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what individual physical factors impact our movements?
joint/tissue mobility, motor control and nervous system tone, proprioception, overall joint health, mental health, potency size and configuration of airways
what role does movement play in patient care?
general health and wellness, assessment, treatment and management
according to the ACSM, how many minutes of aerobic exercise are recommended each week?
150 min of moderate intensity or 75 min of vigorous intensity
according to the ACSM, how much resistance training is recommended each week?
2 non consecutive days
any strength promoting exercise was associated with a ___% reduction in all-cause mortality and a _____ % reduction in cancer mortality
23% ; 31%
what are some mortality predictors related to physical health?
sitting-rising test, pushups, grip strength, toe strength, leg press, bench press
what was an independent predictor of all-cause mortality and CVD?
grip strength
according to the hierarchy of movement, during MANAGEMENT (correction) of dysfunctional movement we should establish proper _______ then _______ then ______
mobility -> motor control -> functional patterning
according to the hierarchy of movement, during a MOVEMENT EVALUATION, we should evaluate ________ then _______ then ________
functional patterning -> motor control -> mobility
what is the single best predictor of a senior citizen falling?
toe strength
falls are the most common cause of:
traumatic brain injuries (TBI) and hip fractures
what are the most important components of fall prevention?
strength, coordination, proprioceptive stimulation, sensory motor training
movement correlated with mobility
toe touches
movement correlated with motor control
hip hinge
movement correlated with functional patterning
deadlift
what %of U.S. citizens live with MSK conditions?
50%
how does movement lead to better diagnostics?
find the cause -> explain the source -> determine effective treatment -> shorten treatment time
Within musculoskeletal care, what is our current process for screening? Do we have any systems in place for looking at dysfunction or precursors of MSK problems? Or do we wait for symptoms?
wait for symptoms then arbitrarily value signs we thing contribute to the problem
in terms of injury, what refers to the location the individual is feeling pain?
source
in terms of injury, what refers to what Is creating pain in the individuals system?
cause
what is the #1 predictor of injury?
previous injury
why is previous injury the #1 predictor of injury?
protective mechanisms, underlying dysfunction that lead to initial injury, resultant dysfunction present following injury
what is an example of a resultant dysfunction present following an injury?
gluteal amnesia
types of protective mechanisms
pain, reduced ROM, tissue contracture
"necessary input, sufficiently processed, with an acceptable output"
motor control
why might pain persist after a tissue has fully healed?
tissue is less elastic
does pain = tissue damage?
no
in general, the average tissue healing timeline is how long?
4-8 weeks
muscle healing time
2-4 weeks
tendon healing time
4-6 weeks
bone healing time
6-8 weeks
ligament healing time
10-12 weeks
cartilage healing time
~12 weeks
nerve healing time
3-4 mm/day
what is one way your body and brain get all your parts working together without a fitness load?
human movement patterns
when do we have justification to go look at the individual parts?
when a pattern is dysfunctional
our standard operating procedure should should start by categorizing ________, NOT by measuring body parts
movement patterns
who can benefit from movement assessments?
everyone
when should movement assessments be utilized within patient care?
1st baseline visit, post-interview check, ongoing assessment
why are movement assessments used?
find the cause, explain the source, determine effective treatment, shorten treatment time
what creates perspective by filtering into categories - competent or not and tells us that something is wrong
-equally qualitative and quantitative
screening
what creates objective measurement telling us about their stability?
-quantitative
testing
what creates expertise by requiring your professional training and is used to tell us what is contributing to the individual being incompetent/dysfunctional?
-qualitative (some quantitative markers)
assessment
what evaluates injury risk?
functional movement screen
what evaluates function/dysfunction and no-pain/pain?
top tier assessments
what evaluates ability/function?
breakout tests
what are indicators of dysfunction?
imbalance, asymmetries and limitations
what is predictive of injury?
pain
what are the first 2 principles of movement as described by gray cook?
first move well, then move often
protect, correct and develop
what are the 4 movement principles?
-movement should be within a patients capacity/injury risk
-movement should be functional
-movement when dysfunction is present may result in injury
-movement can be used as a
how are rehab and training the same?
goals and principles are the same (progressive overload, SAID, increase strength and resilience)
how are rehab and training different?
starting point
3 R's utilized within treatment
reset, reinforce, reload
what describes how the human body can be considered in terms of interrelated links or systems?
kinetic chain
concept that seemingly unrelated impairments in a remote anatomical region may contribute to, or be associated with, the patents primary complaint
regional independence
According to the joint-by-joint approach, which joints/regions are meant to be mobile and are therefore most prone to mobility restriction?
ankle, hip, thoracic, glenohumeral, upper cervical, wrist
According to the joint-by-joint approach, which joints/regions are meant to be stable and therefore most prone to stability limitations?
knee, lumbar, scapula, lower cervical, elbow
what type of joints are intended to produce movement in 3 planes?
mobile
what type of joints are intended to produce movement in primarily 1 plane?
stabile
what type of dysfunction occurs when both active and passive movement is dysfunctional?
mobility dysfunction
what type of dysfunction occurs when active movement is dysfunctional but passive movement is functional?
stability and/or motor control dysfunction
large, long superficial muscles that span 2 or more joints and their contraction creates tension to introduce stability
global stabilizers
roles of global stabilizers
stabilization and static proprioceptive feedback
large, long superficial muscles that span 2 or more joints and their contraction creates movement within a specific pattern
global movers
roles of global movers
movement and dynamic proprioceptive feedback
shorter, smaller deep muscles which mostly span a single peripheral joint of few spinal segments and their contraction creates tension to produce stability
local stabilziers
roles of local stabilizers
stabilization and static proprioceptive feedback
shorter, smaller deep muscles which mostly span a single peripheral joint or few spinal segments and their contraction produces movement within a specific movement pattern
local movers
roles of local movers
movement and dynamic proprioceptive feedback
What impact does nociception have on efferent output?
reduce efferent activity of corresponding muscle
what impact does nociception have on afferent input?
reduced afferent activity and altered somatosensory processing
what impact do condensation patterns have on movement?
they are inefficient and energy costly
What are 3 components/systems that contribute to dysfunctional movement when altered?
altered length-tension relationship
altered force couple relationship
altered arthrokinematics
what input does dysfunction have on sensorimotor and neuromuscular efficiency?
tissue fatigue breakdown