MD

Topic 4 - Introduction to exercise Technique

Felxibility Training

Flexibility: ability of a joint to move freely through a full normal range of motion

  • Types:

    • Static Stretching: Movement slowly into a stretched (or lengthened) position of the target muscle holding it for approximately 30-90 seconds.

      • Static stretching imprves sympathetic tone and calms us down. thsi allows for a time to a reduction in total cortisol

      • Static strteching increases oxygen delivery and circulation

      • Recommendations: (Understand why tehse are the recrommendations)

        • Preceded by a warm-up of 5 to 15 minutes, until a light sweat appears

          • Viscosisty: teh resitance to flow

            • Higher viscosisty = mor eresitance to flow

          • When we warm up our viscossity decreases. We decrease teh visscossity of our tissues and are able to moven more easily

        • Emphasize slow, smooth movements anmd coordinate deep breathing

        • To reduce the chance of activating the stretch reflex, discourage bouncing

          • The atretch reflex is refering specifically to what muscle spindles do

        • Large muscle groups first

        • At least 3 times/week

    • Dysnamic Stretching: Actively moving a limb through a full range of motion using functionally based movements or to the specific demands of the sport or activities the client takes part in.

      • Recrommendations for dynamic stretching:

        • Moderation and common sense are important. Flexibility is just one component of fitness and should not be overemphasized

        • The stretch should never be forced. If the stretch hurts, it should be discontinued.

        • Flexibility training should be combined with resistance training.

        • Flexibility should be joint specific based on the needs of the client and the requirements of the activity.

        • Ballistic stretching should be avoided.

        • Stretching movemnents that position tegh body in the most functional stance possible, relative to the involved joints and musculature to be stretched and teh activity requirments iof the client, should be emphasized.

        • It is importaint to make use of gravity, body weight, and ground reaction forces when stretching. Further, changes in planes and proprioceptive demand should be considered to further enhance imporvments in flexibility.

        • The dynamic flexibility training program should be specific to the demands of the sport or activities the client takes part in. The individual felxibility requirments of the client are also an important consideration

        • Improvements in flexibility can occur from day to day. Additionally, once increases in ROM have occurred, it is easy to maintain from ROM. Maintaining flexibility requires less work than improving it does.

        • Clients should stretch the large muscle groups first and repeat teh same routine every training day. A areas that are less flexibility become apparent, a greater emphasis can be placed on performing additional stretches for those muscle groups and joints.

        • Train for dynamic flexibility at least three times per week or along with each exercise session. to track performance improvements, clients should be consistent with teh time of day they perform dynamic flexibility training, remembering tehy are least flkexiblein the morning.

        • Stretching should take place after the core temperature has been elevated.

    • Ballistic Stretching: Performance of continuous, rapid bouncing movements at the end ROM where the muscle is a maximal length

      • We don’t want this, this will cause an injury

      • Three disadvantages

        1. Increased danger of exceeding the extensibility limits

        2. Greater energy requirments

        3. Activation of the stretch reflex

          • Stretch Reflex: During a rapid strteching movement, the sensory neuron form teh muscle spindle excited a motor neuron causing contraction of the previously streched muscle fibers

          • Using muscles spindles, explain why teh stretch reflex is not what we want in stretchiong? Because muscle spondles are activated as part of teh stretch reflex and so with the stretch reflex we are going to have increase tension in the muscle and when we are trying to safely lengthen teh muscles we don’t want high force to be produced in the muscle we stretch at teh same time

      • What does sracomere length have to do with recrommendation of Balastic strteching? Our recromendation is no because you don’t want to ask lengthened sarcomerees to create force rapidly.

    • Proprioceptive Neuromuscular Facilitation: Alternating lengthening teh muscle contraction (concentric and/or isometric) to activate teh Golgi tendon organs.

      • Gnererally, these are trying to affect extensibility, elesticity, and contractibility

      • Three types:

        • Hold-relax Stretch

          • PNF stretching steps (Autogenic):

            1. Take patient into gentle stretch and ask patient to let you know when they feel the stretch

            2. Place leg against chest and ask pateint to press against you with a good amount of force (tendon will change length and activate GTOs to tell muscle to relax)

        • Contract-Relax Stretch

          • Contract-relax stretch steps (Autogenic):

            1. Take patient into gentle stretch and ask patient to let you know when they feel teh stretch

            2. Allow leg to come down in a controlled fashion and then back into stretch

        • Hold-Relax with Agonsit Contraction (autogeniic and Recipicol)

          1. Take patient into gentle stretch and ask patient to let you know when tehy feelteh stretch

          2. Place leg against chest and ask pateint to press agaisnt you with a good about of force (Tendosn will change length and activate GTOs to telkl muscles to relax)

          3. Push forward and pull toes towards you (thsi will activate tissue on teh oposite side you are trying to stretch) When you fire teh miuscle on the otehr side, the muscles on the opposite side relaxes a bit.

      • Autogenic: using muscles on the same side toe nehance range of motion (Auto = same side)

      • Recipical: means other side

  • Injury prevention

    • Felxability training is inclenclusive specifically tio injury preventionbecause multiple variables can go into an injury

    • It si unclear if flexibilty training prevents muscle imbalances

  • Moevment patters

    • Felxibility CAN imporve teh quality of moevment due to less strain on joint and muscles. Whin in turn ciuld decrease injury risk

  • Factors affecting felxibility

    • Physiological - Joint structure, age , sex, muscle and connective tissue elasticity, core temperature

      • Females have higher estrogen levels. this is associated with reduce tendon stiffness.

      • Flexibility decreases with age, as we age we get drier, as we age we have a breakdown of elastic fibers in our muscle (elastin is elastic).

      • If we lose our stretchy motion in the muscles taht makes it harder to move. We have an increase in covalent crosslionks. These crosslinks are found in the tendons. Tehse are one of the things that gives it a high resccistance to tensile force

    • Lifestyle - Activity level, resistance training level

      • Consistant resistance tarining is associated with improved range of motion.

      • One of the possible mechanisms for improvingh range of motions is changed to the neural network (GTO). We increase of range of motion not ecause we permanently lengthen the tissues it is teaching teh neural system to allow the tissue to lengthen

      • Is it possible to increase teh length and capacity of tissue? Inconclusive

      • Could the length of tissue contribute to range of motion? Inconclusive

  • Strength Curves

    • Ascending

      • Hardest at the start of the concentric phase and easiest at teh end

      • Muscle tesnion / force requirment decreases from start to end of concentric phase / MA (mechanical advantage) increases. We need more muscle tension at teh beinging of teh concentric because it is teh hardest

      • Easier as you reach full extension

      • Bench press, push ups, squats and deadlifts (Ascending if start at parallel, Bell is start deeper - why?)

      • As joint angle increases, force increases as well

      • Mechanical advatage increases as we reacg teh end of the concentric phase

      • Use muscle tension, force requirment, and mechanical advantage to explain why the _____ exercise has an _____ (ascending, descending, or bell shaped) strength curve.

    • Descending

      • Easiest at the start of the concentric phase and hardest at the ends

      • Muscle tension / force requirement increases from the start to the end of the concentric phase / decreased MA. We need more muscle tension at the end of teh concentric phase bcause this is where it is teh hardest (the moment arm is the longest)

      • Harder as you reach full flexion

      • Pull ups, rows

      • When we say tehat we need more muscle tnesion we are saying that we need more tension or tensile force created in our miscles to produce more force. We need more myocin to grab onto actin and pull to create tension / tensile force.

    • Bell Shaped

      • The force requirement increases and then decreases with the middlle of the ROM being the hardest

      • Easiest at begining and end / muscle tension incrwases then decreases / MA decreases then increases

      • Single joint exetcises: biceps curl, triceps extension

      • Exaplain why a deep squat has a bell curve verses a parallel squat

  • Common Types of Weight Machines

    • Cam-based Weight Machines

      • Provide variable resistance throughout a joint’s ROM; absolute load does not change

      • Uses irregular shaped disc to change MA throughout movement

      • Mimics teh natural strength curve for that movement

      • Increases resistance when muscles are stronger and decreases resitance when muscles are weaker

    • Rod/Linear Guided Weigt Machines

      • Provide constant resistance; movement of weights is limited to a straight path

    • Hydraulic Weight Machines

      • Use fluid-filled pistons and cylinders to achieve resistance through a given ROM; only concentric action can be performed

      • They remove essentric demand so you can work on the concentric / explosion up

    • Air/Pneumatric Weight Machines

      • Use compressed air cylinders to achieve resistance through a given ROM

    • Isokinetric Weight Machines

      • Computer-controlled equipment that provides accommodating variable-resistance: contraction speed is held constant throughout a given ROM; expensive and typically found in clinical settings

      • Allows you to check a person’s strength output according to different velocities

  • Alternative Equipment for Resistance Training

    • Alternative Equipment: Includes all types of equipment that are not machines, or free weights yet allow for motion in any movement plane

    • Types of Alternative Equipment:

      • Common examples:

        • Clubs

        • Sleds

        • Tires

          • Tire flipping mimics a deadlift

        • Weighted bags (e.g., sand, water, etc.)

          • There is shiofting inside so you have to control teh shifting. Sand or water with uneven resistance it increases need for sinergist muscle activation to provide stabilization

        • Ropes

        • Medicine balls

          • Stability Ball Training targets trunk muscle endurance because of need to maintain postures.

          • Neuromuscular control and balance

          • Size

            • The position is that thighs should be parallel or slightly above.

            • If a person has lower back pain, thighs should be sligtly above parallel so they can start a little bit taller. This brings the individual taht si sitting on the ball to have a greater mechanical advantage, tehrfore less stress on teh lower back because their hips are now closer to their knees, therefore the moment arm is shorter

          • Stability ball training has been shown to be particullarly benefitial for synergist muscle activation

        • Instability devices (e.g., BOSU balls, foam pads, etc.)

        • Chains

          • Form of variable resistance used to increase external training load throughout a given range of motion

            • As decrease (concentric) links on the ground more resistance / gets harder / more force required

            • As increase (eccentric) links on the ground less resistance / gets easier / less force required

            • Resistance affected by chain thickness, size, and material

        • Elastic Bands, Tubes

          • Band challenge teh times we are at the weekest, putting more stress for where it is easier

          • Provide a varied tension as tehy increase in length and tension provided is affected by several factors including teh band stretch length

          • Different force requirment according to material and thickness

          • Upper body press and squat

            • Ascending strength curve and increased MA from begining to end of concentric phase

            • Band increases tension as you ascend/push away

            • Hardest when your muscle is producing teh most force and has teh greeatest MA

          • Upper body pull: rows, lat pulldowns

            • Descending strength curve and decreased MA from begiuning to end of concentric phase

            • Band increases tesnion as you pull weight towards you

            • Hardest whe your muiscle is producing the elast amount of force ans ghas teh smallest MA

            • What about a pull up? The tesnion helps you go up

          • Single joint movments: curls, exetnsions

            • Increasing and then decreasing strenbth curve

            • Decreasing and then increasing mechaical advantage

            • Band increases tension throughout

  • Handgrips

    • Prontaed grip (Overhead grip) = palms down, knuckles up

    • Supinated grip (underhand grip) = palms up, knuckles down

    • Neutral grip = palms face in and teh knusclles pointed out to the side

    • Alternated grip = one hand is pronated and teh other is supinated

      • When might you use a alternated grip? For example, you are doingba RDL or romainan deadlift because it takes stress off of the forarms and brings suport so you can do more reps to actually challenge the hanstrinsg and glutes that you are actually targeting. Now if ytou wanted to focus on grip streangth tehn you would do a pronated grip because taht egnerates a lot of force on the forearms

    • Closed grip = thumb is wrapped aroundthe bar

      • Why migt you use a closed grip? A closed grip provides much more stabability and tehrfore less teh muscle has to work and tehrfore less fatiguing the movement/exercsie becomes

    • Open/false grip = thumb is not wrapped around the bar

      • When might you use a false grip and why? Olympic lifts because tehre is a transition phase where you have to roll your hands on the other side of the bar and this gripo allows you to more easily move your hands around teh bar

    • How does a Narrow vs. a Wide grip change Joint Action?

  • Five-Point Body Contact

    1. Head

    2. Foot

    3. Foot

    4. Butt

    5. Shoulders

  • Five-Point Body Contact Position

    • Supine - Back

    • Prone - Stomach

  • Breathing Considerations

    • NSCA: “exhale through teh sticking point during the cocnentric phase and inhale during teh easier part of the exercise.”

    • Valsalva Maneuver = breathing practice where an individual seeks to exhale against a closed trhoat toc reate intra-abdominal pressuee supporting the vertebral column

      • This maneuver should only be perfomed during structurale exercises. A structural exercise is a compound exercise that loads the spine. A compound exercise is an exrcise that involves two or more major joints. An assistance exercise uses primarily oen joint.

      • Clients with any known or suspected cardiovascular, metabolic, or respiratory condition should not hold their breath duringr esistance exercise

      • Poterior stabilizing force from isometric contraction or erector musculature

      • Anterior stabilizing force from lungs by actively contracting against a closed glottis

      • Anetrior stabilizing force increased intraabdominal pressure by actively contrcating abdominals

  • Valsalva Maneuver Options

    • Option 1: inhale during the eccentric phase until njust before strating teh concnetric phase; hold teh breath through teh stickong point; exhale

      • Verbal directions: “Take a breath in during teh easiest part of teh exercise; hold your breath until the heardest part of the exercise is completed, and then exhalke.”

    • Option 2: inhale before begining a repitition; hold teh breath through teh sticking point of the concentric phase; exhale

      • Verbal directions: “Take a breath in before starting a repetitio; hold your breath until teh heardest part of the exercise is completed, and then exhale.”

  • Weightlifting Belts

    • Increase intra-abdiominal pressure

    • Core activation

    • Recommended for ground-based structural exercises that involve lifting maximal or near-maximal loads

      • Ground-based structural exercises are mainly going to be squat variations

    • As research states currently, there is no significant drop in core streangth if weight belts are used properly.

      • Using a weightbelt properly means you are using a weightbelt only fpor those specific lifts

    • Weightlifting belts are safer then performing the valsalva maneuver because it is less pressure on your spine

  • Spotting: Providing physical assistance to clients when completing an exercise to help reduce teh risk of injury

    • Four-free weight exercise conditions tahtr equire a spotter

      • Overhead

      • Over the face

      • With a bar on the upper back and shoulders

      • With a bar positioned on the front of the shoulders or clavicles

    • When not to use a spotter

    • Communication

      • When the lift-off is going to occur

      • Identifying when they need help

    • For deadlifts: if your deadlifting from the ground, you should be using bumper plates with an olympic platform

    • Oplypic lifts should be done with bummper pleate and olympic platforms

    • Spotter guidlines

      • Strong enough to help

      • As close as possible to the client

      • In neutral spine position with teh feet flat on teh floor in a staggered stance

    • Specific situations:

      • Overhead - you should be at least as tall as client

      • Over-the-face

        • Barbell

          • On the lift-off of a benchpress have an alternated grip w/ your hand inbetween theirs. We do a alternated grip because it aids in the lift-off and provides stability.

          • On the rerack of the bar for benchpress is going to be a prontaed (overhand) grip to help them return teh bar to the postition

        • Dumbell

          • spot at the wrists for a dumbell bench press

  • Cardiovascular Exercise Technique:

    General adaptations carry over well from one exercise modality to teh next buyt teh stress placed on the musculoskeletal system will vary

    Eevrey time you make a decision you want to maximize reward while lessening risk

    • Walking

      • Walking

        • The recromended posture of walking is 90 degrees at the elbows

        • Walking done consistently can prevent and reverse product illness

        • It an individual walks and watches their nutrition they can lose weight water

      • Race Walking

        • Performance imporved by maximizing stride length

        • Increased hip rotation

    • Running

      • Higher energy cost and impact than walking so technmique is imporrtant

      • Avoid bouncing and seek tos orrect footstrike abdormalities

      • Stride length = teh feet should land under teh hips to avoid braking

      • Running uphill

        • The vitiue of running uphill necessitates a greater range of motion at the hips and tehrfore teh glutes will have to work more

      • Case Study Senario: If we go at 100% for 5sec on thi hill we are primarily training ophosphagyn system in the legs. Secondarily lactate threshold in the legs. Teh secondary energy system is glycolytic. If we extend it to 20sec teh primary is glyclytic so then we are increasing lactate threshold more in the legs. teh secondary system would be phosphagione

      • Overstrideing vs. Understriding

        • Overstriding = taking too long of a step

          • If teh foot hits too far in front of treh body’s center of gravity, greater shock and slight braking effect will occur.

          • More tiume is also spent in air or double flight

        • Understriding = taking tto short of a step

          • Wastes energy since it prevents teh body from advancing far enough with eachs tride

          • This reduces overall speed and efficiency

        • The ideal cadence for runnibg is between 170-180 steps per minute

    • Cycling

      • If someone naturally has more type 2 fibers tehy wioll naturally have a better phosphagyn system

      • How are those muscles used in teh pedal stroke during cycling?

        1. Downstroke (Pushing Down Phase): Glutes initiate teh power phase ie. teh top of the petal stroke. Thsi exetnds teh hip.

        2. Downstroke (Pushing Down Phase): Quads provide knee exetension duringh teh middle to lower half of the power phase

        3. Pull Back (Bottom of the Stroke): Hamstrings flex teh knee during recovery. This is due to the added essentric demand during quick peddal strokes

        4. Lift Up (Upstroke): Hip Felxors and Hamstrings acting concetricly to bring the knee up, and to bring the heel towards teh butt

        5. Transition to Downstroke: Shin Muscles that flex with the pedals stroke

      • If you work power you are working strength as teh secondary

      • Steangth is defined as teh ability to egnerate near maximum to maximum forces

      • Whe yiu program you should always think how can I replicate byomechanics so that teh koint movement, teh planes, teh tyupe of joint actions, eccentric and concentric matches teh demands needed. Making sure teh energy systems and teh resistance training variable emphasis replicate teh demands needed. (are we emphasizing endurance, hypertrophy, strength or power first and what do we emphasise second)

    • Swimming

      • Front Crawl

        • Exercsies:

          • Dumbell Pullovers

      • Backstroke

        • Exercises:

          • Lat exercsies

      • Breastsroke

        • Exercises:

      • Butterfly

        • Exercises:

          • MedBall slams

  • Group Exercise

    • Traditional aerobic

      • Generally, 45 to 75 minutes in length and includes a warm-up with dynamic pre-workout stretching, aerobic activity, cooldown, and post-workout strteching

    • Combination of impact styles:

      • Low-impact = one foot remians in cpontact with teh floow

      • High-impact = both feet leave teh floor during various activities

  • Common Cardiovascular Machines

    • Treadmills

      • Primary muscles used:

        • Quadriceps, hamstrings, gluteals, iliopsoas, tibialis anterior, gastrocnemius, soleus

      • Running on a treadmill is easier than outdoors

        • Lack of air resistance decrease energy cost

        • Can be offset by setting gradient at about 1%

    • Stair Climbers

      • Eexrcise apparatus that simulates teh act of climbing stairs (e.g., escalator-typoe stair climbers)

      • Primary muscles used:

        • Quadriceps, hamstrings, gluteals, iliopsoas, tibialis anteriuor, gastrocnemius, soleus

      • Steo depth and speed should promote proper posture

    • Elliptical trainers

      • Stationaryt exercise device on which teh user stands on two small rimmed platforms and moved them forward and back in an approximately ellioptical path

      • primary muscles used:

        • Quadriceps, hamstrings, gluteals, iliopsoas, tibialis anterior, gastrocnemius, solues

        • More glute activation if yi go backwards

      • Proper technique

        • Head up, looking straight ahead

        • torso balnaced over hips, no excessive forward lean

        • Foot contracts pedal surface

      • Stationary Bikes

        • Non-weight bearing, non-impact

        • Recumbent

        • Body Position

          • Whatg siute difference in muscular activated compared to standing up and doing and bending over and cycling?

          • Waht is teh differenc in moment arm?

          • If you lean forward you have longer moment arm so you are enforcing teh glutes more

        • Primahry muscles used - same as elliptical

        • Biomechanics

          • Seat height = slight bedn in teh knee oint at teh bottom of trhe pedal stroke when the ball of the footr is on teh pedal

          • handlebars and body positioning = back should be tyilted forward from gthe hips, but not excessively rounded.

        • Semi reccumbent

          • Heart rate, oxygen consumption rate, and rating of percieved exertion on a semi recumbent bike are typically lower than. on an upright bike

        • Indoor cycling/spin

          • Higher-intensity workout than individual cycling

      • UBEs

        • Arm bike taht you pedal withyoru hands and is perfomed seated or standing with length of arm cranks allowing slightg flexion of the elbow when arms are extended

        • Primar muscles used:

          • Pectroalis major, deltoids, latissimus dorsi, biceps brachii, triceps brachii

      • Rowing machines

        • Machines with a emchanism with two oarlike handles, foot braces and a slidings eat, allowingh teh iuser to go trhough teh otions of rowing in a arcings hell

        • intensity can be altered by stroke pull or air drag. on fly wheel

        • Primary msucles used:

          • Quadriceps, hamstrings, gluteals,m tobialis anterior, gastrocnemius, sloeus, biceps brachii, brachioradialis, brachgialis, rectus abdominis, psoterior and medial deltoids, trapezius, latissimus dorsi, teres major, erector spinae, flexor and extensor carpu ulnaris

        • Most recreational rowers’ row at a moderate cadence of approximately 20 to 25 strokes per minute, and elite rowers egnerally row at a faster rate (e.g., 25-35 strokes per minute

        • Anotehr exercsie to mimic rowing is RDL (Hamstrings, knee flexion, and glute and back extension), Deadlift (Glutes), and Squat (Quads and Knees)

  • Clothing and Footwear

    • Appropriate clothing and footwear should be worn for safe and enjoyable participation, generally this will be comfortable, loos-fittying clothing for ease of meovemnt.

      • If hot and humid, clothing shoudl be light

      • In cold weather, clothing shoudl be leayered

    • Footwear

      • Should provide cushioningh, stability, and/orcomfort should be selected relative to teh activity and individual

      • Unless you have been training barfoot for a long time, don’t apply force down to the sracgh without arch support

      • Running shoues

        • General rule = running shoes should be replaces after 300-500 miles or 6 months