Connective Tissue Deformation Flashcards

1
Q

What are the characteristics of low intensity stretching?

A

Low intensity stretching is more comfortable, minimizes muscle guarding, and increases range of motion without compromising tissue integrity.

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2
Q

What is static stretching?

A

Static stretching involves elongation just past the point of tissue resistance and holding it in a lengthened position with sustained force.

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3
Q

What is static progressive stretching?

A

Static progressive stretching is a static stretch that is incrementally lengthened further and held in the new range for an extended period.

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4
Q

What is cyclic (intermittent) stretching?

A

Cyclic stretching is a short-duration stretch that is repeatedly applied, released, and reapplied, with multiple repetitions during a session.

typically 5-10 seconds a rep

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5
Q

What is ballistic stretching?

A

Ballistic stretching involves rapid, forceful intermittent stretches (high speed , high intensity) with quick bouncing movements.

thought to cause further trauma and greater muscle soreness

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6
Q

Who should avoid ballistic stretching?

A

elderly, sedentary individuals, or patients with musculoskeletal pathology or chronic contractures.

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7
Q

What is self-stretching?

A

Self-stretching is when a patient carries out stretching under careful instruction and supervised practice.

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8
Q

What is mechanical stretching?

A

Mechanical stretching involves a device applying a very low-intensity force over a prolonged period to achieve permanent deformation.

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9
Q

What is active inhibition?

A
  • Hold - Relax
  • Patient performs end range isometric contraction of tight muscle before muscle is passively lengthened
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10
Q

What is autogenic inhibition?

A

Autogenic inhibition is when contraction of the tight muscle causes reflexive inhibition of that same muscle.

Think hamstrings tight : need to contract hamstrings

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11
Q

What is reciprocal inhibition?

A

Reciprocal inhibition is when contraction of the antagonist muscle causes reflexive inhibition of the agonist muscle.

think hamstrings tight: contract the quadriceps to stretch the hamstrings

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12
Q

What is the relationship between intensity and duration in stretching?

A

There is an inverse relationship between intensity and duration, as well as between intensity and frequency.

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13
Q

What is the safest form of stretch?

A

A low-load (low intensity), long duration stretch is considered the safest form of stretch.

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14
Q

What is the effect of prolonged mechanical stretch in patients?

A

Prolonged mechanical stretch in patients with contractions yields significant gains in range of motion.

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15
Q

What stretching cycles produce significant gains in range of motion for the elderly?

A

Stretch cycles of 15, 30, or 60 seconds x 4 reps produce significant gains in range of motion, with >60 seconds providing the longest lasting improvements.

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16
Q

What is the recommended stretching duration for healthy young or middle-aged adults?

A

For healthy young or middle-aged adults, 15, 30, 45, 60 seconds, or 2 minutes produce significant gains, with 30-60 second cycles for hamstrings x 1 rep daily being better than 15 seconds/1 rep/day.

17
Q

What is the best result for hamstring stretching?

A

2 reps of 30 seconds stretch of hamstrings yield the best results.

18
Q

What is the effect of longer total durations of passive stretch?

A

Longer total durations of passive stretch yield longer decreases in muscle-tendon stiffness than shorter duration stretches.

19
Q

What is the recommendation for patients with chronic fibrotic contractures?

A

Static stretches with splints or casts are more effective for patients with chronic fibrotic contractures.

20
Q

How often should stretching occur for healthy hypomobile adults?

A

Stretching needs to occur a minimum of 2 times per week for healthy hypomobile adults, but more frequently with soft tissue pathology.