The body Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

During what phase of the general adaptation syndrome will a client see progressive increases in muscle size and strength?

A

The adaptation phase, or resistance phase, generally begins around weeks four through six and represents major muscular adaptations (biochemical, mechanical, and structural). This phase is characterized by progressive increases in muscle size and strength

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2
Q

Which hormone promotes triglyceride breakdown to aid in maintaining blood glucose?

A

Cortisol is a glucocorticoid and plays a major role in maintaining blood glucose during prolonged exercise by promoting protein and triglyceride breakdown. Cortisol is also a major stress hormone and is elevated when the body is under too much stress, either from too much exercise or inadequate regeneration.

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3
Q

When blood is flowing through the heart, where does it go after passing through the tricuspid valve?

A

Blood passes through the tricuspid valve on its way from the right atrium to the right ventricle.

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4
Q

The average person’s breathing rate through the nose is equal to 20 to 30 liters per minute while at rest.

A

Humans normally breathe approximately 5 to 6 liters of air per minute through the nose when at rest, but use the mouth as the primary passageway for air when ventilation is increased to approximately 20 to 30 liters per minute during exercise.

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5
Q

What is cardiac output?

A

The amount of blood pumped during each heartbeat is called the stroke volume. Cardiac output is the product of stroke volume and heart rate, and therefore is defined as the amount of blood pumped per minute.

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6
Q

Francine practices hot yoga. The room is 103º F (39º C) and she is in class for 60 minutes. The release of _______________ will help reduce the excretion of water in her urine, thereby helping prevent any further dehydration.

A

Fluid loss to sweat contributes to a loss of blood volume, which, in turn, triggers the release of antidiuretic hormone, or vasopressin, to help reduce water and sodium losses from the body.

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7
Q

Christopher is an endurance athlete. He often gets low blood sugar during his long workouts. Once the liver recognizes the release of glucagon from the pancreas, _______________ is released to help increase his blood sugar levels.

A

Glucagon stimulates an almost instantaneous release of glucose from the liver and is part of a negative feedback loop in which low blood glucose levels stimulate its release. Glucagon primarily contributes to blood glucose control as exercise progresses and glycogen stores deplete during an exercise bout.

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8
Q

During an endurance race, cortisol helps maintain blood glucose levels by promoting the breakdown of _______________ and _______________.

A

Protein; triglycerides

Cortisol stimulates free fatty acid mobilization from adipose tissue, mobilizes glucose synthesis in the liver, and decreases the rate of glucose utilization by the cells. Cortisol production increases with exercise intensity and with increasing levels of stress placed upon the body’s physiological systems.

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9
Q

The increase in heart rate prior to the start of a race is partially due to the release of what hormone?

A

Epinephrine increases the strength of cardiac contraction, resulting in increased cardiac output. Furthermore, epinephrine affects the central nervous system by promoting a state of arousal and increased alertness to permit “quick thinking” to help cope with the impending stressor (or exercise activity).

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10
Q

Gas is exchanged in microscopic air sacs known as _________?

A

The respiratory system is made up of the nose, nasal cavity, pharynx, larynx, trachea, bronchi, and lungs. Together, these structures form a group of passages that filter air and transport it into the lungs. Gas exchange occurs within microscopic air sacs in the lungs called alveoli.

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11
Q

The diaphragm is the most important muscle of inspiration.

A

The lungs rest on top of the most important muscle of inspiration, the diaphragm, which is the only skeletal muscle considered essential for life.

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12
Q

What muscles needed to be activated and controlled for breathing when exercise kicks in?

A

Expiration occurs passively during normal, quiet breathing, requiring no assistance from muscle action. However, during exercise, expiration becomes active. Important muscles of expiration, such as the rectus abdominis, internal obliques, serratus posterior, and internal intercostals, are activated to help pull the rib cage downward and force air from the lungs by squeezing the abdominal organs upward against the diaphragm.

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13
Q

Respiratory muscles adapt to training and thus can improve the duration and intensity of exercise.

A

Regular endurance exercise increases the oxidative capacity of respiratory muscles, which improves respiratory muscle endurance.

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14
Q

After air enters the nose and mouth, it is warmed and passed through the _______________?

A

Air enters the respiratory system and is warmed and passed through the pharynx (throat), and then the larynx (the area of the “Adam’s apple”).

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15
Q

Which type of yoga is also known as “power yoga”?

A

Ashtanga yoga

The asanas in Ashtanga yoga are sequenced in groups of poses that range from moderate to very difficult. The sequence pace and pose difficulty is what often characterizes Ashtanga as “power yoga.”

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16
Q

Which term, also the name of a type of yoga, is synonymous with what is also called “serpent power,” or the coiled-up energy contained in the body?

A

Kundalini

Also called the yoga of awareness, kundalini yoga’s principal purpose is to awaken the serpent power (kundalini, or coiled-up energy) with postures, breath control, chanting, and meditation.

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17
Q

Which form of tai chi is the most practiced in the West today?

A

Yang style

Originated by Yang Luchan in the 1800s, the Yang form is the most widely practiced form in the West today. The original Yang form consists of 108 movements (Yang Long Form); however, the Yang 24-Short Form is a popular modification practiced today.

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18
Q

An older adult client who is interested in trying mind-body exercise has decided that tai chi might be the best fit for her needs and abilities. Which form of tai chi would you recommend?

A

Sun style

Because the sun style involves a higher stance than other forms, it is often the easiest for older adults to learn.

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19
Q

Which contemporary form of mind-body exercise involves floor work and as well as work done on a machine called a reformer?

A

Pilates is based on the idea that there is a core set of postural muscles that help to keep the body balanced and are essential to providing good support to the spine. This method is divided into two modalities, floor/mat work and work on a Reformer, a piece of resistance equipment originally developed by Joseph H. Pilates.

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20
Q

Which contemporary form of mind-body exercise includes a moderate-level aerobic component that fosters spontaneity?

A

Nia

Unlike other mind-body exercise programs, Nia also includes a moderate-level aerobic component to address cardiorespiratory endurance. The aerobic segment is designed to foster creativity and spontaneity rather than strict adherence to standard group movement patterns.

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21
Q

One of the means of objectively assessing the success of a mind-body exercise program is to record baseline and serial blood-pressure measurements. Why?

A

Baseline and serial resting blood pressure measurement is also an accepted outcome measure responsive to four to six weeks of mind-body exercise-especially if the participant has a resting blood pressure in the prehypertension or higher range (i.e., >120/80 mmHg).

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22
Q

__________ is the practice of voluntary breath control, consisting of conscious inhalation, retention, and exhalation.

A

Pranayama

In the yogic and qigong traditions, breathing functions as an intermediary between the mind and body. Pranayama (the practice of voluntary breath control, consisting of conscious inhalation, retention, and exhalation) is often practiced in conjunction with meditation and yoga asanas but can stand by itself as an important mind-body exercise method.

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23
Q

Which of the following is NOT a common manifestation of atherosclerosis?

A

Arrhythmias

Atherosclerosis is the underlying cause of cerebral and peripheral vascular diseases. Manifestations of atherosclerosis include angina, heart attack, stroke, and intermittent claudication.

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24
Q

A client’s physician provides the following guideline regarding the intensity of exercise for a new client: “An RPE of 11 to 16 (6 to 20 scale) is the preferred exercise intensity.” With which condition is this client MOST likely coping?

A

Individuals with type 2 diabetes can exercise at a moderate intensity of 11 to 16 on the 6 to 20 ratings of perceived exertion (RPE) scale. The other three options all require a light to moderate intensity of 9 to 13 on the RPE scale.

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25
Q

A male client brings a form from his primary care physician reporting the following test results:

Waist circumference: 41 inchesTriglycerides: 140 mg/dLHDL cholesterol: 38 mg/dLBlood pressure: 128/80 mmHgFasting blood glucose: 93 mg/dL
This client currently has the metabolic syndrome?

A

No
The metabolic syndrome is defined as the presence of three or more of the following components:

Elevated waist circumference: Men >40 inches (102 cm) Women >35 inches (88 cm)Elevated triglycerides: >150 mg/dLReduced HDL cholesterol: MenElevated blood pressure: >130/85 mmHgElevated fasting blood glucose: >100 mg/dL

This client has only two of these components (elevated waist circumference and reduced HDL cholesterol).

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26
Q

A client’s physician provides the following guideline regarding the mode of exercise for a new client: “Swimming is the recommended mode of exercise; upper-body resistance-training exercises are not appropriate.” With which of the following conditions is this client MOST likely coping?

A

Asthma

Swimming may be particularly beneficial for individuals with asthma because it allows them to inhale the moist air just above the surface of the water. For some clients with asthma, upper-body exercises such as arm cranking, rowing, and cross-country skiing may not be appropriate because of the higher ventilation demands.

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27
Q

Weightbearing and resistance-training activities are MOST important for clients with which of the following diseases or disorders?

A

Osteoporosis

For clients with osteoporosis, the mechanical stress associated with weightbearing or resistance-training activities produces strain on bone tissue and stimulates bone deposition and resulting gains in bone mass and strength.

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28
Q

For clients with which of the following diseases or disorders is it MOST important to develop a “regular” pattern of activity that does not result in post-activity malaise?

A

Chronic fatigue syndrome

When working with clients with CFS, the goal is to develop a “regular” pattern of activity that does not result in post-activity malaise. Low-intensity exercise is recommended.

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29
Q

How often should low-back exercises be performed in order to yield the maximum benefit?

A

7 days/week

While there is a common belief that exercise sessions should be performed at least three times per week, it appears that low-back exercises have the most beneficial effect when performed daily.

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30
Q

Overweight or obese clients who are seeking to lose weight should perform a MINIMUM of _____ minutes of moderate-intensity exercise each week.

A

Individuals seeking weight loss should include exercise as a key component of their programs, and overweight and obese adults should accumulate more than 150 minutes of moderate-intensity exercise each week, and when possible, more than 225 minutes per week.

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31
Q

What muscles support the subluxation of the humeral head from the glenoid fossa.

A

The rotator-cuff muscles surround the head of the humerus, with the primary stabilizing function of holding the humeral head in the glenoid fossa. The lack of bone supporting the shoulder joint requires that these muscles and their associated tendons work as stabilizers to prevent subluxation or dislocation of the humeral head from the glenoid fossa.

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32
Q

The posterior fibers of the deltoid extend and laterally rotate the humerus. Why is this true

A

Whereas the anterior fibers flex and internally rotate the humerus, the posterior fibers extend and laterally rotate the humerus.

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33
Q

The muscles of the rotator cuff originate on the scapula.

Yes or no

A

Yes

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34
Q

What muscles cause, the teres major to internally rotate the humerus.

A

The teres major arises from the lower medial portion of the scapula and primarily acts to internally rotate the humerus.

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35
Q

What muscle group assists with knee extension.

A

The quadriceps femoris is the prime mover for knee extension when acting concentrically. The hamstrings are the primary knee flexors.

36
Q

WHy does the sartorius functions at both the hip and knee joints.

A

The sartorius is the longest muscle in the body, originating from the anterior superior iliac spine (ASIS) and inserting onto the medial tibia, just below the knee. This multijoint muscle flexes, abducts, and externally rotates the hip while flexing and internally rotating the knee.

37
Q

Why? Flexion and external rotation at the knee are performed by the biceps femoris.

A

The hamstrings are referred to as a biarticular group of muscles, producing knee flexion as well as hip extension when acting concentrically. Additionally, the lateral hamstring, the biceps femoris, is an external rotator of the knee.

38
Q

The four quadriceps muscles insertion point work?

A

Although they originate from different areas, all four quadriceps muscles converge and share one tendon of insertion, the patellar tendon.

39
Q

Golgi tendon organs are sensory receptors located in the _______________.

A

between the muscle belly and its tendon

The Golgi tendon organ is connected to approximately 15 to 20 muscle fibers and is located between the muscle belly and its tendon.

40
Q

Golgi tendon organs respond to muscle tension by causing the muscle to _______________.

A

Relax
One of the Golgi tendon organ’s functions when it senses muscle contraction is to cause inhibition of the contraction (or relaxation). It has been theorized that this function adjusts muscle output in response to fatigue.

41
Q

Golgi tendons cause _______________ when the muscle contraction ceases.

A

Autogentic inhibition

When muscle tension is reduced due to fatigue, the Golgi tendon organ output is also reduced. The autogenic inhibition reflex is a sudden relaxation of muscle upon development of high tension. It is a self-induced, inhibitory, negative feedback lengthening reaction that protects against muscle tear. Golgi tendon organs are receptors for the reflex.

42
Q

During _______________ stretching, the activation of the Golgi tendon organs (GTOs) cause the muscle spindles to relax and, therefore, an increase in the stretch.

A

STatic

Static stretching evokes a temporary increase in muscle tension due to muscle lengthening. After seven to 10 seconds of a low-force stretch, the increase in muscle tension activates a GTO response. Under GTO activation, muscle spindle activity within the stretched muscle is temporarily inhibited, allowing further muscle stretching.

43
Q

Muscle spindles are located _______________.

A

Parallel to the muscle fibers

Muscle spindles are located mostly in the muscle belly and lie parallel to the muscle fibers.

44
Q

Muscle spindles respond to muscle fibers being overstretched by causing a _______________, known as the _______________.

A

Muscular contraction; stretch reflex

The muscle spindle stretches when the muscle itself experiences a stretch force, thereby exciting the muscle spindle and causing a reflexive contraction in the muscle, known as the stretch reflex.

45
Q

When the muscle spindle’s reflex contraction occurs, it causes the antagonist muscle group to relax. This is known as _______________.

A

Reciprocal inhibition

The muscle spindle’s reflex contraction of its associated muscle simultaneously causes the antagonist muscle group to relax. This is called reciprocal inhibition. For example, if the gastrocnemius is stretched rapidly, the muscle spindles within the muscle belly cause it to contract. At the same time, if the anterior tibialis (opposing muscle group) is contracting, the muscle spindle reflex causes it to relax.

46
Q

Type I muscle fibers are considered slow-twitch. Why?

A

Slow-twitch fibers are also called type I muscle fibers.

47
Q

DoType I muscle fibers have a large amount of mitochondria as compared to type II muscle fibers?

A

Type I muscle fibers contain relatively large amounts of mitochondria and are surrounded by more capillaries than fast-twitch fibers.

48
Q

Type I muscle fibers are fatigue-resistant. Why?

A

The high concentration of myoglobin, the large number of capillaries, and the high mitochondrial content make type I fibers resistant to fatigue and capable of sustaining aerobic metabolism.

49
Q

The statement is false. Make it true. Type I muscle fibers are used during anaerobic metabolism.

A

Type I muscle fibers are more resistant to fatigue and capable of sustaining aerobic metabolism, while type IIx muscle fibers possess a high number of glycolytic enzymes, which provide them with a considerable anaerobic capacity.

50
Q

Endurance athletes, such as those who participate in cross-country running, generally possess a large percentage of type I muscle fibers.

A

Fiber composition of skeletal muscles is thought to play an important role in sport and exercise performance. It is commonly believed that successful endurance athletes generally possess a large percentage of type I, or slow-twitch, muscle fibers, while power athletes possess a relatively large percentages of type II, or fast-twitch, muscle fibers.

51
Q

Type IIx muscle fibers are considered fast-twitch.

A

There are two subtypes of fast-twitch fibers: type IIx and IIa.

52
Q

Type IIx muscle fibers are known as fast-glycolytic fibers. Why?

A

Type IIx muscle fibers are sometimes called fast-glycolytic fibers.

53
Q

Type IIx muscle fibers have a small amount of mitochondria.

A

Type IIx muscle fibers contain a relatively small amount of mitochondria, while type I muscle fibers contain relatively large amounts of mitochondria.

54
Q

Type IIx muscle fibers are less resistant to fatigue than type I fibers.

A

Type IIx muscle fibers fatigue more easily than type I muscle fibers. In fact, these fibers cannot sustain their effort for more than a few seconds.

55
Q

Type IIx muscle fibers are the largest and fastest muscle fibers in the body.

A

Type IIx fibers are the largest and fastest, and are capable of producing the most force of all the skeletal muscle fibers, but are notably less efficient than type I muscle fibers.

56
Q

Type IIx muscle fibers have limited capacity for aerobic metabolism. Why

A

Type IIx muscle fibers have a limited capacity for aerobic metabolism and fatigue more easily than type I muscle fibers. In fact, these fibers cannot sustain their effort for more than a few seconds.

57
Q

Type IIa muscle fibers are fast-twitch fibers.

A

Type IIa are a second subtype of fast-twitch muscle fibers.

58
Q

Type IIa muscle fibers can be trained to become more oxidative or glycolytic.

A

With endurance training, type IIa muscle fibers can increase their oxidative capacity to levels similar to those observed in type I muscle fibers.

59
Q

Type IIa muscle fibers can only sustain activity for less than 30 seconds.

A

Type IIa muscle fibers possess speed, fatigue resistance, and force-production capabilities somewhere between type I and type IIx muscle fibers. They can sustain an effort for longer than type IIx fibers—up to three minutes in highly trained athletes.

60
Q

A muscle with which of the following muscle arrangements has the LOWEST force production, but the HIGHEST speed of contraction?

A

Penniform muscles, which include unipennate, bipennate, and multipennate muscles, are designed for higher force production than longitudinal muscles. Longitudinal muscles are long and thin and have parallel fibers that run in the same direction as the length of the muscle. This type of fiber arrangement allows for speed of contraction.

61
Q

Which of the following is an example of a multiplanar movement from the anatomical position?

A

Opposition of the thumb is a movement unique to primates and humans that follows a semicircle toward the little finger. Each of the other movements is uniplanar.

62
Q

What do shoulder shrugs target?

A

Levator scapulae and trapezius

63
Q

The birddog is an effective exercise for which of the following muscles that act at the trunk?

A

The multifidi, which contribute to spinal stability during trunk extension, rotation, and side-bending, are effectively targeted by the birddog.

64
Q

Which category of hip muscles is primarily responsible for hip adduction?

A

The medial hip muscles (i.e., those hip muscles closer to the midline of the body), including the pectineus, adductor brevis, adductor longus, gracilis, and adductor magnus, are primarily responsible for hip adduction.

65
Q

Which of Newton’s laws of motion is described as follows? A body at rest will stay at rest and a body in motion will stay in motion (with the same direction and velocity) unless acted upon by an external force.

A

Newton’s first law of motion, known as the law of inertia, states that a body at rest will stay at rest and that a body in motion will stay in motion (with the same direction and velocity) unless acted upon by an external force. In addition, a body’s inertial characteristics are proportional to its mass, which is why it is harder to start (or stop) moving a heavy object than a lighter one.

66
Q

What muscles are strengthened when a client performs side-lying leg lifts with the lower leg?

A

Adductors work concentrically in the upward phase and ecentrically in the downward phase.

67
Q

The soleus, gastrocnemius, and plantaris are located in which compartment of the lower leg?

A

The soleus, gastrocnemius, and plantaris are all located in the superficial posterior compartment of the lower leg and serve as primary plantarflexors of the ankle joint.

68
Q

Which of the following muscles plays a vital role (with the multifidi) in providing feedback to the central nervous system about spinal joint position before dynamic forces in the extremities destabilize the spine?

A

Coactivation of the transverse abdominis and multifidi muscles occur before any movements of the limbs. Specifically, these two muscles are activated an average of 30 milliseconds before shoulder movement and 110 milliseconds before leg movement. What is the importance of this temporal pattern of trunk muscle recruitment? The transverse abdominis and multifidi muscles are thought to play a vital role in providing feedback about spinal joint position, and thus forewarn the central nervous system about impending dynamic forces to be created in the extremities that may destabilize the spine.

69
Q

“Shoulder girdle” is the informal term for the _______________.

A

Shoulder girdle is the informal term for scapulothoracic (S/T) articulation, which consists of the muscles and fascia connecting the scapula to the thorax.

70
Q

The _______________ joint allows inversion and eversion of the foot.

A

The articulation of the talus and the calcaneus is referred to as the subtalar joint, which allows inversion and eversion of the foot.

71
Q

There are _______________ compartments in the lower leg.

A

Four

The lower leg is comprised of muscles in three regions—lateral, anterior, and posterior—divided by the anterior and posterior intermuscular septa (a band of fascia separating muscle compartments), the interosseous membrane (fibrous tissue that helps maintain space between bones), and the tibia and fibula. Muscles in the same region are grouped together with connective tissue. The muscles of the anterior region of the lower leg are grouped together in the anterior compartment, while the muscles of the lateral region are grouped into the lateral compartment. The posterior region has two distinct groups; the deep muscle group and the superficial muscle group.

72
Q

The _______________ compartment extends the toes and dorsiflexes/inverts the foot.

A

The anterior compartment of the lower leg contains muscles that extend the toes and dorsiflex and/or invert the foot.

73
Q

The _______________ and _______________ are powerful plantar flexors that share an insertion on the Achilles tendon.

A

The gastrocnemius and soleus are powerful plantar flexors that make up the bulk of the calf and share a common insertion on the Achilles tendon.

74
Q

If an individual has tight hip flexors, what condition can occur in the lumbar spine?

A

Because of its origin at the lumbar spine, tight hip flexors can result in passive hyperextension of the lumbar spine, which is known as lordosis.

75
Q

The _______________ muscle group is the prime mover during a prone leg curl. As the knee flexes, a(n) _______________ contraction occurs. As the knee extends, a(n) _______________ contraction occurs.

A

The primary knee flexors are the hamstrings; they are the prime mover during a prone leg curl. As the knee flexes, a concentric contraction occurs, and as the knee extends, an eccentric contraction occurs.

76
Q

You notice when a client or class participant bends down that his heels cannot maintain contact with the floor. What muscles can you suspect to be tight?

A

The large muscles of the superficial posterior tibial compartment are the primary plantar flexors of the ankle joint. The gastrocnemius and soleus muscles are often inflexible, particularly among individuals who regularly wear high-heeled shoes.

77
Q

You notice a client or class participant is running “flat-footed.” You can hear her foot slap the treadmill with every step. What muscles can you suspect to be weak?

A

When acting concentrically, the muscles of the lower leg produce dorsiflexion of the ankle, and work together during walking and running to eccentrically lower the foot to the ground with control. Without the eccentric action of the dorsiflexor muscles as dynamic shock absorbers, the foot would slap the ground with each stride or impact.

78
Q

The concentric contraction of the upper trapezius produces _______________ and _______________ of the scapula.

A

The fibers of the upper trapezius are angled upward and obliquely. Therefore, if the upper fibers are activated concentrically, they will produce elevation and upward rotation of the scapula.

79
Q

If scapular adductors are weak, the postural deviation called _______________ is likely.

A

Kyphosis is defined as an excessive posterior curvature of the spine, resulting in a rounded-shoulders posture. If the scapular adductors are weak, fatigued, or injured, the muscular tension created by the pectoralis minor will tilt the scapulae forward and down, resulting in kyphosis.

80
Q

Scapular protraction is also known as _______________.

A

Scapular protraction is also known as abduction. Concentric activity of the pectoralis minor results in abduction of the scapula.

81
Q

Injury to the _______________ is common in baseball pitchers because of the repetitious pattern of abduction, flexion, and rotation of the shoulder. Therefore what makes sense to strenthen it?

A

The four musculotendinous attachments of the rotator cuff can become inflamed as a result of performing many repetitions of movements that involve abduction, flexion, and rotation, as seen in the throwing motion of baseball pitchers.

82
Q

The _______________ deltoid extends, externally rotates, and horizontally extends the arm at the shoulder.
And which one abductes the shoulders like with a press?

A

The posterior deltoid is located on the back side of the glenohumeral joint and has the exact opposite functions as the anterior deltoid: it extends, externally rotates, and horizontally extends the arm at the shoulder.

83
Q

An individual is performing a seated leg press. What prime movers initiate this exercise?

A

Knee extensors and hip extensors

So dont squeeze but on way up to activate the quads more?

The knee extensors (quadriceps femoris) and hip extensors (hamstrings and gluteus maximus) are the prime movers that initiate the movement to straighten the legs at the beginning of a seated leg press.

84
Q

Your client or class participant is experiencing some pain in her low back when performing abdominal exercises. Which of the following imbalances could potentially cause this condition?

A

Because of its origin at the lumbar spine, iliopsoas tightness can result in lordosis, which can cause low-back pain, particularly during the second half of a sit-up and with prolonged periods of sitting. To correct the anterior pelvic tilt position associated with lumbar lordosis, focus on strengthening the abdominal and hip extensor muscles, while stretching the hip flexors and spine extensors.

85
Q

What is the primary action of the gluteus medius?

A

The three gluteal muscles—gluteus medius, gluteus minimus, and the superior fibers of the gluteus maximus—are the primary hip abductors and are assisted by the tensor fasciae latae. The gluteus medius is the largest of the hip abductor muscles, two times larger than the gluteus minimus.

86
Q

What group of muscles works eccentrically during the down-phase of a squat?

A

Eccentric action of the gluteus maximus and hamstrings controls the downward phase of the squat into hip flexion.