What is BMI? What is normal, obese, underweight? - ANSWER BMI stands for Body
Mass Index and is used to classify underweight, overweight, and obesity in adults.
- Optimal weight: >18.5-24.9 k/m²
- Overweight: >25 k/m²
- Obese: >30 k/m²
- Very obese: >40 k/m²
T/F Obesity is due to many factors - ANSWER True
How can health care professionals be respectful to patients who are obese? -
ANSWER They can be respectful by becoming aware of their own biases,
developing empathy, and working to address the needs and concerns of obese
patients
Which comorbidities will a PT/PTA most likely encounter in a patient who is obese? -
ANSWER DM, UI, CAD, PVD, Syndrome X (metabolic syndrome)
What would be the best exercise prescription to train someone wo is obese and
deconditioned due to an inactive lifestyle? - ANSWER Daily aerobic exercise
What mode of exercise is best for a patient who is obese? What intensity should they
work at? (% of max HR) - ANSWER Modes: Walking, aquatic, treadmill,
bike/recumbent, UBE With 30-50% of max HR gradually increasing intensity.
What symptoms should be monitored in a patient who is obese? - ANSWER - Non-
weight bearing exercises if there is pain in the joints
- Watch for hyperthermia
- Hydrate before, during and after ex.
- Diabetic precautions
- Monitor vital signs
When it comes to aerobic exercise what will you progress first? Intensity or duration?
- ANSWER Increase duration gradually
In terms of resistance training what is the best method for progression? - ANSWER
Increase reps, then increase sets and then increase resistance
, What postural changes will you see in a patient who is obese? - ANSWER - Anterior
displacement of COG due to protruding abdomen
- Decrease cervical lordosis due to increase head protrusion
- Exaggerated thoracic kyphosis
- Increased lumbar lordosis
- Anterior pelvic tilt (assisting in increase lumber lordosis)
- Hip internally rotated
- Knees hyper-extended
- Pes planus
What gait patterns will you see in a patient who is obese? - ANSWER - Increase
lateral sway
- Decreased swing phase
- Increased stance phase
What accommodations can we provide for a bariatric patient? - ANSWER - Heavy
duty walker and wheelchair
What is the Egress Test? What are the 3 components? - ANSWER Assesses a
bariatric patient for their level of readiness for transfers.
- Phase 1: Assess the patient's ability to lift bottom off of the chair, then perform 2 full
sit to stands
- Phase 2: Have the patient march in place 3 times on each leg
- Phase 3: Instruct the patient to take an advanced step but return to starting
position.
Throughout all three stages the clinician should be assessing the patient's posture
and their balance to assess for any risks to the patient's safety.
What biomechanics happens in terms of torque during a sit to stand in a bariatric
patient? - ANSWER - Decreased torque at the hip
- Increased torque at the knees
- Increased dorsiflexion to assist with leverage
What is type 1 diabetes? - ANSWER The pancreas cannot produce enough insulin
leading to increase blood glucose also known as hyperglycemia
- Insulin dependent
- Early onset: <25 years
- Can be sudden and severe
What is type 2 diabetes? - ANSWER The body produces insulin but is resistant to it
which results in hyperglycemia.
- Onset: Adult and can be seen in obese children
Mass Index and is used to classify underweight, overweight, and obesity in adults.
- Optimal weight: >18.5-24.9 k/m²
- Overweight: >25 k/m²
- Obese: >30 k/m²
- Very obese: >40 k/m²
T/F Obesity is due to many factors - ANSWER True
How can health care professionals be respectful to patients who are obese? -
ANSWER They can be respectful by becoming aware of their own biases,
developing empathy, and working to address the needs and concerns of obese
patients
Which comorbidities will a PT/PTA most likely encounter in a patient who is obese? -
ANSWER DM, UI, CAD, PVD, Syndrome X (metabolic syndrome)
What would be the best exercise prescription to train someone wo is obese and
deconditioned due to an inactive lifestyle? - ANSWER Daily aerobic exercise
What mode of exercise is best for a patient who is obese? What intensity should they
work at? (% of max HR) - ANSWER Modes: Walking, aquatic, treadmill,
bike/recumbent, UBE With 30-50% of max HR gradually increasing intensity.
What symptoms should be monitored in a patient who is obese? - ANSWER - Non-
weight bearing exercises if there is pain in the joints
- Watch for hyperthermia
- Hydrate before, during and after ex.
- Diabetic precautions
- Monitor vital signs
When it comes to aerobic exercise what will you progress first? Intensity or duration?
- ANSWER Increase duration gradually
In terms of resistance training what is the best method for progression? - ANSWER
Increase reps, then increase sets and then increase resistance
, What postural changes will you see in a patient who is obese? - ANSWER - Anterior
displacement of COG due to protruding abdomen
- Decrease cervical lordosis due to increase head protrusion
- Exaggerated thoracic kyphosis
- Increased lumbar lordosis
- Anterior pelvic tilt (assisting in increase lumber lordosis)
- Hip internally rotated
- Knees hyper-extended
- Pes planus
What gait patterns will you see in a patient who is obese? - ANSWER - Increase
lateral sway
- Decreased swing phase
- Increased stance phase
What accommodations can we provide for a bariatric patient? - ANSWER - Heavy
duty walker and wheelchair
What is the Egress Test? What are the 3 components? - ANSWER Assesses a
bariatric patient for their level of readiness for transfers.
- Phase 1: Assess the patient's ability to lift bottom off of the chair, then perform 2 full
sit to stands
- Phase 2: Have the patient march in place 3 times on each leg
- Phase 3: Instruct the patient to take an advanced step but return to starting
position.
Throughout all three stages the clinician should be assessing the patient's posture
and their balance to assess for any risks to the patient's safety.
What biomechanics happens in terms of torque during a sit to stand in a bariatric
patient? - ANSWER - Decreased torque at the hip
- Increased torque at the knees
- Increased dorsiflexion to assist with leverage
What is type 1 diabetes? - ANSWER The pancreas cannot produce enough insulin
leading to increase blood glucose also known as hyperglycemia
- Insulin dependent
- Early onset: <25 years
- Can be sudden and severe
What is type 2 diabetes? - ANSWER The body produces insulin but is resistant to it
which results in hyperglycemia.
- Onset: Adult and can be seen in obese children
