Lectures 11-16 Flashcards

1
Q

What is EIMD?

EIMD & Hypertrophy

A

Exercise Induce Muscle Damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the process of EIMD?

EIMD & Hypertrophy

A
Exercise
Muscle damage
Loss of calcium ions (homeostasis)
Inflammation 
Remodelling & regeneration
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Summary - Slide 25, lecture 15

EIMD & Hypertrophy

A

Recap lecture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Question - what are the adaptations you would expect to see in an there following a strength training programme?

(Adaptations to strength training)

A

Look in PE book

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Three proposes primary are responsible for training adaptations:

(Adaptations to strength training)

A

Mechanical tension
Metabolic stress
Muscle damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Mechanical tension in terms of causing training adaptations:

What is it?

(Adaptations to strength training)

A

Referee to the loading of muscle and is proposed to disrupt skeletal muscle structures -> compromising the integrity of individual muscle fibres -> leading to cellular responses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Metabolic stress in terms of causing training adaptations:

What is it?

(Adaptations to strength training)

A

Local metabolic stress involves the accumulation of metabolic by-products

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Muscle damage in terms of causing training adaptations:

What is it?

(Adaptations to strength training)

A

Leads to hypertrophic responses whereby the inflammatory response and upregulaton of protein synthesis -> resulting in greater muscle size

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What neural adaptations occur in the first 8-20 wks of strength training?

(Adaptations to strength training)

A

Learn movement (motor learning) / neuromuscular inhibition
Motor unit recruitment
Firing rate
Coordination of motor unit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What did Ebola (1988) say about strength gains

Adaptations to strength training

A

Can be achieved without structural changes in the muscle but not without neural adaptations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

In terms of Learning Movement (motor learning) / Neuromuscular Inhibition (neural adaptations)

How does it improve performance?

(Adaptations to strength training)

A

Increases activation of individual muscles

The coordination of groups of muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

In terms of Motor Unit Recruitment (neural adaptations)

How does it improve performance?

(Adaptations to strength training)

A

Increases motor unit recruitment

Preferential recruitment of high threshold motor units

Lowering thresholds of motor unit recruitment

Above factors increase agonist activation and tension development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In terms of firing frequency (neural adaptations)

How does it improve performance?

(Adaptations to strength training)

A

Discharge frequency of motor neurons

Greater force / power production

Increase in number of doublet discharges

Increased recruitment and firing rate following training

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

In terms of synchronisation (neural adaptations)

How does it improve performance?

(Adaptations to strength training)

A

Enables smooth movement

Can synchronously activate multiple motor units

Increased force production (caused by co-activation of a range of muscles)

Simplify and co-ordinate complex movements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When is strength expression typically at its greatest?

Adaptations to strength training

A

More motor units are involved

Motor units are greater in size

Rate of firing is faster

Greater synchronisation of motor units

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the muscular adaptations (physical changes) from strength training?

(Adaptations to strength training)

A
Hypertrophy 
CSA / pennation angle
Increase in number: Hyperplasia?
Hormones / growth factors
Cellular enzymes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

In terms of Hypertrophy (muscular adaptations)

How does it improve performance?

(Adaptations to strength training)

A

Increase in cross-sectional area of skeletal muscle fibres

This increases contractile material to increase force production

Preferentially hypertrophy of type 2 fibres occurs rapidly following strength training

Increase in myonuclei

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are satellite cells

Adaptations to strength training

A

A population of muscle-derived stem cells responsible for myofibrils development and renewal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How does resistance exercise training impact number of stem cells?

(Adaptations to strength training)

A

Increases the number after several days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

The stopping of training is associated with what in terms of satellite cell activation

(Adaptations to strength training)

A

Termination of satellite cell activation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

After heavy resistance exercise, what happens to protein synthesis?

(Adaptations to strength training)

A

It is increased for up to 48 hours

Similar with myofibrils protein synthesis (72h)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

In terms of pennation / CSA (muscular adaptations)

How does it improve performance?

(Adaptations to strength training)

A

As angle of pennation increases -> increased packing of muscle fibres within the same ACSA (Slide. 27, lecture 16)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

In terms of hyperplasia (muscular adaptations)

How does it improve performance?

(Adaptations to strength training)

A

Increased number of muscle fibres

Myogenesis

Increased CSA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

In terms of growth factors / hormones (muscular adaptations)

How does it improve performance?

(Adaptations to strength training)

A

Stimulate release of growth factors

Change expression of the major muscle growth regulators -> enhance protein synthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

In terms of cellular adaptations (muscular adaptation)

How does it improve performance?

(Adaptations to strength training)

A

Increased resting glycogen and PCr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What training is best to develop strength?

Volume

(Adaptations to strength training)

A

Schoenfeld et al., 2016

Concluded that higher volume training produces greater gains in muscle mass than lower volume training

Potentially linked to the prolonged metabolic stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What training is best to develop strength?

Load

(Adaptations to strength training)

A

Proposed as a vital factor in maximising muscle hypertrophy

Emphasising both mechanical tension and metabolic stress simultaneously (70-85% 1RM) are traditionally recommended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What training is best to develop strength?

Frequency

(Adaptations to strength training)

A

Wernborn et al., 2007 showed that 2-3 sessions per week is optimal

High training frequency should be periodised strategically so that adequate recovery is provided between sessions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Concentric vs eccentric in strength training

Adaptations to strength training

A

Eccentric contractions more potent to induce hypertrophy than concentric

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Recap questions

Adaptations to strength training

A

Slide 35, lecture 16

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What are the structural and functional similarities between bones and tendons?

(Muscle tendon relationship)

A

Both are composites
Both are subjected to forces generated during joint movement and locomotion
Both exhibit mechanical behaviour and adaptable to functional loading they experience

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Why are adaptations in connective tissue important for function?

(Muscle tendon relationship)

A
Connect different types of tissue
Support
Protection
Resist stretching & tearing forces
Mechanical framework (skeleton)
Transfer of muscle forces
Stability around the joint
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Connective tissues form some of the resistance in muscle that allows what?

(Muscle tendon relationship)

A

Generation of higher levels of tension in the muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

In order to optimise an athletes rehab, a resistance training programme must account for

(Muscle tendon relationship)

A

Type of injury
Stage of healing
The functional and architectural requirements for the muscle and tendon
The long-term goals for that patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

What must a rehab programme do in terms of a rehab programme?

(Muscle tendon relationship)

A

Appropriately stress musculature and also the muscle tendon junction and the tendon itself at the insertion point

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What happens to the tendon in response to resistance training?

(Muscle tendon relationship)

A

Increased stiffness (good thing)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

What does stiffness describe in the tendon?

Muscle tendon relationship

A

A mechanical property of the tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

What is stiffness?

Muscle tendon relationship

A

The force required to stretch a tendon per a unit of distance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

What can increased stiffness do?

Muscle tendon relationship

A

Impact the ability of the muscle to rapidly generate force (I think it improves)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

How does a tendon adapt to a load?

Muscle tendon relationship

A

It becomes stiffer

Muscles get stronger, tendons get stiffer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

What does a tendon attach?

Muscle tendon relationship

A

Muscle to bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

What is the primary role of a tendon?

Muscle tendon relationship

A

To transmit contractile forces to the skeleton to generate joint movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

What are tendons a part of?

Muscle tendon relationship

A

The musculotendinous unit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

What is the make up of a tendon?

Muscle tendon relationship

A

30% collagen
2% elastin
68% water
Tenocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

What is the blood supply and colour of tendons like?

Muscle tendon relationship

A

Avascular (poor blood supply)

Appear bright white

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

What is a tendon mainly comprised of?

Muscle tendon relationship

A

Type I collagen in an extracellular matrix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

What is the musculotendinous unit/complex?

Muscle tendon relationship

A

Where the muscle and tendons meet together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

What is an issue with a tendon if it is not stiff?

Muscle tendon relationship

A

Will move about in an uncontrollable manner which is negative to performance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

What is external oscillating force?

Muscle tendon relationship

A

If tendon is very compliant then despite constant muscle length you would see oscillation in the tendon - hence movement of the joint = bad

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

To translate forces directly to the joint, what do you need?

Muscle tendon relationship

A

A stiff tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Stretching a tendon results in what? What happens when stretching is stopped?

(Muscle tendon relationship)

A

Results in elastic energy storage

This is returned once tensile load is removed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Can a tendon increase the number of fibres in that tendon through training?

(Muscle tendon relationship)

A

Yes, but not at the same rate as a muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

Strength of a tendon is determined by collagen fibres:

Muscle tendon relationship

A

Number
Size
Thickness
Orientation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

Why do lots of injuries occur in the tendon?

Muscle tendon relationship

A

The muscle can produce a great force which travels directly through the tendon which can cause damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

What is the musculotendinous complex/unit?

Muscle tendon relationship

A

Junctional area between the muscle and tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

What happens to the musculotendinous complex during transmission of muscular contractor force to the tendon?

(Muscle tendon relationship)

A

Subjected to great mechanical stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

What is the Osteotendinous junction?

Muscle tendon relationship

A

Where tendon meets bone

A gradual transition from tendon to fibrocartilage to lamellar bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

What is the main cause of osteotendinous junction injuries?

Muscle tendon relationship

A

Overuse, eg. Tennis elbow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

How does the tendon adapt to training?

Muscle tendon relationship

A

Increase in cross sectional area and strength

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

What are the specific changes in a tendon that contribute to an increase in CSA and strength

(Muscle tendon relationship)

A

Increase in collagen fibril diameter
Greater number of covalent cross links within a fibre of increased diameter
Increase in the number of collagen fibrils
Increase in the packing density of collagen fibrils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

A greater force going down on the tendon results in what?

Muscle tendon relationship

A

A greater sprain back up as more energy is stored and thus released

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

What happens if force is placed on a tendon and is left for a while?

(Muscle tendon relationship)

A

It’s ability to recoil dissipates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

What is the stretch shortening cycle?

Muscle tendon relationship

A

The ability to recoil and help enhance the muscular properties of a movement in an individual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

What is a typical plyometric type movement?

Muscle tendon relationship

A

A box drop

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

What are the three phases of the SSC

Muscle tendon relationship

A

Preactivation
Stretch
Shortening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

What are the two broader phases of the SSC

Muscle tendon relationship

A

Eccentric phase - muscle lengthening under tension

Concentric phase - muscle shortening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

What does a stiffer tendon result in?

Muscle tendon relationship

A

More rapid transition from standing state to jumping state

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

What did Kubo (2007) and Abdelsattar (2018) show about tendon stiffness and performance?

(Muscle tendon relationship)

A

Increases tendon stiffness improves performance (less time in contact with ground measured by force plate)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

How would stiff tendons be described?

Muscle tendon relationship

A

Only changes length by a small amount when a large force is applied

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

What is the opposite word for stiff tendons?

Muscle tendon relationship

A

Compliant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
71
Q

How would compliant tendons be described?

Muscle tendon relationship

A

Changes length substantially when the same amount of force is applied

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
72
Q

Is high tendon stiffness always a good thing?

Muscle tendon relationship

A

No, depends on the sport and the sports demands

Stiffness may be good for sprinters but no marathon runners for example

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
73
Q

What is the relationship between tendon stiffness, performance and health?

(Muscle tendon relationship)

A

Stiffness may be good for performance but not good for health and injury

Lecture 11, slide 23

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
74
Q

What did McHugh et al (1999)’s study show with tendon stiffness

(Muscle tendon relationship)

A

People with stiff tendons showed lower isometric strength and higher subjective pain three days after completing an exercise than compliant/normal tendon stiffness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
75
Q

How can tendon stiffness be reduced?

Muscle tendon relationship

A

By passive and simple stretching without any load

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
76
Q

Anicdote about eccentric stretches and Achilles strength

Muscle tendon relationship

A

Lecture 11, slide 25

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
77
Q

What type of contractions are optimal for maintaining tendon health?

(Muscle tendon relationship)

A

Slow, lengthening contractions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
78
Q

Stiff tendons are ideal for what? But increase the risk for what?

(Muscle tendon relationship)

A

Ideal for speed

Increase risk of tendon and muscle injury

79
Q

Following forced inactivity (eg bed rest) tendons lose what? What can this lead to?

(Muscle tendon relationship)

A

Lose compliance near muscle and lead to injury

80
Q

What can decrease time away from training in terms of rehab and tendons

(Muscle tendon relationship)

A

Implement slow lengthening contractions

81
Q

What did Magnusson & Kjaer (2003) show about Achilles’ tendon strength in endurance runners vs control

(Muscle tendon relationship)

A

Greater CSA in long distance runners

But stiffness no different to control

82
Q

How do Arampatzis et al (2007) and Kubo et al (2000) differ on evidence for stiffness in tendons in sprinters vs controls

(Muscle tendon relationship)

A

Arampatzis - stiffness greater

Kubo - no difference in stiffness

83
Q

How do tendon stiffness adaptations occur compared to muscle adaptations?

(Muscle tendon relationship)

A

Adapts over a much longer period of time & stresses need to be above a specific mechanical threshold in terms of intensity/frequency/volume

84
Q

Research stuff on slides

Muscle tendon relationship

A

Lecture 11, slide 28/29

85
Q

Clear evidence suggests what about chronic exercise and bones, tendons & cartilage?

(Muscle tendon relationship)

A

Chronic exercise leads to positive adaptions in those

86
Q

Mechanical unloading during injury/sedentary behaviour/elderly induces what in the connective tissue?

(Muscle tendon relationship)

A

Deterioration

87
Q

Exercise of low to moderate intensity does not markedly change the “X” content of tendons, ligaments, fascia

(Muscle tendon relationship)

A

Collagen

88
Q

High loading of tendons, ligaments and fascia results in what?

(Muscle tendon relationship)

A

A net growth of the involved tissues

89
Q

Recap questions

Muscle tendon relationship

A

Lecture 11, slide 31

90
Q

What are the three main processes involved in the optimisation of training?

(Optimisation of training)

A

Needs analysis
Planning & programming
Testing & monitoring

91
Q

What is a needs analysis?

Optimisation of training

A

A process that helps us identify the needs of a sport

This helps us create a benchmark of what we hope to achieve with the athlete

92
Q

What are kinematics?

Optimisation of training

A

Coachables

Mechanics at work: movements, positioning, range of motion, muscle groups

93
Q

What are kinetics?

Optimisation of training

A

Trainables

Forces at work: strength, contraction mode rate, magnitude

94
Q

What are energetically?

Optimisation of training

A

The capacity to fuel mechanic work

Things like anaerobic/aerobic systems etc

95
Q

Whilst it is important to assess what developments are ideal for the sport, what can be considered slightly more important?

(Optimisation of training)

A

Screening and assessing the individual needs of the athlete

96
Q

Before thinking about the specific demands of the sport, what must first happen to the athlete?

(Optimisation of training)

A

Must be brought up to an appropriate level of fitness

97
Q

What considerations must a coach consider when planning a programme

(Optimisation of training)

A

Chronological/biological/training age

Sport, event, position, career, stage, lifestyle

98
Q

What is chronological age

Optimisation of training

A

Your actual age, how old you are

99
Q

What is training age?

Optimisation of training

A

How long you’ve been training for (probably the most important one)

100
Q

What is biological age?

Optimisation of training

A

Referred to as physiological age

101
Q

What is periodisation?

Optimisation of training

A

The process of dividing the annual training plan into a series of manageable phases

102
Q

What are the different types of cycles in a periodisation programme?

How long do they typically last?

(Optimisation of training)

A

Macrocycle (1 year)
Mesocycle (monthly)
Microcycle (weekly)

103
Q

Learn how to draw process of training, adaptation then if don’t keep training back to baseline

(Optimisation of training)

A

Lecture 13

104
Q

How long are the residual training effects of aerobic endurance training?

(Optimisation of training)

A

Around 30 days

105
Q

How long are the residual training effects of maximal strength training?

(Optimisation of training)

A

Around 30 days

106
Q

How long are the residual training effects of anaerobic endurance training?

(Optimisation of training)

A

Around 18 days

107
Q

How long are the residual training effects of strength endurance training?

(Optimisation of training)

A

Around 13 days

108
Q

How long are the residual training effects of maximal speed training?

(Optimisation of training)

A

Around 5 days

109
Q

Definition of tapering

Optimisation of training

A

Prior to competition either the volume or intensity (but not both) of exercise is reduced

110
Q

What factors affect the tapering process (how long etc)

Optimisation of training

A

Athletes level

Gender

111
Q

What is element of training can show us an athletes progression across a training programme

(Optimisation of training)

A

Testing and monitoring

112
Q

How often does monitoring occur?

Optimisation of training

A

Day-to-day

113
Q

What testing/monitoring types are there?

Optimisation of training

A

Can monitor internal (HR)/ external (training programme) / subjective (RPE)/ objective (HR)

114
Q

Look at table of internal, external, subjective, objective

Optimisation of training

A

Lecture 13 page 8/9

115
Q

Why has Strength and conditioning become an important aspect of rehabilitation?

(Rehab BFR)

A

Need for retraining following injury

Need for a differential approach due to difficulties recovering athletic performance to pre-injury levels

To support speed and safety to enable a quality rehabilitation

116
Q

What reasons might we use blood flow restriction?

Rehab BFR

A

Get bigger levels of hypertrophy

117
Q

What are the potential risks of BFR?

Rehab BFR

A

Reducing blood flow to the limb for an extended period of time, can induce cell death and atrophy

118
Q

Traditional route for rehab

Rehab BFR

A

Injury -> physical therapist -> athletic trainer -> S&C in order to return to sport

119
Q

What is the initial focus of post injury rehab?

Rehab BFR

A

Alleviation of disfunction, enhancement of tissue healing, and provision of a systematic progression of flexibility, range of motion and strength

120
Q

What specific programme parameters (amongst others) must be carefully considered and targeted during a rehab programme?

(Rehab BFR)

A

Strength, power, endurance and hypertrophy

121
Q

Why might BFR help with load manipulation?

Rehab BFR

A

Helps someone get the same response (of a higher load) with a lower load

122
Q

Using BFR so that you don’t have to use high loads is beneficial for who?

(Rehab BFR)

A

Injured/elderly

123
Q

What are the phases of rehab?

Rehab BFR

A

Phase I - immediate rehabilitation

Phase II - intermediate rehabilitation

Phase III - advanced rehabilitation

Phase IV - return to function

124
Q

Describe Phase I - immediate rehabilitation phase of rehab

Rehab BFR

A

Primary goals are protection of the integrity of involved tissue, restoration of range-of-motion, diminishment of pain and inflammation, and prevention of muscular inhibition

125
Q

What are the criteria of moving from Phase I to Phase II

Rehab BFR

A

Minimal pain with all Phase I exercises
ROM >75% of non-involved side
Proper muscle firing patterns for initial exercises

126
Q

Describe Phase II - intermediate rehabilitation

Rehab BFR

A

Continued protection of involved tissues or structures and restoration of function of the involved body part of region

127
Q

Criteria for moving from Phase II to Phase III

Rehab BFR

A

Close to full ROM/muscle length/joint play

60% strength of primary involved musculature when compared to the uninjured side

128
Q

Describe Phase III - advanced rehabilitation

Rehab BFR

A

Restoration of muscular endurance and strength, cardiovascular endurance and neuromuscular control/balance/proprioception

129
Q

Criteria for moving from Phase III to Phase IV

Rehab BFR

A

Strength > 70-80% of non-involved side and demonstration of initial agility drills with proper form

130
Q

Describe Phase IV - Return to function

Rehab BFR

A

Characterised by activities that focus on returning the athlete to full function
The primary goals to be addressed during this phase are successful return to previous functional levels

131
Q

What are the three main reasons of a hamstring pull?

Rehab BFR

A

Lack of strength - weak

Improper positioning - might kick wrong

Poor work capacity - tired

132
Q

5 main goals of rehab

Rehab BFR

A

Regain function

Regain strength and power

Regain speed in a closed environment

Perform speed in an open environment

Perform under fatigue

133
Q

During rehab, ACSM guidelines suggest what?

Rehab BFR

A

Athletes should have at least 24-48hr rest between sessions

134
Q

Training load is usually determined with what?

Rehab BFR

A

1RM testing

Obviously can’t do this with an injured athlete

135
Q

What is a technique you could use to assess 1RM in injured athletes

(Rehab BFR)

A

The DeLorme technique

Daily Adjusted Progressive Resistance Exercise (DAPRE) technique

OMNI-RES

Oddvar Holden method

136
Q

How does BFR training work?

Rehab BFR

A

Decreasing blood flow to a muscle by application of a wrapping device

137
Q

The metabolic environment during BFR and low load exercises matches what?

(Rehab BFR)

A

That seen during heavy load exercise

138
Q

BFR when applied alone to the limbs has been shown to what?

Rehab BFR

A

Attenuate muscle atrophy (muscle wastage after exercise)

139
Q

When BFR is combined with low intensity exercise what happens?

(Rehab BFR)

A

Resulted in an increase in both muscle size and strength across different age groups

140
Q

What is a key clinical application of blood flow restriction?

(Rehab BFR)

A

Can reap benefits of high load exercise with lower loads

141
Q

During BFR, it is thought that accumulation of metabolites may also facilitate the increase of what?

(Rehab BFR)

A

Growth hormone

142
Q

What is ischaemic preconditioning (IPC)?

Rehab BFR

A

Same principles of BFR just applied in a slightly different way (occlude blood flow for extended periods of time)
(Example slide 19, lecture 14)

143
Q

Example of ischaemic preconditioning (IPC)

Rehab BFR

A

3-4 brief periods of 3-5min intervals of complete blood flow restriction, intermittent by equal periods of reperfusion

144
Q

IPC is clinically shown to protect tissues against what?

Rehab BFR

A

Subsequent ischaemic damage

145
Q

Preconditioning or prehabilitation aims to do what?

Rehab BFR

A

Increase muscle strength prior to surgery, which is believed to substantially attenuate the deterioration of muscle function in the aftermath

146
Q

Evidence for prehabilitation

Rehab BFR

A

Slide 22, lecture 14

147
Q

Using an IPC protocol exposes the muscle to what?

Rehab BFR

A

Short bouts of ischaemia before prolonged ischaemia, which can reduce gross muscle damage and increase cell survival

148
Q

Read zargi et al (2018) paper and answer questions on that paper

(Rehab BFR)

A

Slide 23/24, lecture 14

149
Q

Recap questions

Rehab BFR

A

Slide 25, lecture 14

150
Q

Which two are signs of inflammation?

Coughing
Heat
Oedema

(EIMD & Hypertrophy)

A

Heat

Oedema

151
Q

What is oedema?

EIMD and Hypertrophy

A

Swelling

152
Q

What are the three main stimuli that initiate an inflammatory response?

Injury, smoking, cell damage/death
Injury, infection, cell damage/death
Injury, infection, heat
Infection, cell damage/death, oedema

(EIMD and Hypertrophy)

A

Injury, infection, cell damage/death

153
Q

The chemical messenger released by damaged cells are known as

Monocytes
Dendritic cells
Histamines
Cytokines

(EIMD and Hypertrophy)

A

Cytokines

154
Q

EIMD can typically last

2 hours
24-48 hours
1-7 days
Up to 1 month

(EIMD and Hypertrophy)

A

1-7 days

155
Q

Which of the following are symptoms of EIMD

Reduction in strength
Increase in perceived soreness 
Swelling
Increased range of movement 
A, B, C
All of the above

(EIMD and Hypertrophy)

A

A, B, C

156
Q

After exercise what are the main immune cells that infiltrate damaged muscles?

T-cells
Lymphocytes
Neutrophils
B-cells

(EIMD and Hypertrophy)

A

Neutrophils

157
Q

In EIMD, which immune cells switch from pro-inflammatory to anti-inflammatory

Neutrophils
Easonophils
Mast cells
Macrophages

(EIMD and Hypertrophy)

A

Macrophages

158
Q

How long EIMD lasts depends on what?

EIMD and Hypertrophy

A

Depends on type of exercise done and how novel that exercise is

159
Q

What is metabolic exercise?

EIMD and Hypertrophy

A

Prolonged, predominantly concentric exercise (cycling), damage will be done due to the high metabolic stress

160
Q

What is mechanical exercise?

EIMD and Hypertrophy

A

Eccentric exercise (resistance exercise)

161
Q

Are activities predominantly metabolic or mechanical?

EIMD and Hypertrophy

A

In reality lots of activities are a combination of both

162
Q

Eccentric muscle actions tend to elicit what? Compare to isometric and concentric muscle actions?

(EIMD and Hypertrophy)

A

Greater muscle force
Long muscle length
Lower metabolic cost

163
Q

What is it called when few actin and myosin molecules overlap?

(EIMD and Hypertrophy)

A

High mechanical strain per fibre

164
Q

What is Z disc streaming?

EIMD and Hypertrophy

A

It is where intermediate filaments have become broken in the muscle

165
Q

Z disc streaming can lead to what?

EIMD and Hypertrophy

A

Damage in sarcolemma (membrane surrounding muscle)
Damage to sarcoplasmic reticulum (contains Ca2+ and releases it for actin & myosin cross bridge cycling getting it back into cell)

166
Q

Ca2+ must be contained within really tight what within the muscle?

(EIMD and Hypertrophy)

A

Boundaries

167
Q

If Ca2+ becomes too high in the muscle what can it lead to?

EIMD and Hypertrophy

A

Cell damage and death

168
Q

If damage in muscle, sarcoplasmic reticulum can’t take back up the calcium or calcium leaks out, which leads to what?

(EIMD and Hypertrophy)

A

Damage to cell (cell dysfunction and death)

169
Q

Why is it called “Loss of Ca2+ homeostasis” on the diagram?

EIMD and Hypertrophy

A

Can’t maintain the calcium within the right boundaries any longer

170
Q

Inflammation leads to the release/activation of what into/in the muscle?

(EIMD and Hypertrophy)

A

Neutrophils and monocytes (from bloodstream)

Macrophages (reside in muscle, activated in response to damage process)

171
Q

An increase in proteases Professes (such as Calpane?) leads to what?

(EIMD and Hypertrophy)

A

Increased protein breakdown and further damage

172
Q

Damage occurs to all aspects of the muscle, such as:

EIMD and Hypertrophy

A
Membrane
Sarcoplasmic reticulum
T-tubules
Actin & Myosin
Intermediate filaments
Z discs
173
Q

What do reactive oxygen species do?

EIMD and Hypertrophy

A

Steal electrons from healthy atoms

174
Q

Reactive oxygen species & proteases lead to what in the muscle?

(EIMD and Hypertrophy)

A

Further damage

175
Q

What did Jackman et al (2018) show about muscle damage and resistance exercise

(EIMD and Hypertrophy)

A

Impaired performance & muscle damage and inflammation evident up to 96 hours after

176
Q

Why is inflammation needed?

EIMD and Hypertrophy

A

For remodelling and regeneration

177
Q

What do satellite cells do?

EIMD and Hypertrophy

A

Add myonuclei to muscle fibres

178
Q

Slide 14, lecture 15

EIMD and Hypertrophy

A

Nice summary slide

179
Q

What is hypertrophy?

EIMD and Hypertrophy

A

Increase in cross sectional area of fibre

180
Q

When someone gets bigger is it more likely to be due to hypertrophy or hyperplasia?

(EIMD and Hypertrophy)

A

Hypertrophy

181
Q

What are stem cells?

EIMD and Hypertrophy

A

Precursor cells located under the basal laminate and function in muscle growth and regeneration

182
Q

What does evidence show about hypertrophy and satellite cells

(EIMD and Hypertrophy)

A

Some evidence shows that muscle fibre hypertrophy can actually occur in the absence of stem cells

183
Q

What must be present for hypertrophy?

EIMD and Hypertrophy

A

Must have a positive net protein balance

184
Q

Following resistance exercise, increase in muscle protein breakdown, what can be done to offset this?

(EIMD and Hypertrophy)

A

Eat protein to offset this

185
Q

What is the only way you can get more myonuclei?

EIMD and Hypertrophy

A

Through satellite cell activation

186
Q

If you want >26% (debate on this number) hypertrophy, what do you need?

(EIMD and Hypertrophy)

A

New myonuclei and thus stem cell activation

187
Q

Why may EIMD lead to hypertrophy?

EIMD and Hypertrophy

A

Muscle damage results in inflammation, oxidative stress and SC activation
Greater rates of MPS at start of RT programme

188
Q

Studies throughout lecture 15

EIMD and Hypertrophy

A

Help reinforce message

189
Q

What effect can anti-inflammatory drugs have on hypertrophy?

EIMD and Hypertrophy

A

Can reduce inflammation and thus reduce hypertrophy

190
Q

Mechanical stress involving eccentric contractions will lead to what?

(EIMD and Hypertrophy)

A

The process of EIMD

191
Q

EIMD results in what?

EIMD and Hypertrophy

A

The breakdown of muscle structures, inflammation, oxidative stress, reductions in muscle function and soreness

192
Q

It is agreed that hypertrophy is the result of “X” but the jury is still out on the role of “X”

(EIMD and Hypertrophy)

A

Net positive protein balance

Stem cells

193
Q

EIMD will increase “X” and “X” content but it is not known if damage is required for “X”

(EIMD and Hypertrophy)

A

Muscle protein synthesis

Stem cell

Hypertrophy