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118 Cards in this Set

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  • Back
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In what year did the law require that all buildings or facilities that were built, altered or designed with federal dollars to be wheelchair accessible?

1968

What did the Rev. Martin Luther King Jr. once say for people with disabilities

Opressed people cannot remain oppressed forever. The urge for freedom will eventually come

Name the 8 parts to the historical perspectives on disability and sport (in order)

1. Survival and superstition


2. Humanitarian Reform


ce


3. Judeo-Christian Influence


4.Influence of science and medicine


5. Initial acceptance


6. Beginnings of educational Treatment


7. Social Reform


8. Trends





Describe the 2 concepts of survival and superstition and the era

3000 to 500 B.C


- concept of survival of the fittest


- superstitions

Describe the treatments for people with mental impairements in the humanitarian reform era

they were purified and exorcised

Plato and Hippocrates had understandings of mental illnesses (describe) in what time period (name of era and era)

In Humanitarian Reform (500 B.C to 400 A.D)



-Hippocrates: disease of natural cause


- Plato: finding cure for mental illness including physical activities, massages, hydrotherapie

Name the 2 points in the judeo-christian influence and in what era this occured

A.d. 400-1500



- Religion influence increased the level of acceptance, understanding and treatments for people with disabilities


- People with physical and mental disabilities were able to survive with the protective environments of monsateries and royal courts

Who was the first to develop a system in which the physical, intellectual and moral development of child was stressed?

Edouard Seguin

Name the 3 points of the influence of science and medicine and in what era

16th to 17th century



- people with mentail illness were still persecuted


-eductaion for deaf children and noble birth


- good treatment for MR people but still seen as societal burden

In what era was the initial acceptance and what did this mean (3 points)

18th century



-transition from fear, superstition, hostilit to compassion and education


- French revolution influence --> individual responsibility and human treatment for people with mental illness


- schools for blind and deaf children

When was the beginnings of educational treatment (name the 3 points)

19th century



-Jean marc Itard : children with severe MR could be taught and could improve functioning


- Edouard Seguin: he stressed educational system for children where the physical, intellectual and moral development


- Residential institutions for MR, deafness and blind through usa (european influence)

Includes two people

When did the social reform occur and what were the 3 points

Emergence of concern about disability from fields of education, psychology (freud and pavlov) and medicine


Quest for quest for quantification of disability and individuals


positive effects from the 2 world wars upon attitude about people with disabilities

emergence, quest, war

What arised from the two world wars

veterans who were impaired still accepted by community


more treatments and services for veterans


physically impaired men were still seen to have led a normal life

Describe the events of the trends

- Progressive inclusion and acceptance


- hope that disabled people can contribute to betterment of society


- concept of true inclusion

Define trauma and give an example

injury to living tissue caused by an extrinsic agent


ex: TBI (traumatic brain injury)

Define disease and give an example

interruption of a normal cellular process


ex: heart disease

What are the 2 most common diseases in canada

Heart disease and cancer

Define impairement and name the 3 different physiological impairements

Def.: loss or abnormality at the tissue, organ or body system level



3 types:


- musculoskeletal system


- pulmonary system


- neuromuscular system

define disability

Any restriction or lack of ability to perform a task or an activity in the manner considered normal for a person: a disturbance in basic activities of daily living

define handicap

A disadvantage resulting from an impairement or disability that limits or prevent fulfillement of an individual's role

Associate the following terms

Where did the first sports club for deaf originate

Berlin

Where did the first international silent game occur

paris

who established the Spinal Injury Centre of the Stoke Mandeville Hospital and where

Sir Ludwig Guttman in England

Part of the parasport chronology

Which country established the first wheelchair basketball game played by veterans

USA

In what country was the first Stoke Mandeville Games for the paralyzed

England

What does ISMWSF stand for (parasport chronology)

International Stoke Mandeville Wheelchair Sports Federation

Which organization was created enabling amputated and locomotor disabilited people as well as les autres to play sports

International spot organization for disabled (ISOD)

In terms of disability and sports what does les autres mean and give examples of what conditions would be classified under this term

used to denote other locomotor disabilites, those who are not elegible to compete as spinally paralyzed or cerebral palsied



Example: muscular dystrophies, arthritis, dwarfism, amputations

Chronology of paralympic games, what happened in 1985

a negotiation between the IPC and IOC in order for the paralympics to be in the same city as the olympics

Who participated in the Boston Marathon

male and female wheelchair users

What does CP-ISRA stand for (parasport chronology)

Cerebral Palsy-International SPort and Recretion Association

What does IBSA stand for (parasport chronology)

International blind sports association

When was the creation of the International Paralympic Committee (IPC)

1989

Name the 2 IPC (interntional paralympic commitee) mandate

1. Promote elite sports for athletes with disabilities



2. to integrate these athletes to the olympics

Where did they start integrating events for elite athletes with disabilities

Commonwealth games

What is Clinical Exercise Physiology and when was it invented

exercise used to help clients manage or reduce their risk of chronic disease. since late 1960s

What is the role of a CEP

design, implement and supervise exercise programming for participants with chronic diseases and disabilities



they also assess the results of outcomes related to exercise services provided to those individuals

CEP services focus on the improvement of physical capabilities for the purpose of....

1. Chronic Disease Management


2. Reducing risks for early development or recurrence of chronic diseases


3. Creating lifestyle habits that promote enhancement of health


4. Improving ease of daily activities


5. Increasing the likelihood of long-term physical, social and economic independence


6. Facilitating the elimination of barriers to habitual lifestyle changes through goal-setting and prioritizing

6 things

Give examples of Chronic disease management for a CEP

reducing disease symptoms, improving energy, dercreasing medications, maintaining functional level

Describe reducing the risk for early development or recurrence of chronic diseases for CEP

preventing weight gain in type 2 diabetes

Gives examples of lifestyle habits that promote enhancement of health in CEP

decreasing sedentary lifestly and increasing physical activity levels

Name potential barriers for the point "Facilitating the elimination of barriers to habitual lifestyle changes through goal-setting and prioritizing" for CEP

- equipment is not adaptable at the gym


- not enough energy


- fear of making things worse


- lack of motivation


- transportation


- low income

How does Yvon Campbell describe the role of a kinesiologist

"A good part of our job is to listen to our clients and give health advice and psychological support

Describe the People Like Me programs (how it works for clients)

Participants will learn how to exercise safely and effectively with their chronic illness. They will learn how to recognize flare ups and how to stay active during these times as well as how to modify or slow the exercises dring these times

In 1999 how many CEP internships sites were there? In 2021?

1999: 2


2021: 30

Where do CEP's work

hospitals, outpatient clinics, rehab centers, community centers, university laboratories...


usually work as a team with other health professionals like dietitians, physiotherapists, occupational therapist...

Name some KCEP internship sites

- Cardia rehab (chip program)


- Pulmonary Rehab (Sacre- Coeur Hospital)


- Chronic Pain (Constance-Lethbridge)


- CSST/SAAQ (Jewish Rehad Hospital)


- Neuromuscular rehab (cummings and Lucie-Bruneau centers)


- Cancer Rehad (Hope and cope wellness center, MUHC, new kin position)


...


Define the difference between CEP and Kinesiology

CEP is a specialization of kinesiology and work with clinical populations



Kinesiology work with sports performance, physical fitness from asymptomatic population, exercise program for people with chronic diseases and disabilities

What is Concordia's kinesiology specialty

Exercise programming for participants with chronic diseases and disabilities

Describe the role of Quebec Kinesiologist Federation (FQK), how many members and when founded

- To promote and represent kinesiologists in Quebec


- to provide certification in kinesiology


- To obtain a professional order



Founded 1988


1700 members

What is CSEP, it's role and when founded

Canadian society for exercise physiology



Mission statement: resource and voice for exercise physiology and health and fitness, providing leadership in research and education and practice to improve health outcomes for canadians

CSEP role

- accept referrals from health care workers


- use behavior change models to facilitate PA and exercise participation and lifestyle mod.


- interpret the results of comprehensive fitness assessment protocols to determine physical and health function


- monitor influence of commonly used meds


Use outcomes from health and fitness to design safe and effective PA and exercise


- measure and monitor heart rate, electrical activity of the heart and BP during and after exercise


- conduct group physical activity sessions

First wheelchair model,the name, where, when and for who

Invalid's chair in Spain in 1595 for king Philip II

When was the first independently propelled wheelchair created and by who

1655 Steven Farffler (young 22 yr old German with disability that limited his mobility)

When did the folding chair arise and by who

1932 by the company Everest & Jennings

Name the types of wheelchair users

- Absence or loss of lower extremity (trauma or surgery)


- Arthritis: pain in joints reducing motion and causes weakness


- Multiple sclerosis: Disease causing progressive muscular weakness, loss of muscular control and difficulty walking


- Paraplegia: impairement in motor and sensory function of lower limbs


- Quadriplegia: impairement motor and sensory upper and lower limbs


- Cerebral Palsy: Damage to motor area of brain prior to brain maturity


- Diabetes: neuropathy and limb loss (not always)


- Stroke (but not always)


In Mary's video "How to choose a Wheelchair" what are the 6 components she covers

1. Fitting


2. Taper


3. Center of gravity


4. Wheel size and type


5. Seat back


6. Accessories

In Mary's video "How to choose a wheelchair" , what did she sate about the fit?

fit snug ut not too tight, smaller lighter and more compact = best

In Mary's video "How to choose a wheelchair" , what did she sate about the taper

keeps feet in place and compliments the body shape

In Mary's video "How to choose a wheelchair" , what did she sate about the center of gravity?

have a good balance between safety and function

In Mary's video "How to choose a wheelchair" , what did she sate about the wheel types (describe size and the different sizes and their uses)

*most adult wheelchairs come with 24-25" back wheel


*larger = faster


Tire types:


- solid: prevents punctures


- tires with tubes: more lightweight


- textured tires: fit for different grounds

In Mary's video "How to choose a wheelchair" , what did she sate about the seat backs (name the 2 types)

Hard back: more stable + better posture but heavier


soft back: lightweight and ajustable with velcro

In Mary's video "How to choose a wheelchair" , what did she sate about the accessories she recommends

she recommends getting a rigid side bar which helps keeps clothes clean and gives her an extra inch when she sits on it

In Mary's video "How to choose a wheelchair" , what did she sate about the accessories she recommends

she recommends getting a rigid side bar which helps keeps clothes clean and gives her an extra inch when she sits on it

What is the price for a manual wheelchair versus the price for a motorized wheelchair

manual: 2000-8000


motorized: 10 000-15 000

The height of the backrest depends on what factor for the user

the strength of the trunk muscle

What feature keeps the wheelchair from rolling backwards and is it common

Grade aids and not very common

Describe camber for a wheelchair and its advantages and disadvantages

it is the angle of the wheel with respect to the chair


adv: more stable, helps protect hands, less friction with the floor, easier to turn


disadvantage: can make it hard to fit through doorway

Describe the wheelchair transfer from chair to floor

1. Shoes + breaks on


2. Sit on edge of seat +feet to floor


3. lean forward


4. non dominant fist on floor and dominant hand on front of chair frame


5. slowly ease to the floor and swing rear away from the chair


*advance users push chair backwars while sitting on the floor

Name and describe the two different methods to go from floor to wheelchair and which one is easier+why

1. Forward facing: - kneeling facing chair, non dominant fist on floor, dominant hand to chair back, bring knees up to foot plate, dominant hand to front of chair both arms push and trunk rotates



2. feet 45 degrees to chair, hold knees with chin, non dominant fist to floor and dominant hand front of seat, push legs and bdy up pelvis aligned to chair



forward facing harder and less practical (risk chair tiping over)

Explain the procedure for helping a person transfer from a wheelchair to a chair ( 6 steps)

1. explain procedure


2. lock wheels of chair


3. stand as close as possible (in case of a fall and for your own back)


4. frip person's belt


5. lift as person pushes


6. pivot person around

Define and briefly describe the sports classification of the international blind sports federation

B1: from total blindness to very low residual vision


B2: low residual vision


B3. Better residual vision

Give a detailed explanation of the B1 classification for the blind (describe the level of blindness and which sports they can take part in)

- no light perception in either eye


- inability to recognize the shape of a hand in any direction @ any distance


- do sports like swimming, judo and wrestling (and track events but with a guide)

Give a detailed explanation of the B2 classification for the blind

- ability to recognize the shape of a hand up to visual acuity of 2/60 and or a limitation of 5 degrees


- can do many activities independently with sunlight/bright indoor light

Give a detailed explanation of the B3 classification for the blind

-2/60 to 20/200 vision and or field of vision between 5 and 20 degrees


- do not use guides unless high risk example; rock climbing/downhill skiing

For recreational skiing, the guide is __________ of the blind


for ski racing the guide is _________ of the blind

1. behind


2. infront

1. How many people in quebec are legally blind?


2. ______% are over 65 yrs


3. ______% are under 20 yrs


4. How many adults employed


5. Rate of depression


6. Greater risk of ______________

1. 8000


2. 50%


3. 10%


4.only 1/3 employed


5. 3x more likely


6. greater risk of social isolation

Causes of blindness (5)

A. Diabetic retinopathy


B. Cataracts


C. Glaucoma


D. Macular degeneration


E. Retinal detachment

Define diabetic retinopathy

- leading cause of blindness between 20 and 65 yrs old


- occurs when diabetes damages the tiny blood vessels inside retina (non-reversible)

Describe cataracts

a clouding of the natural lends, the part of the eye responsible for focusing ligt and producing clear and sharp images

Describe glaucoma

The disease increases the fluid pressure inside the eye, leading to loss of side vision and eventually total blindness. the increased pressure destroys the optic nerve

Describe macular degeneration

- gradual loss of vision caused by the degeneration of the macula


- occurs in +- 10% of individuals 66 to 74 yrs old

Describe retinal detachment

associated with a tear or a hole in the retina of the eye


caused by injuries of diabetic retinopathy

Blind people depend on ________ in order to play sports like darts or bowling

proprioception

Describe Goal Ball :


- required equipment


- # players per team


- protective gear


- rules


- bell ball (bell in the ball)


- 3 players/team


- helmets, knee and elbow pas and blindfolds


- ball may bounce but must roll before it reaches opponents throwing areas or is an infraction


- standing, kneeling or lying to stop ball with any body part

Describe Beep Baseball:


- describe the ball and bases


-how many players and who is blind vs sighted


- fair ball


- points


-Regular softball with a battery sound device, bases are 48 inches tall with buzzer


- 6 blindfolded players, 2 sighted players (pitcher and catcher that also act as spotters)


- fair ball: umpire designates which one of two buzzing bases should be activated


- score if batter gets to designated bases b4 ball is fielded

Define intellectual disability and what was it based on primarly

Refers to the substantial limitation in certain personal capabilities and based on IQ (approx 70)

Define intellectual disability and what they based themselves off of

Refers to the substantial limitation in certain personal capability, the past they based a lot on IQ

What replaced the IQ and name them

adaptive area skills:



- comunication


-home living (independently)


-community use (services)


- health and safety


- work


- self care


-social skills


-self- direction


-functional academics


-leisure

Define the range of intellectual disability based on IQ

Mild - IQ range: 50/55 to 70


Moderate - IQ range: 35/40 to 50/55


Severe - IQ range: 20/25 to 35/40


Profound - IQ range: below 20/25

Describe Mild intellectual disability

- can generally learn reading, writing and math skills between grade 3 and 6


- can have job and live independently

Describe Moderate Intellectual disability

- may be able to learn some basic reading + writing


- able to learn functional skills such as safety and self-help


-requires supervision

Describe severe intellectual disability

- not able to read write but can learn self-help skills and routines


- requires supervision

Describe profound intellectual disability

- requires intensive support


- can maybe communicate verbal or other ways


- may have medical condition requiring ongoing treatment

What is the # 1 factor for intellectual disability

Malnutrition

Intellectual disability can occur in which three periods of life

Prenatal: conception to end of 27th week pregnancy


Perinatal: from 28th week through 28 days following birth


Postnatal: anytime from 29 days to 18 years old

Describe what ID for genetics that occurs during prenatal and the fragile X syndrome

-Chromosomal/ genetic disorder (no control over it)


- abnormality of genes inherites from parents



fragile x syndrome:


- result of defective gene


-mental function varies from severe to normal.


- behavior are often autistic, hyperactive and impulsive

What environmental influcence can cause ID during prenatal phase

alcohol, drugs (10-20% of mild ID)


smoking


malnutrition


illness during pregnancy: rubella or HIV...

ID in perinatal and postnatal

perinatal: abnormal labor or delivery and prematurity and low weight babies



postnatal: childhood diseases, accidents, exposure to lead, mercury, environmental deprivation, malnutrition, child neglect+abuse

describe Child neglect dendrites

they have fewer dendrites, unusually long and thin, the more abnormal the dendrites, the more sever the ID

Describe the physical and motor characteristics for ID (motor delays, physical constraints, fitness)

Motor delays:


increase severe mental impairement = more lag and higher difficulty for self care and activities of daily living



Physical Constraints:


-shorter, fatter, wider hips



Fitness:


- decrease strenght, endurance, agility, balance, running speed, flexibility and reaction times


- body comp - overweight (59% women, 28% men)


- lower cardiovascular fitness


Role of a KCEP in the rehab process of client

increase functions and fitness levels through exercise training

What is a stroke and the 2 types

- type of brain injury: vascular insufficiency or bleeding in brain



-ischemic and hemorragic stroke

Stroke is the _____ leading cause of death behind heart disease and cancer



In canada, how many stroke cases/ year

3rd leading cause of death



60 000 to 70 000 cases/year

_____% of strokes are 1st attacks and _____% are recurrent attacks



Which sex is more likely to survive a stroke

80%


20%


female

Percent of strokes that result in death

24%

Define Ischemic strokes


What is the percentage of strokes due to this

Cerebral thrombosis:blood clot formation in cerebral vessel


Cerebral Embolism: displaced clot of bacterial mass that obstructs downstream artery



80%

Define intracerebral hemorrhage and arterial rupture

bleeding into the brain



arterial rupture is associated with aneurysms and arteriovenous malformations

5 signs of stroke

Weakness, trouble speaking (stroke in left hemisphere), vision problems, headache, dissiness

Describe the test for a stroke

FAST: face, arm, speech and time



ask to smile, as to speak, raise arms

Following a stroke, sensory and motor impairements are located on what side of body

oppsite side as brain lesion

Name the risk factors for a stroke

Age: older=more risk


sex: women=men but younger men are more at risk of developping coronary artery disease


Family history: lifestyle and molecular defects

What is the second strongest risk factor for a stroke

High BP

Name the best type of exercise program for stroke prevention

aerobic training

What are side effects of a stroke in terms of physical capabilities

reduced motor control on one side of body


sensation may be impaired


intolerance to high intensity training

the vO2 max capacities decreases after stroke due to decreased _____________

1) neural drive


2) blood flow


3)muscle mass

What is an MET

indicates metablic equivalent: one MET is the amount of energy used when sitting quietly (3.5 ml/kg/min)