Therapeutic Exercise Lectures 1 - 3 Flashcards
what are the 6 categories in the ICF framework?
health conditions
body functions & structures
activity
participation
personal factors
environmental factors
how do you categorize things about a person in the ICF framework?
- health conditions = the diagnosis
- body structure & functions = pain, decreased ROM/strength, etc
- activity = limitations // difficulty putting on/off shoes, stairs, walking
- participation = restrictions // unable to be recreationally active, unable to participate at work, household chores
- personal factors = BMI, HTN, scores
- environmental factors = high copay, deductible, lives alone
what category do your short term goals come from in the ICF framework?
body functions & structures
what category do your long term goals come from in the ICF framework?
Activity + Participation
what does a motor unit consist of?
a motor neuron and muscle fibers it innervates
what is the all-or-none neuromuscular principle?
all of the muscle fibers in the motor unit contract/develop force at same time.
what is the muscle precision neuromuscular principle?
the extent of control of a muscle depends on the number of muscle fibers within each motor unit. (great precision muscles may have one muscle fiber per neuron. less precision may have several hundred fibers per neuron).
What makes up a Sarcomere?
Actin + Myosin
What is the Z disc?
middle of I band, dark line thru muscle
what is the i band ?
two adjacent sarcomeres that only have actin
what is the a band?
myosin
what is the h zone?
center of myosin (a band) where only myosin exist, decreases during contraction as actin slides to middle of it)
what is the catalsyt for sliding filoment theory?
calcium
what is the first step in the sliding filament theory?
nerve impulse arrives at motor junction. depolarizes muscle fiber. releases acetylcholine. leads to release of calcium from sarcoplasmic reticulum.
what is the second step in the sliding filament theory?
calcium binds to troponin on actin, exposing active sites
what is the third step in sliding filament theory?
myosin head binds to actin, causes breakdown of ATP. releases energy required for myosin head to pull actin.
what is the fourth step in the sliding filament theory?
ATP bonds to myosin head, causing unbridging of myosin from actin