FINAL EXAM Flashcards

1
Q

Define Neuromuscular fatigue

A

A failure to maintain the required force during a given task;

An exercise-induced decline in maximal muscle force or power production capacity

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2
Q

Perceived vs. performance fatiguability

A

Fatigue is used to describe a non-specific but debilitating symptom in a range of chronic diseases and disorders such as cancer

Perceived fatiguability
- homeostasis
- psychological state

Performance fatiguability
- contractile function
- muscle activation

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3
Q

Components of the neuromuscular system

A

Central NS:
- Motor planning
- Motor ‘cortical’ output
- corticospinal conduction
- motoneurone pool output

Peripheral NS:
- motor axon conduction
- Neuromuscular junction
- sarcolemma and T-tubule conduction
- E-C coupling and calcium release/reuptake
- Cross bridge force and ATP hydrolysis

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4
Q

Motor unit

A

Makes up the functional unit of the movements

Consists of an alpha motoneurone and the specific muscle fibers that it innervates

Difference in muscle fiber-motor unit ratio (e.g. 1:5 or 1:800) contributes to variation in motor skills

All or None principle: All of the muscle fibers innervated in a motor neuron are stimulated to contract

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5
Q

Neuromuscular junction (Motor endplate)

A

Presynaptic terminal

Synaptic cleft

Postsynaptic terminal

Synaptic vesicles

Acetylcholine

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6
Q

Process of sliding filament theory

A
  1. Myosin heads split ATP and become reoriented and energized
  2. Myosin heads bind to actin, forming cross bridges
  3. Myosin cross bridges rotate toward centre of the sarcomere (power stroke)
  4. As myosin heads bind ATP, the cross bridges detach from actin

contraction cycle continues if ATP is available and Ca2+ level in the sarcoplasm is high

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7
Q

Process of muscle contraction

A
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8
Q

Motor unit sizes and characteristics

A

Large motor neurones with fast conduction velocity innervate fast-fatigable (FF) and fast fatigue-resistant (FR) muscle fibers.

Smaller motor neurones with slow conduction velocity innervate slow (S) muscle fibers

FF – type IIx muscle fibers
FR – type IIa muscle fibers
S–Type I

Surgically innervating FF muscle fibers with the neurons from a slow-twitch muscle fiber eventually alters the twitch characteristics of FF motor unit.

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9
Q

Central vs Peripheral fatigue

A

Central fatigue:
With exercise, metabolites activate sensory afferent neurones (group III/IV afferent) which in return convey pain- and fatigue-related sensory signals to the brain
- The brain region related to fatigue and pain sensations will be activated and the brain sends fewer voluntary motor signals to the skeletal muscles

Peripheral fatigue:
- muscle fatigue after exercise

Higher intensity exercises (short duration) result in more peripheral fatigue

Lower intensity exercise (longer duration) result in more central fatigue

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10
Q

Components of maximal voluntary activation (MVC):

A

SIT (Superimposed twitch)
= relies on the twitch force added by a supramaximal motor nerve stimulus during a voluntary contraction

Resting Twitch
= A first stimulus delivered with the muscle fully relaxed

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11
Q

How do we measure MVC?

A

Twitch Interpolation technique

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12
Q

The amount (grams) of glycogen and glucose in the liver, muscle and blood

A

Liver glycogen - 110g

Muscle glycogen - 500g

Glucose in the blood and cell - 15g

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13
Q

The process of oxygen delivery

A

The respiratory system ensures the delivery of oxygen from the environment into the alveoli and the bloodstream and the elimination of carbon dioxide from the blood into the alveoli and the environment (gas exchange).

The oxygenated arterial blood is pumped by the heart to the mitochondria of the skeletal muscles.

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14
Q

The process of oxygen diffusion

A

Gas exchange between the alveoli in the lung and the pulmonary capillary blood and the capillary blood and the mitochondria of the skeletal muscles is driven by gas (oxygen and carbon dioxide) pressure differences (diffusion)

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15
Q

The process of oxygen perfusion

A

Functionally, the heart is two separate pumps:

Right side:
— Atrium receives deoxygenated blood from body
— Ventricle pumps deoxygenated blood to lungs

Left side:
— Atrium receives oxygenated blood from lungs
— Ventricle pumps oxygenated blood to body

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16
Q

The process of oxygen of gas exchange

A

Exchange of gases (O2 and CO2):

— O2 is moved from the environment to the mitochondria

— CO2 is moved from the mitochondria to the environment

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17
Q

What is the contribution of hemoglobin in oxygen transfer?

A

Oxygen is carried in two forms

  1. Dissolved in the fluid of blood
    — Very little O2 is transported in solution (Poor solubility)
    ~4% of O2 consumption at rest
    Oxygen transport in blood
  2. Bound to hemoglobin
    — Responsible for majority of blood transport
    - Each hemoglobin can bind 4 O2 molecules
    ~96% of O2 consumption at rest

Oxygen-carrying capacity of hemoglobin (mL O2/L blood)
— Hemoglobin concentration (g/L blood)
— Oxygen capacity of hemoglobin (mL O2/g)
- 1.34 mL O2/g

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18
Q

The effect of training on mitochondrial content and volume density

A

Mitochondria density is increased by training:
1 month of training
— 2 hours/day, every day
— Increased mitochondrial volume density (electron microscopy)

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19
Q

What is cardiorespiratory fitness?

A

The measure of an individual’s peak/maximal capacity to perform

CR fitness depends on the synergistic working of organ systems that deliver oxygen from the ambient air to the mitochondria, while effectively removing metabolic byproducts.

20
Q

How do we measure cardiorespiratory fitness?

A

Graded exercise tests (GXTs)
— Laboratory or clinical tests
— Field test

21
Q

What are the parameters determining cardiac output and VO2max?

A

Heart rate
— Maximal heart rate: Highest heart rate for a person, related primarily to age

Stroke volume: The volume of blood pumped during one beat of the heart
— Increases significantly with endurance training

Amount of oxygen removed from the blood
— Arterial-venous oxygen difference: Amount of oxygen removed from the vascular system

22
Q

What is the effect of aging on cardiorespiratory fitness?

A

After 30 years of age, VO2 max progressively decreases with age at a rate of about 10% per decade

23
Q

What is the effect of exercise on the prevention of VO2max decline?

A

Aerobic exercise decelerate aging effect on VO2Max:

VO2max can improve at any age with regular endurance training by approximately 15– 20%, depending on exercise intensity.

Accordingly, it is possible that a trained 70- year-old can exhibit the biological age of an untrained 50-year
— Despite declines at about 7% (women) to 10% (men) per decade from the age of 30

Men demonstrate a greater absolute decline in VO2 max with age compared with women

Endurance-trained adults reveal less decline in VO2 max with advancing age compared with healthy sedentary adults.

24
Q

CSEP exercise prescription guidelines based on HRR, RPE, talk test

A
25
Q

Knowing the approximate range of each exercise intensity for HRR and RPE column in slide 18 could be helpful

A

Approximate range of HRR for each exercise intensity:

very light = < 30 HRR

light = 30-39 HRR

moderate = 40-59 HRR

vigorous = 60-89 HRR

near maximal to maximal = >/= 90 HRR

26
Q

What is the difference between HRR and HRmax

A

Heart rate reserve (HRR):
HRR = HR max – resting HR
- e.g., 179 – 54 = 125

HRmax
HRmax = [220 - Age]

27
Q

What are the exercise intensity thresholds?

A

Gas exchange threshold (GET)

Respiratory compensation point (RCP)

28
Q

What are the exercise intensity domains?

A

Severe:
- [La] and VO2 are unstable and project to maximal values (Above RCP)

Heavy:
- increased but stable [La] and VO2. Development of VO2 (Above GET but below RCP)

Moderate:
- no increase in [La] and stable VO2 (below GET)

*La = lactate

29
Q

How do we determine exercise intensity thresholds?

A

The rate of blood lactate/H+ production vs. clearance and associated cardiopulmonary responses determine the thresholds

The three phases of exercise are determined based on the two thresholds (GET and RCP)

30
Q

What is the energy supply in each domain?

A

Predominant pathways for producing ATP in each phase (domain)

Phase 1: Fat oxidation

Phase 2: A combination of fat oxidation, aerobic glycolysis and glycogenolysis

Phase 3: Anaerobic glycolysis and glycogenolysis

31
Q

Physiological characteristics of each domain (i.e., slide 5). You just need to know the appropriate range of values such as lactate, RPE and HRR

A

Phase I: very light exercise
- 1st lactate threshold, “aerobic threshold” 40-60% of VO2max
- Borg scale 6-9 RPE
- 45-55% of VO2max or HRR

Phase II: light & moderate exercise
- light exercise = 1st lactate threshold
- moderate exercise = 2nd lactate threshold
- Borg scale 10-12 RPE
- 55-70% of VO2max or HRR

Phase III: heavy exercise
- 2nd lactate threshold, “anaerobic threshold” 60-90% of VO2max
- Borg scale >14 RPE
- >80% of VO2max or HRR

32
Q

What is the importance of knowing the exercise intensity domains?

A

The concept of thresholds is applicable to exercising prescription

33
Q

How long can we sustain exercise in each intensity domain (approximately though)?

A

Exercise tolerance across the domains

Moderate
- >2 hours

Heavy
- 45 min to >2 hours

Severe
- seconds to ~45 min
- hyperbolic relationship

34
Q

What are the different types of stretching?

A

Static stretching (SS)

Dynamic stretching (DS)

Ballistic (bouncing) stretching (BS)

Proprioceptive Neuromuscular Facilitation (PNF)

35
Q

The contribution of the muscle spindle in the determination of acute (short-term) and chronic (long-term) flexibility

A

Short-term flexibility:
- Static stretching (SS)
- Activation of muscle spindle = increased muscle activation

Stretching muscle spindles increases the firing frequency of alpha motor neurones innervating the muscle. This reflexive loop will increase tension (i.e., contraction intensity) in the muscle

However, if a muscle is stretching to the point of discomfort, then activation of muscle spindles will decrease to reduce tension in the muscle. This is a protective mechanism to prevent muscle damage.

Reduced muscle spindle activation occurred after every single flexibility exercise session can provide an acute increase in flexibility.

Some researchers say:
that reduced muscle spindle activation can become chronic and this will facilitate long-term improvement in flexibility.

36
Q

The contribution of the Golgi tendon organ (GTO) in the determination of acute (short-term) and chronic (long-term) flexibility

A

Long-term flexibility:
- Activation of GTO = decreased muscle activation

The sequence of stretch-contraction-stretch activates a cascade of phenomena that improves flexibility significantly:

  • 1st Stretch: deactivates muscle spindles, improves viscoelastic deformation, and increases pain tolerance
  • Contraction: activates GTOs and reduces tension in the muscle
  • 2nd stretch: further deactivates muscle spindles, improves viscoelastic deformation, and increases pain tolerance
37
Q

What are the most and least effective modes of stretching and why?

A

Ballistic (bouncing) stretching (BS) is the least effective flexibility exercise mode:
- Bouncing is using momentum in an attempt to exceed the normal ROM which can induce bouncing motions at the end of ROM

Proprioceptive Neuromuscular Facilitation (PNF) is one of the most effective methods of improving flexibility:
- PNF incorporates an isometric contraction followed by a SS.

  • Stretch - contract - stretch (SCS)
38
Q

What are the components of endurance exercise prescription: (i.e., FITT-VP principle)

A

FITT-VP principle:

Frequency
Intensity
Time
Type
Volume
Progression

39
Q

How much is the volume of exercise prescribed for the general population?

A

20 to 60 min per session
— Depends on intensity

Minimum single bout duration = 10 min continuous

Accumulate 30 min MIPA per day or 20 min VIPA per day

Combination of MIPA and VIPA for 3 to 5 days per wk recommended

40
Q

What is the relationship between exercise frequency and VO2max improvement?

A

As frequency increases so does VO2max

(graph with an upward slope)

41
Q

How much is optimal endurance exercise duration?

A

20 to 60 min continuous or intermittent activity per day recommended

Cardiorespiratory function improves with MIPA lasting 30-60 min

Can add 5-10 min to session duration every other week until goal met

42
Q

What is the relationship between exercise intensity and duration?

A

Exercise duration is inversely related to the intensity

43
Q

What factors determine the volume of endurance exercise?

A

Volume = frequency * duration

44
Q

The difference between HIIT and constant load exercise

A

HIIT is characterized by brief, intermittent bursts of vigorous activity, interspersed by periods of rest or low- intensity exercise

45
Q

The benefits of HIIIT for general population?

A

Similar adaptations were found between the two modes of exercise for:

— Increased skeletal muscle oxidative capacity
— Increased resting glycogen content,
— Reduced rate of glycogen utilization and lactate production
— Increased capacity for whole-body and skeletal muscle lipid oxidation,
— Enhanced peripheral vascular structure and function,
— Improved exercise performance as measured by time-to-exhaustion tests
— Increased maximal oxygen uptake

46
Q

The benefits of HIIIT for people with cardiovascular diseases?

A

Interval training provides an effective means to improve the cardiovascular fitness and health status of highly functional patients with coronary artery disease

interval training improves anaerobic tolerance to a greater extent than the traditional exercise training model without increasing the risk to the patient

47
Q

The benefits of HIIIT for people with metabolic diseases?

A

Increased maximal activity of citrate synthase (CS) measured in skeletal muscles before and after 2 wk of training

Increased GLUT4 protein content in skeletal muscles obtained before and after training.