L9 - LOAD & LOADABILITY

Question 1

What is the definition of ‘Load’?

Answer 1

Mental, physiological or mechanical stress required to stimulate adaptation as response

Question 2

How is ‘LOAD’ calculated?

Answer 2

LOAD = TIME x EFFORT = min x RPE

Question 3

What is the difference between local tissue capacity and sport-specific capacity?

Answer 3

Improving sport-specific capacity increases performance, while improving local tissue capacity increases the ability of the structure to tolerate load

Question 4

What happens to local tissue capacity following an acute injury?

Answer 4

Immediate decrease due to tissue damage, pain & psychosocial factors

Question 5

Is pain alone sufficient to determine progression of loading post-injury?

Answer 5

No, factors such as tissue vulnerability, movement pattern, re-injury risk, psychosocial resilience, temporal stage of tissue healing & inflammatory response must be considered

Question 6

What is the role of the vastus medialis in knee stability?

Answer 6

It is the main stabilizer of the knee

Question 7

What is the relationship between load capacity and health?

Answer 7

When load capacity increases, load can be increased, leading to improved health, reduced risk of injury, and improved performance

Question 8

What can negatively impact health in relation to load?

Answer 8

Load can have negative effects on health, potentially leading to injury

Question 9

What types of factors should be monitored in relation to context and environmental influences?

Answer 9

Subjective outcome measures, psychosocial measures (coping, stress), diet, sleep

Question 10

What does RPE stand for?

Answer 10

Rating of Perceived Exertion

Question 11

What is the effect of unloading on tissues?

Answer 11

De-tensioning results in downregulation of mRNA for tenomodulin & collagen, leading to disorganization of alignment of fibrils

Question 12

What is the impact of 2-3 weeks of immobilization on collagen synthesis?

Answer 12

89% reduction in collagen synthesis rate

Question 13

How does unloading affect tendon stiffness?

Answer 13

1-2 weeks reduces stiffness of tendon, which is necessary for movement transfer from tendon to bone

Question 14

What occurs more quickly, de-conditioning or re-conditioning?

Answer 14

De-conditioning occurs more quickly than re-conditioning

Question 15

What does the Physical Stress Theory state?

Answer 15

There is a predictable response to loading in tissues which can be used by physiotherapists to increase stress (load)

Question 16

What are the variables to monitor during rehabilitation?

Answer 16

Volume, intensity, frequency, type

Question 17

What should be monitored in response to load during rehabilitation?

Answer 17

Pain, motor control, motivation

Question 18

What is the recommended approach after de-conditioning?

Answer 18

Start at a lower level and gradually increase load to return to sport

Question 19

What should be maintained to decrease the risk of other injuries?

Answer 19

Global capacity of the whole body

Question 20

What is the athlete monitoring framework for loading?

Answer 20

Assessment of load and loadability of tissues, considering local and general factors

Question 21

What are the effects of trauma on load and loadability in low back pain?

Answer 21

Load increased due to trauma; loadability reduced due to pain & swelling

Question 22

Fill in the blank: Load _______ is reduced due to avoidance of movement.

Answer 22

loadability

Question 23

Relation between intensity, volume & recovery duration of muscle, tendon, bone, cartilage & system

Answer 23

Table

Question 24

Predictable response to loading tissues

Answer 24

Image

Question 25

Changes in ability to tolerate load post injury

Answer 25

Image

Question 26

Resetting threshold due to low/high stress

Answer 26

Images