Week 4 - Problem Solving: How to Improve Strength Flashcards

1
Q

the highest amount of effort exerted by the muscles of the body in order to overcome the most resistance in a SINGLE effort.

A

muscular strength

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2
Q

the ability of a muscle or group of muscles to sustain repeated contractions against a resistance for an extended period of time.

A

muscular endurance

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3
Q

ability of muscles to produce force in or at a given time.

A

muscle power

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4
Q

proportional to the speed at which you can apply the maximal force

A

muscle power

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5
Q

Name 4 assessments used for determining strength.

A
  • MMT
  • Functional Muscle Strength
  • Dynamometer
  • Pinch Gauge
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6
Q

When does muscular strength improve?

A

when muscle is stressed (so that an increase # of motor units are recruited).

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7
Q

Muscles must be stressed to the point of ____ in order to ____ and strengthen.

A

fatigue, hypertrophy

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8
Q

Name 5 exercised parameters that can be manipulated to improve strength.

A
  • type of muscle contraction
  • intensity or load
  • duration of contraction
  • rate or velocity of contraction
  • frequency of exercise
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9
Q

Name 2 aspects of using occupations to increase strength.

A
  • may be sufficient for strengthening

- may be more motivating

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10
Q

Name 2 aspects of using exercise to increase strength.

A
  • can be specifically targeted.

- may be “occupation” for some

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11
Q

the systematic performance of planned physical movements, postures, or activities

A

therapeutic exercise

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12
Q

How does therapeutic exercise differ from traditional exercise programs?

A

they are designed by rehab professionals to achieve MEASURABLE outcomes.

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13
Q

Describe general guidelines for therapeutic exercises during the acute management phase.

A
  • minimize joint effusion and interstitial edema
  • reduce pain
  • AROM as tolerated.
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14
Q

Describe general guidelines for therapeutic exercises during the sub acute management phase.

A
  • minimize joint effusion and interstitial edema
  • reduce pain
  • PROM
  • early controlled mobilization (if tendons repaired)
  • don’t forget “non-involved” joints.
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15
Q

Describe general guidelines for therapeutic exercises during the rehabilitation management phase.

A
  • restore ROM, muscular strength, endurance

- prepare for return to work, ADLs, leisure

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16
Q

muscles move through ROM

A

isotonic exercises

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17
Q

Name the 2 types of isotonic contractions.

A
  • concentric

- eccentric

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18
Q

Name the 2 types of isotonic strengthening.

A
  • Delorme technique of PROGRESSIVE resistive exercise

- Oxford technique of REGRESSIVE resistive exercise

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19
Q

Does active range alone strengthen a muscle?

A

No

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20
Q

Delorme technique

A

-start low and go up with weights - progressive

21
Q

Oxford technique

A

-start high and go up with weights.

22
Q

static muscle contraction with little/no change in muscle length

23
Q

maximum contraction at a constant speed through full ROM usually done with Cybex machine; matched resistance

A

isokinetic

24
Q

form of specificity training facilitating rapid strength and endurance, calls into play type II fast twitch muscle fibers.

A

plyometric

25
Name 2 contraindications for resistive exercise.
- pain | - inflammation
26
Name 3 purposes for resistive exercise.
- to strengthen - to increase endurance - to increase power
27
Name 2 precautions for resistive exercise.
- cardiovascular | - fatigue
28
Describe isometric resistive therapeutic exercise.
- used when muscle grade is zero-trace. - pt. is asked to hold position 10 times. - rest in btwn - OT increases durations of contraction ("hold") when pt. improves - pt. may need to be in a gravity eliminated position.
29
- exercise in which movement is performed by the voluntary effort of the pt. with ASSISTANCE of an external force to complete the ROM. - assistance given by OT, pt. equipment.
Active Assisted ROM exercise (AAROM)
30
Describe isotonic active-assistive ROM therapeutic exercises. (when is it used, how is it used, etc.)
- when muscle grade is poor (-) to fair (-). - pt. moves actively as far as he or she can, OT helps complete the movement. - can be either concentric or eccentric - different from PROM bc pt. does some of the muscle contraction.
31
Describe isotonic active ROM therapeutic exercises (when is it used, how is it used, etc.)
- when muscle grade is poor - fair. - patient moves through full ROM - may need to be in gravity free (eliminated) position. - ex: 10 reps x 3 sets - can give them more repetitions but not weight - take break in btwn sets
32
Describe isotonic active resistive/progressive resistive exercise (PREs) (when is it used, how is it used, etc.)
- muscle grade is poor (+) - good (+) - pt. moves through full ROM with resistance - repetitions may need to be increased
33
How can you change the resistance on a pronation/supination bar?
- add more weight | - change position of weights (changing resistance arm - move weights down towards middle = easier)
34
- muscle is maximally contracting at the same speed throughout the whole range of the related lever. - requires the use of special equipment to produce an accommodating resistance.
isokinetic contractions/exercise
35
How should resistance/repetitions be used to strengthen?
high resistance, few repetitions
36
How should resistance/repetitions be used to improve endurance?
light resistance, many repetitions (drawback: overuse injury)
37
How should resistance/repetitions be used to improve power?
- muscle works dynamically against resistance within a specified period. - can use plyometric exercise, usually for lower extremities.
38
- exercises that are explosive, fast-acting movements to develop muscular power and to improve overall speed. - muscles exert maximum force in the shortest amt of time possible - generally used for athletes, fitness training.
plyometric exercise
39
Describe the Delorme technique in numbers.
- Determine the 10 RM - 10 reps at 50% of 10 RM - 10 reps at 75% of 10 RM - 10 reps at 100% of 10 RM
40
Describe the Oxford technique in numbers.
- Determine the 10 RM. - 10 reps at 100% of 10 RM - 10 reps at 75% of 10 RM - 10 reps at 50% of 10 RM
41
the weight an individual could lift 10 times before temporary failure of the muscle occurs
10-rep maximum (10 RM)
42
Is the Oxford or Delorme method better?
both work - one is not necessarily better than the other.
43
Name 6 clinical indications for eccentric exercise.
- mechanical, reproducible joint pain. - unidirectional joint crepitus or pain arc - deconditioned or low endurance pt. (ex: recent distal radius fracture) - plateaus in strength gains - tendonitis - late-stage rehab and performance training
44
Name 5 types of external resistance.
- gravity - cuff weights - dumbbells - surgical tubing (Elastic resistance - ex: theraband) - manual applied resistance
45
ability of muscle group to perform repeated contractions against a load
endurance
46
Impaired ____ can lead to limits in IADLs.
endurance
47
- ability of cardiovascular system (heart, lungs, blood) to take in, extract, deliver and use oxygen to remove waste products - supports performance of repetitive activities using large muscle groups over time ex: jogging, walking
cardiovascular endurance
48
What can happen to individuals with deficits in both muscular and cardiovascular endurance?
deconditioning or loss of general endurance
49
Name a modality to help muscle retraining, strength.
NMES (neuro-muscular electrical stimulation)