Exam 2 Flashcards
flexibility
the ability to move a specific joint through its full ROM
adaptable
increase with stretching, decreases with inactivity
static flexibility
able to hold an extended position
dynamic flexibility
ability to move through the joint’s full ROM with little resistance to movement
What determines flexibility
structure, elasticity and length, and nervous system regulation
joint structure
hinge has little movement compared to a ball and socket joint
joint capsule
provides strength and stability, limits ROM
cartilage
lines the bone surfaces
arthritis
occurs when break down happens
synovial fluid
fills the joint cavity to reduce friction and impact
muscle elasticity and length
soft tissue limits flexibility; stretching regularly will lengthen the tissue
what percent of muscle mass is connective tissue
30%
collagen
white fibers: structure and support
elastin
yellow fibers: elastic and flexible
elastic elongation
temporary lengthening
plastic elongation
long term change in length
nervous system regulation
-proprioceptors detect the amount of change and the speed of the change in length and cause a muscle contraction to resist the change
- a second signal is sent to the brain to the antagonist of the muscle, causing it to relax
eccentric exercise
combined with flexibility reduces the risk of injury
benefits to flexibility
- aids joint health
- prevents low back pain
- relieves aches and pains
- relieves muscle cramps
- improves body positioning
- posture and balance
- relaxing and reduces tension
- improves mobility after injury
how is flexibility tested
sit and reach test
flexibility program
goal is to attain normal flexibility in all major joints, should be balanced, perform stretches on a regular basis
frequency
2-3 days a week
intensity
stretch to the point of tension
time
hold 10-30 secs, 30-50 seconds in between
type
depends on activity type, focus on major joints
volume
2-4 reps
progression
normal ROM for each joint
static stretching
- gradual, hold 10-30 secs
- less proprioceptor reaction for farther stretch
ballistic stretching
- forceful bouncing movements
- hyperactive proprioceptors
- not recommended
dynamic stretching
- functional movement performed in a controlled manner through full ROM of the joints
- elongates tissue and develops functional flexibility
- require balance and coordination
PNF stretching
- uses contraction to facilitate stretching
takes longer, greater benefits
active stretching
muscle is stretched by a contraction of the opposite muscle
passive stretching
outside force helps move the joint through full ROM; greater risk of injury
active static stretch with passive assist
safest and more convenient; uses contraction to create stretch in the opposing muscle while another person or instrument is used to passively move into further ROM
what percent of people have low back pain
85% after 50 cause by long term weakness and inflexibility
the spine
- provide structure and support
- protects the spinal cord
- supports body weight
- attachment site for muscles, tendons, and ligaments
- allows for movement
spinal structure
7C, 12T, 5L, 9 fused to sacrum and coccyx
4 spinal curves
cervical, thoracic, lumbar, sacral; brings body weight in line with axis of the body
intervertebral disks
absorb shock and maintain space between vertebrae
nerve roots
pass through openings in the arch of the spine, 31 pairs branch off the spinal cord
the core
- trunk muscles
- stabilize the spine in daily movements
- transfers force from the lower half to the upper half
- provide stability
low back pain causes
- excessive stresses
- carrying weight away from the axis of the spine
- occupation requiring forced positions for long periods of time
- poor muscle endurance, strength, posture, body mechanics
risk factors for low back pain
- older than 34
- degenerative diseases
- history
- sedentary lifestyle
- low job satisfaction
- low socioeconomic status
- obesity
- smoking
- psychological stress or depressions
preventing low back pain
- control movements and warm up thoroughly
- exercise and movement
- improve posture
- maintain healthy body weight
- avoid smoking and reduce stress
- avoid sitting or standing for long periods of time
- use supportive mattress or seat
- gradually progress exercise programs
management of acute pain
- apply cold to reduce inflammation
- add heat once inflammation has reduced
- over the counter meds
- prescription meds
managemenet of chronic pain
- PT, Massage, yoga, chiropractor
- acupuncture, dry needling, surgery
- exercise
body composition
consists of fat and fat-free mass
essential fat needed for function
3-5% in men, 8-12% in women