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80 Cards in this Set

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Definitions

Strength

Kinetics
Strength: The maximum force that a muscle can develop during a single contraction.

Kinetics: The study of forces.
Definitions

Force:
Force: A term used to assess strength. It is the agent that produces a change in the state of rest of an object.

Force=mass x acceleration. (1RM)
Definitions

Torque:
Represents the rotational force of an arm around an axis. Torque=force x moment arm (Altered with biomechanics, but used synonmously with strength.)
Definitions

Work:
Work: The magnitude of a force acting on an object through the distance the force acts.

Work = force x distance.
Definitions

Power:
Rate of performing work. Power = work/time.
Definitions

Endurance:
the ability of a muscle to generate forces over a certain period of time. Measured in peak performances over time and not a single peak performance as in 1RM.
Resistance Training

big picture
In order to lift a weight, the group of muscles must overcome the weight of the limb and external object/dumbell (force) through a range of motion (work) acting along an arm or leg around a joint (torque) in a specific time frame (power).
This is resistance training.
RESISTANCE TRAINING

Repetition Maximum-
the amount of weight an individual can lift for a certain number of repetitions
RESISTANCE TRAINING

1 RM
the maximum amount of weight an individual can lift for 1 repetition
Muscle Length-Tension Relationship

Starling’s Law:
The optimum length for contraction is near the midpoint between maximally short and maximally long because actin and myosin can bind most effectively in a midlength postion.
Muscle Length-Tension Relationship

Active Insufficiency
the inability of a muscle to generate significant active tension when it is maximally shortened.
Muscle Length-Tension Relationship

Passive Insufficiency
the inability to allow joints to move through the full available range of motion due to lack of sufficient muscle length or muscle-tendon length.
Muscle Tension-Velocity Relationship

big picture with concentric contractions
The tension produced during concentric contraction decreases as the movement velocity increases because myosin and actin cannot bind efficiently during high velocity movements.

Therefore, if the goal is to increase concentric contraction, keep the movements slow and in control.
Muscle Tension-Velocity Relationship

big picture concerning eccentric contractions
The tension produced during eccentric contraction increases and the velocity increases and then plateaus or slightly decreases.
For eccentric contraction, keep the weight high and “lower” the weight slow and in control.
Muscle Fiber Arrangement

The force the muscle can produce is directly proportional to the...?
... cross sectional area. For example: A pennate muscle (gastrocnemius) has a greater ability to generate tension capacity or a tonic contraction.
Muscle Fiber Arrangement

The power and work of a muscle are proportional to the...
length of the muscle. For example: A parallel muscle (biceps) has a greater ability to generate power and work or phasic contraction
Training Principles

Training Specificity

main idea
Training Specificity: You get what you train for!
Training Principles

Neurologic Adaptation

main idea
The ability of the nervous system to coordinate improved strength. Agonist, Antagonist, Synergists need to be activated to produce increasing strength. Increase in strength in the initial stages is probably most associated with motor planning.
Training Principles

Morphologic Adaptation
: The ability of the muscular system to develop increased capacity for strength.
Training Terminology

Specificity
you must stress the system you want to improve for gains to be made
Training Terminology

Overload
workload greater than every day demands; to increase strength- load must be greater than metabolic capacity to the muscle
Training Terminology

Adaptation
body’s physiological changes to regular exercise (overload)
Training Terminology

Progression
systematic increase in activity level to ensure overload
Training Terminology

Frequency
Frequency- number of exercise sessions per day / week; dependent on goal of exercise and individual’s functional status
Training Terminology

Duration
length of a workout
Training Terminology

Intensity
vigor of exercise; should be manipulated systematically to ensure overload in attempts to reach goal / desired functional outcomes
Training Terminology

Mode
type of exercise / activity
Indications for Strength Training
Indications:
Decreased muscle performance
weakness that affects functional activities
post surgical weakness
neurological impairment
deconditioning, postural impairments
effects of poor bodymechanics or, any unequal force distribution within the body.
Precautions for Strength Training
Pre-Cautions:
Healing Timeframes
Disease Status
Cardiovascular Status
Pregnancy
Avoid Valsalva Procedure
Pain and Inflammation should be guiding factors
Contra-Indications for Strength Training
Contra-Indications:
Delayed Onset Muscle Soreness: Due to muscle damage caused by overload. Usually peaks at 24-48 hours and minimal to moderate exercise is prescribed during the healing process.
Any surgical contra-indication to exercise.
Age-Related Considerations at Pre- Puberty
Pre-puberty:
Only 20% of a newborn child’s body mass is muscle.
Very little hormones are present, so boys and girls have equal ability to produce strength increases.
Focus should be on the neurologic aspects of training.
Age-Related Considerations at PUBERTY
Puberty
Males will increase 27%-40% of their body mass in muscle.
Females anatomic structure changes at the center of gravity or pelvis.
Epiphyses remain sensitive and liable to injury
Hormonal changes are evident.
Training should be moderate.
Age-Related Considerations at ADULTHOOD
Strength potential is at its highest in the 18-30 year period.
Good neurologic, morphologic and physiologic adaptation occurs.
A balanced training program is inidicated with emphasis on strength increases from normal or balancing effects of work positioning.
Age-Related Considerations at ADVANCED AGE
Medical Considerations become an issue
Deconditioning due to decreased activity occur
Hormonal changes causing osteoporosis etc.
Neurologic changes begin occuring causing problems with balance, coordination, proprioception
Training should focus on vigorous use of all functional positions and counter acting deficits caused by aging consideration.
Modes of Resistance Training

Isometric

Isotonic
: Constant Length

: Constant Tension
Modes of Resistance Training

Isokinetic

Plyometric:
Constant Velocity

: Increased Length
Types of Resistance

3 main divisions
MANUAL: Therapist or Patient (Caregiver)
MECHANICAL:
Free Weights
Machine Weights
Band Weights
Hydraulic Weights
Functional Weights
AQUATIC
Nebraska Program

what % of 1RM is equal to 10 reps, to 5 reps?
10 reps = 80% 1rm

5 reps = 90% 1RM
DeLorme Progressive Resistance Exercise Progression

Includes 3 sets of 10 reps of what % of 10RM
3 sets:
10 reps x 50% of 10 RM
10 reps x 75% of 10 RM
10 reps x 100% of 10 RM
The OXFORD PROGRESSION

how is it different from DeLorma
inverts the %

3 sets
10 x 100% of 10 RM
10 x 75% of 10 RM
10 x 50% of 10 RM
Progression DAPRE

what is the acronym?
Daily Adjustable Progressive Resistance Exercise – Table 5-2
Progression DAPRE

4 sets at what %
4 sets
10 x 50% of 6 RM
10 x 75% of 6 RM
max reps x 100% of 6 RM
max reps x adjusted weight
Safe Resisitance Considerations

when setting the program, what must be taken into account?
Setting the Program
Specificity of muscle groups
safe starting level
respect fatigue
balance- agonist vs. antagonist
perform correctly
if poor posture- strengthen antagonist
warm up
Common Errors with Resistance Exercises include...
activity required is too strenuous
there is an overemphasis on exercises that perpetuate faulty postures
differentiation is not made between the discomfort of fatigue and strain
the original design of the exercise is altered or exaggerated
Dosage Guidelines for STRENGTH TRAINING

Novice and Intermediate...
60-70% of 1RM for 8-12 reps, 2-3 x per week
Dosage Guidelines for STRENGTH TRAINING

Advanced
80-100% of 1RM in a periodized progression plan, 2-5 x per week.
Dosage Guidelines for POWER TRAINING

what kinds of exercises to utilize?
Use a combination of exercises which incorporate strength, speed, and specificity of training or skill based exercises.
Basis used for Sportsmetrics Plyometrics
Dosage Guidelines for POWER TRAINING

Novice and Intermediate...
1-3 reps for 1-3 sets at 30-60% of 1RM.
Dosage Guidelines for POWER TRAINING

ADVANCED
1-6 reps for 3-6 sets at variety of loads 30-60% of 1RM and 85-100% of 1RM.
Dosage Guidelines for ENDURANCE TRAINING

how does it vary?
Varies based on specificity of training. For example, work capacity, postural or positional training, athletic competitions such as running or tennis.
Dosage Guidelines for ENDURANCE TRAINING

Novice and Intermediate...
Low load and high reps 10-15 per set 4-6 x per week.
Dosage Guidelines for ENDURANCE TRAINING

ADVANCED
Low load and high reps 10-25 per set 4-6 x per week.
Dosage Guidelines for the Athlete

Superset

main idea
two sets of exercise involving agonist and antagonist mm groups performed in a progression without rest.
Dosage Guidelines for the Athlete

Triset

main idea
three exercises performed without any rest in a progression. Good for changing the angle of pull of 1 mm. Ex. SLR or Pectoralis benches.
Dosage Guidelines for the Athlete

Pyramid

main idea
Modified DeLorme Training Program where the sets remain constant, reps go from high to low as weight goes from low to high and then work a backwards in the progression.
Impaired Cardiovascular/Endurance and Aerobic Capacity are diminished by:

3 main things
Disease
Aging
Inactivity
Effects of Deconditioning include...
decreased muscle mass
decreased strength
decreased CV function
decreased total blood volume
decreased plasma volume
Basic ATP Metabolic System

with AEROBIC exercise, how is the intensity, duration, O2 supply, main fuel and by products
intensity- lower
duration- longer
O2 supply- high utilization
main fuel- fat, protein, glycogen
by products- CO2, H2O, heat
Basic ATP Metabolic System

with ANAEROBIC exercise, how is the intensity, duration, O2 supply, main fuel and by products
intensity- higher
duration- shorter bouts
O2 supply- low utilization
main fuel- ATP, CP, gylcogen
by products- lactic acid, heat
Exercise Response

Heart rate increases in a linear fashion with increasing levels of...
... work to a maximal heart rate
Exercise Response

VO2 max has a linear relationship with HR- therefore predictions can be made regarding...
...VO2 max based on HR
Exercise Response

how to calculate MAX HR
Max HR can be estimated by utilizing (220-age)
Reversibility Principle

main idea
Benefits of exercise are transient and reversible
Detraining occurs rapidly, significant decrease in work capacity in 2 weeks without activity
With complete bed rest- 10% decrease in VO2 max after 2 days of complete bed rest
Therapeutic Intervention

Aerobic exercise

is this a primary rehab diagnosis?
Usually not a primary physical therapy rehabilitation diagnosis, however, because aerobic capacity impacts the ability to exercise is a typical component of an overall program.
Therapeutic Intervention

Aerobic exercise

what is the PRIMARY OBJECTIVE?
Primary objective is to assist in the adoption of regular physical activity as a lifestyle habit and should take into account the personal behaviors and lifestyle of the patient
Therapeutic Intervention

Aerobic exercise

ABSOLUTE CONTRAINDICATIONS
Absolute
Ischemia, recent MI or other acute cardiac event
Unstable Angina
Uncontrolled arrhythmias
Severe aortic stenosis
Uncontrolled symptomatic heart failure
Acute pulmonary embolus
Actue mycarditis or pericarditis
Suspected Aneurysm
Acute infections
Therapeutic Intervention

Aerobic exercise

Precautions
Relative
L. main coronary stenosis
Mod. Valve disease
Electrolyte abnormalities
Severe arterial hypertension
Tacharrhythmias or bradyarrhythmias
Hypertrophic cardiac changes
Any disorder exacerbated by exercise
Ventricular Aneurysm
Metabolic disease not controlled by meds. Ie. Diabetes
Chronic infectious disease
Aerobic Exercise Guideline

how is INTENSITY determined?
Intensity- Using Karvonen’s equation: Target HR Range = [(HRmax – HRrest) x .60 and .80] + HRrest.
Aerobic Exercise Guideline

what is the common DURATION and FREQUENCY?
Duration- 20-60 minutes
Frequency- 4-5 days / week (increased risk of possible injury with > 5 days / week)
Aerobic Exercise Guideline

what is the appropriate MODE?
Mode- must be rhythmical, use large muscle groups, and be able to be sustained and must take into account the primary injury being treated, i.e. amount of wt. bearing.
Aerobic Exercise Guideline

what is the appropriate SEQUENCE?
Sequence- Warm-up, Endurance, Cool down
Cross Training

main idea?
Utilizing different modes of exercise to prevent overuse injuries
Help to prevent boredom with exercise
Interval Training

main idea?
Work bouts followed by rest periods
Typically relative rest if utilizing the aerobic energy system, e.g. walk vs. jog 1:1 ratio
Typically long complete rest if utilizing the anaerobic system, e.g. sprints
Interval Training

what can it be used for and what is it and effective tool for?
Can be used for strength and power gains
May also be an effective tool for starting an endurance training regimen (cumulative work)
Circuit Training

how is it performed?
Combines several exercise types which are performed in a series
Can combine aerobic and anaerobic activities
Can combine exercises focusing on large and small muscle groups, dynamic and static activities
Circuit Training

Fixed Load Circuits

main idea
load (resistance) remains constant, individual works to decrease time needed to complete the circuit
Circuit Training

Target Circuits

main idea
time remains constant, the individual works to complete as many repetitions as possible in the prescribed ti
Warm-Up/Cool Down

Increased core / muscle temperature causes...
increased flexibility, decreased muscle viscosity
increased extraction of O2 from Hb
increased peripheral dilation of capillaries
decreased risk of injury
Health Related Benefits from the Performance of Regular Exercise/Indications include...
Decreased fatigue
Improved perfomance in work and sports related activities
Improved blood lipid profile
Enhanced immune function
Improved body composition
Strategies to Improve Compliance include...
Adhere to principles of exercise Rx
Encourage GROUP participation
Emphasize variety and enjoyment
Incorporate behavioral change
Use periodic testing to document progress
Give immediate positive feedback
Invite spouse or significant other to join in
Ensure exercise leaders are qualified & fun