Stretching and strengthening Flashcards
hypomobility
refers to decreased in mobility or restricted motion at a joint or series of joints
what are factors that contribute to hypomobility
-prolonged immobilization (extrinsic factors like casts or orthotics/intrinsic factors like pain, inflammation, effusion or swelling, bony block ETC)
-sedentary lifestyle and asymmetric postures
-paralysis, tonal abnormalities
-postural malalignment
What are some indications for stretching?
-hypomobility/to increase ROM
-prevent deformity
-prevent injury
-prior to and after vigorous exercise
what are contra-indications for stretching?
-unstable/newly fixed fracture
-post op eg. rotator cuff repair
-acute inflammatory process (can do PROM)
-bony block
-hematoma or tissue trauma
-joint hyper mobility already exists
-shortened muscles necessary to joint stability
what are precautions for stretching
-osteoporosis
-prolonged use of steroids
-weak muscles
-impaired cognition
What is LLPS
-low load prolonged stretch
-more comfortable
-minimizes involuntary muscle guarding (patient stays relaxed)
-better to elongate dense CT
muscle strength
the extent that the contractile elements of muscle produce force
muscle power
the rate at which a muscle produces force. related to the strength and speed of movement
muscle endurance
the ability of a muscle to contract repeatedly against an external load over an extended period of time
strength training
systematic practice of using muscle force to raise, lower, or control heavy external loads
Use of isometric exercise
-immobilized patients-minimized atrophy
-when dynamic exercise could compromise joint integrity
-acute soft tissue injury-when joint motion is not advised
-develop postural/joint stability
-develop strength at a particular point in ROM
Use of dynamic stretch (concentric/eccentric)
-strengthening for function-use in daily activities
-reduce risk of injury/reinjury
-improved physical performance
-consider concentric and eccentric needs
consideration/precautions for strength training
-valsalva: breath holding can increase BP
-shaking/jerky muscle contraction
-uncomfortable motions-pain or cramping
-using substitute motions to complete that activity
-inability to complete movement pattern through full ROM
