Week 9 Flashcards

(34 cards)

1
Q

physical stress theory

A
  • decreased stress = atrophy
  • maintenance = homeostasis
  • increased stress = hypertrophy
  • overload = injury
  • tissue death
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2
Q

acute injury

A

exercise induced muscle damage
- disruption and disarrangement of myofibrils and cytoskeletal structures

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3
Q

chronic injury

A

accumulation of exercise elicited increase in muscle protein synthesis inducing chronic muscle hypertrophy (need adequate recovery)

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4
Q

muscle hypertrophy ‘dose response relationship’

A
  1. fast to slow twitch fiber type transition
  2. muscle architecture change (increased pennation angle)
  3. vascularity (increased capillary number and flow)
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5
Q

IVD

A

largely avascular structure permitting movement, shock absorption and local distribution through spine

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6
Q

nucleus pulposis and annulus fibrosis

A
  1. NP - central gelatinous mass
  2. AF - outer fibrous ring
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7
Q

aging and degenerative disease impact on IVD

A

reduced height, proteoglycan and water content reduction
- less hydrated disk and loses structure

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8
Q

ligaments

A

dense bands of collagenous tissue spanning joint with bone to bone anchor points

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9
Q

ligament function

A

passive stability and proprioception

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10
Q

ligament contents

w c f v n

A
  • 70% water
  • 30% collagen (largely type 1 85% and type 3)
  • fibroblasts (regulate extracellular matrix and ligament metabolism)
  • vascular and neural supply
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11
Q

tendons

A

passive tissues important for transmitting force and allowing storage and release of strain energy during motion

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12
Q

tendon contents

c w t v s

A
  • 15% collagen
  • 80% water
  • limited tenocytes
  • limited vascular and nerve supply
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13
Q

healthy tendon

t c ecm

A
  • uniform tenocyte numebrs with flattened shape
  • wave collagen representation
  • collagen organized and layered
  • ECM structurally organized, consistent and balanced
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14
Q

most effective method for tendon adaptation

A

higher strain resistance training
- jump based training (increased tendon stiffness)

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15
Q

AT and RT effect on tendons

A
  • aerobic training isolation has no effect on tendon properties
  • AT and RT can clash with tendon improvement
  • muscle tendon contraction does not influence tendon adaptation
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16
Q

tendon acute loading effect

A

increase in matrix metalloproteinases -> high release of breakdown products of collagen (net collagen loss in 24-36 hours after exercise) followed by collagen resynthesis (36-72 hours)

17
Q

tendon overload

A

overload or lack of recovery = reduced load tolerance

18
Q

articular cartilage

A

dense load bearing tissue absorbing and dissipating weight, lubricating and permitting smooth and frictionless movement

19
Q

articular cartilage contents

A

largely avascular and anural (lacking healing potential and suscptible to degenerative disease)
- receives nutrients from subchondral bone or synovial fluid

20
Q

articular cartilage layers

A
  1. zone 1 (superficial)
  2. zone 2 (transitional)
  3. zone 3 (deep)
  4. zone 4 (calcified attached to bone)
21
Q

chondrocytes

A
  • building blocks of cartilage
  • ECM, collagen and proteoglycans (interact to produce strength, stiffness and resistance to tensile/compressive stresses)
  • hyaluronic acid and water (60-80%)
22
Q

osteoarthritis

A

softer and reduced tensile strength
- cannot dfeal with compressive forces
- loses compressive stiffness
- cartilage thinning

23
Q

corticol/trabecular bone response to load and exercise

A

age = increased porosity, hypermineralization, accumulation of microdamage, strength under tension and compression decline 2% per decade from 30s

24
Q

trabecular/cancellous/spongey bone

A

porosity 40-95%
- age = trabecular bone thinner and less closely spaced
- strength reduction by 10% per decade

25
osteoclasts osteoblasts
OC - bone resorption OB - bone remodelling
26
bone under/overloading outcome
UL - osteoporosis OL - bone stress injury or fracture
27
why are MSK conditions so prevalent
- rise in T2D and obesity - carrying higher weight early in life (joints carry more weight over time) - rise in sedentary behaviour and poor posture - aging population
28
impact of OA
increases risk of CVD, diabetes and cancer
29
highest burdens (3)
- low back/neck pain - osteoarthritis - falls
30
primary aging
inevitable deterioration of cell structure and biological function
31
secondary aging
additional deterioration due to disease processes, adverse lifestyle behaviours and environmental influences
32
secondary aging (3)
1. disease processes 2. adverse lifestyle behaviours 3. environmental influences
33
secondary aging effect of sarcopenia
sarcopenia - loss of skeletal muscle mass progresively --> increased fat --> increased systemic inflammation --> further sarcopenia --> adverse effects
34
effects of RT in healthy aging
- glucose homeostasis - body composition - muscle mass decline mitigation - muscular strength improvement