PT responsibilities Flashcards
Exercise physiology
Study of cellular reactions within body during and after exercise
Benefits of HRM
Improved performance Improved efficiency Increased motivation Increased knowledge Adaptability Accountability Objective assessment Objective training
General Adaptation Syndrome
GAT
Adaptation due to stress out on body
Role of PFT
Assess
Design
Instruct
Overload
When stress of exercise causes the body to increase efforts more than normally accustomed to
Optimum training
After body has had enough time to recover from original bout of exercise the work capacity increases to a level greater than the original
Overtraining
When stress is too intense or there isn’t insufficient recovery time work capacity goes down
Detaining
Time between exercises too long leading to decreased performance
Nervous system
The bodies of means of receiving and responding to events in the internal and next turtle environment. It is the command center of the body and first to adapt to exercise
2 parts of Nervous system
Central NS- composed of brain and spinal
Cord
Peripheral NS- lies outside of CNS and includes sensory and motor division
2 parts of Peripheral NS
Sensory division- informs CNS of stimuli
Motor division- initiates muscular and glandular response
Somatic NS
Creates movement via motor neurons to muscles
Autonomic Nervous System
Controls involuntary functions of the body like heart rate and blood pressure
Two parts of the autonomic nervous system
Sympathetic NS- fight or flight (increased bp)
Parasympathetic NS- rest and digest (bp goes down)
Muscular system
Specialized cells of the body with contractile ability in order to create movement
Skeletal system
Creates basic structure of the body getting framework and is the sight of blood cell formation
All are nothing of Skeletal muscle
If muscle contracts it will contract on whole length of muscle. You can’t train part of a muscle
Circulatory system
Transport system of the body including cardiovascular and lymphatic system
Respiratory system
Brings in oxygen and excretes carbon dioxide and water
Gastrointestinal system
Converts consumed food into smaller molecules for body use and excretes the rest
Integumentary system
Covers the body and provides protection
Urinary system
Creates stores and eliminates urine
Reproductive system
Sex organs for development of offspring
Endocrine system
Communication system of the body it produces hormones that signal change in the body
Kinetic chain
Consists of the nervous system muscular system and skeletal system. It is a chain of systems that link together to create human movement
Neurons
Process and transmit info between central nervous system and the body. The signal is coming down from the brain
Law of facility
When and and impulse passes through a given set of neurons to the exclusion of others it tends to do it again and each time transverse path… Body can then adapt and able to respond with greater ease
3 phases of learning
Cognitive phase- think about exercise and what it takes from CNS…usually very uncoordinated
Associative phase- increased consistency in repeating movement …body more aware of position in space
Autonomic phase - skill performed automatically
Mechanical Efficiency
Measure of work put in vs work put out
Movement pattern
Series of anatomical movement with common elements of space occurring in same plane of motion
Motor skills
Activities requiring voluntary head, body or limb movement to achieve goal
Motor learning
Study of acquisition of motor skills, performance enhancement if learned motor skills and difficulties due to injury, disease or motor impairment
Motor control
Study of how neuromuscular system functions to activate and coordinate muscles and limbs involved in performance or motor skills
3 types of muscle
Skeletal (striated) muscle- capable of voluntary contractions and they control movement
Smooth muscle- involuntary muscles excluding heart (digestive tract, bladder, uterus, and blood vessel walls
Cardiac muscle- involuntary muscle (heart) with some striations
Skeletal muscular system
Anatomical system most effected by exercise
Fascia
Sheet of fibrous connective tissue that separates and contains muscle
3 layers of fascia
Epimysium- outermost layer completely covering muscle
Perimysiym- groups muscle fibers into bundles
Endomysium- inner most layer surrounding individual muscle fibers
Tendon
Fibrous cord attaching muscle to bone
Motor unit
A motor neuron and all the muscle fibers it activates
All or none theory of muscle fiber activation
Once muscle fiber inner ayes it’s either on or off (no partial contraction)
Action potential
Muscle fibers contract in response to electrical signal sent by motor neuron
3 types of muscle fibers
Type 1- slow twitch aerobic fibers(good for endurance exercise longer than 3 min)
Type 2A- moderately fast twitch (best for activities btwn 30sec-2min
Type 2B- fast twitch anaerobic (good for brief powerful like weight lifting and sprints)
4 steps to bridging gap btwn current health/fitness level and future goals
Assess
Design
Instruct
Re Assign
Explicit vs implicit goals
Explicit- goals mentioned by client
Implicit - implied but not mentioned
Eccentric contraction
Strongest muscular action
Lengthening of muscle fiber
Most prone to injury here
Concentric contraction
Weakest muscle action
Shortening of muscle fiber
Isometric contraction
Muscle neither lengthens or shortens
Ex holding elbow @90degree in curl
Isotonic
Exercise where concentric and eccentric generated to move where muscle force doesn’t change
Isokinetic
Exercise where muscle speed is consistent
Hyper trophy
Increase in muscle size
Hyperplasia
Increase in muscle cells in body with corresponding increase in muscle size (rare)
Atrophy
Wasting or loss if muscle tissue resulting from lack of use
Post exercise muscle soreness (PEMS)
Sore btwn 24-48 hrs post workout
Delayed onset muscle soreness DOMS
Soreness beyond 48 hrs
Roles of skeletal muscle
Prime mover (agonist) -concentric movement
Assistant mover (synergist)- indirectly brings movement
Antagonist- muscle responsible for opposing concentric
Stabilizer- muscle responsible for stabilizing adjacent segments
Neutralizer- muscle eliminating undesired muscle
Types of strength
Absolute- max amount of strength needed to produce 1 rep max
Relative strength- max force muscle can generate in relation to body weight (good for gymnast)
Strength endurance- ability to sustain muscular contraction for long duration (ex good for rowing)
Power- measure of how quickly work is performed (force x distance)
Roles of skeletal system
Levers for movement Support Protection Storage of calcium Blood cell formation
Bones
Comprised of 60-70% cal, phosphate and collagen and 25-30% water
Respond best to compressive force
Long bones most important because they cause lever for movement
Epiphysis plate
Growth plate
Concern for training kids bc if they hurt this they may not grow
Wolfs law
Bones adapt to mechanical stress put on it
Resorption
Breakdown of bone and release of minerals to blood
Deposit
Bone formation by deposit of bone minerals
Osteoporosis
When resorption is greater than deposit leads to brittle bones
Joints
Area between bones used to connect two parts together
3 types of joints
Synarthroidal- non moving fuse joint (pelvis)
Amphearthroses- semi moving (sacroillium joint)
Diarrthroidial- free moving joint (hip and knee)
Diarthrodial characteristics
Cartilage for cushion
Cavity that encapsulates joint
Synovial membrane releasing fluid to make movement easy
2 types of diartheodial joints
Saddle- 2 degree of motion
Candyloid- 1 plane of motion
Hinge- 1 degree of freedom
Plane- flat surface transition between 2 bones
Pivot
Mulhaxial (ball and socket)
Arthrokinematics
Motion occurring between joint surfaces
Ligament characteristics
Connective tissue connecting bones
Contains collagen
Maintains contact surface of joints by preventing unwanted motion
Passive stabilizer not meant to be stretched
Catabolism
Breakdown of molecules to release energy
Anabolism
Building molecules using energy
How does overtraining occur?
When catabolism reaction so big anabolic can’t occur leading to Illness
Oxidation
Process of removing electron from molecule
Enzyme
Regulates speed of cellular chemical reactions
Calorie
Measurement of heat
1c=1kcal=4.2kj
ATP
Immediate source of energy for muscular contraction
Formed when adp and phosphate combine leading to energy release.
Primary energy for all muscle cells
Primary source for up to 5 sec
Aerobic system of energy
Dominant when oxygen is delivered to cell to meet energy production needs (when muscle is at rest)
Anaerobic system of energy
Dominant when body goes to work (exercise) and oxygen can’t be delivered quick enough so must rely on anaerobic to gain ATP
3 anaerobic ATP pathways
Anaerobic pathway 1: phosphocreatine….stores phosphate in muscles and used as immediate form of energy but can quickly replenish ATP (high intensity short duration)
Anaerobic pathway 2: capable if producing energy quickly without oxygen (breakdown of glucose or glycogen to pyruvate) primary during strength training
Aerobic oxidation- gets fuel through oxygen….main fuel during low intensity
Lactate
When there is not enough oxygen getting to muscles (burning sensation in muscles)
Produced when body runs out of ATP
At rest it takes 25 min to remove 50% of lactate from muscle and 75 min to remove 95%
Lactate threshold
When lactate is produced so fast you begin to peak
The higher the lactate threshold the higher intensity a person can work out
Anaerobic threshold
Aerobic metabolism can’t contribute to all energy source at anaerobic levels
Fat vs carbs burning
Fat burns aerobically
Carbs burn anaerobically
Mitochondria
Site if cellular aerobic energy production
Kreb cycle
Chemical reactions to help convert macronutrients into Usable energy
Removed hydrogen from ingested molecules
Lipolysis
Breakdown of fat to make ATP
Primary energy during rest and low impact
Energy systems and when they are primary
1-5 sec ATP
6-8 sec cp
9-120 sec glycolysis
2+ min aerobic glycolysis
Roles of cardiovascular system
Deliver oxygen and nutrients Removal of waste and co2 Transport hormones Maintenance of body temp Prevention of infection
Heart and chambers
4 chambers (left and right atrium are upper and left and right ventricle are lower) Driving force of circulatory system Blood flow: la-> lv -> aorta -> arteries -> capillaries -> veins -> return to heart
Right ventricle
Pulmonary circulation
Blood flow from body to lungs
Left ventricle
Systemic circulation
Blood from lungs to body
Venous return
Process of bringing deoxygenated blood back to right atrium
Artrioventrucular
Located between atria and ventricles to prevent backflow
Blood pressure
Measure of contraction of heart
2 phases of blood pressure
Systolic- cardiac muscle contracts (larger number )
Diastolic- cardiac muscle relaxes (smaller number)
Normal and high bp
Normal bp 120/80
High bp 140/90+
When exercise stops abruptly blood can pool in extremities
3 types of blood vessels
Arteries
Veins
Capillaries
Vasalva maneuver
Any increase in muscular power by muscles becoming more tense making it difficult to breath
Heart rate
Beats per min
Only practical way to determine intensity
Normal hr
60-80 non
Max hr mhr
Max number of contractions heart will beat in 1 min (220-age)
Heart rate reserve hrr
Diff between mhr and the
Target hr thr
Ideal hr intensity during exercise 50-85% of hrr)
Recovery hr
Post effort drop in hr
Cardiac output (q)
Measure of how efficiently heart can deliver oxygen
Hr x stroke vol
Aerobic capacity
Vo2max
Max oxygen consumption during max effort lasting longer than 2 min and less than 5 min
Karvone equation
Determines what training level to train at
Hrr=mhr-rhr
Mhr=220-age
3 external systems influencing hr
Parasympathetic NS
Sympathetic NS
Endocrine
Parasympathetic NS
Part of autonomic NS that controls involuntary functions (rest and digest)
Vagus nerve
Stimulates involuntary actions of cardiovascular system
Sympathetic nervous system
Fight or flight response increases blood pressure heart rate and decreases digestion
Endocrine system
During sympathetic stimulation hormones are released example norepinephrine and epinephrine
Anabolic threshold
AT
Point at which athlete begins to redline
The highest level of sustained intensity of exercise in which measurement of oxygen uptake can’t occur for entire energy requirements
*indicator of athletic performance
Respiratory exchange ration
RER
Determines primary source of fuel i.e. fats or carbs
The lower the fee the greater % of fat used for fuel (anaerobic training decreases rer)
Benefits of cardiovascular training
Increase anaerobic threshold Increased stroke volume Increased cardiac output Increased oxygen utilization Decrease blood pressure Decreased heart rate Improved respiratory efficiency Increased capillaries and mitochondria Increased lactate and anaerobic threshold Increased ATP CP and glucose stores
When you increase anaerobic threshold and aerobic capacity a.k.a. do more cardiovascular…
You are able to increase fat burner deficiency as well as decreased exercise heart rate and post exercise increase in metabism
Overreaching
A state where a few days of rest or light exercise enables the body to recover and return to a normal physiological state
Overtraining
The state of fatigue or physiological malfunctioning where it may take weeks months or even years to return to normal
Signs of overtraining
Elevated heart rate and blood pressure Difficulty sleeping Fatigue Decreased interest in exercise Illness Failure to progress Excessive weight loss Frequent muscle cramps Amenorrhea
Negative pressure breathing
Changing the pressure inside the lungs relative to the pressure of the outside atmosphere
Spirometer
Major of vital capacity of lungs
Machine to determine aerobic capacity
Vital capacity
VC
Max amount of air that can be forcibly inhaled and exhaled
Tidal vol
TV
Amount of air that is normally inhaled and exhaled
Residual volume
RV
Air which always remains in lungs following maximal exhale
Experiatory reserve volume
Erv
Amount of air that can be forcibly exhaled during normal exhalation
Total lung capacity
TLC
Sum of the vital capacity and residual volume
Kinesiology
The study of human movement
Anatomical position
Position of standing erect with palms facing forward or externally with
Anatomically neutral
Standing erect with palms facing body
Fundamental starting position
Planes of motion
Frontal- divides body into front and back halves
Sagital- divides body into right and left halves
Horizontal- divides body into top and bottom halves
Anatomical axis
Of movement that occurs in a plane along An axis running perpendicular to the plane
Longitudinal axis-
contains movement that occurs in horizontal plane along longitudinal axis (ex turning neck left and right
Anterior posterior axis
Movements in frontal plane occurring along anterior posterior axis
Ex lateral shoulder raise
Coronal axis
Movement around sagittal plane along Coronel axis
Example kicking leg forward
Sagittal plane movements
Forward and back movements ex lunge
Flexion- bending movement where relative angle between 2 adjacent segments decrease (curl)
Extension- bending movement or relative angle between two adjacent segments increase (arm extension)
Frontal plane movement (anterior posterior axis)
Movement out to side
Abduction (movement away from midline)
Adduction (movement towards midline)
Transverse and of movement (longitudinal axis)
Rotational movement
Internal/ medial rotation- rotates body towards midline if body (ex rotation of arm forward)
External / lateral rotation- rotation of body away from midline of body (ex rotate body part away from midline of body
Types of anatomical movement
Anterior- Front of body relative to another reference point
Posterior- back of body relative to another reference point
Superior- above reference point
Inferior- below reference point
Medial- Close to midline of body
Lateral- relatively far away from Midline
Proximal- position close to reference point
Distal- position farther from reference point
Unilateral -Refers to only one side
Superficial- near surface
Deep- beneath the surface
Cephalic- towards the head
Caudal- towards the bottom
Supine- lying on backside
Prone- lying facedown
Movements of scapula
Protraction- pulling shoulder forward
Retraction- pulling shoulder back
Elevation- shoulder shrug
Depression- lowering of shoulder
Ankle joints
Lower end of tibia
Medial malleous of tibia
Lateral malleous of tibia
Trochlear surface of tibia
Movements of ankle
Plantarflexion- foot pointed down
Dorsi flexion- foot raised up (extension)
E version- outward rotation of foot
In version- inward rotation of foot
Lateral flexion
Spinal movement in frontal plane… Tilting side to side
Circumduction
Cone shaped movement by body… Circling shoulder
Supination
At wrist where Palm rotates to face forward
At ankle it’s triplane motion using simultaneous movements from aversion aduction and Dorsi flexion
Overall pronation leads to flatfoot
Knee joints
Largest synovial joint in body
2 condyles of femur
2 condyles of tibia
Posterior surface of patella
Hinge joint capable of flexion/ extension
Ligament support- mcl, lcl, acl, pcl
Lumbo pelvic hip complex
Pelvis
Sacroiliac joint
Pelvic tilt (anterior and posterior)
Hip joint
Most mobile joint
Hip flexion and extension
Hip abduction and aduction
Hip internal and external rotation
Spine parts
Cervical vertebrae
Thoracic
Lumbar
Sacrum
Coccyx
Spine motion
Flexion and extension
Lateral flexion
Rotation
Pelvic tilt (anterior and posterior)
Intervertebral disk
Allows you to flex and rotate by distributing force and shock
Movement affects position of nucleus
Most vulnerable in flexed (forward position)
Shoulder bones
Clavicle
Scapula
Humerous
Shoulder joints
Glengumerous joint
Scapulothoracic
Sternoclavicular
Acromioclavicular
Shoulder movement
Flexion and extension
Aduction and abduction
Internal and external rotation
Shoulder horizontal aduction and abduction
Elbow bones
Humerous
Radius (thumb side)
Ulna (pinky side)
Ulna and radius only 2 bones to cross over each other in body
Elbow movement
Pronation (palm down)
Supination (Palm up)
3main parts of muscle
Belly - bulging part of muscle
Origin- less moveable attachment
Insertion- moveable attachments
Calve muscles
Soleus
Gastrocnemius
Perineum longus
Anterior tibialis
Knee flexors
Bicep femoris
Semitendineosus
Semimebranosus
Gastrocnemius
Knee extensors
Rectus femoris
Vastus intermedius
Vastus lateralis
Vastus medialis
Thigh muscles (hamstrings)
Bicep femoris
Semi tendinosis
Semi membranosus
Hip extensor muscles (glutes)
Gluteus Maximus
Gluteus medius
Gluteus minimus
Hip extensor muscles
Gluteus Maximus
Bicep femoris
Semitendinosus
Semimbraneous
Hip flexor muscles
Psoas major
Iliacus (inside portion of hip)
Assistant hip flexors
Rectus femoris
Tensor fascia latae
Sartorius
Pectineus