Exercising with Pain, Pro+Regression

Differences between acute and chronic pain?

Acute is provoked by disease/injury and therapy is aimed at cause and pain reduction

Chronic is pain last longer than typical or is psychological, multidisciplinary therapy approach

Regular exercise - excitability and - inhibition of what?

Decreases, increases of CNS +immune system

Exercise also stimulates release of - -

Endogenous opioids

What are two ways to encourage exercising in patients with pain?

Re-conceptualize pain, Heuristics (NPRS, soreness scale, etc)

What is the SAID principle?

Specific Adaptations to Imposed Demands

Exercises should focus on what two principals?

SAID and Overload

What factors can you manipulate to make exercise easier or harder?

Length-tension, position, velocity/tempo, contraction type, load, intensity, constraints/affordance, environment, task specificity, feedback/cueing, duration (TUT/rest), volume

What is happening with XB when muscle too long or short?

Short: XB overlap too much, limit Fm

Long: fewer bound XB, limit Fm

Rank contraction types by amount of force it can produce!

Ecc>Iso>Con

What is the velocity relationship with eccentric and concentric?

Concentric: increased velocity means decreased force

Eccentric: increased velocity means increased force

What is the control chaos continuum?

Amount of structure/predictability applied to an exercise can make it easier or harder

Myths:

Posture does not = -

Recreational runners have less - and - -

Foot strike shows - risk of injury

LBP

Hip/Knee OA

Equal

Rearfoot: -

Forefoot: -

Temporary change in - might be enough to help someone get through an injury without stopping running

• More knee/hip

• More ankle

Strike