Sports Medicine test

What is fitness?

It is vital to be an athlete

- an athlete who is not fit and fatigues quickly is more susceptible to injury

Improving flexibility, muscular strength, endurance, power, and cardiovascular endurance reduce likelihood of injury

Increasing the length and intensity of training can increase risk of injury simply due to increase of exposure but overall, increased fitness decreases injuries

- Developing fitness takes time

Sports conditioning has evolved to being year round Includes:

off-season, pre-season, and in-season

Periodization cycles the what?

- intensity, volume, and specificity of training to allow athletes to reach optimal performance for competition while minimizing the risk of injury due to overuse

Training sessions change from what?

high-volume, low-intensity, non-sport-specific activity to low-volume, high-intensity, sport-specific training

What are the periods?

transition, preparatory, and competition

Cross Training

- Substituting alternative activities that have some carryover value to the specific sport

- Helps athletes maintain fitness and avoid boredom in the post and off-season

SAID principle

Specific Adaptation to Imposed Demands

- When the body is exposed to stress and overload, it will adapt to overcome whatever demands are placed on it, and reduce risk of injury in doing so

warm up

Gradually stimulates cardiorespiratory system to increase blood flow to musculoskeletal systems. Increased blood flow increases muscle temperature and allows it to contract and relax more quickly

Static vs Dynamic?

A dynamic workout is continuous movement using hopping, skipping, and bounding activities to stimulate the nervous system through coordination and motor ability.

- It should be between 5-20 minutes and the sport activity should not begin more than 15 minutes after the warm up

Cool Down

An activity post sport/workout to gradually decrease metabolism back to a resting level. It may be followed by stretching.

- Cool downs should last 5-10 minutes.

Flexibility

Lack of flexibility can create uncoordinated or awkward movement patterns resulting from lost neuromuscular control

"Loose-jointed" athletes

(those with too much slack) are at as much risk as tight-muscled athletes

- Strain or constant tension on a tight band of muscle can create a trigger point. Pressure on a trigger point creates a twitch or jump reaction and is painful when the muscle is stretched.

Agonist Muscles

The prime mover

Antagonist Muscles

The opposite action of the prime mover

Active (range of motion)

When the athlete voluntarily contracts their muscle to move it

Passive (range of motion)

When an athlete's muscle is moved by an external force

- Passive range of motion begins at the end of and continues beyond active range of motion.

ballistic stretching

Repetitive bouncing movement to push the muscle beyond its normal range of motion.

Risk of injury.

Dynamic Stretching

Controlled flow of movements through a full range of motion to prepare for activity. Considered more functional for the types of activities athletes engage in.

Can result in Delayed Onset of Muscle Soreness (DOMS).

Static Stretching

Effective way of passively stretching by placing the muscle at its maximum stretch and holding it there for 15-30 seconds, 3-4 times. More controlled than dynamic stretching (preferred for unfit individuals to reduce risk of overextension).

PNF (proprioceptive neuromuscular facilitation)

Stretching method often used in clinical rehabilitation settings to improve flexibility and range of motion by alternating 10 second pushing phase and 10 second relaxation phase, repeated at least 3 times.

There are two variations.

Best performed with a partner but a wall can be used.

How Does Flexibility Relate to Strength?

one compliments each other

- When strength training is not properly done, it can impair movement

- If someone bulks enough for a muscle to become too large, the muscle itself may prevent a normal range of motion

Muscular Strength

The ability of a muscle to generate force against some resistance

- As muscular strength increases, muscular endurance increases

Muscular Endurance

The ability to perform repetitive muscular contractions against resistance for an extended period of time

Power

Exhibiting strength with speed

- Most movements in sports are explosive and require power, making power arguably more important than strength or endurance.

isometric contraction

Muscle contracts to produce tension but the length does not change

concentric contraction

Positive contraction

Muscle shortens

Fatigues faster than eccentric

Should require 1-2 seconds

Eccentric Contraction

Negative contraction

Muscle lengthens

More force than concentric

Should take 2-4 seconds

Determinants of Strength- Size of Muscle

The bigger the muscle, the more muscle fibers, the more force it can generate. Muscles increasing in size is called hypertrophy. Decrease in muscle size is called atrophy.

Determinants of Strength- Number of Muscle Fibers

Strength is a function of the number and diameter of muscle fibers. People with more fibers hypertrophy more. The number of muscle fibers is hereditary but anyone can increase through exercise

Determinants of Strength- Neuromuscular Efficiency

Muscular system requires efficiency from the nervous system.

Nerve impulses must be transmitted from the nervous system to the muscular system to contract the muscle. The more contractions, the more muscle growth/strength.

Determinants of Strength- Biomechanical Factors

Bones, muscles, and tendons operate like a system of levers and pulleys. The position of tendon attachment is going to affect how much force a muscle is capable of generating.

Determinants of Strength- Fast-Twitch vs Slow-Twitch Muscle Fibers

Fibers that make up a muscle are either fast-twitch or slow-twitch.

Every muscle is comprised of both but the exact ratio varies person to person.

Determinants of Strength- Level of Physical Activity

People who are continuously active, maintain strength. Strength training aids in endurance, flexibility, and cardiorespiratory health; and slows increase of body fat that occurs with age

Determinants of Strength- Overtraining

Overtraining has negative psychological and physiological effects.

- It can cause musculoskeletal injury, chronic fatigue, sickness, apathy, loss of appetite, indigestion, weight loss, and inability to sleep or rest properly.

Determinants of Strength- age

Strength can increase through puberty and adolescence, reaching a peak around age 20-25. After about 25, a person loses about 1% of their strength per year.

What is the "core"?

The lumbo-pelvic-hip complex

29 muscles that engage with the core to keep stable and neutral

Center of gravity

Where all movement begins

How Does it Function?

Improves:

-posture

-Dynamic functional strength

-Neuromuscular efficiency

-Acceleration, deceleration, and stabilization during any body movement

- Extremities can be strong but without a strong core, movement will not be efficient, and will be more prone to injury

Resistance Training types

Isometric exercise

Progressive resistance exercise

Isokinetic exercise

Circuit training

Plyometric exercise

Body weight exercise

Functional strength training

what is overload?

For a muscle to improve in strength, it must be forced to work at a higher level than it is accustomed. This is called overload.

- Without overload, muscles may maintain and build endurance

Isometric Exercise- what and why?

- Contracts the muscle statically without changing its length

- Muscle should contract at maximum against an immovable force for 10 seconds, 5-10 times/day

- Used when an athlete is rehabilitating strength but has an injury that prevents full range of motion

Isometric Exercise- Limitations

Strength is only increased at that specific joint angle because there was no length change or functional movement

- Potential to produce spike in blood pressure from holding breath and increasing pressure. This is called the Valsalva effect and can be life threatening.

Progressive Resistance

Strengthen muscles through exercises that overcome resistance from equipment (dumbbells, therabands, etc.)

Isotonic exercise= force is generated while the muscle changes length

Isotonic contractions can be concentric or eccentric

Free Weights

Requires neuromuscular control to keep weights in the correct direction. This decreases the amount of weight an athlete can lift compared to machines that do that for the lifter.

Isotonic

Machine Weights

Safer (don't need a spotter; can drop weights without fear of injury)

Simple way to add or subtract weight on the machine (simply moving the weight key)

Isotonic

Exercise Tubing (Bands)

Exercise can be done in more functional movements

Isotonic

Closed Chain Kinetic Chain Exercises

Hand or foot is in contact with ground or another object and is weight bearing

More common in strength and conditioning programs because it's more functional

Open Chain Kinetic Chain Exercises

Hand or foot is not in contact with another surface

Isokinetic Exercise

Focuses on the speed at which resistance can be moved

Very uncommon training method

- Biking and treadmill (especially at incline), and rowing machine may be the only common uses

Circuit Training

Athletes move quickly through 8-12 stations comprised of various combinations of weight training, flexibility, body weight training, and aerobic exercises for a specified amount of time (ex. 1 minute each) depending on the goal. The circuit is repeated 3 times.

Plyometric Exercise

Explosive movement over short periods of time by rapid eccentric and concentric muscle contractions

Likely to cause muscle soreness

3 sets of 6-8

Body Weight Strengthening Exercises

Uses force of gravity as resistance

You can use gravity as an aid or

Move against gravity

2 or 3 sets of at least 10 reps

These exercises should be moved through quickly, minimizing rest

Some exercises are isometric (holding the contraction for 6-10 seconds, 1-3 times)

Functional Strength Exercises

For muscular strength and neuromuscular control

Trains muscles to work eccentrically, concentrically, and isometrically simultaneously to better prepare for realistic sport demands