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Therapeutic Exercise > considerations for resistive exercise > Flashcards

considerations for resistive exercise Flashcards

1
Q

untrained individuals should use what % of RM

A

40-70%

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2
Q

children, older or medically compromised should use what % of RM

A

30-50%

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3
Q

what is the average rep and sets

A

8-12 reps 2-4 sets

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4
Q

how much rest time for moderate intensity

A

2-3 mins

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5
Q

for those susceptible to fatigue should have how much rest time

A

3 minutes

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6
Q

when should you progress reps or weight

A

muscle fatigue is no longer observed

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7
Q

what individuals should use superset or triset

A

trained individuals

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8
Q

what is a superset

A

2 sets of exercise involving agonists and antagonists

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9
Q

what is a trip set

A

can be performed for 3 different muscle groups or for different fibers of the same muscle

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10
Q

periodization

A

systematic variation of exercise type, intensity and volume at regular intervals over a specified period of time

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11
Q

periodization is a training program for who

A

completive athletes

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12
Q

greater loads can be controlled with what type of contraction exercise

A

eccentric

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13
Q

what muscle contractions are more efficient

A

eccentric

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14
Q

When is there a greater incidence of DOMS?

A

high intensity eccentric exercise

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15
Q

what is DOMS

A

muscle pain and impairment that begins 12-24 hrs after exercise, peaks 48-72 hrs later

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16
Q

DOMS loss of strength peaks when

A

2 days

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17
Q

DOMS pain & tenderness usually peaks when

A

1-3 days

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18
Q

DOMS stiffness & swelling usually peaks when

A

3-4 days

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19
Q

what are the likely mechanisms of DOMS

A
  • Microtrauma of muscle fibers
  • myofibrillar damage at the Z-bands
  • Changes in the mitochondria & membrane breakdown with an increase in WBC & prostaglandins
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20
Q

DOMS is NOT due to

A

-Lactic acid or spasm-pain

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21
Q

what are NOT effective interventions for DOMS

A
  • cryotherapy
  • electrotherapy
  • massage
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22
Q

what is temporary relief interventions of DOMS

A
  • compression sleeve

- topical analgesics

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23
Q

what is the best thing to do for DOMS

A

prevention

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24
Q

when does exercise induced muscle soreness develop

A

during or right after strenuous exercise when muscle fatigue is achieve

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25
Q

exercise induced muscle soreness is caused by what

A
  • inadequate blood flow & oxygen

- build-up of metabolites

26
Q

exercise induced muscle soreness pain is transient due to what

A

improvement of blood flow & oxygenation with rest

27
Q

exercise induced muscle soreness may be avoided with what

A

“cool-down” period

28
Q

overtraining causes a decline in what

A

physical performance

29
Q

what happens when overtraining occurs

A
  • fatigue more quickly

- requires more time to recover

30
Q

over training is brought on by what?

A
  • inadequate rest between session
  • rapid progression
  • inadequate nutrient and fluid intake
31
Q

how can overtraining be avoided?

A

conservative progression of intensity and duration of exercise,
-allow for muscle recovery

32
Q

what is overwork

A

progressive deterioration of strength in muscles already weakened by neuromuscular disease

33
Q

for pts susceptible to fatigue how do you prevent overwork ?

A
  • progress slowly & re-examine frequency
  • avoid exhaustion
  • longer, more frequent rests
  • longer time between sessions
34
Q

full arc exercise

A

movement occurs through the joint’s full ROM

35
Q

short arc exercise

A

movement occurs through limited ROM

36
Q

short arc exercise is used when

A
  • injury
  • pain
  • surgery
37
Q

open kinetic chain

A

movement that occurs in which the distal segment moves freely in space

38
Q

open kinetic chain is what type of joint movement

A

independent

39
Q

open kinetic chain is typically performed in what positions

A

non-weight bearing

40
Q

what type of muscle activation is predominantly in open kinetic chain

A

prime mover and synergists

41
Q

is external stabilization necessary for open kinetic chain

A

may or may not be necessary

42
Q

closed kinetic chain

A

movement that occurs where the body moves over a fixed distal segment

43
Q

closed kinetic chain has what type of joint movements

A

interdependent

44
Q

closed kinetic chain is usually performed in

A

weight bearing

45
Q

type of muscle activation for closed kinetic chain

A

multiple groups distal and prox to moving joints

46
Q

closed kinetic chain needs internal stabilization by

A

mm. action
joint compression
postural control

47
Q

during acute stage the primary intervention is

A

protection phase

48
Q

Protective phase interventions includes

A

pt education
gentle PROM
muscle setting
AROM with pain-range

49
Q

signs of too much movement for acute phase includes

A

increase pain and or inflammation

50
Q

what is the intervention for subacute stage of healing

A

controlled-motion

51
Q

Some examples of controlled motion interventions include

A
  • patient education
  • AROM in pain-free ranges, AAROM in other ranges
  • multi angle sub-max isometrics
  • protected closed-chain exercise
  • progress to low resistance exercise in pain-free ranges, gentle stretching, muscular endurance
52
Q

what will occur and is normal during interventions of subacute phase

A

discomfort

53
Q

Sign of too much movement in subacute phase

A

resting pain, fatigue, increased weakness and spasm

54
Q

intereventions to perform during chronic stage

A

return to function

55
Q

examples of return to function interventions

A
  • pt education
  • stretching
  • PREs, open & closed chain, eccentric/ concentric
  • simple to complex, uni- to multi-directional movements
  • muscular endurance
56
Q

is discomfort normal during the chronic stage?

A

yes, but should not last long

57
Q

what are signs that activities are progressing too quickly or with too great a dosage during chronic stage is

A
  • joint swelling
  • redness /& or warmth
  • pain that last longer then 4 hours or requires meds
  • decrease in strength
  • earlier onset of fatigue
  • decrease functional usage of involved part
58
Q

Clinical signs of cumulative trauma/ overuse syndrome in chronic inflammation

A

pain, swelling, muscle guarding, weakness, decrease functional use of the region, limited ROM, faulty position or movement patterns

59
Q

Contributing factors to cumulative trauma syndrome for chronic inflammation

A
  • muscle weakness
  • muscle length or strength imbalance
  • bone malalignment or weak structural support
  • return to activity too soon
  • excessive eccentric demand > tissue failure at musculotendinous region
  • environmental factors: vibration, temp, surfaces
60
Q

Intervention for cumulative trauma syndrome during chronic stage in the beginning

A

Interventions of acute

-identify & modify mechanism of irritation

61
Q

progression Interventions for cumulative trauma syndrome during chronic

A

treat like subacute and chronic

  • Patient education
  • appropriately graded strengthening & stretching
  • facilitation of new movement patterns

Therapeutic Exercise (6 decks)

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