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PTA 211 Exam 1

Balance and Falls in the Elderly

intrinsic risk factors for falls include: (8) strength deficits balance deficits mobility deficits medication errors, mismanagement, and polypharmacy vision impairment cognitive impairment depression effects of multiple comorbidities
extrinsic risk factors for falls include: (4) slippery surfaces loose rugs poor lighting obstacles
intrinsic risk factors account for ___% of falls in elders 70%
extrinsic risk factors account for ___% of falls in elders 39%
the ___ approach to assess fall risk in geriatric patients focuses on extrinsic components and modifying environmental factors according to level of ability ecological
the ___ approach to assessing fall risk in geriatric patients focuses on medical events that may contribute to falls and identifying acute illness, electrolyte imbalances, drug side effects, etc. biomedical
the ___ approach to assessing fall risk in geriatric patients focuses on identifying deficits in postural control that adds to instability and includes sensory systems, effector systems (strength, ROM, endurance) and central processing pathophysiological
the ___ approach to assessing fall risk in geriatric patients focuses on identifying important routine movements of certain functional activities that the patient has difficulty doing functional
___ is the amount of energy one has to complete a functional task functional reserve
___ is the ability to detect differences in shapes acuity
___ is the ability to detect differences in shading and patterns; most common aspect of vision to be impacted in the elderly contrast sensitivity
___ refers to situations where the body is perturbed by an external event and the CNS responds to reset the COG (ex. tripping over a rug) feedback
___ refers to situations where the CNS sets up a postural response in anticipation of a disturbed COG (ex. catching a ball) feedforward
normal postural strategies have a ___ to ___ sequencing distal to proximal
older adults' postural responses tend to have a ___ to ___ sequencing proximal to distal
what should be included in the patient history in a PT eval to help assess fall risk? onset and number of falls over a given time environmental conditions activities at the time of fall direction of falls medications
___ can be tested by the therapist holding their fingers together at eye level, pulling them apart, and moving them back together and having the patients say when the fingers are even again depth perception
the ___ can be tested by the therapist holding their finger up and having the patient keep their eyes on it while rapidly turning head back and forth; can also be tested by reading while walking or marching in place with eyes closed vestibular ocular reflex (VOR)
Created by: saram6450
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