MEDI2008 Lecture Notes - Lecture 4: Strength Training, Grip Strength, Maximum Force
1. Resistance Exercise Prescription
Monday, 18 March 2019
11:44 AM
4 Page 1
Total hip
•
Total knee
•
Dislocation
•
Improve muscle strength to get back to normal function
•
The stronger you get, the lighter everything gets.
•
Musculoskeletal/Orthopaedics
Cardiopulmonary
Neurological
The neuromuscular adaptations are the same, both will have
improved functional outcomes but the loading prescriptions
are a little different.
Both need an overload stimulus but be aware of stage of
rehab, precautions, medical history.
Changes in morphological adaptions.
Why to improve our patient's strength
Monday, 18 March 2019
12:09 PM
4 Page 2
Heavy is relative.
Provided sensible principles of loading, recovery and periodisation are applied they will
both have positive strength adaptations.
Good Exercise Prescription is about getting the dosage/parametres correct:
Just right= overload to stimulate favourable adaptations
Too much= injury/complications, not allowing recovery/adaptations
Not enough= no overload effect- waste of time
Incorrect parameters= not training to the outcome you want
Heaviness
Monday, 18 March 2019
12:13 PM
4 Page 3
Document Summary
Improve muscle strength to get back to normal function. The stronger you get, the lighter everything gets. The neuromuscular adaptations are the same, both will have improved functional outcomes but the loading prescriptions are a little different. Both need an overload stimulus but be aware of stage of rehab, precautions, medical history. Provided sensible principles of loading, recovery and periodisation are applied they will both have positive strength adaptations. Good exercise prescription is about getting the dosage/parametres correct: Not enough= no overload effect- waste of time. Incorrect parameters= not training to the outcome you want. Compression of peripheral arterial vessels that supply the active muscles. Reduces muscle perfusion in proportion to maximal force capacity. Increased sympathetic activity cardiac output and mean arterial pressure to maintain muscle blood flow. Understand muscle physiology and mechanisms of adaptation first. Very limited evidence in clinical populations-each patient is unique and we clinically reason based on evidence which is mostly drawn from normal athletic populations.