Select LE Ther Ex Flashcards

1
Q

What element of muscle performance is important to consider when trying to improve a patient’s abilities?

A

Motor control

-the correct movement pattern is essential to an exercise.

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2
Q

Though not functional and more of a strength base, isometric exercises should be held for how long?

A

6 to 10 seconds.

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3
Q

Concerning force, velocity and the strength of contractions, describe why more force generation means a slower motion.

A

More force = more actin/myosin filaments recruited for motion. For that to happen, there is an increase in the time requirement for the coupling and decoupling of those elements.

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4
Q

How fast can hypertrophy happen in young adults? Older?

A

3-4 weeks.

6-8 weeks in older adults.

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5
Q

What types of activities require endurance?

A

Postural
Athletic
Work

  • for impaired muscle performance, endurance training tends to have a better effect on patients than strength training
  • less force on joint, less stress to soft tissue
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6
Q

What are two different types of power (intensity and time)

A

High intensity, low time (box jump)

Low intensity, high time (long eccentric lowering from stair)

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7
Q

How does one incorporate the idea of 1RM into training?

A

As a baseline measurement for intensity of an exercise and as a guideline for selecting a training load. May be derived from a 10RM.

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8
Q

What are the 1RM training zones for healthy adults?

A

Strength: 60-100%
Power: 30-60%*
Endurance: s important.

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9
Q

Detail exercise prescription for strength, endurance and power activities.

A

Strength: 1-3 sets, 8-12 reps
Endurance: 2-4 sets, 13-22 reps
Power: 1-3 sets, 3-6 reps

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10
Q

What are rest parameters for low and high load exercise intrasession? What about intersession?

A
Low = 1-2 minutes
High = 3-4 minutes

Post-surg or postural, several times per day
-resistive = alternating days

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11
Q

What are some signs of form fatigue (e.g. when the patient must discontinue ex or modify position or compensate)?

A

Discomfort
Cramping
Temors
Unable to complete full ROM

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12
Q

You know what the overload principle, specificity and overtraining are. How long does it take before detraining starts?

A

Can occur within a week or two after cessation of resistance exer training.

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13
Q

How do you progress exercises?

A

When patient can perform 1-2 reps over desired, increase load 2-10%.

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14
Q

If the pt can’t meet the exer demand, how would you regress?

A
  1. Reduce weight
  2. Change position
  3. Increase resting time
  4. Reduce reps or sets

-Progress 1 variable per session.

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15
Q

If soreness exists but goes away with warmup you continue to progress. What if it doesn’t go away?

A

Decrease to prior level of progression. If still sore, consider resting.

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16
Q

How would you progress a squat?

A

Level I: Small knee bend
Level II: Chair squat (slowly lower)
Level III: Partial squat (no chair as stopping point

17
Q

What is creep?

A

a physical property of materials that results in progressive deformation when a constant load is applied over time

18
Q

T/F: when a pt regains ROM, would you strength the antagonist (e.g. hamstring ROM, strengthen quad)?

A

True

19
Q

What is a big problem with post-soft tissue injuries? What can be done to remedy this?

A

Proprioception is disrupted and alters neuromuscular control.

Closed chain exercises have been shown to provide greater proprioceptive feedback than open chain b/c multiple joints and muscle groups are active.

20
Q

How can you vary the difficulty of proprioceptive training?

A
  • level of weight bearing (full, partial)
  • base of support (wide, narrow, B, U)
  • Support of surface (stable, unstable, moving, soft, hard, incline, etc)
  • external support (assistive device)
  • eyes open or closed