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Resistance Ex.
TE ch.6
| Question | Answer |
|---|---|
| resistance training | type of exercise where contractions are resisted from an outside force static - isometric dynamic (concentric/eccentric) |
| resistance training benefits | improved muscle performance, increased strength, increase bone density, improved performance of ADL, occupational and recreational activities |
| muscle performance | abiltiy of a muscle to work |
| elements | strength, power, endurance |
| principles | overload SAID |
| strength | generate a force and overcome resistance |
| resistance | gravity, weight |
| power | strength and speed/rates of performing work |
| endurance | perform repetitive activites over prolonged period of time |
| overload | muscle must be challenged at a greater level/ progressive loading by manipulating intensity or volume, manipulate intensity |
| SAID | affects of training are specific to the training methods, improvements should be used in fuctional activites |
| sliding filament theory | myosin grabs actin, myosin has fingers pulls slides actin together, shortens myo fybils and muscle fiber shortens equals contraction of muscle |
| levles of contraction | filament, fibrel, muscle firer, muscle |
| force and velocity | concentric-as resistance inreases velocity of movement will decrease/eccentric - a resistance increases, velocity increases/ isometric no velocity of movement |
| slow twitch/type 1 | higher percentage of this type of muscle postural muscles, bright red and slow to fatigue ENDURANCE |
| fast twitch type 2a | hybrid of type one and 2b slow/fast gastrocnemeus |
| fast twitch type 2b | pale in color fast to fatigue POWER higher % of this type of muscle |
| ratio of fiber types | both exist in all muscles, genetically determined |
| fiber type recruitment | slow twitch fire first as more force is needed to over come resistance, fast twitch begin to fire |
| concentric contraction | dynamic, muscle shortens during force period |
| eccentric contraction | dynamic, muscle lengthens during force production |
| isometric | static, muscle exerts force without changing length (muscle setting, stabilization) |
| muscle setting | tighten muscle against little or no resistance |
| stabilization | attempt to hold a body part still (proximal muscles engage |
| precautions | valsalva and cheating (substitute motion), overwork/overtrain (burnout), exercise induced soreness |
| valsalva | happens during high intensity exercises but may happen while using muscle setting/holding the breath dangerous BP goes up when exhale |
| substitute movement | compenstion (cheating), to prevent use appropriate resistance/volume, proper technique, appropriate stabilization |
| overwork/overtraining | burnout- decline in performance due to lack of rest or too quick progression / prevent by resting and changing up, use slow progress |
| DOMS | build up of metabolites, and related to microtrauma of muscle, pain start after 24 hours and peaks at 48 hours lasts 10 14 days |
| prevent DOMS | cool down and warm up, progress graudally |
| contraindications | pain, inflamation (cause irreversable muscle damage, severe acute cardiopulmonary conditions (especially upper body exercises) |
| elements | alignment, stabilization, intensity |
| alignment | determined by pull of muscle, position for muscle to function against gravity and resistance |
| stablization | necessary to avoid substitute movements: internal- performed by pt, external - manual or mechanical divice |
| intensity | amount of resistance sub max - low to moderate intensity (early stages of rehab to increase tolerance), max: high intensity (build power and strength) |
| repetition maximum | greatest amount of wt that can be moved through full rom for specific |
| volume | more volume less intensity, reps - |
| velocity of exercise | slow to medium is recommended, needs to be smooth and coordintated (speed of movement) |
| exercise sequence | large before small, mult joint before single joint |
| frequency | |
| duration | |
| recovery period | depends on intenisty and volume the higher the intensity the longer the rest (1to 3 mins on avg. for elderly) |
| mode | form of exercise, type of contraction, form of resistance, way exercise is carried out |
| form (open v closed) | open distal end moves (non wt pearing positions, resistance applied to distal segement)/ closed distal end is fixed, proximal end moves (wt bearing positions, cause multiple joint movments) |
| forms of resistance | manual, mechanical, accomodating, body wt. |
| manual resistance | PT provides resistance *unable to quantify, useful in early program, limited to therapists strength |
| mechanical resistance | -constant: body wt, free wt, pulley/ variable: machine (nautilus), elastic band *quantifiable |
| accomodating resistance | isokinetic (speed is maipulated) |
| isometric | hold for 6 sec no more than 10 to get as many muscles to fire as possilbe, after 10 muscle fails |
| muscle setting | against little or no resistance, acute stage, slows atrophy |
| stabalization exercise (setting) | develops co contraction |
| multiple angle exercise | resistance at various points within ROM |
| dynamic | concentric (accelerates) eccentric (decelerates) using muscles the way we will use in ADL |
| neural adaptations | strength in first 4 to 8 weeks of program are due to increased efficiency of nervous system, motor leaning, imporved coordination due to increase in motor units firing and rate of synchronizatin of firing |
| muscular adaptions | hpertrophy, hperplasia |
| hypertrophy | increased fiber volume, accounts for strength gains after 4 weeks |
| hyperplasia | hypothesized from fiber splitting |
| vascular adaptions | increased density of capillary bed (more capillaries develop) espeically with endurance training |
| connective tissue adaptations | tendon and ligament strength increases to support improved strength of muscle, occurs most rapidly with eccentric exercise |
| bone adaptations | wt bearing (closed chain) exercises increase bone density ***long period 9 months to one year |
| factors in Rehab | pt precautions, level of pre morbid conditioning, stage of injury, exercise tolerance, most appropriate type of contraction to use, desired outcomes, function |
| warm up | 5 to 10 mins with no load dynamic mvmts |
| intensity appropriate to | appropriate to goals and pts abilities |
| volume (by | of reps) |
| cooldown | 5 to 10 mins after wkout |
| PRE | progressive resistance exercise load is incrementaly increased |
| repetition maximum RM | max amount of resistance a muscle can overcome for the desired number of reps |
| variable resistance | varies resistance throughtout rom |
| variable resistance advantages | tension adjusted to mm cpability, provides external stabalization |
| variable resistance disadvantages | single plane movement, expense, space to accomodate |
| elastic resistance | varaible resistance relative to color and length |
| elastic resistance advantages | portable, versatile, safe at fast speeds, inexpensive |
| elastic resistance disadvantages | not quantifiable, no stabilization |
| medical history | remember medical history of pt. precautions, pain or neuromuscular limits may prohibit rapid progress |
| stage of therapy | will dictate type of activity |
| balance | between too much and too little activity with consideration of any precautions and attention to functional goals |