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15 Cards in this Set
- Front
- Back
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What are the 3 points made by the Bassille article regarding exercise?
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1. avoid overwork, do not fatigue (only submaximal exercise)
2. avoid eccentric exercise (antigravity for a muscle 3/5, eccentric = functional) 3. avoid stressing a muscle >3/5 (no resistive exercises) |
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What are concerns about exercise?
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1. Can you get going without overload?
2. ambulation 3. What about muscles >3/5? |
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What is overuse injury to a partially innervated muscle (3, 4) consist of?
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1. decrease in strength is directly associated with exercise
2. overtime/ life time experience 3. 1 or 2 bouts of exercise |
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What is post-polio syndrome?
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neurologically stable, then all of the sudden they experience weakness/pain
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What do we want to avoid (regarding muscles) for CMT?
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overusing muscles that are still undergoing the disease process
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What causes overuse injury?
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1. always firing all neurons
2. always full activation 3. neurons or motor unit degenerates (some fibers hyper while some hypo d/t decreased innervation) |
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What are 3 problems that patients report?
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1. weakness
2. fatigue 3. pain |
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What are PT considerations for treating with exercises?
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1. avoid disuse weakness/sedentary lifestyle
2. need to find perfect place avoiding disuse and overuse 3. fatigue is the #1 complaint, evolving weakness with sustained activity |
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What causes the fatigue the patients complain of?
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- decreased oxidative capacity/enzyme activity
- more use = increased oxidative capacity (more I and II a) - GOAL: daily energy cost, increased efficacy |
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What are some exercise guidelines?
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- 70% of heart rate max
- 20-30 max - 3-4x a week |
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How will we know when to increase a patient's exercise?
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start with 50% of 5 RM
doing 6-10 reps, working to 30 then increase if the patient improves |
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What position will we put patients if they are weak for performing exercise?
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work in parallel to gravity position until able to do force of the limb weight
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How do we know if we have done too much with the patient?
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1. soreness for 1-5 days, need no soreness
2. weakness after exercise 3. sense of exhaustion in which small rest breaks does not fix |
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What is a nerve conduction study looking for? Where does it look?
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looks for axonal damage, evidence of denervation or reinnervation
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What are ways to do activity/daily modifications?
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1. patient reconstructs their day
2. work capacity = torque x duration 3. bursts of activity with breaks = ability to do more work |
