physioterapi
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Transcript of physioterapi
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Strength Training
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Definitions
Repetition: one complete movement of anexercise (con/ecc)
Set: group of repetitions
Repetition Maximum (RM): maximumnumber of repetitions that can beperformed at a resistance with propertechnique; 1 RM
Power: rate of performing work, weightlifted times the vertical distance it is lifted
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%1-RM: a fraction of a 1-RM for trainingprescription, i.e., intensity
Rep Tempo: speed or velocity of
repetitions. E.g., 2/4 rep tempoVolume: total work performed during aspecific time period. Load X reps X sets
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Factoids:
HR is not appropriate measure ofexercise intensity with resistancetrai
ning
Minimal intensity to generate strengthgains is 60-65% of 1RM
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Progressive Overload
increase the amount of weight lifteduse of RM
increase the training volume(number of sets or repetitions)easy to overtrain
especially with increases in trainingvolume
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Rest Periods
If goal is to improve performanceand power for short, intenseactivities, rest period should be short
(< 1 min.)
One day of recovery is usuallyrecommended for a specific body
part
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Types of Strength Training
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Isometric
joint angle specificmust avoid Valsalva maneuver
Dynamic Constant ExternalResistance (DCER)
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Isotonic
Muscular contraction in which themuscle exerts a constant tension
Not the type of contraction with free-weights (contrary to popularthought)
Free-weight, the force variesthroughout the ROM
Recommendation of sets for health is1-3
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Variable Resistance
Equipment operates through a leverarm or cam, attempt to matchresistance with changes in strength
throughout a ROM
No perfect machine out there yet,cannot match ROM demands with
individual differences
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Isokinetic
Muscular action performed at a constantangular velocity
Resistance is not controlled, only the
velocityTheoretically, it is possible for the musclesto exert a continual, maximal forcethrough the full ROM
Optimal number of sets is not clear
Training velocity should be between 180-240/sec
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Eccentric
Can do eccentric training onmachines by lifting a weight greaterthan 1RM with both legs or arms and
then lowering it with oneCan do eccentric training onisokinetic devices
Eccentric training can lead tosignificant strength gainsnot clear what appropriate volumeshould be for strength gains and
DOMS
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Plyometrics or Stretch-Shortening
cycle exercises
20-30% of the difference between acountermovement and anoncountermovement may be explainedby the elastic energy
Elastic energy can be stored in tendonsand other connective tissueThings to consider: number of jumps
height of drop
weighted exercises concurrent strength training injury potential
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2002 ACSM Position Stand
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Novice or Preparatory Phase
50-70% 1RM (or estimated)
One exercise/group
1-3 set8-15 reps
Rest varies for type of training
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Development of Muscular Strength
90-100% of 1RM
3-4 exercise/group
1-5 sets1-5 reps
3-5 min rest btwn sets
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Development of Muscular
Endurance
50-70% 1 RM
2-3 exercise/group
1-3 setsNo more than 15 reps (adv. 25+)
30 sec 1 min rest btwn sets
2-6X week
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Development of Muscle Size
(Hypertrophy)
80-90% 1RM
4-6 exercise/group
4-8 sets12-15 reps
30 sec 1 min rest btwn sets
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Periodization
variation in the volume and intensityneeded for optimal gains in strengthand power
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Periodization
Preparatory: high volume, low resistanceexercise (50-80% 1RM)
First Transition: increase strength,
moderate volume and intensityCompetition: Peak, selective strengthtraining, low volume, high intensity, withintervals and sport-specific exercises
Second Transition or active recovery:recreational activities and low intensityresistance training , different exercisemodes
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Resistance Training for Special
Populations
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Children (Fleck & Kreamer, 1997)
5-7 yr old: basics with little to noweight, concept of a training session,techniques are emphasized, volume
is low8-10 yr old: gradually increase thenumber of exercises, practice
technique for all lifts, keep exercisessimple, increase volume slowly,monitor tolerance to exercise stress
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11-13 yr old: teach all basic exercisetechniques, continue progressive
loading, emphasize technique,introduce new exercises with little orno resistance
14-15 yr old: progress to more
advanced resistance programs, addsport-specific components,emphasize technique, increase
volume16 and older: entry level into adultprograms after all backgroundexperience has been learned
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Seniors
Pollock et al. (1994): 1 set, 10-15RM, 8-10 exercises, 2 d/wk minimum
Fleck & Kraemer (1997): 4-6 largemuscle groups, 3-5 supplementalsmall muscle groups, 80% of 1RM for8 repetitions (most common), 3 sets,
2-3 minutes rest between sets, 3d/wk