Low Intensity Alternatives for Strength and Hypertrophy. Jacob M. Wilson, PhD, CSCS*D Human Performance laboratory University of Tampa, Tampa, FL

Size: px
Start display at page:

Download "Low Intensity Alternatives for Strength and Hypertrophy. Jacob M. Wilson, PhD, CSCS*D Human Performance laboratory University of Tampa, Tampa, FL"

Transcription

1

2 Low Intensity Alternatives for Strength and Hypertrophy Jacob M. Wilson, PhD, CSCS*D Human Performance laboratory University of Tampa, Tampa, FL

3 Traditional Techniques The American College of Sports Medicine (ACSM) recommends lifting a weight of at least 70% 1RM to achieve muscular hypertrophy as it is believed that anything below this intensity rarely produces substantial muscle growth.

4 But Why!? Moderate intensity exercise performed near failure appears to maximize metabolic stress and near the end of the set maximally recruit motor units.

5 Intensity Zone Muscle fiber hypertrophy appears to cluster at around % in type I and type II fibers Fry et al.

6 Alternative Methods Blood flow restriction training, as the name implies, involves decreasing blood flow to a working muscle, by application of a wrapping device, such as a blood pressure cuff.

7

8 Results Low Intensity (LI) results in no muscle growth, but when occluded it results in substantial growth HYPERTROPHY

9 Walking = Growth!?

10

11 Hypoxia Increases Growth Factors and Satellite Cells Loenneke, Wilson 2009

12 Metabolic Stress 290 % vs. 100 tradi onal training Takarada et al. 2000

13 Motor Unit Recruitment

14 Motor Unit Recruitment Tanaka and Naokata Ishii Yudai Takarada, Haruo Takazawa, Yoshiaki Sato, Shigeo Takebayashi, Yasuhiro 2000 vascular occlusion on muscular function in humans

15 Cell Swelling Theory

16 Cell Swelling Vatus lateralus thickness Vatus Intermedialis Femur Thickness pre occlusion Wilson, Lowery, Joy, Loenneke 2013

17 Cell Swelling Vatus lateralus thickness Vatus Intermedialis Femur Thickness post occlusion with wrap Wilson, Lowery, Joy, Loenneke 2013

18 Training Variables Exercise Mode METALLICA + OCCLUSION Volume Device? Frequency BODYBUILDING CONTEST PREP IMMEDIATELY AFTER USING BFR FOR THE FIRST TIME!

19 Modality Should you progress from one to the other? Loenneke, Wilson, 2011

20 Frequency 1.5 Strength 2 3 days 1.0 Effect Size Loenneke, Wilson, Days Per Week

21 Rest Period Length 1.5 Strength 1.0 Effect Size Loenneke, Wilson, s 60 s Rest Period Length Between Sets

22 Wrapping Pressure Complete arterial restriction lowers total volume, and increases the rate of pain and perceived exertion

23 Cuff Width Wide Cuff = Lower arterial occlusion Pressures. Loenneke et al. 2012

24 Cuff Width SIGNIFICANTLY REDUCED HYPERTROPHY AT THE LEVEL OF CUFF APPLICATION (FIG. 2), SUGGEST THATHIGH COMPRESSION AND SHEAR STRESS UNDER THE CUFF HAD A DELETERIOUS IMPACT ON THE MUSCLE. 230 MM HG + WIDE CUFF Kacin and Stazar 2011

25 Wide Cuff = Lower Volume Rossow et al. 2012

26

27 Material Material may not matter as much. Loenneke et al (Unpublished Observations)

28 Device = $$ 10 20,000

29 Practical Blood Flow Restriction Loenneke et al. 2009

30 Practical Blood Flow Restriction Loenneke et al. 2009

31 Example on Arms With Wrist Wraps

32 How Do I Wrap Vein Artery No Wrap Wilson, Lowery, Joy et al. 2013

33 How Do I Wrap Artery Wrapped 7 out of 10 perceived Pressure Wilson, Lowery, Joy et al. 2013

34 How Do I Wrap Wrapped 10 out of 10 perceived Pressure Wilson, Lowery, Joy et al. 2013

35 Results: Skeletal Muscle Activation Wilson, Lowery, Joy et al. 2013

36 Results: Metabolic Stress Wilson, Lowery, Joy et al. 2013

37 Results: Muscle Swelling Wilson, Lowery, Joy et al. 2013

38 Chronic Practical BFR 24 resistance trained males divided into two groups Group BFR First Performed low intensity pbfr for 4 weeks and then high intensity (>70 % 1 RM) for 4 weeks. Group BFR Second Performed 4 weeks of high intensity followed by BFR for 4 weeks Lowery, Joy, Wilson, Loenneke, Dudeck In Review

39 Chronic Practical BFR Figure'2.0:'Muscle'thickness'Weeks'0,4,and'8'in'' both'bfr>hi'and'hi>bfr.' BFR>HI'Group' HI>BFR'Group' Lowery, Joy, Wilson, Loenneke, Dudeck In Review *'Significantly'greater'than'baseline,'p<.05'' #'Significantly'greater'than'Week'4,'p<.05'

40 Chronic Practical BFR Figure'2.0:'Muscle'thickness'Weeks'0,4,and'8'in'' both'bfr>hi'and'hi>bfr.' BFR>HI'Group' HI>BFR'Group' Lowery, Joy, Wilson, Loenneke, Dudeck In Review *'Significantly'greater'than'baseline,'p<.05'' #'Significantly'greater'than'Week'4,'p<.05'

41 Contraction Type: Not About Damage Yasuda, Loenneke 2012

42 Injury Rehab? A. Blood Flow Restricted Progression P1 P2 P1. Bed Rest + BFR P3 P2. Walking + BFR P3. Resistance + BFR Muscle Size Normal Progression P1 P2 P1. Bed Rest P3 P2. Walking + Crutches P3. Walking Muscle Size

43

44 Injury Rehab OSTEOCHONDRAL FRACTURE REQUIRING SURGERY 30 DAYS OF BLOOD FLOW RESTRICTION, INJURY HAD HEALED ITSELF NO SURGERY

45 SAFE- READ OUR PAPER FOR MORE DETAILS!

46 Questions?

Skeletal muscle hypertrophy is defined as an increase in muscle mass, which

Skeletal muscle hypertrophy is defined as an increase in muscle mass, which TEAM PHYSICIAN S CORNER Blood Flow Restriction Therapy: Theories, Science, and Current Clinical Results BY ASHLEY ANDERSON, MD, AND LANCE LECLERE, MD Skeletal muscle hypertrophy is defined as an increase

More information

Why is it Crucial to Use Personalized Occlusion Pressures in Blood Flow Restriction (BFR) Rehabilitation?

Why is it Crucial to Use Personalized Occlusion Pressures in Blood Flow Restriction (BFR) Rehabilitation? Journal of Medical and Biological Engineering https://doi.org/10.1007/s40846-018-0397-7 REVIEW ARTICLE Why is it Crucial to Use Personalized Occlusion Pressures in Blood Flow Restriction (BFR) Rehabilitation?

More information

doi: /cpf.12100

doi: /cpf.12100 Clin Physiol Funct Imaging (2013) doi: 10.1111/cpf.12100 Perceptual effects and efficacy of intermittent or continuous blood flow restriction resistance training P. J. Fitschen 1, B. M. Kistler 2, J. H.

More information

Exercise with Blood Flow Restriction: An Updated Evidence-Based Approach for Enhanced Muscular Development

Exercise with Blood Flow Restriction: An Updated Evidence-Based Approach for Enhanced Muscular Development Sports Med (2015) 45:313 325 DOI 10.1007/s40279-014-0288-1 REVIEW ARTICLE Exercise with Blood Flow Restriction: An Updated Evidence-Based Approach for Enhanced Muscular Development Brendan R. Scott Jeremy

More information

The Effect Of Practical Blood Flow Restriction Training On Body Composition And Muscular Strength In College-Aged Individuals

The Effect Of Practical Blood Flow Restriction Training On Body Composition And Muscular Strength In College-Aged Individuals Eastern Kentucky University Encompass Online Theses and Dissertations Student Scholarship January 2017 The Effect Of Practical Blood Flow Restriction Training On Body Composition And Muscular Strength

More information

THE EFFECTS OF BLOOD FLOW RESTRICTION TRAINING ON VO2MAX AND 1.5 MILE RUN PERFORMANCE. A Thesis WILLIAM MATTHEW URSPRUNG MASTER OF SCIENCE

THE EFFECTS OF BLOOD FLOW RESTRICTION TRAINING ON VO2MAX AND 1.5 MILE RUN PERFORMANCE. A Thesis WILLIAM MATTHEW URSPRUNG MASTER OF SCIENCE THE EFFECTS OF BLOOD FLOW RESTRICTION TRAINING ON VO2MAX AND 1.5 MILE RUN PERFORMANCE A Thesis by WILLIAM MATTHEW URSPRUNG Submitted to the Office of Graduate Studies Texas A&M University-San Antonio in

More information

Blood Flow Restriction (BFR) Overview and Application in Outpatient Rehab and Performance By: Ray Yumang, PT

Blood Flow Restriction (BFR) Overview and Application in Outpatient Rehab and Performance By: Ray Yumang, PT Blood Flow Restriction (BFR) Overview and Application in Outpatient Rehab and Performance By: Ray Yumang, PT About Me From the Philippines PT for 28 years Fayetteville and Springdale Variety of patients

More information

The Use of Blood Flow Restriction Therapy in the Treatment of a Professional Baseball Player Status Post Meniscectomy: A Case Report

The Use of Blood Flow Restriction Therapy in the Treatment of a Professional Baseball Player Status Post Meniscectomy: A Case Report Doctor of Physical Therapy Program Case Reports 2017 The Use of Blood Flow Restriction Therapy in the Treatment of a Professional Baseball Player Status Post Meniscectomy: A Case Report Ryan Tillma University

More information

RESEARCH REPOSITORY.

RESEARCH REPOSITORY. RESEARCH REPOSITORY This is the author s final version of the work, as accepted for publication following peer review but without the publisher s layout or pagination. The definitive version is available

More information

Blood Flow Restriction Training: Implementation into Clinical Practice

Blood Flow Restriction Training: Implementation into Clinical Practice Invited Editorial Blood Flow Restriction Training: Implementation into Clinical Practice WILLIAM R. VANWYE 1, ALYSSA M. WEATHERHOLT 2, and ALAN E. MIKESKY 3 1 Department of Physical Therapy, Western Kentucky

More information

Skeletal muscles are capable of adapting themselves

Skeletal muscles are capable of adapting themselves Applications of vascular occlusion diminish disuse atrophy of knee extensor muscles YUDAI TAKARADA, HARUO TAKAZAWA, and NAOKATA ISHII Physiology Division, Yokohama City Sports Medical Center, Yokohama

More information

Brad Schoenfeld, PhD, CSCS, CSPS, FNSCA. Hypertrophy Loading Zones: How Incorporating Light Weights Can Translate into Greater Gains

Brad Schoenfeld, PhD, CSCS, CSPS, FNSCA. Hypertrophy Loading Zones: How Incorporating Light Weights Can Translate into Greater Gains Brad Schoenfeld, PhD, CSCS, CSPS, FNSCA Hypertrophy Loading Zones: How Incorporating Light Weights Can Translate into Greater Gains The Strength Endurance Continuum Current RT Recommendations Current ACSM

More information

Low intensity blood flow restriction training: a meta-analysis

Low intensity blood flow restriction training: a meta-analysis DOI 10.1007/s00421-011-2167-x ORIGINAL ARTICLE Low intensity blood flow restriction training: a meta-analysis Jeremy P. Loenneke Jacob M. Wilson Pedro J. Marín Michael C. Zourdos Michael G. Bemben Received:

More information

RESISTANCE EXERCISE WITH BLOOD FLOW RESTRICTION

RESISTANCE EXERCISE WITH BLOOD FLOW RESTRICTION RESISTANCE EXERCISE WITH BLOOD FLOW RESTRICTION An examination of the acute and chronic neuromuscular, haemodynamic, and perceptual responses By Christopher Roy Brandner Bachelor of Exercise and Sports

More information

Effect of low load resistance exercise with and without blood flow restriction to volitional fatigue on muscle swelling

Effect of low load resistance exercise with and without blood flow restriction to volitional fatigue on muscle swelling Eur J Appl Physiol (2015) 115:919 926 DOI 10.1007/s00421-014-3073-9 ORIGINAL ARTICLE Effect of low load resistance exercise with and without blood flow restriction to volitional fatigue on muscle swelling

More information

The effects of low-intensity resistance training with vascular restriction on leg muscle strength in older men

The effects of low-intensity resistance training with vascular restriction on leg muscle strength in older men Eur J Appl Physiol (2010) 108:147 155 DOI 10.1007/s00421-009-1204-5 ORIGINAL ARTICLE The effects of low-intensity resistance training with vascular restriction on leg muscle strength in older men Murat

More information

Gabriela Perpétua Neves da Costa 1, Valéria Perpétua Moreira 1, Amir Curcio dos Reis 2, Saulo Nani Leite 3, Samuel Straceri Lodovichi 3

Gabriela Perpétua Neves da Costa 1, Valéria Perpétua Moreira 1, Amir Curcio dos Reis 2, Saulo Nani Leite 3, Samuel Straceri Lodovichi 3 The effects of partial vascular occlusion on gaining muscle strength REVIEW ARTICLE Gabriela Perpétua Neves da Costa 1, Valéria Perpétua Moreira 1, Amir Curcio dos Reis 2, Saulo Nani Leite 3, Samuel Straceri

More information

EFFECTS OF EXERCISE WITH AND WITHOUT DIFFERENT DEGREES OF BLOOD FLOW RESTRICTION ON TORQUE AND MUSCLE ACTIVATION

EFFECTS OF EXERCISE WITH AND WITHOUT DIFFERENT DEGREES OF BLOOD FLOW RESTRICTION ON TORQUE AND MUSCLE ACTIVATION EFFECTS OF EXERCISE WITH AND WITHOUT DIFFERENT DEGREES OF BLOOD FLOW RESTRICTION ON TORQUE AND MUSCLE ACTIVATION JEREMY P. LOENNEKE, PhD, 1 DAEYEOL KIM, MS, 2 CHRISTOPHER A. FAHS, PhD, 3 ROBERT S. THIEBAUD,

More information

14-1: The Body s Transport System. 7 th Grade Life Science

14-1: The Body s Transport System. 7 th Grade Life Science 7 th Grade Life Science Cardiovascular System The cardiovascular system, also called circulatory system, is made of your heart blood vessels, and blood. It is like the network of highways on Earth, where

More information

Personalized Blood Flow Restriction Rehabilitation. Anterior Cruciate Reconstruction with Meniscal Repair

Personalized Blood Flow Restriction Rehabilitation. Anterior Cruciate Reconstruction with Meniscal Repair Personalized Blood Flow Restriction Rehabilitation Anterior Cruciate Reconstruction with Meniscal Repair ACL with Meniscus Repair 2 PHASE 1 (PROTECTED PHASE) Typically, after an anterior cruciate reconstruction

More information

Lumbar Spine, L-S junction and semg 2/26/08

Lumbar Spine, L-S junction and semg 2/26/08 Lumbar Spine, L-S junction and semg 2/26/08 EMG What is EMG? EMG stands for electromyography. It is the study of muscle electrical signals. EMG is sometimes referred to as myoelectric activity. How is

More information

Disuse Atrophy. Seiza 2/6/19. Blood Flow Restriction Training: Expanding your toolkit for the season

Disuse Atrophy. Seiza 2/6/19. Blood Flow Restriction Training: Expanding your toolkit for the season Blood Flow Restriction Training: Expanding your toolkit for the season Seiza 1966 1996 Tyler Nelson DC, MS, CSCS Camp4 Human Performance @C4HP Disuse Atrophy 2 weeks of microgravity results in 20% reduction

More information

Ankle-Brachial Blood Pressure

Ankle-Brachial Blood Pressure Ankle-Brachial Blood Pressure ID NUMBER: CONTACT YEAR: 0 9 FORM CODE: ABB VERSION B 10/21/2008 LAST NAME: INITIALS: INSTRUCTIONS: This form should be completed during the participant s clinic visit. ID

More information

The effect of eccentric exercise with blood flow restriction on muscle damage, neuromuscular activation, and microvascular oxygenation

The effect of eccentric exercise with blood flow restriction on muscle damage, neuromuscular activation, and microvascular oxygenation The University of Toledo The University of Toledo Digital Repository Theses and Dissertations 2015 The effect of eccentric exercise with blood flow restriction on muscle damage, neuromuscular activation,

More information

Department of Sport Science, Dongguk University, Gyeong-Ju, Republic of Korea 2

Department of Sport Science, Dongguk University, Gyeong-Ju, Republic of Korea 2 South African Journal for Research in Sport, Physical Education and Recreation, 2016, 38(2): 167-177. Suid-Afrikaanse Tydskrif vir Navorsing in Sport, Liggaamlike Opvoedkunde en Ontspanning, 2016, 38(2):

More information

Pre-operative Care For Surgery of Forearm Fracture. WONG Mei Chee OT (CMC)

Pre-operative Care For Surgery of Forearm Fracture. WONG Mei Chee OT (CMC) Pre-operative Care For Surgery of Forearm Fracture WONG Mei Chee OT (CMC) Pre-operative Nursing Considerations for Surgery of Forearm Fracture 1. Patient s problems - Diagnosis: Clinical features, x-ray

More information

Chapter 14 Training Muscles to Become Stronger

Chapter 14 Training Muscles to Become Stronger Chapter 14 Training Muscles to Become Stronger Slide Show developed by: Richard C. Krejci, Ph.D. Professor of Public Health Columbia College 11.22.11 Objectives 1. Describe the following four methods to

More information

Chapter 4. Muscular Strength and Endurance KIN 217 3/28/18 1

Chapter 4. Muscular Strength and Endurance KIN 217 3/28/18 1 Chapter 4 Muscular Strength and Endurance KIN 217 1 Functions of Muscle Tissues Functions: provide stability and postural tone, allow purposeful movement, heat production. Muscle mass constitutes: 40 to

More information

RESEARCH REPOSITORY.

RESEARCH REPOSITORY. RESEARCH REPOSITORY This is the author s final version of the work, as accepted for publication following peer review but without the publisher s layout or pagination. The definitive version is available

More information

Aging is characterized by a number of structural

Aging is characterized by a number of structural COMPARISONS BETWEEN LOW-INTENSITY RESISTANCE TRAINING WITH BLOOD FLOW RESTRICTION AND HIGH-INTENSITY RESISTANCE TRAINING ON QUADRICEPS MUSCLE MASS AND STRENGTH IN ELDERLY FELIPE C. VECHIN, 1 CLEITON A.

More information

The American College of Sports

The American College of Sports Effect of practical blood flow restriction training during bodyweight exercise on muscular strength, hypertrophy and function in adults: A randomised controlled trial Paul Head, Benjamin Austen, David

More information

Chapter 13. Development of Muscular, Strength, Endurance, and Flexibility

Chapter 13. Development of Muscular, Strength, Endurance, and Flexibility Chapter 13 Development of Muscular, Strength, Endurance, and Flexibility Types of Contractions Dynamic, Isotonic, or concentric Muscle shortens with varying tension while lifting constant load Isometric,

More information

CENTER FOR ORTHOPAEDICS AND SPINE CARE PHYSICAL THERAPY PROTOCOL ORIF PATELLA BENJAMIN J. DAVIS, MD

CENTER FOR ORTHOPAEDICS AND SPINE CARE PHYSICAL THERAPY PROTOCOL ORIF PATELLA BENJAMIN J. DAVIS, MD I. Immediate Postoperative Phase (Days 1-7) Restore full passive knee extension Diminish pain and joint swelling Restore patellar mobility Initiate early controlled motion *Controlled forces on repair

More information

The Effects of Moderate Intensity Strength Training Coupled with Blood Flow Restriction: A 12 Week Intervention

The Effects of Moderate Intensity Strength Training Coupled with Blood Flow Restriction: A 12 Week Intervention Western University Scholarship@Western Electronic Thesis and Dissertation Repository August 2017 The Effects of Moderate Intensity Strength Training Coupled with Blood Flow Restriction: A 12 Week Intervention

More information

HIP REPLACEMENT SURGERY

HIP REPLACEMENT SURGERY HIP REPLACEMENT SURGERY HOW TO PREPARE FOR SURGERY AND REC0VERY Before surgery: Arrange for someone to help you around the house for a week or two after coming home from the hospital. Arrange for transportation

More information

Cross-Transfer Effects of Resistance Training with Blood Flow Restriction

Cross-Transfer Effects of Resistance Training with Blood Flow Restriction Cross-Transfer Effects of Resistance Training with Blood Flow Restriction HARUHIKO MADARAME 1, MITSUO NEYA 1, EISUKE OCHI 2, KOICHI NAKAZATO 2, YOSHIAKI SATO 3, and NAOKATA ISHII 1 1 Department of Life

More information

Chapter 20: Muscular Fitness and Assessment

Chapter 20: Muscular Fitness and Assessment Chapter 20: Muscular Fitness and Assessment American College of Sports Medicine. (2010). ACSM's resource manual for guidelines for exercise testing and prescription (6th ed.). New York: Lippincott, Williams

More information

The influence of participant characteristics on the relationship between cuff pressure and level of blood flow restriction

The influence of participant characteristics on the relationship between cuff pressure and level of blood flow restriction Eur J Appl Physiol (2016) 116:1421 1432 DOI 10.1007/s00421-016-3399-6 ORIGINAL ARTICLE The influence of participant characteristics on the relationship between cuff pressure and level of blood flow restriction

More information

Chapter 31: Adaptations to Resistance Training

Chapter 31: Adaptations to Resistance Training Chapter 31: Adaptations to Resistance Training American College of Sports Medicine. (2010). ACSM's resource manual for guidelines for exercise testing and prescription (6th ed.). New York: Lippincott,

More information

C R T IV T Y. Current training status/needs assessment. Individualize goals. Accessible resources. Time and schedule. Strategically plan phases

C R T IV T Y. Current training status/needs assessment. Individualize goals. Accessible resources. Time and schedule. Strategically plan phases Periodization Planning Overview Current training status/needs assessment C R EA Individualize goals Accessible resources T IV Time and schedule Strategically plan phases I Ongoing evaluation T Y Systematic

More information

OSTEOCHONDRAL AUTOGRAFT TRANSPLANTATION

OSTEOCHONDRAL AUTOGRAFT TRANSPLANTATION OSTEOCHONDRAL AUTOGRAFT TRANSPLANTATION FEMORAL CONDYLE REHABILITATION PROGRAM PHASE I - PROTECTION PHASE (WEEKS 0-6) Protection of healing tissue from load and shear forces Decrease pain and effusion

More information

CHAPTER 6 2/9/2016. Learning Objectives List the four traits that all muscle types have in common.

CHAPTER 6 2/9/2016. Learning Objectives List the four traits that all muscle types have in common. Learning Objectives List the four traits that all muscle types have in common. CHAPTER 6 The Muscular System Demonstrate and explain the use of antagonistic muscle pairs. Describe the attachment of muscle

More information

Changes in muscle architecture induced by low load blood flow restricted training

Changes in muscle architecture induced by low load blood flow restricted training 1 Changes in muscle architecture induced by low load blood flow restricted training J Martín-Hernández 1 *,, ; P J Marín *, ; H Menéndez J P Loenneke # ; M J Coelho-e-Silva ; D García-López *; A J Herrero

More information

PART I: HEART ANATOMY

PART I: HEART ANATOMY Lab 7: Heart Sounds and Blood Pressure PART I: HEART ANATOMY a) You should be able to identify the following structures on an adult human heart diagram. the 4 chambers the bicuspid (mitral) and tricuspid

More information

Physiology of the Circulatory System modified from

Physiology of the Circulatory System modified from Physiology of the Circulatory System modified from http://www.ekcsk12.org/science/aplabreview/aplab10.htm Introduction The circulatory system functions to deliver oxygen and nutrients to tissues for growth

More information

Blood Flow Restriction Training After Knee Arthroscopy: A Randomized Controlled Pilot Study

Blood Flow Restriction Training After Knee Arthroscopy: A Randomized Controlled Pilot Study ORIGINAL RESEARCH Blood Flow Restriction Training After Knee Arthroscopy: A Randomized Controlled Pilot Study David J. Tennent, MD,* Christina M. Hylden, MD,* Anthony E. Johnson, MD,* Travis C. Burns,

More information

The Skeletal System. The Axial Skeleton. The Appendicular Skeleton 2/6/ vertebral column. 1 hyoid (horseshoe shaped bone at base of chin)

The Skeletal System. The Axial Skeleton. The Appendicular Skeleton 2/6/ vertebral column. 1 hyoid (horseshoe shaped bone at base of chin) The Skeletal System PSK 4U Mr. S. Kelly North Grenville DHS The Axial Skeleton 26 vertebral column 1 hyoid (horseshoe shaped bone at base of chin) 22 skull 25 ribs and sternum = 74 bones The Appendicular

More information

AMBULATION. Ambulation. Process of moving about. Walking Transferring to and from bed, chair, toilet, car

AMBULATION. Ambulation. Process of moving about. Walking Transferring to and from bed, chair, toilet, car AMBULATION AMBULATION Ambulation Process of moving about Walking Transferring to and from bed, chair, toilet, car AMBULATION Levels of ambulation training Independent Setup Supervised Limited Extensive

More information

LAB 9: Metabolic Rates

LAB 9: Metabolic Rates LAB 9: Metabolic Rates Introduction: The cardiovascular (circulatory) system functions to deliver oxygen and nutrients to tissues for growth and metabolism, and to remove metabolic wastes. The heart pumps

More information

The Skeletal System. PSK 4U Mr. S. Kelly North Grenville DHS

The Skeletal System. PSK 4U Mr. S. Kelly North Grenville DHS The Skeletal System PSK 4U Mr. S. Kelly North Grenville DHS The Axial Skeleton 26 vertebral column 1 hyoid (horseshoe shaped bone at base of chin) 22 skull 25 ribs and sternum = 74 bones The Appendicular

More information

iworx Sample Lab Experiment HC-5: Body Position, Exercise, and Cardiac Output

iworx Sample Lab Experiment HC-5: Body Position, Exercise, and Cardiac Output Experiment HC-5: Body Position, Exercise, and Cardiac Output Exercise 1: Cardiac Output While Reclining Aim: To determine the cardiac output of a subject through the measurement of blood pressures and

More information

BLOOD FLOW RESTRICTION INCREASES METABOLIC STRESS BUT DECREASES MUSCLE ACTIVATION DURING HIGH-LOAD RESISTANCE EXERCISE

BLOOD FLOW RESTRICTION INCREASES METABOLIC STRESS BUT DECREASES MUSCLE ACTIVATION DURING HIGH-LOAD RESISTANCE EXERCISE BLOOD FLOW RESTRICTION INCREASES METABOLIC STRESS BUT DECREASES MUSCLE ACTIVATION DURING HIGH-LOAD RESISTANCE EXERCISE EMERSON L. TEIXEIRA, MS, 1 RENATO BARROSO, PhD, 2 CARLA SILVA-BATISTA, PhD, 1 GILBERTO

More information

Lab #10 Physiology of the Circulatory System

Lab #10 Physiology of the Circulatory System Lab #10 Physiology of the Circulatory System Introduction The circulatory system functions to deliver oxygen an nutrients to tissues for growth and metabolism, and to remove metabolic wastes. The heart

More information

How to prevent blood clots whilst in hospital and after your return home

How to prevent blood clots whilst in hospital and after your return home How to prevent blood clots whilst in hospital and after your return home Patient information WHAT What IS is DEEP deep VEIN vein THROMBOSIS? thrombosis? Deep Vein Thrombosis DVT is a blood clot within

More information

Intensity of Load Basics. Loading Zones: Implications for Strength and Hypertrophy. Brad Schoenfeld, PhD, CSCS, CSPS, FNSCA

Intensity of Load Basics. Loading Zones: Implications for Strength and Hypertrophy. Brad Schoenfeld, PhD, CSCS, CSPS, FNSCA Brad Schoenfeld, PhD, CSCS, CSPS, FNSCA Loading Zones: Implications for Strength and Hypertrophy Intensity of Load Basics Expressed as a percentage of 1RM for a given exercise Easiest application is to

More information

Blood flow restriction: An evidence based progressive model (Review)

Blood flow restriction: An evidence based progressive model (Review) Acta Physiologica Hungarica, Volume 99 (3), pp. 235 250 (2012) Blood flow restriction: An evidence based progressive model (Review) DOI: 10.1556/APhysiol.99.2012.3.1 JP Loenneke 1, T Abe 1, JM Wilson 2,

More information

Rehabilitation Following Unilateral Patellar Tendon Repair

Rehabilitation Following Unilateral Patellar Tendon Repair Rehabilitation Following Unilateral Patellar Tendon Repair I. Immediate Postoperative Phase (Days 1-7) Restore full passive knee extension Diminish pain and joint swelling Restore patellar mobility Initiate

More information

Acute caffeine intake improves lower body resistance exercise performance with blood flow restriction

Acute caffeine intake improves lower body resistance exercise performance with blood flow restriction Acute caffeine intake improves lower body resistance exercise performance with blood flow restriction Souza, D., Duncan, M. & Polito, M. Author post-print (accepted) deposited by Coventry University s

More information

Essential intervention No. 3 Oedema control KEY OBJECTIVES. Danger

Essential intervention No. 3 Oedema control KEY OBJECTIVES. Danger Essential intervention No. 3 Oedema control KEY OBJECTIVES To know what causes oedema. To know which kind of oedema needs to be referred for emergency surgery and why. To know the effects of oedema on

More information

CENTER FOR ORTHOPAEDICS AND SPINE CARE PHYSICAL THERAPY PROTOCOL REHABILITATION FOLLOWING UNILATERAL PETELLAR TENDON REPAIR BENJAMIN J.

CENTER FOR ORTHOPAEDICS AND SPINE CARE PHYSICAL THERAPY PROTOCOL REHABILITATION FOLLOWING UNILATERAL PETELLAR TENDON REPAIR BENJAMIN J. I. Immediate Postoperative Phase (Days 1-7) Restore full passive knee extension Diminish pain and joint swelling Restore patellar mobility Initiate early controlled motion *Controlled forces on repair

More information

ANTERIOR KNEE PAIN. Explanation. Causes. Symptoms

ANTERIOR KNEE PAIN. Explanation. Causes. Symptoms ANTERIOR KNEE PAIN Explanation Anterior knee pain is most commonly caused by irritation and inflammation of the patellofemoral joint of the knee (where the patella/kneecap connects to the femur/thigh bone).

More information

The Circulatory System (p )

The Circulatory System (p ) The Circulatory System (p. 268-281) How Does Gravity Affect Blood Circulation? As with all land animals, the giraffe and the corn snake are constantly subject to the force of gravity The circulatory system

More information

Understanding. Ankle Sprains

Understanding. Ankle Sprains Understanding Ankle Sprains What Causes Ankle Sprains? The ankle is one of the most common places in the body for a sprain. Every day thousands of people sprain their ankles. Landing wrong on your foot

More information

Medial Collateral Ligament Repair Protocol-Dr. McClung

Medial Collateral Ligament Repair Protocol-Dr. McClung Medial Collateral Ligament Repair Protocol-Dr. McClung Brace: Normally patients will be wearing post-op knee brace locked in 30 degrees for ambulation and sleeping but drop-locked for sitting and knee

More information

The Effect of Low- Intensity Resistance Training with Blood Flow Restriction on Serum Cortisol and Testosterone Levels in Young Men

The Effect of Low- Intensity Resistance Training with Blood Flow Restriction on Serum Cortisol and Testosterone Levels in Young Men J Arch Mil Med. 2015 August; 3(3): e28306. Published online 2015 August 24. DOI: 10.5812/jamm.28306 Research Article The Effect of Low- Intensity Resistance Training with Blood Flow Restriction on Serum

More information

Pectorlais Major Tendon Repair

Pectorlais Major Tendon Repair Dr. Mark Price MGH Sports Medicine Center 175 Cambridge Street, 4th floor Boston, MA 02114 www.massgeneral.org/ortho-sports-medicine/dr-price Pectorlais Major Tendon Repair The pectoralis major muscle

More information

Hypoxia increases muscle hypertrophy induced by resistance training

Hypoxia increases muscle hypertrophy induced by resistance training See discussions, stats, and author profiles for this publication at: http://www.researchgate.net/publication/49785193 Hypoxia increases muscle hypertrophy induced by resistance training ARTICLE in INTERNATIONAL

More information

ACL+Blood Flow Restriction Part 2

ACL+Blood Flow Restriction Part 2 ACL+Blood Flow Restriction Part 2 In the previous email, we discussed the first 2 weeks of recovery from ACL surgery and the potential effects of cell swelling via Blood Flow Restriction to mitigate atrophy.

More information

Chapter 13, 21. The Physiology of Training: Physiological Effects of Strength Training pp Training for Anaerobic Power p.

Chapter 13, 21. The Physiology of Training: Physiological Effects of Strength Training pp Training for Anaerobic Power p. Chapter 13, 21 The Physiology of Training: Physiological Effects of Strength Training pp. 267-270 270 Training for Anaerobic Power p. 430-431 431 Types of Contractions Dynamic, Isotonic, or concentric

More information

Table of Contents: What is a laparoscopic nissen fundoplication?...3. Where will surgery be performed?...3

Table of Contents: What is a laparoscopic nissen fundoplication?...3. Where will surgery be performed?...3 Table of Contents: What is a laparoscopic nissen fundoplication?...3 Planning and preparing for the surgery...3-4 Where will surgery be performed?...3 What to expect during surgery and your hospital stay.

More information

Today we will cover: Exercise for the back L-S spine S-I joint Pelvis www.fisiokinesiterapia.biz Toward Developing Scientifically Justified Low Back Rehabilitation Exercises Use evidence to support clinical

More information

Interval Training with Blood Flow Restriction on Aerobic Performance among Young Soccer Players at Transition Phase

Interval Training with Blood Flow Restriction on Aerobic Performance among Young Soccer Players at Transition Phase ORIGINAL SCIENTIFIC PAPER Interval Training with Blood Flow Restriction on Aerobic Performance among Young Soccer Players at Transition Phase Ali Reza Amani 1, Hassan Sadeghi 2, Taher Afsharnezhad 1 Affiliations:

More information

9180 KATY FREEWAY, STE. 200 (713)

9180 KATY FREEWAY, STE. 200 (713) OSTEOCHONDRAL AUTOGRAFT TRANSPLANTATION Patella/Trochlea Rehabilitation Guidelines PHASE I - PROTECTION PHASE (WEEKS 0-6) Goals: - Protection of healing tissue from load and shear forces - Decrease pain

More information

Applied Exercise and Sport Physiology, with Labs, 4e

Applied Exercise and Sport Physiology, with Labs, 4e Applied Exercise and Sport Physiology, with Labs, 4e hhpcommunities.com/exercisephysiology/chapter-10-aerobic-exercise-prescriptions-for-public-health-cardiorespiratory-fitness-and-athletics/chap Chapter

More information

Upper Limb Biomechanics SCHOOL OF HUMAN MOVEMENT STUDIES

Upper Limb Biomechanics SCHOOL OF HUMAN MOVEMENT STUDIES Upper Limb Biomechanics Phases of throwing motion 1. Wind up Starts: initiate first movement Ends: lead leg is lifted & throwing hand removed from glove COG raised 2. Early Cocking Start: lead leg is lifted

More information

Modalities and Rehab in the Athletic Training Room. Thomas Hunkele MPT, ATC, NASM-PES,CES Coordinator of Rehabilitation

Modalities and Rehab in the Athletic Training Room. Thomas Hunkele MPT, ATC, NASM-PES,CES Coordinator of Rehabilitation Modalities and Rehab in the Athletic Training Room Thomas Hunkele MPT, ATC, NASM-PES,CES Coordinator of Rehabilitation Disclosures The Great Debate To Be or Not To Be (Included) Active vs Passive rehabilitation

More information

Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas Phone: Fax:

Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas Phone: Fax: Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-6016 Fax: 713-986-5411 Pectoralis Major Tendon Repair The pectoralis major is a thick, fan-shaped

More information

Rehabilitation after ankle injuries

Rehabilitation after ankle injuries Rehabilitation after ankle injuries Ahmed Thabet, M.D. Assistant Professor Department of Orthopaedic Surgery & Rehabilitation Texas Tech University Health Sciences Center El Paso What are our objectives?

More information

DISCOID MENISCUS. Description

DISCOID MENISCUS. Description Montefiore Pediatric Orthopedic and Scoliosis Center Children s Hospital at Montefiore Norman Otsuka MD Eric Fornari MD Jacob Schulz MD Jaime Gomez MD Christine Moloney PA 3400 Bainbridge Avenue, 6 th

More information

A Patient s Guide to Quadrilateral Space Syndrome

A Patient s Guide to Quadrilateral Space Syndrome A Patient s Guide to Quadrilateral Space Syndrome Orthopedic and Sports Medicine 825 South 8th Street, #550 Minneapolis, MN 55404 Phone: 612-333-5000 Fax: 612-333-6922 DISCLAIMER: The information in this

More information

Great deal of our work activities require physical effort and the manual handling of materials, supplies and tools.

Great deal of our work activities require physical effort and the manual handling of materials, supplies and tools. Physical Workload Introduction Great deal of our work activities require physical effort and the manual handling of materials, supplies and tools. 2 Stress & Strain Stress Undesirable condition, circumstance,

More information

Chapter 39: Exercise prescription in those with osteoporosis

Chapter 39: Exercise prescription in those with osteoporosis Chapter 39: Exercise prescription in those with osteoporosis American College of Sports Medicine. (2010). ACSM's resource manual for guidelines for exercise testing and prescription (6th ed.). New York:

More information

Original article (short paper) Hypotensive effects of resistance exercise with continuous and intermittent blood flow restriction

Original article (short paper) Hypotensive effects of resistance exercise with continuous and intermittent blood flow restriction 198 Motriz, Rio Claro, v.22 n.3, p. 198-204, July/Sept. 2016 DOI: http://dx.doi.org/10.1590/s1980-6574201600030011 Original article (short paper) Hypotensive effects of resistance exercise with continuous

More information

Meniscus Problems - Torn Meniscus Repair

Meniscus Problems - Torn Meniscus Repair Meniscus Problems - Torn Meniscus Repair The two crescent-shaped menisci in each knee absorb shock, disperse weight, and reduce friction when the knee moves. Activities such as walking or jumping transfer

More information

A Patient s Guide to Elbow Dislocation

A Patient s Guide to Elbow Dislocation A Patient s Guide to Elbow Dislocation 2 Introduction When the joint surfaces of an elbow are forced apart, the elbow is dislocated. The elbow is the second most commonly dislocated joint in adults (after

More information

Lymphatic Facilitation for Athletic Injuries. Director of Instruction Discoverypoint School of Massage Seattle WA

Lymphatic Facilitation for Athletic Injuries. Director of Instruction Discoverypoint School of Massage Seattle WA Lymphatic Facilitation for Athletic Injuries Pat Archer ATC, LMP Director of Instruction Discoverypoint School of Massage Seattle WA Lymphatic Facilitation A specific lymphatic technique proven as an easy

More information

Science and Application of Hypertrophy

Science and Application of Hypertrophy Science and Application of Hypertrophy XXX Course and Learning Outcomes Develop an understanding of what hypertrophy is 1. Increase in size/lean muscular mass 2. Science behind protein synthesis and protein

More information

CWHP Health & Fitness Journal (Fall 2016 Issue) 1. Brandon Stephens

CWHP Health & Fitness Journal (Fall 2016 Issue) 1. Brandon Stephens CWHP Health & Fitness Journal (Fall 2016 Issue) 1 Brandon Stephens Prologue Bigger. Faster. Stronger. At some point in your life, whether it be as an athlete, a coach, a teacher, a trainer or as a regular

More information

One Stop Shop For Teachers. Therapeutic Services-Physical Medicine

One Stop Shop For Teachers. Therapeutic Services-Physical Medicine Program Concentration: Career Pathway: Course Title: One Stop Shop For Teachers Healthcare Science Therapeutic Services-Physical Medicine Rehabilitation in Physical Medicine Course Description: Rehabilitation

More information

Molecular-level benefits of stabilizing blood glucose levels. Copyright 2015 McGraw-Hill Education. All rights reserved.

Molecular-level benefits of stabilizing blood glucose levels. Copyright 2015 McGraw-Hill Education. All rights reserved. Fitness Chapter 6 No reproduction or distribution without the prior written consent of McGraw-Hill Education. 1 What Is Fitness? Physical fitness: ability of the body to respond to physical demands Skill-related

More information

Total Hip Replacement Protocol

Total Hip Replacement Protocol Total Hip Replacement Protocol Applicability: Physician Practice Date Effective: 12/2016 Department: Rehabilitation Services Supersedes: Total Hip Replacement Standard of Care Date Last Reviewed / or Date

More information

A Patient s Guide to Elbow Dislocation

A Patient s Guide to Elbow Dislocation A Patient s Guide to Elbow Dislocation 20295 NE 29th Place, Ste 300 Aventura, FL 33180 Phone: (786) 629-0910 Fax: (786) 629-0920 admin@instituteofsports.com DISCLAIMER: The information in this booklet

More information

A PATIENT S GUIDE TO REHABILITATION POST KNEE REPLACEMENT SURGERY

A PATIENT S GUIDE TO REHABILITATION POST KNEE REPLACEMENT SURGERY A PATIENT S GUIDE TO REHABILITATION POST KNEE REPLACEMENT SURGERY Georgia Bouffard Student Physiotherapist Colin Walker Orthopaedic Knee Specialist Frank Gilroy BSc MSCP 1 CONTENTS Anatomy of the knee

More information

Muscular System. IB Sports, exercise and health science 1.2

Muscular System. IB Sports, exercise and health science 1.2 Muscular System IB Sports, exercise and health science 1.2 Characteristics Common to Contractility-ability to shorten the muscles length Extensibility-ability to lengthen the muscles length Elasticity-muscle

More information

Ankle Rehabilitation with Wakefield Sports Clinic

Ankle Rehabilitation with Wakefield Sports Clinic Ankle Rehabilitation with Wakefield Sports Clinic With Michael Woodcock Adelaide 36ERS & Wakefield Sports Clinic Physiotherapist The ankle joint is one of the major weight bearing structures in the body.

More information

AP Biology Lab 10 PHYSIOLOGY OF THE CIRCULATORY SYSTEM

AP Biology Lab 10 PHYSIOLOGY OF THE CIRCULATORY SYSTEM AP Biology Laboratory Date: Name and Period: AP Biology Lab 10 PHYSIOLOGY OF THE CIRCULATORY SYSTEM OVERVIEW In this lab you will: 1. in Exercise 10A you will learn how to measure blood pressure. 2. in

More information

REGENETEN Bioinductive Implant. Rehabilitation Protocol. for REGENETEN partial thickness tears without repair

REGENETEN Bioinductive Implant. Rehabilitation Protocol. for REGENETEN partial thickness tears without repair REGENETEN Bioinductive Implant Rehabilitation Protocol for REGENETEN partial thickness tears without repair Let s get you back to YOU. We must emphasize that this protocol is recommended ONLY for partial

More information

9180 KATY FREEWAY, STE. 200 (713)

9180 KATY FREEWAY, STE. 200 (713) AUTOLOGOUS CHONDROCYTE IMPLANTATION Femoral Condyle Rehabilitation Guidelines PHASE I - PROTECTION PHASE (WEEKS 0-6) Goals: - Protect healing tissue from load and shear forces - Decrease pain and effusion

More information

ANTERIOR CRUCIATE LIGAMENT (ACL) INJURIES

ANTERIOR CRUCIATE LIGAMENT (ACL) INJURIES ANTERIOR CRUCIATE LIGAMENT (ACL) INJURIES WHAT IS THE ACL? The ACL is a very strong ligament on the inside of the knee. It runs from the femur (thigh bone) obliquely down to the Tibia (shin bone). The

More information