exercise Flashcards

1
Q

define Dynamic exercise

A
  • activity characterized by recurrent and substantial body movement

–> isotonic contraction = muscle generates constant tension while changing length

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2
Q

define static exercise

A
  • activity characterized by muscular contraction without substantial body movement

–> ISOMETRIC CONTRACTION = muscle generates tension without a change in length

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3
Q

Describe isotonic contraction

A
  • muscle generates constant tension while changing length

–> concentric (flexing arm in bicep curl

–> eccentric (extending arm in bicep curl)

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4
Q

isometric contraction

A
  • muscle generates tension without a change in length
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5
Q

describe the general physiological response to exercise

A
  • increasing O2 delivery to WORKING TISSUE and remove metabolic by products
  • Mediated by:

–> neural mechanisms (feedforward and feedback)

–> physical mechanisms

–> local biochemical mechanisms

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6
Q

describe some general themes of muscle blood flow in response to dynamic exercise

A
  • blood flow to exercising muscle increases in proprotion to exercise intensity
  • normal humans have large capacity for increasing cardiac ouput
  • distribution of cardiac output is profoundly altered during exercises
  • SPLANCHNIC and RENAL BLOOD FLOW are REDUCED to the greatest extent (much lower during exercise)
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7
Q

describe the cardiovascular adjustments to exercise and recovery

A
  • initiation of exercise = vagal inhibition
  • during exercise = symapthetic activity (feedback)
  • initiation of recovery = increase vagal activity
  • During recovery = vagal increase, sympathetic decrease
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8
Q

describe the resetting of the baroreflex with exercise

A
  • baroreflex is reset ot a higher pressure at the onset of exercise
  • central command sends descending output to nucleus of the solitary tract as well as to motor neurons

- Without these adaptations it would be difficult to INCREASE cardiac oupt to meet the demands of the exercising tissues

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9
Q

describe the mechanisms promoting venous return during Exercise

A
  • Skeletal muscle pump

–> in the absence of mechanisms promoting venous return, increases in cardiac output would be absorbed into the venous circulation

–> mechanical forces play an important role in promoting venous return during exercise

  • Respiratory pump

–> during inspiration, there is a decrease in pleural pressure and righta trial pressure

–> improves the filling of the right side of the heart (encouraging venous return)

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10
Q

describe type III and Type IV muscle afferents

A
  • Thinly myelinated (group III) and unmyelinated (group IV) afferentes that originate in skeletal muscle
  • Sensitive to mechanical deformation (group III) and metabolic byproduces associated with muscle contraction (group IV)
  • Afferents projections synapse in the nucleus of the solitary tract and EXERT SIGNIFICAN INFLUENCE ON AUTONOMIC AND RESPIRATORY FUNCTION
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11
Q

describe sympathetic acivation during exercise

A
  • sympathetic nerve activity increases progressively with increasing exercise intensity
  • Sympathetic stimulaton of the arteries contributes to increase in arterial pressure as well as DIRECTING BLOOD AWAY FROM LOW-METABOLICALLY ACTIVE TISSUE
  • sympathetic stimulation of venous circualtion –> contribute to venous return (muscle pump)
  • contributes to neurohumoral activation (circulating epinephrine and Ang II)
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12
Q

describe muslce blood flow response to exercise

A
  • initial increase in muscle blood flow with intitial of exercise: mechanical compression induced vasodilation + muscle pump
  • steady state exercise: substance produced by exercsising muscles: adensosine, K+, CO2, H+ (metabolic influences)
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13
Q

describe the recruitment of capillary recruitment

A
  • terminal arteriols are the portion of the vacular tree most sensitive to metabolic vasodilators
  • dilation of terminal arterioles leads to recruitement of the additional capillary networks
  • increased capillary recruitment allows for blood flow through muscle to incraese
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14
Q

describe the changes in O2 extraction during exercise

A
  • exercise elicits a Bohr effects

–> decreasing the affinity of Hgb for O2 and right shifting the oxyhemoglobin dissociation curve

–> more oxygen is offloaded at the muscle

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15
Q

describe respiratory response to exercise

A
  • initial increases in respiration occur very rapidly with the onset of exercise
  • increases in ventilation are well matched to metabolic demands during submaximal exercise
  • during high intesnity EX, ventilation and PaCO2 become uncoupled
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16
Q

describe the mechanisms for alveolar ventilation matching to CO2 production

A
  • CO2 flow to the lung
  • CO2 sensitive receptors in the lung that modulate afferents to CNS to affect respiration
  • Central command
  • descending output from cortical bran centers associated with conscious control of motor output
  • Mechano/metaboreceptors
  • blockade of III/IV afferents greatly reduces respiration during submaximal exercise, also not obligatory
17
Q

describe the clinical importance of exercise hyperpnea

A
  • reduced functioanl capacity has significant implications for prognosis
  • conditions that affect the bioenergetics of respiration as well as the perception of effort can significantly affect functional capacity

- Dyspnea can signifcantly limit exercise capacity

18
Q

cardiovascular respones to static exercise

A
  • In isometric exercise (weight lifting) Blood pressure INCREASES MUCH MORE than in isotonic exercise
  • muscle contraction compresses arteries increasing resistance
  • high levels of central command
  • increased intra-abdominal and intra-thoracic pressure
19
Q

describe the valsalva maneuver

A
  • Phase I = increase in intra-thoracic pressure, compression of aorta, veins and heart
  • Phase 2 = falling aortic pressure secondary to reduced cardiac ouput
  • Phase 3 = decreased compression of aorta
  • Phase 4 = increased preload/cardiac filling/cardiac output