory conditions

Takes longer to recover and more severe detraining

consider spacing out visits to PT

Term
Golf
Definition

males burn avg 900 calories/18 holes

3-4mi course

Mod intensity - peak 70-80% HRmax

Promotes social interaction, coordination, balance, cognitive, outdoor

Term
Golf as HEP
Definition

walk between holes, stretch and warm-up, make use of wait periods

 

injury prevention, hydration

Term
Golf injuries
Definition

Spine 34%

UE 46%

Term
Golf swing Requirements
Definition

Trunk Rot

Shoulder ROM

WS

Balance/Postural stability

Grip

Term
Foot & Ankle problems
Definition

80% 65+ have foot dysfunction

Ligamentous structure stiffins --> loss of ROM

shap of foot changes

sensory loss

strength loss especially PF

Term
Footwear Recommendations
Definition

Thick and wide sole, mod stiffness, wider/deeper tread

Stability and shock absorption

Term
Footwear Recommendations: Medial Compartment OA
Definition
laterally wedged inserts, flexible shoes that don't controll motion, no heel lift
Term
Footwear Recommendations: Lateral Compartment OA
Definition
medially wedged inserts; supportive shoes that resist pronation
Term
Footwear Recommendations: Size
Definition

Length = "rule of thumb" at top

Width = bunching of top of shoe at met heads

depth of toe box = allow up/down toe mvmt

Term
Footwear Recommendations: Donning Doffing
Definition

shoe horn

Velcro

Term
Backswing
Definition

Rotary mvmt of feet, hips, trunk, shoulders and wrists

<25% injuries - most back/wrist

Term
Forward Swing and Ball Impact
Definition

Initiated w/ trail hip extensors and ABD as well as lead hip ADD; than lead infraspinatus, rhomboid, mid trap rotate shoulder/retract scap

 

most injuries - UE

Term
Rotator Cuff
Definition

most common cause of pain along w/ impingement syndrome

50% 60-70 had partial or full thickness tears

65% 70-80

>80% 80+

Term
Golf Education for Shoulder
Definition

Shorten backswing

Elbows close to trunk

Finish hands low and club horizontal

 

Postural Re-ed

stretch front and back

strengthen scap stabilizers

Term
Follow Through
Definition

Deceleration of club/body in turning motion

Spinal and shoulder mm

25% injuries - back, shoulder, ribs, knees, wrist

considerable stress on lead hip and feet

Term
Poor Prognostic Indicators OA
Definition
Multiple comorbidities, morbid obesity, dementia, psychiatric disease, systemic infections, poor vascular supply, soft tissue disorders, neuropathic conditions
Term
Delirium prevention
Definition
MOBILIZATION
Term
POPS
Definition
Proactive Care of Older People Undergoing Surgery
Term
6MWT performance implications
Definition

MDC 58.21m (50-60m)

amount of wks to reach max functional level dependent on preop performance and has plateau effect

Term
LEFS performance implications
Definition

MDC = 9

amount of wks to reach max functional level dependent on preop performance and has plateau effect

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