Therapeutic Exercise Lectures 1 - 3 Flashcards

1
Q

what are the 6 categories in the ICF framework?

A

health conditions
body functions & structures
activity
participation
personal factors
environmental factors

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2
Q

how do you categorize things about a person in the ICF framework?

A
  • 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
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3
Q

what category do your short term goals come from in the ICF framework?

A

body functions & structures

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4
Q

what category do your long term goals come from in the ICF framework?

A

Activity + Participation

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5
Q

what does a motor unit consist of?

A

a motor neuron and muscle fibers it innervates

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6
Q

what is the all-or-none neuromuscular principle?

A

all of the muscle fibers in the motor unit contract/develop force at same time.

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7
Q

what is the muscle precision neuromuscular principle?

A

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).

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8
Q

What makes up a Sarcomere?

A

Actin + Myosin

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9
Q

What is the Z disc?

A

middle of I band, dark line thru muscle

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10
Q

what is the i band ?

A

two adjacent sarcomeres that only have actin

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11
Q

what is the a band?

A

myosin

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12
Q

what is the h zone?

A

center of myosin (a band) where only myosin exist, decreases during contraction as actin slides to middle of it)

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13
Q

what is the catalsyt for sliding filoment theory?

A

calcium

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14
Q

what is the first step in the sliding filament theory?

A

nerve impulse arrives at motor junction. depolarizes muscle fiber. releases acetylcholine. leads to release of calcium from sarcoplasmic reticulum.

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15
Q

what is the second step in the sliding filament theory?

A

calcium binds to troponin on actin, exposing active sites

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16
Q

what is the third step in sliding filament theory?

A

myosin head binds to actin, causes breakdown of ATP. releases energy required for myosin head to pull actin.

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17
Q

what is the fourth step in the sliding filament theory?

A

ATP bonds to myosin head, causing unbridging of myosin from actin

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18
Q

what are the four types of muscle twitches?

A

Type I - slow twitch
Type IIa - moderately-fast twitch
Type IIx - fast-twitch
Type IIb - very fast-twitch

19
Q

what are Type I fibers used for?

A

slow contraction time, high resistance to fatigue, aerobic activity, can be used for hours

20
Q

what are Type IIa fibers used for?

A

moderately fast contraction time, fairly high resistance to fatigue, long-term anaerobic activity, can be used for <30min

21
Q

what are Type IIx fibers used for?

A

fast contraction time, moderate resistance to fatigue, short-term anaerobic activity, can be used for <5min

22
Q

what are Type IIb fibers used for?

A

very fast contraction time, low resistance to fatigue, short-term anaerobic activity, can be used for <1min

23
Q

how do you define strength?

A

ability to exert force to overcome resistance

24
Q

how do you define power?

A

ability to exert force to overcome resistance in the shortest amount of time

25
Q

how do you define endurance?

A

ability to exert force to repeatedly overcome resistance over an extended period

26
Q

what is the SAID principle?

A

specific adaptation to imposed demands

type of demand placed on body dictates type of adaptations that are achieved

choose exercise that targets the specific adaptation you wish to achieve.

27
Q

how do you achieve the overload principle?

A

by appropriately modifying parameters of our exercise (sets/reps/intensity/rest/frequency)

overload is necessary to create desired adaptations

28
Q

what repetitions are most common for increasing strength?

A

reps should be somewhere between 2-11

29
Q

what repetitions are most common for increasing power?

A

reps should be somewhere between 2-7

30
Q

what repetitions are most common for increasing hypertrophy?

A

reps should be somewhere between 6-12

31
Q

what repetitions are most common for increasing muscular endurance?

A

reps should be somewhere between 13-20

32
Q

how many sets to increase muscle performance?

A

generally 3-5 sets are sufficient to increase muscle performance

33
Q

proper does of exercises for a muscle to create adaptation?

A

2-3 exercises per muscle

34
Q

general frequency for creating adaptations?

A

2x/week for a muscle group. if lower intensity, 2-3x/week per group.

35
Q

what are plyometrics?

A

quick powerful movement using presretch or counter movement

36
Q

what is the mechanical model for plyos?

A

when musculotendinous unit is stretched, muscle and tendon store elastic energy, needs concentric contraction immediately after

37
Q

what is the neurophysiological model?

A

utilizes stretch reflex, muscle spindles sense quick stretch and reflexively cause muscle contraction of agonist muscle

38
Q

what are the phases of the stretch-shortening cycle?

A

phase 1 - eccentric (stretch of agonist muscles)
phase 2 - amortization
phase 3 - concentric (shortening of agnoist muscles)

39
Q

beginner repetitions for plyos?

A

80-100 / session

40
Q

intermediate repetitions for plyos?

A

100-120 / session

41
Q

advanced repetitions for plyos?

A

120-140 / session

42
Q

how much rest in between sessions?

A

48-72 hours between sessions

43
Q

how much rest in between sets?

A

higher intensity = 5 sec between reps, 2-3min between sets
lower intensity = reps can be continual