Rehabilitation Week 3 Flashcards

1
Q

Cardiorespiratory fitness (CRF)

Is a health-related component of physical fitness defined as the ability of _____, respiratory, and _____ systems to supply oxygen during sustained physical activity.

CRF is usually expressed in metabolic equivalents (_____) or maximal oxygen uptake (_____)

1 MET = __ ml.kg^-1.min^-1

A

Is a health-related component of physical fitness defined as the ability of the circulatory, respiratory, and muscular systems to supply oxygen during sustained physical activity.

CRF is usually expressed in metabolic equivalents (METs) or maximal oxygen uptake (VO2max)

1 MET = 3.5 ml.kg^-1.min^-1

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2
Q

Important of CRF

Probably the single most important indicator for disease and _____ risk

CRF is measure by total _____ during a _____ treadmill exercise test

A

Probably the single most important indicator for disease and mortality risk

CRF is measured by total duration during a maximal treadmill exercise test

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3
Q

What governs CRF?

Cardiac output (Q) = _____ volume * _____ rate

VO2max = Q * a-VO2 _____

A

Cardiac output (Q) = stroke volume * heart rate

VO2max = Q * a-vO2 difference

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4
Q

Training adaptations

Increase heart function (_____)

Left ventricle _____

_____ stroke volume

Decrease resting heart rate via _____ nerve activation

Decrease _____ blood pressure

_____ VO2max

A

Increase heart function (contractility)

Left ventricle hypertrophy

Increased stroke volume

Decrease resting heart rate via parasympathetic nerve activation

Decrease resting blood pressure

Increase VO2max

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5
Q

Training adaptations

Increase number of _____ in muscles

Increase lung efficiency (less _____ dead space and air _____)

Increase _____ and _____ enzyme activity

Increase _____

A

Increase number of capillaries in muscles

Increase lung efficiency (less anatomical dead space and air resistance)

Increase mitochondria and aerobic enzyme activity

Increase myoglobin

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6
Q

Important for healing

Exercise (intensity * duration) * frequency (*genetic factors) = _____

Increase the _____ of heart, blood vessels and lungs

Increase blood and oxygen supply to tissue and increase supply of _____

Increase heat and _____

_____ the immune system

A

Exercise (intensity and duration) * frequency (* genetic factors) = CRF

Increase the function of heart, blood vessels and lungs

Increase blood and oxygen supply to tissue and increases supply of nutrients

Increase heat and neurogenesis

Modulates the immune system

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7
Q

Testing methods

Incremental test to exhaustion with pulmonary analysis (_____ test) = gold standard

6MWT

12-min _____

_____ test

_____ _____ _____ test (FTP)

Submaximal _____ test

A

Incremental test to exhaustion with pulmonary analysis (VO2max test) = gold standard

6MWT

12-min run

Beep test

Functional threshold power test (FTP)

Submaximal aerobic test

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8
Q

Aerobic training methods

Continuous

_____ (Speed play)

_____ training

_____ _____ _____ _____ (HIIT)

_____ _____ _____ (SIT)

A

Continuous

Fartlek (speed play)

Interval training

High intensity interval training (HIIT)

Sprint interval training (SIT)

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9
Q

Intensity monitoring

_____ rate

VO2/kg

_____/kg

Speed

_____ of _____ _____ (RPE)

METs

A

Heart rate

VO2/kg

Watts/kg

Speed

Rate of perceived exertion (RPE)

METs

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10
Q

Intensity monitoring (HR)

Maximum heart rate old equation: HRmax = __ - _____

New equation: HR max = __ - __ * _____

More accurate for _____ sexes

Heart rate reserve: HRR = _____ - _____

Karvonen equation for target training intensities: Target HR = _____ + % of target intensity * HRR

A

Maximum heart rate old equation: HRmax = 220 - age

New equation: HRmax = 208 - 0.7 * age

More accurate for both sexes

Heart rate reserve: HRR = HRmax - HRrest

Karvonen equation for target training intensities: Target HR = HRrest + % of target intensity * HRR

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11
Q

2017 Australian physical activity guidelines (18 to 64 yrs)

Any _____ activity is better than none

Start by doing some and _____ build

Be active on most, preferably all, days every week

Accumulate __ to __ minutes (__ to __ hours) of moderate intensity PA or __ to __ minutes (__ to __ hours) of vigorous intensity PA, or an equivalent combination if both moderate and vigorous activities, each week

Do muscle _____ activities on at least __ days each week

_____ the amount of time spent in prolonged sitting

Break up long periods of sitting as often as possible

A

Any physical activity is better than none

Start by doing some and gradually build

Be active on most, preferably all, days every week

Accumulate 150 to 300 minutes (2.5 to 5 hours) of moderate intensity PA or 75 to 150 minutes (1.25 to 2.25 hours) of vigorous intensity PA, or an equivalent combination of both moderate and vigorous activities, each week

Do muscle strengthening activities on at least 2 days each week

Minimise the amount of time spent in prolonged sitting

Break up long periods of sitting as often as possible

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12
Q

Definitions

Muscular strength:__________________

Muscular endurance:________________

Muscular power:____________________

Hypertrophy:_______________

A

Muscular strength: ability to generate force against resistance

Muscular endurance: ability to perform contractions against resistance for an extended period of time

Muscular power: strength applied over a distance for a specific amount of time

Hypertrophy: an enlargement of a tissue from the increase cell size

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13
Q

Determinants of strength

Muscle size: strength is _____ to the cross-sectional area of the muscle

Number of muscle fibres: the more and the wider their _____, the stronger the muscle

Neuromuscular efficient: motor unit _____, increase firing rate, increase _____ of motor unit firing

A

Muscle size: strength is proportional to the cross-sectional area of the muscle

Number of muscle fibres: the more and the wider their diameter, the stronger the muscle

Neuromuscular efficiency: motor unit recruitment, increase firing rate, increase synchronisation of motor unit firing

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14
Q

Determinants of strength

Acute and chronic injuries adversely affects strength by: _____, secondary _____ reaction, _____ and decrease strength

_____ leads to atrophy

Biomechanical: position of tendon attachment determines the _____ of the lever

_____-_____ relationship

A

Acute and chronic injuries adversely affects strength by: inflammation, secondary hypoxic reaction, atrophy and decrease strength

Immobilisation leads to atrophy

Biomechanical: position of tendon attachment determines the efficiency of the lever

Length-tension relatioship

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15
Q

Muscle fibre types

Type I: slow oxidative (_____ _____)

Type IIa: fast oxidative-glycolytic (rapid _____ and with some fatigue _____)

Type IIb: fast glycolytic (rapid contractions but fatigue _____)

Type IIx: in animals, somewhere between _____ and _____

A

Type I: slow oxidative (fatigue resistant)

Type IIa: fast oxidative- glycolytic (rapid contractions and with some fatigue resistance)

Type IIb: fast glycolytic (rapid contractions but fatigue quickly)

Type IIx: in animals, somewhere between IIa and IIb

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16
Q

Hypertrophy

Increases are due to:

Increase blood flow and _____

Increase in number and size of myofilaments (_____ and _____)

A

Increases are due to:

Increase blood flow and recapillarisation

Increase in number and size of myofilaments (actin and myosin)

17
Q

Open kinetic chain (OKC)

Distal end of extremity is not _____

More functional for _____ extremity

All muscles in the chain are _____

A

Distal end if extremity is not fixed

More functional for upper extremity

All muscles in the chain are working

18
Q

Closed kintetic chain (CLC)

Distal end of extremity is _____

More functional for _____ extremity

Less _____ forces

Other muscles (up the chain) can compensate for ______

Requires _____ bearing

A

Distal end of extremity is fixed

More functional for lower extremity

Less shear forces

Other muscles (up the chair) can compensate for weaknesses

Requires weight bearing

19
Q

Progression of exercises

_____ to

Active _____ ROM to

_____

_____ ROM

CKC to OKC

General to _____ movements

A

PROM to

Active assisted ROM to

AROM

Resisted ROM

CKC to OKC

General to functional movements

20
Q

Assessing strength

Hand _____

_____ muscle tests

_____ _____ (RM)

_____ machines

A

Hand dynamometer

Manual muscle tests

Repetition max (RM)

Isokinetic machines