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PhysActiv&Disability

Final Exam

QuestionAnswer
Hydrocephalus CSF in ventricles of brain and are removed with the insertion of a shunt
Spina Bifida Congenital, Neural arch doesnt close around spinal cord.
Meningomyelocele Most common form of sina bifida; Spinal cord and roots fill tumerous sac
Meningocele type of spina bifida, spinal cord covering exposed
Spina Bifida Occulta is under the skin, no paralysis or weakness
Juvenile Rheumatoid 2-4,8-11, more females, 70,000 kids
Systemic entire body
Peripheral joints only
OSteoarthritis 50 + years, joint replacements pain, swell, heat, red, pain worse later in the day, relieved by medication
Adult Rheumatoid Arthritis 20+ years, pain and stiffness in morning, relieved by gentle exercise, most common in females under 50
Dwarfism LPA 4'10 DAAA 5'0 genetic 100,000 in US, skeletal dysplasia, common dislocations at shoulder, elbow, hip, knee
Proportionate Dwarfism short but proportionate limbs and torso result from a Growth Hormone deficiency
Disproportionate Dwarfism Average torso and short limbs
Osteogenesis Imperfecta Brittle bone disease, inherited, affect collagen fibers in connective tissue, breakage most common a 2-15 years old, short, bowedlimbs, barrel or pigeon chest
Arthrogryposis nonprogresive congenital contracture syndrome, birth defect, internal rotation of shoulders, pronate forearm, outward flex at hip
Muscular Sclerosis progressive; nerve fiber demylination, 500,000 cases in teh US 20-40 y.o., more females, numb, weak, slurred speech. Appropriate activities are swimming, biking, stretching
Muscular Dystrophy - Limb Girdle Occurs after age 10, shoulder girdle, hip and thigh
Muscular Dystrophy Facio-Scapular Humeral Most common in adults, shoulder , face, hip, thigh
Muscular Dystrophy Duchenne Most common in children 4-7, waddling gait, locomotor tasks, falls, Gowers sign, lordosis, Hypertrophy appearance. Affects gluts, abs, erector spinae, anterior tibialis
Muscular Dystrophy Muscular weakness attributed to pathological, biomechanical, and electrical changes that occur in the muscular fibers; connective tissue replaces muscle. Unknown cause, more males, 250,000
Special Olympics 1968, 8yrs+, must have Intellectual Disability, age, sex, ability dividing, 10% rule, segregation vs integration, use of huggers
Mental Retardation Sinificant limitation in intellectual functioning, significant limitation in adaptive behavior as expressed in conceptual, social, and practical adaptive skills, originates before age 18
Mental Retardation IQ Scale Mild 50-55 to 70-75, Moderate 35-40 to 50-55, severe 20-25 to 35-40, profound below 20-25
Intermittent limited support needs learning rate 40-70% of those without intellectual disabilities
Alzheimers with Downs Majority develop it, more common in females, ealier onset, age 51
Down Syndrome genetic (trisomy 21), hypotonia, hyperflexibility, atlanto-axial instability (c1/c2)
Fetal Alcohol Syndrome #1 cause of birth defects, 50,000 year, leads to MR, heart defects, hyperactivity, short attention span LD, Vision and hearing problems
Criterion Test Types C-TAPE, Brockport, Activitygram, Milani-comparetti
Brigance Diagnostic Inventory of Early Development Norm-referenced
Adapted Physical Education Assessment Scale Criterion referenced
Brockport physical Fitness Test Criterion
TGMD2 Norm and Criterion referenced, more criteria, 3-10 years old, tests 12 fundamental gross motor skills
B.O.T. Norm referenced, 4-14 years old, ability, running, speed, agility, balance, bilateral coordination, special trianing to use equipment
Formal Mental Operation age 11-up, involve understanding, application, and creation of formal thought structures, cause and effect relationships
Concrete Mental Operations Ages 7-11, Concrete mental operations, affected by body comp, height, weight, motor skills, fitness
Preoperational Performances Ages 2-7, receptive and expressive language, attention and memory capabilities
Sensorimotor Performances Ages 0-2, beginning locomotor, objec control, social play behaviors
Ecological Assessment What takes to get from point a to point b
Aggression hitting, kicking, biting, pinching, throwing
Non compliance refusal to complete task purposely finish poorly
Self-indulgence crying, pouting, whining, tantrum
Positive Reinforcement Techniques Social praise, token economy, behavioral contracts, group consequence, Premack principle
Premack Principle to elicit less preferred activity
Extinction withhold something thats been praised
Reprimand take away recess or field trip (not taking away others instructional time)
Continum of behavior managment Antecedent Behavior Consequence
Antecedent Stimulus, cue
Behavior response
Consequence Feedback
ADHD Medication Ritalin, dexedrine, benzedrine, cyclert
Developmental coordination disorder (DCD) Type of LD, daily activity below that of his age, motor deficiency, 2 standard deviation away from norm
ADHD Type of Learning disrder, easily distracted, combined type, predominate inattentive, or predominate hyperactive, cause is by interaction of neuroloical, genetic, and psychosocial factors, 25-50% LD's have ADHD
Learning Disorder Caused by CNS dysfunction in produce, processing info, affect speech, skill, listen, think, speak, read, write, spell, include perceptal disabilities, brain injury, and dyslexia
Ataxic Cerebral Palsy Hypotonic muscle- almost no muscle, poor balance, lesion to cerebellum
Spastic Cerebral Palsy Hypertonic, very rigid muscle, cocontraction, contractures, limited ROM, SCISSOR GAIT, abduct muscles, walk on toes, lose balance, lesion to motor cortex
Athetosis Cerebral Palsy Fluctuating muscle tone, normal ROM, lesion to basal ganglia
Long Term Goals Broad, annual statements target areas, what to accomplish in a year
Example of Long Term Goal John will improve abdominal strength
Example of Short Term Objectives John will perform 3 bent knee sit ups with assisstance
Short Term Objectives specific, sequential, measurable benchmarks
Legislation making of the laws
Litigation court cases, use of judicial system to force creation or compliance of laws
Principles of zero reject 1972 PARC vs. Pennsylvania, no child can be excluded from public school, led to PL 94-142
Amber Tatro VS. Irving ISD Spina Bifida, needed catherized, ISD denied public schooling because couldnt provide service
Numbering Laws 94-142 (94-congress, 142-laws order)
Appropriation decision making about the amount to be given each year to particular programs
Authorization reauthorization happens every 3 years, authorizing a mandate that empowers congress to grant $ to carry out intent of law
Civil Right Laws rehab sec. 504, ADA
Education Laws PL 94-142, IDEA
Sports Laws Amateur Sports act
PL 93-112 Rehabilitation Amendment Sec. 504 Public institutions had to be accessible, PE had to be equal, education comparable to that of students without disabilities
IDEA PE services, free, appropriate, and in the least restrictive environment, instructional services=direct services
Physical Education fundamental motorskills and patterns, physical and motor fitness, acquatics, dance
Americans with Disabilities Act PL 101-336 (1990), public accomodations
Developmental Disabilities Assistance Act PL 101-496 independence, productivity, integration into community, grant funds, readily achievable modifications
Individual family service plan 0-2 yr, 3-5 yr unidentified disability in eutero
PLP statement of present/current level
Phocomelia absence of middle segment (congenital)
Other Health Impairments Limited strength, vitatlity, alertness, due to chronic or acute health problms that adversely affect educational performance
Rett 1/10,000-15,000 females impaired, expressive language stereotypic hand moves
Classic Autism abnormal behavior, isolation, occasional retardation
Aspergers high level, motor clumsiness, family history, more males
Hearing loss Stats Mostly males, 7-15% of population 45-64 11%, 65-74 30%, 75+ 50%
Conductive external & Middle ear
Sensorimotor inner ear
Uses hearing aids External, middle ear, conductive
Hard of hearing (parts of ear affected) external and middle ear
Deaf (part of ear affected) inner ear
Levels of hearing loss Moderate 55-69 dB, severe 70-89 db, Profound 90+
Determinants of Communication age of loss, training, ability, culture
single leg amputees crutch, flex foot, wheelchair
Double leg amputees walk on stumps, wheelchairs, prosthesis
Limb deficiencies phocomelia, dysmelia, 2x common as acquired, lower more than upper
Dysmelia absent arm or legs
Cardiovascular disorder affecting heart, vein, and lymphatic, either acquired or congenital
Asthma different triggers, exercise induced, viral induced, exercise may be beneficial, inhalers, humidity
seizure disorder acquired, 2% of population, high pH, hyperventiation, hyperhydration, fatigue, stress
partial seizures focal, with and without impairment of consciousness
Generalized seizure absence and tonic clonic
Tonic constant muscle contractions, phase lasts about 30 seconds
Clonic contraction and relaxation of muscles, 2-3 minutes, can cause loss of bladder control
Aura associated with seizure, refers to smell, lights, sinking feelings
Diabetes chronic metabolic disorder characterized by inability of the cells to use glucose
Diabetes etiology 2-4% population, increase with age, increase blindness, CHD, and aputations
Type I diabetes Insulin-dependent, juvenile onset of diabetes, 10%, before age 20 or 25, sender, drowsy, cant produce insulin
Hyperglycemia forgot insulin, poor diet, infection, coma, medical attention
Hypoglycemia excess activity without food, pale, sweaty palsm, weak , jerky movements, give sugar or additonal food
Type II diabetes non insulin dependent diabetes, after 20 years old, excess body fat
Acquired deafness adventitiously deaf
Prelingual before development of language
Postlingual after development of language
Other Health Impairment examples diabetes, seizures, cardiovascular disease
Gerontology scientific study of again that examines individual differences including biological, psychological, and sociological perpectives
Chronological age number of years since birth
life expectancy average number of years remaining
cohort group of people with similar life experience
morbidity absence of health
Immediate benefits of physical activity relaxation, reduces stress and anxiety, enhanced mood state
long term benefits of physical activity general well-being, improve mental
Insulin dependent Type I diabetes
noninsulin dependent Type II
Silent killer hypertension
calcium channel blockers reduces constriction in blood vessels
angiotensin convertingenzyme inhibitors allow blood vessels to dilate
Leading cause of death in US coronary heart disease
osteopenia loss of bone mass
osteoporosis combination of osteopenia and mechanical failure of the skeleton
Rain Man suffers from autism
dementia loss of memory and other intellectual capacities
Parkinson's Disease progressive neurological disorder that is most commonly seen in individuals older than 50, degeneration of neurons cause loss of dopamine
legal blindness 20/200
B3 classification most useful vision
Problems of balance and agility adaptions lower center of gravity, extend arms, wide support base,
problems of strength and endurance lower height, reduce weight size, distance, frequent roation
problems of coordination and accuracy larger, lighter balls, practice distance first, increase goal size, attach ball to string or use backdrop
Intrasensory integration enhanced function in one sensory system
Intersensory integration enhanced interaction between two or more sensory systems
CNS brain and spinal cord
PNS 12 pairs of cranial nerves, 12 pair of spinal nerves
Afferent sensory info, dorsal (back) ascending sensory tract
Efferent motor commands, ventral (front) motor tract
Brain stem regulate muscle and posture tone, rflex and attention
Midbrain regulates postural reaction that enable stability and mobility
Cerebellum automatic performance of skilled movement
Cerebrum Cerebral cortex
Cerebral cortex where sensory info is processed and organized
Limbic system regulates emotion
Basal ganglia enable steady postures and movement wihtout tremors
Thalamus relay station for sensory impulses
Cortical disorder perceptual motor intervention, responsive to ordinary teaching method
Subcortical disorders do not resond to ordinary teaching methods, sensorimotor intervention
Cortical Functions functions of the cerebral cortex and the cortical tracts, performs all hihger-level funcions, help regulate excitation and inhibition process, carry impulses form one part of brain to the other
Subcortical functions skilled movements, no conscious attention
Muscle tone contractile tension or firmness within a muscle or group of muscles
Postural tone mobility and stability functional capacity of the total body
Reciprocal innervation regulates muscle and postural tone, muscle on surface contract while opposite surface relax
Hypertonia stiffness and spasticity
fluctuating tone mixed cerebral palsy
Hypovestibular love to spin
Hypervestibular avoid spinning
Tropic orthoptic vision misalignment when tired
Phoric orthoptic vision sits in misalignment 24/7
Refractive problems fixed with glasses
Opthamalic problems fixed with surgery
Assymetrical tonic neck reflex classic fencer position
ATNR emphasize head turn
STNR emphasize head up and down
TLR-Prone extension
TLR-Supine flexion
Righting reactions adjustments of the head or trunk
parachute reactions protective extension movements of the limbs
equilibrium reactions total body responses
Neurodevelopmental theorist karel and berta bobath
reflex-testing theorist mary fiorentino
sensory integration theorist jean ayres
Systems theory framework for explaining and predicting the involvement of all the bodily systems as well as biolmechanical forces like gravity and inertia
dynamic systems theory function drives movement behavior, multilevel subsystems
eclectic theory several theories, individuals with severe brain damage might lack the capacity for the self-organizing behavior is central to dynamic systems theory
Created by: breakerstcu
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