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Questions and Answers

Define cerebral palsy

a group of permanent disorders of the development of movement and posture, causing activity limitations that are attributed to non-progressive disturbances that occured in the developing fetus

what is spasticity

velocity-dependent resistance to passive movement which is seen as increased muscle tone, caused by an increase in stretch reflex activity

what is clonus

involuntary rhythmic muscle contractions

what is hypertonia

<p>non-velocty-dependent resistance to passive movement seen as increased muscle tone, caused by continuous muscle activation</p> Signup and view all the answers

Name the 4 types of CP and their characteristics

<p>Spastic: cerebral cortex damage, increase muscle tone and deep tendon reflexes, gait difficulties, hand dexterity Dyskinetic: basal ganglia damage, movement disorders, gait impairments, poor postural control, difficulty speaking Ataxic: cerebellum damage, lack of coordination and poor balance, wide-based gait, difficulty timing movements</p> Signup and view all the answers

Define parkinsons

<p>is a chronic, progressive, and incurable neurological condition largely resulting from the degeneration of dopamine producing cells in the basal ganglia. It is considered a motor disorder but also has significant non-motor deficits affecting cognition, behavior and emotion</p> Signup and view all the answers

what are the 4 main motor symptoms of parkinsons

<p>tremor, rigidity, bradykinesia, postural instability</p> Signup and view all the answers

Explain the red flags for people with parkinsons

<ol> <li>avoid only using BP and HR to assess exercise intensity / response to exercise (use RPE)</li> <li>avoid exercise, especially supine exercises, if patient has symptomatic orthostatic hypotension</li> <li>avoid exercise during 'off' fluctuation</li> <li>avoid any exercises that present falls risks</li> </ol> Signup and view all the answers

Define dementia

<p>umbrella term describing a syndrome associated with the progressive and irreversible loss of cognitive function. Characterized by impaired cognition, memory, perception, language, personality, and behavior</p> Signup and view all the answers

Define ABI

<p>refers to any type of brain damage that occurs AFTER birth that is not due to genetic of degenerative diseases</p> Signup and view all the answers

Define Stroke

<p>a group of disorders involving sudden, focal interruption of cerebral blood flow resulting in a neurological decifit/s lasting longer than 24hrs</p> Signup and view all the answers

State the red flags for exercise for Stroke/ ABIs

<ol> <li>ACSM's CVD guidlines (BP &gt; 200/110; unstable angina) 2.avoid isometrics 3.avoid high intensity exercise 4.avoid impact activities for 3 months</li> <li>avoid any exercises that require complex movement patterns or coordination 6.avoid any exercise that present a falls risk</li> </ol> Signup and view all the answers

define TBI

<p>a form of ABI involving damage to the brain caused by an external force to the head causing a tear, penetraton, bruising, or swelling of the brain resulting in neurological injury</p> Signup and view all the answers

Define diabetes mellitus

<p>a group of metabolic disease characterized by an inability to produce sufficient insulin or use it properly, resulting in hypergylcaemia</p> Signup and view all the answers

what are the criteria for pre-diabetes and diabetes diagnosis for: Fasting plasma glucose, OGTT, HbA1c?

<p>Pre-diabetes: fasting plasma glucose 6.0-6.9mmol/L, OGTT 7.7-11.0mmol/L, HbA1c 5.7-6.4% Diabetes: fasting plasma glucose: &gt;7.0 mmol/L, OGTT &gt;11.0mmol/L, HbA1c &gt;6.5%</p> Signup and view all the answers

Name complications of diabetes to be aware of or ask about prior to exercise

<p>micro and marcovascular complicatons: micro= retinopathy, nephropathy, and neuropathy (autonomic neuropathy). Macro= athersclerosis, MI, stroke, peripheral artery disease</p> Signup and view all the answers

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Explain diabetic ketoacidosis (DKA) and hyperosmolar non-ketotic syndrome and its clinical relevance

<ol> <li>DKA is a direct result of HYPERglycaemia, insulin is low or absent. Is a red flag for exercise. Healthy ketone levels are &gt;0.1mmol/L</li> <li>profound and prolonged HYPERglycaemia in TD2 Cts</li> </ol> Signup and view all the answers

Name 4 submaximal aerobic tests

<ol> <li>6-min walk test (30 m track)</li> <li>YMCA submax cycle test (test continues until 85% age predicted or fatigue)</li> <li>Bruce treadmill test (modified),(test continues until 85% age predicted or fatigue)</li> <li>Queens college step test (3 min ,22 SPM for Fs, 24 SPM for Ms)</li> </ol> Signup and view all the answers

Name some common strength test to get objective measures

<p>max plank hold, 30s push up test, 30s sit to stand, 10RM, hand grip, dynos</p> Signup and view all the answers

Name some important questionnaires to remember

<ol> <li>Oswestry Disability Index- for LBP</li> <li>Fatigue severity scale. (cancer, autoimmune, neuromuscular)</li> <li>DASS-21</li> <li>Parkinsons, MS, and stroke QOL / impact scale</li> </ol> Signup and view all the answers

Flashcards

Capital of France (example flashcard)

Paris

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