Chapter 11 (Desiging Programs For Flexibility And Low Back Care) Flashcards

1
Q

Acute flexibility stretch exercises respond

A
  • short term changes
  • GTO activation
  • improved neuromuscular response/control
  • reduction of 1RM and power
  • reduces muscularotendinous injury
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2
Q

Chronic flexibility stretch exercises respond

A
  • results in long term changes
  • 3-4 weeks
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3
Q

Overload training principles

A
  • stretch muscles beyond resting length but not beyond pain-free ROM
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4
Q

Specificity training principle

A
  • joint specific
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5
Q

Interindividual variability training principle

A
  • stretch tolerance
  • needs
  • contraindications
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6
Q

Timing training principle

A
  • pre vs post exercise
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7
Q

Ballistic stretch is?

A
  • using momentum of movement to lengthen the muscles quickly
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8
Q

Ballistic stretching effects

A
  • muscle spindles detect change in muscle length and concentration speed
  • increases risk of muscle strain and risk of injury
  • slightly effective at increasing ROM
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9
Q

Static stretching is?

A
  • slowly stretching and holding at end of range of motion slow sustained muscle lengthening
  • extremely effective
  • very low risk of injury or pain
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10
Q

Static stretching adaptions

A
  • muscle spindles do not fire, instead GTO is activated
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11
Q

Static stretching technique passive

A
  • limb being held in position by outside force
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12
Q

Static stretching technique active

A
  • limb being held in position by opposing muscles
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13
Q

Static stretching technique constant angle vs constant torque

A
  • self progression is helpful as muscle tension unit elongates
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14
Q

Dynamic stretching is?

A
  • gradual transition from one body position to another requiring progressive increase of ROM and speed
  • moderate improvements acute and chronic
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15
Q

Dynamic stretching does what?

A
  • mimics movement patterns of the sport or activity
  • increase core body temp ( good for warm up and cool down)
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16
Q

Proprioceptive neuromuscular facilitation (PNF) stretching is?

A
  • isometric contraction at end of ROM followed by static stretch
17
Q

PNF ACSM guidelines

A
  • static contraction duration 3-6 sec
  • static contraction intensity 20-75%
  • assisted stretch duration 10-30 sec
18
Q

PNF advantages

A
  • potentially more effective ( greater increase in ROM)
19
Q

PNF limitation

A
  • requires a partner with knowledge of technique
  • overstretching can cause injury
20
Q

Frequency

A
  • 2 days a week minimum
  • preferably daily
21
Q

Intensity

A
  • within pain free range of motion
22
Q

Time

A
  • 10-30 seconds per stretch
  • reps/set: 2-4 (accumulate 45 sec - 2 minutes per exercise)
23
Q

Type

A
  • increase range of motion post exercise: static or PNF
  • warm-up: ballistic or dynamic
24
Q

Progression

A
  • gradually increase duration, reps/sets, or frequency
25
Stretching before activity
- dynamic stretching - effective at increasing range of motion without limiting force production
26
Cons to stretching before activity
- no evidence of injury prevention - static and PNF stretching causes GTO activation inhibits alpha motor neurons
27
Stretching after activity
- static and PNF stretching is effective when still warm - temporarily reset muscle spindles and GTOS
28
Stretching guidelines
- warm up - stretch all muscle groups - 60 seconds per muscle group - don’t stretch beyond pain threshold - slow and rhythmic breathing
29
Predictors of lower back pain
- trunk flexibility/stability - truck muscular endurance - balance - BMI
30
Lower back pain is caused by a combination of…
- improper spinal alignment - lumbar instability
31
Lower back pain prevention with stretching
- increase range of motion of hip flexor, hamstring, and low back extensor
32
Lower back pain prevention with muscular strength and endurance
- abdominals and low back
33
Lower back pain prevention with specific exercises
- trunk flex/extend (cat-cow) - pelvic tilt - hip/knee ROM stretching - isometrics for core and back - lumbar extension - curl ups - single leg extension
34
Lumbar stability
- bracing static muscle action of abdominal and low back - maintain neutral spine - avoid end ROM of trunk - emphasize muscular endurance
35
The core controls and connects what parts of the skeleton
- control axial skeleton - connects the axial skeleton to the proximal skeleton
36
Core stability
- ability to control the trunk over the pelvis - optimum production transfer and control of force and motion to terminal segments
37
Assessing core stability tests
- Sahrmann core stability tests - Kahraman battery of core stability tests
38
Developing core stability
- resistance exercises on unstable surfaces or with unstable resistance - Pilates