Week 3 - Exercise Prescription to Address Weakness

Question 1

Specificity

Answer 1

The changes in response to exercise training are very specific to the details of the program

Question 2

Strength plan for a recent muscle strain:

Answer 2

• Progressive overload optimises tissue healing
• All muscles/soft tissues heal better w/ some load
• Day 1-3 they should be loading tissues

Question 3

Strength plan for post-surgery meniscectomy:

Answer 3

• No tissue that needs repairing, faster healing
• 1-3 wks: ROM/atrophy/Iso.
• 2-3 wks: Strengthening functionality > hypertrophy
• 6-8 wks: Can still be working on hypertrophy

Question 4

Strength plan for post-surgery repair:

Answer 4

3-6 month recovery

- Goal: improve ROM, atrophy getting rid of fluid

Question 5

Strength plan for Bankart repair:

Answer 5

(Dislocation surgery/ tear anterior inferior capsule, suture capsule, + muscle)
- 1-2 wks: Gentle iso.’s in approp. range (avoiding arm shying too far from body)
- 4 wks: Working muscle harder>will have a hard time hurting it.
Sutures in capsule can take a while to heal so still avoiding arm shying away
12 wks: full ROM, strength adequate

Question 6

Strength plan for overuse injury:

Answer 6

• Strengthening can exacerbate the pain, but is needed to fix the issue.
• Strength. w/o pain
• High v low intensity / prog. overload

Question 7

Strength plan for weakness in neuro conditions Gullain-Barre:

Answer 7

• Rare, motor nerves demyelinate, + muscles become weak/paralysed
• If treated, goes away + gain 100% strength in 12 months.
• Goal: Reduction of atrophy

Question 8

Strength plan for weakness in neuro conditions motor neuron disease:

Answer 8

• Progressive weakening of muscles

- Goal: can’t change neural drive but we want to maintain as much hypertrophy of muscle + avoid atrophy

Question 9

Strength plan for weakness in neuro conditions STROKE:

Answer 9

• Neurons in brain

- Goal: trying to improve neuroplasticity; dosage (repetition) becomes a key factor, don’t need high intensity

Question 10

Hip abductors:

Answer 10

Glute med/min

TFL

Question 11

Hip flexors:

Answer 11

Iliacus / psoas major

Question 12

Shoulder ER:

Answer 12

Infraspinatus/ teres minor

Question 13

Ankle DF’s

Answer 13

Tibialis Anterior
Ext. Hallucis Longus
Ext. Digitorum Longus
Peroneus Tertius

Question 14

Hip extensors:

Answer 14

Glute max, HS muscle (semimbranosus, semitendinosus, biceps femoris)

Question 15

Shoulder flexors:

Answer 15

Pec. major, deltoid, biceps brachii, coracobrachilias

Question 16

Ankle PF’s

Answer 16

Gastroc, soleus, 
Plantaris 
Peroneus brevis/longus
Flexor hallucis + digitorum 
Hamstring / gracilis / sartorius

Question 17

Knee extensors

Answer 17

Vastus lateralis/intermedius/medialis

Rectus femoris