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BSNC 1000 Module 6 mobility Bscn 1000 PC bsnc 1000
Definition of mobility - correct answer ✔✔- state or quality of being mobile or movable
- necessary to perform ADL -includes gross and fine motor -coordination how mobility depend on concepts we learned ie. cogntion - correct answer ✔✔Mobility is dependent on the synchronized efforts of the musculoskeletal and nervous systems as well as adequate oxygenation, perfusion, and cognition. can someone with immobile arms be mobile - correct answer ✔✔yes, mobility can refer to a specific body part or entire body. t or f mobility changes can be temporary - correct answer ✔✔yes. ie. broken arms can be healed scope of mobility - correct answer ✔✔-full/independent mobility -partial or impaired -immobility under what conditions might someone have partial mobility - correct answer ✔✔- injuries- bone fracture -infection or diseases (neurological or musculoskeletal disorder, obesity)
- surgery -pain -depression -aging -sedentary lifestyle -lack of nutrients T or F immobility is beneficial sometimes - correct answer ✔✔T, in conditions that requires rest and recovery- when we have the flu
explain compact bone - correct answer ✔✔aka cortical bone
- strong and dense -composed of structural units called osteons
- covers spongey bone spongey bone - correct answer ✔✔aka trabecular or cancellous
- light and porous
- contains lattice shapes meshwork called trabeculae contains spaces that are filled with blood forming tissue, called red marrow bone remodelling and its purpose - correct answer ✔✔process of bone resorption (broken down) and relaced by new bone (bone deposition)
- maintain and repair bones
- adaptation to stress on bones. ie lifting weights
- mineral regulation since bones hold minerals needed by the body in which part does bone remodelling occur - correct answer ✔✔spongey bone
- occurs in the outter surface of trabecula compact bone
- occurs in the central canal of osteon explain the steps of bone remodelling - correct answer ✔✔1. RESORPTION Osteoclasts attach to the old bone surface and remove bone matrix
- REVERSAL basically prepping the site for osteoblast
- FORMATION osteoblasts secrete osteoid (unmineralized bone) and some osteoblast differentiate into osteocytes (cells that maintain bone tissue)
- MINERALIZATION Osteoblasts deposit minerals in the osteoids to make firm bones define osteoporosis - correct answer ✔✔A skeletal disorder characterized by decreased bone density predisposing a person to increased risk of fracture.
- imbalance in bone remodelling: resorption exceeds deposition Non-modifiable risk factors of osteoporosis - correct answer ✔✔age, female, genetics (small body frame), family history, Race (asians, some european caucasians) modifiable risk of osteoporosis - correct answer ✔✔peak bone mass- start building strong bones in early life makes it less likely to develop lack of calcium or vitamin d (lack of sun) physical inactivity hormone imbalance (hyperparathyroidism) medications- glucocorticoids alcohol smoking what happens after peak bone mass - correct answer ✔✔bone resorption slowly exceeds bone deposition
- bones become weaker and more brittle esp in women When is peak bone mass achieved? - correct answer ✔✔by age 30 what influences peak bone mass - correct answer ✔✔genetics females- smaller bone hormones nutrition vit d and calcium physical activity- weight bearing exercise lifestyle- non smoker and non excessive alcohol and non smoker what hormones maintain Ca levels - correct answer ✔✔parathyroid hormone PTH- hyperparathyroidism can cause excessive bone loss and activated vitamin D aka calcitrol
detection osteoporosis - correct answer ✔✔assess BMD (bone mineral density) by DXA scan T score:0-2.5 normal, -1 osteopenia, -2.5 osteoporosis purpose of early detection of osteoporosis - correct answer ✔✔detect before fracture determine rate of bone loss monitors response to therapy components of focuses mobility assessment - correct answer ✔✔client or health history data physical exam diagnostic test- T score BMD interventions for mobility - correct answer ✔✔-assistive deivce and protective equipment
- CDM
- education -enviro modification- tripping hazard -exercise program
- med review and modification
- nutrition and supplement
- vision referral and correction