Functional Tests and Measures and Gait Cycle
Out of the 8 tests completed on the Functional tests and measures lab, which ones were for strength and endurance?
30 second sit to stand
6 Minute Walk Test
2 Minute Step test
During terminal swing to initial contact, what muscles are working at the knee and how are they working?
Concentric quads, Eccentric hamstrings
In what decade of life does strength begin to decline at 15-20% per decade?
6th (50s)
What is occurring when pt speeds up or slows down between reps?
Acute physiological fatigue
Easily transportable equipment in which reps can be done at velocities that match functional requirements.
Theraband/Elastic bands
Out of the 8 tests completed on the Functional tests and measures lab, which ones were for balance/fall risk?
Functional Reach and Timed Up and Go
What is the normal maximum amount of hip flexion that occurs during swing phase?
30 degrees
Approximately how many weeks after beginning regular resistance training (and utilizing the overload principle), can hypertrophy begin to occur?
After 4 weeks
Multiple sets of high repetition exercise targets which key element of muscle training?
Muscle endurance
You have calculated a patient's 1 RM on their Right Biceps to be 40 pounds. What is their 10RM?
30 pounds (75% of 1RM)
A person with a gait speed less than .___m/sec will be only a household ambulator.
.4 m/sec
If a patient has 2/5 anterior tib strength, what gait deviations may they demonstrate?
Foot drop/catching or dragging toe (swing to IC), foot slap during LR
What happens within 1-2 weeks of stopping resistance training?
Strength loss, reversibility, deconditioning
What should be completed first over the course of an exercise session:
Single joint or multi-joint exercise? Endurance exercise or strengthening exercise? Large muscle groups or small muscle groups?
Multi-joint exercise
Strength/high intensity
Large muscles
Decade of life in which strength begins to decline in men (after the decade in which strength peaks) and resistance training equipment can help slow this natural progression of loss of strength.
4th decade (30s)
Stance phase makes up ____% of the gait cycle and has ____subphases.
60% and 5 subphases (HS/IC, FF/LR, MS, TS/HO, TO/PS)
A patient demonstrates circumduction during swing phases. What ROM may be limited?
What are possible strength limitations?
Limited hip OR knee flexion, OR ankle DF
Weak hip flexors, knee flexors, ankle DF
Name some signs and symptoms of fatigue.
Substitutions, muscle trembling, inability to go through the full, painfree available ROM, speeding up/slowing down.
Type of muscle contraction which generates the greatest amount of tension.
Eccentric contraction
This broad category of resistance exercise uses equipment such as machines, dumbbells, cuff weights, and elastic bands.
Mechanical resistance
What LE joint needs the greatest amount of flexion and at what point in the gait cycle?
Knee flexion (60 degrees) at initial swing/acceleration or Great toe extension (60 deg) at Toe off/pre-swing
During Right Midstance, the pt's Left pelvis drops?
What is this called and why does it occur?
Uncompensated Trendelenberg
Right Gluteus Medius Weakness
What precaution of exercise occurs when a patient with a neuromuscular disease is progressed too quickly, not given enough time to rest between exercises or between exercise session?
Overwork
Type of exercise, typically done in weightbearing positions, that recruits muscles proximal and distal to the moving joint due to need for stabilization and produces overall less shear on joints.
Closed kinetic chain exercises
A patient performs 3 sets of 12 reps of tricep kickbacks using a 10 pound weight. What is the volume of exercise completed?
360 pounds (3 sets x 12 reps =36 reps; 36 reps x 10 pounds= 360 pounds)