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Speech and Aging
Neuromusculo-skeltal Function
Somesthesis
Muscle Strength and Power

Sensory
100
Understanding Speech and Aging – Most critical effects of hearing loss and aging is that of difficulty understanding speech – Most common reported symptoms among elderly Speech Reception Speech Discrimination – decreased ability to hear high frequency sounds such as th and f. By age 80 some loss of discrimination, i.e. I can hear you, but I can’t understand you Speech Understanding in stressful situations
What is - Name Three most common reported symptoms among elderly in regard to understanding speech
100
Increased Threshold for vibration sensation and decreased proprioception
What is - Is there decreased threshold for vibration and sensation with the aging individual? T or F
100
Yes
What is Do Thermal Sensitivities decline with age? Yes or NO
100
T
What is -Isometric UE strength tends to decline less than LE? T or F
100
Touch and Pressure – The skin receptors responsible: pacinian and Meissner’s corpuscles. Undergo structural changes and decline in number such that by the ninth decade there are only one third of their original density
What is - These skin receptors start to decline in the ninth decade?
200
Marking repeated requests re: speak louder or repeat what was said Not responding to verbal questions or conversation Giving non pertinent or inappropriate responses to questions Directing questions to others Leaning forward, tilting head to one side Showing distress or irritation Withdrawing in social situations
What is - Name seven personal and interpersonal behaviors that you may observe with hearing loss?
200
Decreased muscle strength and power Marked loss of skeletal muscle mass Decreased number of functional motor units Decreased percentage of Type II Fibers Changes in Postural Alignment Bone and Cartilage Changes Changes in Balance and Gait Decreased maximal Speed of Movement and initiation of Responses to Stimuli Increased Threshold for vibration sensation and decreased proprioception
What is - Name Three symptoms or effects of the aging individual in regard to Neuromusculoskeletal and Movement Function.
200
F - especially the foot
What is Thermal Sensitivities decline with age only in the foot? T or F
200
F - Changes in absolute muscle strength are minor until about the sixth decade and then a steady decline becomes evident
What is -Changes in absolute muscle strength are major until about the sixth decade and then no decline is evident? T or F
200
Somesthesis
What is - – includes the sensations that arise from light and deep touch of the skin and the viscera, vibration, pain and temperature as well as kinesthesia
300
F - Cold – shivering response and the cutaneous vasoconstrictor response are less effective
What is Shivering response and the cutaneous vasoconstrictor response are more effective with age? T or F
300
T
What is - Isometric strength doesn’t change significantly until the sixth decade and then decreases 1-1.5% per year from 50 to 70 years of age and about 3% after that - T or F
300
Degree of change is highly variable Touch/pressure decreased in individuals over 60, though no statistically significant differences were not found between the age groups over 60.
What is - Somethesis decreases in individuals over 60 and significant differences were noticed with each decade - T or F
400
DR - ST
What is - Who would you refer your client to for Speech Difficulties?
400
Moderate physical work Participate in endurance sports May still be working
What is Physically Fit?
400
F - Sweating is impaired
What is - Sweating increases with age? T or F
400
Concentric training is the muscle contraction when a weight is lifted. Eccentric muscle action is when the muscle fibers lengthen to lower a load. An example of eccentric exercise is the downward movement of a bicep curl. Many of our daily activities involve both types of muscle contractions. Lifefitness.com offers an in depth research on both types of exercise
What is - Concentric Strength
400
Degree of change is highly variable Touch/pressure decreased in individuals over 60, though no statistically significant differences were not found between the age groups over 60. Other – Plays a role in communication Prerequisite for adequate performance of manual tasks Difficulty locating and Identifying stimuli Response time may be decreased Speed and intensity may be perceived as decreased
What is - Somesthesis for individuals over age 60 may also effect (Name five)
500
DR - Audiologists
What is - Who would you refer a client to for hearing loss?
500
Light physical work Hobbies - walking- gardening Low physical demand
What is Physically Independent?
500
F - Central regions of the body lost sensitivity more slowly compared to the extremities Inability to cope with the environmental temperature extremes is related to the decrease in perception of the thermal environment and changes in the ability to generate and conserve heat
What is Central regions of the body do not lose sensitivty to heat and cold in the older adult? T or F
500
The shortening and thickening of a muscle for the purpose of exerting force on or causing movement of a body part
What is What is Eccentric Strength?
500
FACES Pain Rating Scale
What is the Wong- Baker?