DOMS - Class 6 Flashcards

1
Q

DOMS

A

delayed onset muscle soreness

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2
Q

what is DOMS

A

soreness and discomfort 24-72 hours after an unaccustomed bout of exercise or activity

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3
Q

when is DOMS more likely to occur

A

repeated eccentric efforts

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4
Q

potential mechanisms are

A

unknown

mechanical, chemical and/or neurological

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5
Q

what does early research blame DOMS on

A

lactic acid buildup after exercise

but this has been largely disproven

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6
Q

after 1 hour of recovery

A

nearly all lactic acid is removed from skeletal muscle and blood

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7
Q

what does current research suggest

A

DOMS is linked to some form of contract induced, mechanical disruption of muscle fibers and CT

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8
Q

mechanical disruption of muscle fibers and CT –> current research

A

elevate serum creatine kinase present for several days after exercise

accompanied by inflammation and local edema

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9
Q

there is a temp loss of

A

strength

both precedes and persists after sensation of soreness

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10
Q

what is marginally successful at best

A

prevention and tx

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11
Q

best strategies

A

frequently repeating and progressing exercise intensity

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12
Q

repeated bout effect

A

bout of eccentric exercise may protect the muscles from subsequent bouts of exercise

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13
Q

tx for DOMS

A

continuing exercise

modalities

nutritional supplements

compression sleeves and salicylate topicals

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14
Q

continuing exercise –> tx

A

that caused the DOMS

does not worsen damage or slow recovery process

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15
Q

modalities –> tx

A

heat, ice, stim, massage

all show mixed evidence at best

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16
Q

nutritional supplements

A

limited effectiveness

17
Q

compression sleeves and salicylate topicals

A

may reduce severity and hasten recovery

18
Q

what should we educate the pt on

A

this is normal and an expected response to exercise

19
Q

what should we ensure

A

that sxs are DOMS and not reinjury or rhabdomyolysis

20
Q

DOMS is a

A

general sensation of achiness

should not replicate sxs of injury

21
Q

what is rhabdomyolysis

A

emergent condition

more achiness that lasts for several dats

pt feels sick

pt has dark color urine

refer out immediately

22
Q

DOMS is typically a sign that

A

exercise dosage is effective

23
Q

practical advice on DOMS

A

adjust as necessary to pt tolerance

exercise w/ DOMS is safe

important to consider…

how much is too much…

if someone is severely sore or concerned…

24
Q

important to consider…

A

level of soreness

caution w/ exercise intensity should increase w/ lvl of soreness

25
Q

how much is too much…

A

not defined by science

26
Q

if someone is severely sore or concerned…

A

best to adjust down and ease up

then return to activity