Rundurance
Based on the research what seems to be the most effective intervention for gait retraining for many of the "common" running styles as discussed in the lecture?
Increasing cadence
What is the primary goal of BFR?
To induce a strength and hypertrophy
responses while working muscles at low resistive
loads
What is the main focus of Graded Exposure?
Graded return to a fearful movement/activity
An individual who is submersed in water up to the level of their ASIS is experiencing approximately what percentage of their weight?
~50%
A joint condition that benefits from smaller, shorter bouts of exercise, and should stay away from high impact, higher load activities is:
RA (Rhematoid arthritis)
Name 3 things that you would assess during a running analysis from a LATERAL view?
Foot strike pattern
Foot inclination angle (at initial contact)
Tibia angle at loading
Peak knee flexion angle at stance
Hip extension at late stance
Trunk lean
Vertical displacement
What were the findings from studies looking at thrombus formation with use of BFR?
No increase in factors related to clotting (Fibrinogen and d-dimer)
Some increase in factors related to the reduction in clotting (tissue plasminogen factor)
During Graded Motor Imagery, seeing pictures of movement is helpful for addressing nociplastic pain due to the presence of (nervous structure) in the brain
Mirror neurons
Based on the concept of hydrostatic pressure there is ______ times greater pressure exerted at your feet when your body is immersed to chest level in water.
4x
This blood dx is most common in women of reproductive age, pregnancy, and in the elderly, and O2 saturation and HR are best for monitoring exercise response.
Anemia
Name 3 things that you would assess during a running analysis from a POSTERIOR view
Base of support
Heel eversion
Foot position (toe in/toe out)
Knee window
Pelvic drop
What is a typical set/rep progression for use with the Owens PBFR in the clinic?
4 sets of 30/15/15/15
Describe two exercises, using a graded exposure framework, that you may begin with for someone who has pain in their back after bending over to lift a case of water.
Multiple correct answers
Due to hydrostatic pressure, what should be expected of SV, HR, and CO when in water? Why?
SV increases, CO increases, HR decreases
This is due to centralization of peripheral blood flow, resulting in an increase in venous return and decrease in HR
HR x SV = CO
Your elderly patient with hemophilia has come to therapy with a dx of "deconditioning." Which of the following exercises is the patient most "at-risk" with and why?
1. STS with theraband around knees and a Med ball
2. Farmer's carries and sled push-pulls with moderate load
3. Short/tall hurdle walks
Hurdle walks - Likely greatest fall-risk, may lead to bleeding due to excess stress on joints/tissues
The lack of a knee window during a running analysis may be related to what excessive movements of the LE? (Name 2 of 3)
Hip adduction
Hip IR
Knee valgus
What is the typical percent of occlusion pressure used for the UE and the LE when using BFR?
UE- 50%
LE- 80%
Which of the following would have the shortest "Maximum Protection" phase
1.) Meniscal repair
2.) Quad tendon repair
3.) Reverse Total Shoulder
4.) Total knee replacement
Total knee replacement
You are having your patient perform bicep curls in the water. You want to challenge them more with load. How can this be done in the water?
Increase speed of the movement
Out of the following blood disorders, which is of LEAST concern for high-impact activities?
Anemia, Von Willebrand Dx, Hemophilia
Anemia
In a study looking at runners transitioning to minimalist shoes, what were the two factors that showed an increase in the risk of injury?
Training distance
Body Mass
Name two of the physiologic/cellular responses that help account for muscle hypertrophy with use of BFR?
Increased lactate build up
Rise in growth hormone
Increase in IGF-1/satellite cells
Down regulation of myostatin
What are the common precautions after a THR with an anterior approach?
No extension
No adduction
No external rotation
When performing knee extension and knee flexion completely underwater, compared to performing this movement pattern with the limb coming in and out of the water, which is going to be more difficult? Why?
Assume both have the same speed of movement.
Moving the limb out of the water will be more challenging due to the surface tension of water
If your patient is beginning exercise for the first time, and has a dx of PCOS, what subjective questioning may be relevant regarding menstrual cycles?
How regular or irregular is your menstrual cycle currently? Does exercise seem to impact your menstrual cycle?