Quiz 4: 1 Flashcards

1
Q

What MVC should you start with for an exercise program?

A

60-80%

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2
Q

What is the scale used to determine intensity for a pt?

A

OMNI resistance scale

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3
Q

What number do you want the pt to be on the OMNI scale?

A

start at 6

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4
Q

If a muscle does not function in a(n) _____ pattern, it cannot function in a functional pattern

A

isolated

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5
Q

Should we test motions or individual muscles before training?

A

individual muscles

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6
Q

Should we start with gross motor exercises or isolated muscle exercises in the absence of isolated muscle weakness or reduced function in MMT?

A

gross motor

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7
Q

How do we stress shield a healing muscle?

A
  • gross motor

- multi-muscle and multi-joint exercises

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8
Q

How long should isometric exercises be held for?

A

6 seconds

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9
Q

How should a single rep of isometric exercise be graded?

A
  • 2 second gradual increase
  • 6 second hold
  • 2 second gradual decrease
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10
Q

How much physiologic overflow do you get with isometric exercise/strength training?

A

20%

10˚ in each direction

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11
Q

Which part of the motion should you focus on with isometric exercises?

A

end range

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12
Q

List 5 reasons why to introduce isometrics early on in rehab

A
  • creates muscle activation
  • prevents atrophy
  • increases strength
  • decreases pain
  • physiological overflow through ROM
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13
Q

How long does it take for subjective complaints of pain (DOMS) to subside after a bout of eccentric exerciese?

A

7-10 days

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14
Q

Where does microtrauma occur (components of muscle) with DOMS?

A
  • SEC

- PEC

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15
Q

What substance is released to create the noxious stimulus of DOMS?

A

hydroxyproline

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16
Q

In an untrained individual, how many sets of exercise do you do for UE exercise?

A

1

17
Q

In an untrained individual, how many reps of exercise do you do for UE exercise?

A

10

18
Q

In an untrained individual, how long do you wait to increase the number of sets?

A

1 month`

19
Q

In a trained individual, how many sets do you do?

A

multiple, but typically 3

20
Q

Why should you do 10 reps in each set?

A

best results for endurance, strength, and power

21
Q

If you only do 5 reps per set, what are you working on?

A

strength only

22
Q

If you do 15 reps per set, what are you working on?

A

endurance only

23
Q

What format should you use in your training method?

A

superset

agonist/antagonist

24
Q

4 reasons to use superset format

A
  • saves time
  • provides muscle recovery time
  • efficiency in developing a program
  • works on muscle balance
25
Q

What frequency should you use in your training protocol?

A

3x/wk

every other day

26
Q

How much/quickly should you progress a pt?

A

2-10% increase per week of total volume of work

*done by increasing reps, sets, or weight

27
Q

Relative rest intervals for isometrics

A

~ 1 min

28
Q

Relative rest intervals for isotonics

A

30-60s

29
Q

Relative rest intervals for isokinetics

A

2-4 mins

30
Q

Frequency for strength training

A
  • 3-4x/wk
  • every other day
  • need to rest to gain strength
31
Q

How long does it take for morphological changes to occur?

A

over 4 weeks

32
Q

What changes occur within the muscle in the first 4 weeks?

A

neuromuscular

33
Q

The majority of patellar dislocations occur in which age range?

A

10-17 y.o.

34
Q

What is the primary direction of patellar dislocation?

A

lateral

35
Q

What keeps the patella from dislocating?

A
  • retained by medial retinacular structures

- esp the MPFL

36
Q

What % of pts continue to have limitations with strenuous activity 6 months post-injury (patellar dislocation)

A

58%

37
Q

What is the Elftman Proposal?

A

optimal force production of different modes of contraction is arranged in a predictable hierarchy

38
Q

What is the hierarchy of modes of force production with the Elftman proposal?

A

eccentrics » isometrics » concentrics

39
Q

How much of a difference in force production is there between each type of contraction?

A

10-40% more