Professional Documents
Culture Documents
Ear Anatomy http://www.nlm.nih.gov/medlineplus/magazine/issues/fall08/articles/fall08pg12a.html Stretching Good for Arteries, figure from Kenta Yamomoto et al., Poor trunk flexibility is associated with arterial stiffening. American Journal of Physiology: Heart and Circulatory Physiology, Oct. 2009, Vol. 297. http://ezproxy.library.yorku.ca/login?url=http://dx.doi.org/10.1152/ajpheart.00061.2009 Michael Tetley. Instinctive sleeping and resting postures: an anthropological and zoological approach to treatment of low back and joint pain BMJ VOLUME 321 2330 DECEMBER 2000 http://www.jstor.org.ezproxy.library.yorku.ca/stable/25226542
Balance
Signals upon which balance is dependent: Semi-circular canals of inner ear Kinesthetic sensors in muscles, tendons and joints Visual perception Co-ordination of the above stimuli (spastic lock coordination)
Embedded in the tendons, close to the muscle insertions. Detect tension in the tendon of a contracting muscle.
Muscle Spindles
Located muscle between muscle fibres. Provide information on muscle length, tension, and load Highest density in small muscles designed for fine motor control
Muscle Spindles
Function is to resist stretch by stimulating contraction Also send inhibition signal to opposing muscle group After stroke or spinal cord injury the spindles may be oversensitive and cause muscle stiffness
Respond to mechanical deformation occurring in the joint capsule and ligaments during dynamic movement. Respond more to passive than active movement
Balance
Affecters of Balance Performance: 1. Body weight 2. Strength / Power 3. Center of gravity 4. Fear 5. Co-ordination
Measurement of Balance
CATEGORY CLASSIFICATION DYNAMIC Eyes open Eyes closed Balancing stunts Balancing objects Dizziness tests Beam walk Beam walk Walk on hands Shuttle run balancing object Walk around finger STATIC Squat stand Stork stand Teeter board Stick balance Centrifuge
Improvement of Balance
1. Practice the specific balance test items. 2. Practice basic skills which demand a high degree of balance. 3. Participate in sports which demand a high degree of balance.
Flexibility
Definition:
Range of movement about a joint or joints.
Considerations:
Not a general characteristic (site specific) Static (range of motion) Dynamic (stiffness or looseness reflected in speed of movement or power)
Importance:
Avoiding injuries Enable proper form in certain sports Power development (Plyometric) Muscle relaxation
Limitations of Flexibility
1. 2. 3. 4. 5. Mechanical factors: bone structure and muscle bulk Soft tissue crossing a joint (NB for sports) Injuries and disease - reduced tissue elasticity Inactivity Age: 6 18 increase
18 28 plateau 28 - 35 slight decline 35 on more rapid decline
6.
7. 8.
Temperature (achieved passively or actively): - warming a joint to 113 F increases flexibility by 20 % - cooling a joint to 65F decreases flexibility by 10-20% No difference between males and females when large number of articulations are considered Why is only one measure of flexibility included in health related fitness assessments?
Measurement of Flexibility
1. Goniometry
Modified protractor Overhead- projected goniometer Electrogoniometer- (developed for horses to train stride length) Criticism; body proportions How to avoid? Usually only used for research
2. Performance measures
3. Flexometer (Leighton)
Important of Flexibility
How: Types of Stretching 1. Slow, static, passive 2. Active, dynamic, bouncing, ballistic 3. Proprioceptive neuromuscular facilitation (PNF). Maximal isometric contraction of the muscle being stretched relaxes the antagonistic muscle.
Image courtesy of -Marcus/ FreeDigitalPhotos.net
PNF is superior to static and ballistic in increasing flexibility. However, these exercises are complicated and often require a trained partner Static stretches are an effective compromise. Ballistic stretches are generally not recommended.
Importance of Flexibility
Considerations 1. Too much flexibility could reduce the stability of a joint and increase the susceptibility to injury. 2. Hold passive stretches for 10 to 30 sec 3. Daily 4. Develop strength about the joint at the same time. 5. The optimum flexibility of a joint for a specific sport may mean decreasing its flexibility. 6. Optimal flexibility for normal living?
Table 18 from David Cowan et al., The Epidemiology of Physical Training Injuries in U.S. Army Infantry Trainees: Methodology, Population, and Risk Factors. Defence Technical Information Center Nov. 1988. http://oai.dtic.mil/oai/oai?verb=getRecord&metadataPrefix=html&identifier=ADA206551
Hoy DG, Bain C, Williams G, March L, Brooks P, Blyth F, Woolf A, Vos T, Buchbinder R: A systematic review of the global prevalence of low back pain. Arthritis Rheum 2012, 64(6):20282037. Goetzel RZ, Hawkins K, Ozminkowski RJ, Wang S. The health and productivity cost burden of the top 10 physical and mental health conditions affecting six large U.S. employers in 1999. J Occup Environ Med 2003;45:514. http://www.acatoday.org/level2_css.cfm?T1ID=13&T2ID=68
Herniated Disc
Spinal Disc Herniation
Annotated diagram of preconditions for Anterior cervical discectomy and fusion. Wikipedia. http://en.wikipedia.org/wiki/File:ACDF_coronal_english.png
- Disc herniation can result in no symptoms to debilitating pain - Can be corrected by surgery
http://en.wikipedia.org/wiki/Spinal_disc_herniation
Osteoporosis
Image Courtesy of Anatomy & Physiology, Connexions Web site. http://cnx.org/content/col11496/1.6/, Jun 19, 2013. Osteoporosis is an age-related disorder that causes the gradual loss of bone density and strength. When the thoracic vertebrae are affected, there can be a gradual collapse of the vertebrae. This results in kyphosis, an excessive curvature of the thoracic region. Assessed on http://en.wikipedia.org/wiki/Osteoporosis
Lifting Techniques. US Army Center for Health Promotion and Preventative Medicine. http://www.yorku.ca/dohs/documents/armylift.pdf
Lifting Techniques. US Army Center for Health Promotion and Preventative Medicine. http://www.yorku.ca/dohs/documents/armylift.pdf
Lifting Techniques. US Army Center for Health Promotion and Preventative Medicine. http://www.yorku.ca/dohs/documents/armylift.pdf
Starting Position
Score = 0 Score = 1 Score = 2 Score = 3 No Loss Minimal Loss Moderate Loss Severe Loss of of Frontal of Frontal of Frontal Frontal Plane Plane Position Plane Position Plane Position Position
Nelson-Wong, E., T. Flynn, and J. P. Callaghan. 2009. Development of Active Hip Abduction as a Screening Test for Identifying Occupational Low Back Pain. Journal of Orthopaedic & Sports Physical Therapy 39 (9): 649657.
Odd Ratio
* *
Former
Current
Former
Current
Shiri et al Association between Smoking and Low Back Pain. The American Journal of Medicine, Vol 123, No 1, January 2010 http://ezproxy.library.yorku.ca/login?url=http://resolver.scholarsportal.info/resolve/00029343/v123i0001/87e7_tabsalbpam.xml
Activation of trunk muscles during standing and walking is minimal / nonexistent (less than 5% MVC even when a 32 kg weight is added to the torso)
(Andersson et al., 1996, White and McNair, 2002).
Lederman. The myth of core stability. Journal of Bodywork & Movement Therapies (2010) 14, 84e98 Hamberg-van Reenen et al. A systematic review of the relation between physical capacity and future low back and neck/shoulder pain. Pain 130 (2007) 93107
Bystrm MG, Rasmussen-Barr E, Grooten WJ. Motor control exercises reduces pain and disability in chronic and recurrent low back pain: a meta-analysis. Spine (Phila Pa 1976). 2013 Mar 15;38(6):E350-8.
1.5
0.5
0 OW Obese OW Obese
Cross-sectional
Incident
Shiri et al. The Association Between Obesity and Low Back Pain: A Meta-Analysis. Am J Epidemiol 2010;171:135154
Speed
The ability to perform a movement in a short period of time Components: Movement Time- the rate at which a person can propel his body or parts of his body through space. Reaction Time- the interval of time between the presentation of the stimulus and the initiation of the response.
Improvements in Speed
Reaction time Technique Strength Power Flexibility
Image Young And Muscular Guy Holding A Barbell. Crossfit Dead Lift Ex" courtesy of David Castillo Dominici / FreeDigitalPhotos.net
Image Young Fit Woman Exercising Stock Photo courtesy of -Marcus/ FreeDigitalPhotos.net
Speed
1. Speed of Movement
Total Body Movement- measurement Limb Movement- measurement
b. c. d. e. f. g. h. i.
Low correlation between RT and MT Speed improves from childhood to early adulthood, peaks for a decade then declines RT and MT of college males are 14% and 30% respectively greater than that of females and peak MT and RT is maintained longer by males RT is highest in the morning hours and drops off later in the day . A small amount of consumed alcohol slightly improves the reactions of some individuals, but large amounts impair them Athletes have faster RT and MT's than non-athletes Speed of movement is very specific--an individual with fast arm movement may well have slow leg movement Strength training does not result in slower MT MT and RT can be improved with training
Agility
Definition: the rapidity and ease with which an individual can change the direction of movement of the body or its parts Compound motor fitness factor involving speed, coordination and balance
Agility
Measurement: a. Running tests- shuttle run, zig zag run b. Non running tests- 4 and 6 count burpee c. Criticisms: shoes, floor, persons height
Pro-agility 20 m Shuttle Run Illinois Test
Start/ Finish
Start
Finish
Agility
Findings: a. b. Males are more agile than females Agility in males increases to maturity then plateaus For approximately 10 years before declining. However, females stop improving shortly after puberty and begin to decline earlier than males Athletes perform well on agility tests Performance on agility tests has been observed to improve with practice.
c. d.
Agility
Improvement: Increasing speed specific to the requirement (e.g. sport) By practicing the sport