5/12/2015. OKKLUSIONSTRÆNING blood flow restricted exercise (BFRE) BLOOD FLOW RESTRICTION TRAINING. Velkommen til workshop: BFRE/okklusionstræning

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "5/12/2015. OKKLUSIONSTRÆNING blood flow restricted exercise (BFRE) BLOOD FLOW RESTRICTION TRAINING. Velkommen til workshop: BFRE/okklusionstræning"

Transcription

1 Team Danmark Formidlingsseminar Brøndby 12. Maj 2015 BLOOD FLOW RESTRICTION TRAINING OPBYGNING OG VEDLIGEHOLDELSE AF MUSKELMASSE MED LAV-INTENSIV STYRKETRÆNING Per Aagaard, Maj Lund Jepsen, Mads Brink Hansen, Jarl Pors Jakobsen, Institut for Idræt og Biomekanik, Syddansk Universitet Dansk Vandski Forbund Team Danmark Velkommen til workshop: BFRE/okklusionstræning 13:30-14:00: Okklusionstræning: videnskabelig baggrund mekanismer, anvendelsesområder - v. Per Aagaard 14:00-14:10: Spørgsmål og diskussion 14:10-14:20: Kaffe og fortsat snak og diskussion 14:20-14:50: Vandskihop og okklusionstræning - v. Maj Lund Jepsen, Jarl Pors Jakobsen og Mads Brink Hansen 14:50-15:00: Spørgsmål og diskussion OKKLUSIONSTRÆNING blood flow restricted exercise (BFRE) Resistance training performed with concurrent partial blood flow occlusion, and using low external loads (20-50% 1RM) picture courtsey Ben Rosenblatt, UK Sports 1

2 Free-flow low-load strength training: No or only minor increases in muscle size Quadriceps Muscle Cross-sectional Area VI RF VM VL pre training, distal site post training, distal site * pre training, proximal site post training, proximal site (P<0.05) (P<0.01) Heavy: training loads 70% 1RM, Light: training loads 20% 1RM, 12 weeks, 36 sessions, isolated knee extension, matched for total work load Holm, Aagaard et al, J Appl Physiol 2008 OKKLUSIONSTRÆNING blood flow restricted exercise (BFRE) Subjects: Young men (n=16) age 23.9 ± 8.4 yrs % Change in mid-thigh Muscle-Bone CSA Occlusion pressure: mm Hg Loading intensity/volume: 20% 1RM 2 weeks (minus sunday) 2 sessions/day 3 sets, 15 reps Squat and leg curls Occlusion pressure maintained in breaks (30-s) Total session duration 10 min Abe et al, 2005 OKKLUSIONSTRÆNING blood flow restricted exercise (BFRE) Subjects: Elderly women (n=19) age 58.2 ± 6.6 yrs (range 47-67) Changes in elbow flexor CSA and MVC with 16 wks BFRE Occlusion pressure: 110 mm Hg Loading intensity/volume: ~ 80% 1RM (HI) ~ 50% 1RM (LI, LI-BFRE) 16 wks, 2 sessions/wk LI-BFRE and HI: reps performed until failure * LI-BFRE, HI > LI (p<0.05) LI: reps performed to ensure equal work matched to LI-BFRE Cross-over design Muscle CSA Muscle strength Takarada et al, J Appl Physiol 2000; in Manini & Clark, ESSR

3 Blood flow restricted resistance exercise (BFRE) can induce hypertrophy in highly strength trained athletes PRE TRAINING POST TRAINING Knee extensor exercise with partial blodflow occlusion (Rugby players): 4 sets to failure, ~50% 1RM training loads, 2 sessions per week, 8 wks 12% increase in quadriceps CSA Takarada et al, Eur J Appl Physiol 2002 Blood flow restricted resistance exercise can improve muscle strength/power in highly strength trained athletes Cook et al, J Sports Physiol Perform 2014 Blood flow restricted resistance exercise can improve muscle strength/power in highly strength trained athletes Cook et al, J Sports Physiol Perform

4 Blood flow restricted resistance exercise can improve muscle strength/power in highly strength trained athletes Semiprofessional rugby union athletes Randomized to lower-body BFR training (occlusion cuff inflated to 180 mmhg intermittently on the proximal thighs) or control intervention training without BFR 9 sessions in 3 wks 5 sets of 5 repetitions: bench press, leg squat, pull-ups 70% of 1-RM Cook et al, J Sports Physiol Perform 2014 Blood flow restricted resistance exercise can improve muscle strength/power in highly strength trained athletes BFR training Control Cook et al, J Sports Physiol Perform 2014 Substantial muscular hypertrophy can be elicited by use of low-resistance blood flow restricted (BFR) strength training! WHAT ARE THE ADAPTIVE MECHANISMS? 4

5 Sarcolemma Sarcolemma Basal lamina Basal lamina 5/12/2015 Substantial muscular hypertrophy can be elicited by use of low-resistance blood flow restricted (BFR) strength training! PROPOSED ADAPTIVE MECHANISMS - Enhanced cellular net protein synthesis... YES! - Growth hormone secretion?... evidence exists - Autocrine/paracrine IGF-1 production... maybe - Reduced myostatin expression?... evidence exists - Activation of muscle stem cells (satellite cells)??? Effects of resistance exercise on skeletal muscle satellite cell activity Picture courtsey Abigail MacKey ISMC, Bispebjerg Hospital, University of Copenhagen Satellite cells in human skeletal muscle Satellite cells in human skeletal muscle Satellite cells = dormant myogenic cells situated between the basal lamina and the muscle cell membrane Myogenic satellite cells mediate muscle cell repair and growth in response to overloading Cell membrane Satellite cell Myonucleus Myofibre Vierck et al, Vierck et al., Cell Biol Int Cell 24, Biol Int. 24, 2000 NCAM/D56 antibody staining haematoxylin counterstaining Kadi

6 Sarcolemma Sarcolemma Basal lamina Basal lamina 5/12/2015 Satellite cells in human skeletal muscle Satellite cells in human skeletal muscle Satellite cells in human skeletal muscle Satellite cells = dormant myogenic cells situated between the basal lamina and the muscle cell membrane Kadi et al, J Physiol 2004 Cell membrane Satellite cell Myonucleus Myofibre Vierck et al, Vierck et al., Cell Biol Int Cell 24, Biol Int. 24, 2000 NCAM/D56 NCAM/CD56 antibody antibody staining staining haematoxylin Haematoxylin counterstaining counterstaining Resistance training, satellite cells and skeletal muscle hypertrophy Responders vs non-responders Picture courtsey Abigail MacKey ISMC, Bispebjerg Hospital, University of Copenhagen 6

7 Resistance training, satellite cells and skeletal muscle hypertrophy Responders vs non-responders Mean fiber area (m 2 ) Satellite cells (SC per 100 fibers) Relative satellite cells (% all nuclei) Changes in muscle fiber area and satellite cell content in response to 16 wks of heavy-resistance strength training (young, old, men, women) Petrella, Bamman et al, J Appl Physiol 2008 Resistance training, satellite cells and skeletal muscle hypertrophy Responders vs non-responders Mean fiber area (m 2 ) Myonuclear number (nuclei per fiber) Fiber CSA per myonucleus (m 2 ) Changes in muscle fiber area and myonuclei content in response to 16 wks of heavy-resistance strength training (young, old, men, women) Petrella, Bamman et al, J Appl Physiol 2008 Resistance training, satellite cells and skeletal muscle hypertrophy 14 days lower limb immobilization 4 wks strength training: Hypertrophy response associated with upregulated satellite cell activity Young (24 yrs) Old (67 yrs) Suetta, Frandsen, Aagaard, Kjaer et al. J Physiol 591,

8 exercise, tissue injury Exercise induced self renewal of SC s Pool of myogenic stem cells (satellite cells: CS) Modified from MacKey et al, Scand J Med Sci Sports 2007 INCREASE IN MYONUCLEI NUMBER WITH SATELLITE CELL ACTIVATION Satellite cell activation/proliferation SC fusion with myofibers cell volume / nuclei sustained cell volume / nuclei Snijders et al, Ageing Research Reviews 8, 2009 Effects of blood-flow restricted muscle exercise (BFRE) on myofiber size and myogenic satellite cells? satellite cell 8

9 Strength Testing Muscle biopsy sampling Monday Tuesday Monday Tuesday Wednesday Thursday Friday Wednesday Thursday Friday Muscle biopsy sampling Tuesday Tuesday Wednesday Thursday Friday Wednesday Thursday Friday Monday Tuesday Monday Tuesday Wednesday Thursday Friday Wednesday Thursday Friday Muscle biopsy sampling Strength Testing Muscle biopsy sampling Strength Testing 5/12/2015 TRAINING and TEST PROTOCOL pneumatic cuff 23 TRAINING SESSIONS performed in 3 wks (19 days) Low-resistance BFR-ST (n=22) or load/work matched RE (n=8) 4 sets at 20% 1RM performed to failure, rest periods 45 sec - total duration of occlusion: 6-8 minutes Cuff-pressure: 100 mmhg, no cuff release between sets 15-cm cuff width TRAINING and TEST PROTOCOL pneumatic cuff PRE MID8 POST 3 days POST 10 days MUSCLE BIOPSY SAMPLING (VL muscle) PRE, MID8 (5 days BFR-ST + 2 days rest), POST3, POST 10 (3,10 days post training) 9

10 MUSCLE BIOPSY ANALYSIS Assessment of fibertype composition Tripple immunohistochemical MHC-antibody stainings performed to determine fiber type distribution Kosek et al 2006 IIA Assessment of fiber area Laminin antibody stainings performed to visualize the fiber membrane IIA IIA Immunohistochemical tripple staining marking MHC I (blue), MHC I IA (red) and MHC IIX (black) isoforms while laminin (green) marks the basal membrane. Scale bar: 100 m MUSCLE BIOPSY ANALYSIS Assessment of fibertype composition Tripple immunohistochemical MHC-antibody stainings performed to determine fiber type distribution Kosek et al 2006 Assessment of fiber area Laminin antibody stainings performed to visualize the fiber membrane Satellite cells Myogenic satellite cells (SC) stained for Pax-7, with verified sub-sarcolemmal position Boldrin et al, J Histochem Cytochem 2012 MUSCLE BIOPSY ANALYSIS Assessment of fibertype composition Tripple immunohistochemical MHC-antibody stainings performed to determine fiber type distribution Kosek et al 2006 Assessment of fiber area Laminin antibody stainings performed to visualize the fiber membrane Satellite cells Myogenic satellite cells (SC) stained for Pax-7, with verified sub-sarcolemmal position Myonuclei Myonuclei stained with DAPI 10

11 Total training repetitions 5/12/2015 TRAINING VOLUME & PAIN SCORING Week 1 Week 2 Week 3 +13% VAS score (max = 100) TRAINING SESSIONS Satellite cells per muscle fiber Satellite cells per muscle fiber +301% Type I fibers +160% Type II fibers+284% +147% Type I BFRE fibers CON Type BFRE II fibers CON BFRE CON BFRE CON different from PRE (p<0.01) *,** different from CON (p<0.05) different from mid8 (p<0.05) Myonuclei per muscle fiber +35% Myonuclei per muscle fiber +30% +30% +27% Type I fibers Type II fibers BFRE CON BFRE CON different from PRE (p<0.01) *,** different from CON (p<0.05) different from mid8 (p<0.05) 11

12 Myofiber cross-sectional area Myofiber CSA Myofiber CSA Type I fibers Type Type I fibers II fibers Type II fibers Type I Myofiber CSA BFRE fibers CON +37% Type Type I BFRE fibers II fibers CON CON Type BFRE II fibers CON +30% +39% Type I fibers Type II fibers +31% Type I BFRE fibers CON +28% Type BFRE II fibers +28% CON BFRE CON BFRE BFRE CON CON BFRE CON BFRE CON BFRE CON different from PRE (p<0.01) *,** different from CON (p<0.05) different from mid8 (p<0.05) Maximal muscle strength (MVC) +6% +13% different from PRE (p<0.01) *,** different from CON (p<0.05) different from mid8 (p<0.05) Effects of blood flow restricted low-intensity resistance training (BFRE) on myogenic satellite cells CONCLUSIONS BFR-ST can be used to induce marked increases (+30-40%) in myofiber size of both type I and II fibers within a very short period of time (3 weeks) BFR-ST results in a markedly upregulated (1½-2 fold increased) myogenic satellite cell (SC) content in the trained muscles The hyperactivation of SC s with BFR-ST is accompanied by elevated myonuclei number - reflecting an increased transcriptional capacity (elevated myogenic capacity) 12

13 Effects of blood flow restricted low-intensity resistance training (BFRE) on myogenic satellite cells PERSPECTIVES Short-term BFRE marked increases in SC content ( %) and myonuclear number (30-35%) myogenic priming of human skeletal muscle important potential implications - for instance: TRAINING OF ATHLETES (1) Rapid and amplified increases in muscle mass with conventional strength training when preconditioned by BFRE? (2) Increased myonuclei number in BFRE trained myofibers exploiting muscle memory Bruusgaard, Gundersen et al, PNAS 2010 Effects of blood flow restricted low-intensity resistance training (BFRE) on myogenic satellite cells PERSPECTIVES Short-term BFRE marked increases in SC content ( %) and myonuclear number (30-35%) myogenic priming of human skeletal muscle important potential implications - for instance: TRAINING IN PATIENTS Unable to perform heavy-load RT due to musculo-skeletal-tendinous injury, with primary or secondary loss in muscle mass, i.e. neuromuscular myopathology (MS, ALS), sarcopenic elderly, ACL injury, etc Effects of blood flow restricted low-intensity resistance training (BFRE) on myogenic satellite cells PERSPECTIVES Potentially allows accelerated rehabilitation i.e. following ACL reconstruction Short-term BFRE marked increases in SC content ( %) and myonuclear number (30-35%) myogenic priming of human skeletal muscle important potential implications - for instance: May similarly allow accelerated rehabilitation in non-reconstructed ACL injured subjects TRAINING IN PATIENTS Unable to perform heavy-load RT due to musculo-skeletal-tendinous injury, with primary or secondary loss in muscle mass, i.e. neuromuscular myopathology (MS, ALS), sarcopenic elderly, ACL injury, etc 13

14 Use of BFRE versus general progression training From bed rest to walking to training following limb immobilizing injury Loenneke, Abe, Bemben et al, 2012 Accelerated rehabilitation in ACL reconstructed patients via hyper-activation of myogenic stem cells by use of kaatsu exercise (BFRE) Jakob L. Nielsen Phd-student, Cand.Scient Institute of Sports Science and Clinical Biomechanics University of Southern Denmark Jørgensen et al, accepted for publication Clinical Physiology and Functional Imaging

15 TV2 Sporten (SportsLAB) marts 2014 TV2 Sporten (SportsLAB) marts 2014 TV2 Sporten (SportsLAB) marts

16 TV2 Sporten (SportsLAB) marts 2014 TV2 Sporten (SportsLAB) marts 2014 TV2 Sporten (SportsLAB) marts

17 TV2 Sporten (SportsLAB) marts 2014 THANKS for your attention! Acknowledgements Jakob L. Nielsen Anders Jørgensen Ulrik Frandsen Charlotte Suetta Nis Nissen Lars Grøndahl Hvid Mathias Wernbom Rune Dueholm Bech Tobias Nygaard Ben Rosenblatt Abigail Mackey Fawzi Kadi Michael Kjær 17

Assessment and evaluation of human muscle, nervous system and tendon-aponeurosis function in sports science, clinical science and aging

Assessment and evaluation of human muscle, nervous system and tendon-aponeurosis function in sports science, clinical science and aging International PhD Course,, March 2011 Assessment and evaluation of human muscle, nervous system and tendon-aponeurosis function in sports science, clinical science and aging Course Arranger and coordinator:

More information

The Hypertrophic Effects of Practical Vascular Blood Flow Restriction Training

The Hypertrophic Effects of Practical Vascular Blood Flow Restriction Training University of South Florida Scholar Commons Graduate Theses and Dissertations Graduate School May 2014 The Hypertrophic Effects of Practical Vascular Blood Flow Restriction Training John Francis O'halloran

More information

Low Intensity Alternatives for Strength and Hypertrophy

Low Intensity Alternatives for Strength and Hypertrophy Low Intensity Alternatives for Strength and Hypertrophy Jacob M. Wilson, PhD, CSCS*D Human Performance laboratory University of Tampa, Tampa, FL Traditional Techniques The American College of Sports Medicine

More information

Strength-training in soccer. Jesper L. Andersen, Ph.D., Head of Laboratory Institute of Sports Medicine, Bispebjerg hospital, Copenhagen, Denmark

Strength-training in soccer. Jesper L. Andersen, Ph.D., Head of Laboratory Institute of Sports Medicine, Bispebjerg hospital, Copenhagen, Denmark Strength-training in soccer Jesper L. Andersen, Ph.D., Head of Laboratory Institute of Sports Medicine, Bispebjerg hospital, Copenhagen, Denmark 1 Why do strength training? Potential benefits; Increase

More information

Endocrine Responses to Resistance Exercise

Endocrine Responses to Resistance Exercise chapter 3 Endocrine Responses to Resistance Exercise Chapter Objectives Understand basic concepts of endocrinology. Explain the physiological roles of anabolic hormones. Describe hormonal responses to

More information

RECOMMENDATIONS FOR PROTEIN AND AMINO ACID TIMING FOR STRENGTH AND HYPERTROPHY

RECOMMENDATIONS FOR PROTEIN AND AMINO ACID TIMING FOR STRENGTH AND HYPERTROPHY RECOMMENDATIONS FOR PROTEIN AND AMINO ACID TIMING FOR STRENGTH AND HYPERTROPHY Eric D. Ryan, PhD, CSCS*D, NSCA-CPT*D Stallings Fellow Assistant Professor University of North Carolina Chapel Hill Department

More information

Women and Strength Training

Women and Strength Training Women and Strength Training Purpose Examine gender differences and issues concerning women and resistance training Educate female athletes about the balance of training components Misconceptions Certain

More information

Chapter 4: Developing Strength

Chapter 4: Developing Strength Chapter 4: Developing Strength Objectives Discuss physiological adaptations to strength training Discuss the different types of muscle contractions and their role in strength training Discuss the different

More information

Strength and Conditioning for Power and Strength Sports: Science to Application

Strength and Conditioning for Power and Strength Sports: Science to Application Strength and Conditioning for Power and Strength Sports: Science to Application William J. Kraemer, Ph.D., CSCS*D FACSM, FNSCA, FISSN, FACN Human Performance Laboratory University of Connecticut Storrs,

More information

AGE-RELATED CHANGES IN SKELETAL MUSCLE: Strength Development Through the Lifespan

AGE-RELATED CHANGES IN SKELETAL MUSCLE: Strength Development Through the Lifespan FISA World Rowing Coaches Conferenc, 7-10th November 2013, Tallinn AGE-RELATED CHANGES IN SKELETAL MUSCLE: Strength Development Through the Lifespan Teet Seene University of Tartu AIM Skeletal Muscle Development:

More information

Mary LaBarre, PT, DPT,ATRIC

Mary LaBarre, PT, DPT,ATRIC Aquatic Therapy and the ACL Current Concepts on Prevention and Rehab Mary LaBarre, PT, DPT,ATRIC Anterior Cruciate Ligament (ACL) tears are a common knee injury in athletic rehab. Each year, approximately

More information

Rehabilitation. Modalities and Rehabilitation. Basics of Injury Rehabilitation. Injury Rehabilitation. Vocabulary. Vocabulary

Rehabilitation. Modalities and Rehabilitation. Basics of Injury Rehabilitation. Injury Rehabilitation. Vocabulary. Vocabulary Modalities and Rehabilitation Rehabilitation Chapter 12: Basics of Injury Rehabilitation Vocabulary Balance: ability to maintain our center of gravity over a base of support Kinesthesia: the ability to

More information

Effets biologiques des facteurs de croissance sur la régénération musculaire

Effets biologiques des facteurs de croissance sur la régénération musculaire Effets biologiques des facteurs de croissance sur la régénération musculaire Xavier Bigard (MD, PhD) Professeur Agrégé du Val-de-Grâce Institut de Recherche Biomédicale des Armées (IRBA) La Tronche (Grenoble)

More information

Maximal eccentric strength training Clinical aspects

Maximal eccentric strength training Clinical aspects 2nd MuscleTech Network Workshop on Muscle and Tendon From Translational Research to Translational Medicine Barcelona - September 26 th -28 th 2010 Use of Resistance Training in the Prevention and Rehabilitation

More information

Biomechanics of Skeletal Muscle and the Musculoskeletal System

Biomechanics of Skeletal Muscle and the Musculoskeletal System Biomechanics of Skeletal Muscle and the Musculoskeletal System Hamill & Knutzen (Ch 3) Nordin & Frankel (Ch 5), or Hall (Ch. 6) Muscle Properties Irritability Muscle has the capability of receiving and

More information

Basic Principles of Strength Training and Conditioning

Basic Principles of Strength Training and Conditioning Basic Principles of Strength Training and Conditioning John M. Cissik, MS, CSCS Whether you are a recreational weight trainer, a weekend athlete, or a strength coach working with elite athletes, it is

More information

adj., departing from the norm, not concentric, utilizing negative resistance for better client outcomes

adj., departing from the norm, not concentric, utilizing negative resistance for better client outcomes Why Eccentrics? What is it? Eccentric adj., departing from the norm, not concentric, utilizing negative resistance for better client outcomes Eccentrics is a type of muscle contraction that occurs as the

More information

QUESTION I HAVE BEEN ASKED TO REHAB GRADE II AND III MCL INJURIES DIFFERENTLY BY DIFFERENT SURGEONS IN THE FIRST 6WEEKS FOLLOWING INJURY.

QUESTION I HAVE BEEN ASKED TO REHAB GRADE II AND III MCL INJURIES DIFFERENTLY BY DIFFERENT SURGEONS IN THE FIRST 6WEEKS FOLLOWING INJURY. QUESTION I HAVE BEEN ASKED TO REHAB GRADE II AND III MCL INJURIES DIFFERENTLY BY DIFFERENT SURGEONS IN THE FIRST 6WEEKS FOLLOWING INJURY. SOME ARE HINGE BRACED 0-90 DEGREES AND ASKED TO REHAB INCLUDING

More information

Hamstring Strain. Alex Petruska, PT, SCS

Hamstring Strain. Alex Petruska, PT, SCS Hamstring Strain Alex Petruska, PT, SCS ANATOMY There are three muscles in the back of the thigh that are collectively called the hamstrings. They are named biceps femoris, semitendinosis and semimembranosis.

More information

Strength can be defined as the maximum force produced. The Relation Between Strength and Power in Professional Rugby League Players

Strength can be defined as the maximum force produced. The Relation Between Strength and Power in Professional Rugby League Players Journal of Strength and Conditioning Research, 1999, 13(3), 224 229 1999 National Strength & Conditioning Association The Relation Between Strength and Power in Professional Rugby League Players DANIEL

More information

Anaerobic and Aerobic Training Adaptations. Chapters 5 & 6

Anaerobic and Aerobic Training Adaptations. Chapters 5 & 6 Anaerobic and Aerobic Training Adaptations Chapters 5 & 6 Adaptations to Training Chronic exercise provides stimulus for the systems of the body to change Systems will adapt according to level, intensity,

More information

Rehabilitation after ACL Reconstruction: From the OR to the Playing Field. Mark V. Paterno PT, PhD, MBA, SCS, ATC

Rehabilitation after ACL Reconstruction: From the OR to the Playing Field. Mark V. Paterno PT, PhD, MBA, SCS, ATC Objectives Rehabilitation after ACL Reconstruction: From the OR to the Playing Field Mark V. Paterno PT, PhD, MBA, SCS, ATC Coordinator of Orthopaedic and Sports Physical Therapy Cincinnati Children s

More information

The August Krogh Institute: Capillaries and beyond

The August Krogh Institute: Capillaries and beyond The August Krogh Institute: Capillaries and beyond Gisela Sjøgaard PhD, DrMedSci, Professor Institute of Sports Science and Clinical Biomechanics University of Southern Denmark, Odense Marie & August August

More information

THE BIG SIX. Six Best Volleyball Strength Training Exercises. By Dennis Jackson, CSCS www.strength-and

THE BIG SIX. Six Best Volleyball Strength Training Exercises. By Dennis Jackson, CSCS www.strength-and THE BIG SIX Six Best Volleyball Strength Training Exercises By Dennis Jackson, CSCS www.strength-and and-power power-for for-volleyball.com THE SQUAT What it is The two most common squatting exercises

More information

Strength Training for the Runner

Strength Training for the Runner Strength Training for the Runner Strength Training for the Runner What? The goal of resistance training for runners is not necessarily adding muscle mass but 1. improving muscular strength, 2. improving

More information

Motricidade ISSN: 1646-107X motricidade.hmf@gmail.com Desafio Singular - Unipessoal, Lda Portugal

Motricidade ISSN: 1646-107X motricidade.hmf@gmail.com Desafio Singular - Unipessoal, Lda Portugal Motricidade ISSN: 1646-107X motricidade.hmf@gmail.com Desafio Singular - Unipessoal, Lda Portugal Jiménez, A. Undulating periodization models for strength training & conditioning Motricidade, vol. 5, núm.

More information

University of South Florida, Tampa, FL. Nutrition Laboratory

University of South Florida, Tampa, FL. Nutrition Laboratory Bill Campbell, PhD, CSCS, FISSN Assistant Professor of Exercise Science at the University of South Florida, Tampa, FL. Director of the Exercise and Performance Director of the Exercise and Performance

More information

2nd MuscleTech Network Workshop. From translational Research to translational Medicine. CONCLUSIONS AND CLOSING REMARKS Dr.

2nd MuscleTech Network Workshop. From translational Research to translational Medicine. CONCLUSIONS AND CLOSING REMARKS Dr. 2nd MuscleTech Network Workshop. From translational Research to translational Medicine. CONCLUSIONS AND CLOSING REMARKS Dr. Carles Pedret MUSCLE AND TENDON WORKSHOP HEALTH AND GENERAL POPULATION SPORTS

More information

Performance Enhancement Training for the Post Rehabilitated Knee

Performance Enhancement Training for the Post Rehabilitated Knee Performance Enhancement Training for the Post Rehabilitated Knee NSCA National Conference July 11, 2013 Robert A. Panariello MS, PT, ATC, CSCS Professional Orthopedic and Sports Physical Therapy Professional

More information

Total Knee Arthroplasty Unicompartmental Knee Arthroplasty. Monica Clarke P.T., FCAMPT Stittsville Sport Physiotherapy Centre

Total Knee Arthroplasty Unicompartmental Knee Arthroplasty. Monica Clarke P.T., FCAMPT Stittsville Sport Physiotherapy Centre Total Knee Arthroplasty Unicompartmental Knee Arthroplasty Monica Clarke P.T., FCAMPT Stittsville Sport Physiotherapy Centre Purpose of this presentation A version of this presentation was presented at

More information

S p o r t s & O r t h o p a e d i c S p e c i a l i s t s A C L D e f i c i e n t K n e e P r o t o c o l

S p o r t s & O r t h o p a e d i c S p e c i a l i s t s A C L D e f i c i e n t K n e e P r o t o c o l S p o r t s & O r t h o p a e d i c S p e c i a l i s t s A C L D e f i c i e n t K n e e P r o t o c o l This protocol provides appropriate guidelines for the rehabilitation of patients with an ACL deficient

More information

Postnatal Muscle Growth. Postnatal Muscle Growth. Postnatal Muscle Growth. DNA and Growth. DNA Accumulation. Postnatal muscle growth

Postnatal Muscle Growth. Postnatal Muscle Growth. Postnatal Muscle Growth. DNA and Growth. DNA Accumulation. Postnatal muscle growth Postnatal Muscle Growth Feedlot Cattle on High Concentrate Diet Postnatal muscle growth Postnatal muscle growth curve?? Key characteristics of muscle: fiber # fixed at birth increased size/wt. (length/diameter)

More information

Exercise therapy and multiple sclerosis a powerful non-pharmacological intervention

Exercise therapy and multiple sclerosis a powerful non-pharmacological intervention Malmö, November 2014 Exercise therapy and multiple sclerosis a powerful non-pharmacological intervention Ulrik Dalgas, PhD Department of Public Health Section of Sport Science Aarhus University Denmark

More information

Hip Bursitis/Tendinitis

Hip Bursitis/Tendinitis Hip Bursitis/Tendinitis Anatomy and Biomechanics The hip is a ball and socket joint that occurs between the head of the femur (ball) and the acetabulum of the pelvis (socket). It is protected by several

More information

Chapter 9: Strength Training Program Design. ACE Personal Trainer Manual Third Edition

Chapter 9: Strength Training Program Design. ACE Personal Trainer Manual Third Edition Chapter 9: Strength Training Program Design ACE Personal Trainer Manual Third Edition Introduction There are six (6) types of resistance training: 1. Isometric force development 2. Concentric force development

More information

GA-3 Disaster Medical Assistance Team. Physical Fitness Guide

GA-3 Disaster Medical Assistance Team. Physical Fitness Guide GA-3 Disaster Medical Assistance Team Physical Fitness Guide PURPOSE: The purpose of this Physical Fitness Guide is to provide physical fitness training information to the members of the GA-3 Disaster

More information

Human Clinical Study for Free Testosterone & Muscle Mass Boosting

Human Clinical Study for Free Testosterone & Muscle Mass Boosting Human Clinical Study for Free Testosterone & Muscle Mass Boosting GE Nutrients, Inc. 920 E. Orangethorpe Avenue, Suite B Anaheim, California 92801, USA Phone: +1-714-870-8723 Fax: +1-732-875-0306 Contact

More information

RIB STRESS FRACTURES IN ELITE ROWERS. Anders Vinther, Research Physiotherapist, ph.d. Herlev Hospital, Copenhagen, Denmark & Lund University, Sweden

RIB STRESS FRACTURES IN ELITE ROWERS. Anders Vinther, Research Physiotherapist, ph.d. Herlev Hospital, Copenhagen, Denmark & Lund University, Sweden RIB STRESS FRACTURES IN ELITE ROWERS Anders Vinther, Research Physiotherapist, ph.d. Herlev Hospital, Copenhagen, Denmark & Lund University, Sweden World Rowing Coaches Conference, Copenhagen 2010 RIB

More information

POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION POSTOPERATIVE REHABILITATION PROTOCOL

POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION POSTOPERATIVE REHABILITATION PROTOCOL Corey A. Wulf, MD POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION POSTOPERATIVE REHABILITATION PROTOCOL The range of motion allowed after posterior cruciate ligament reconstructive surgery is dependent upon

More information

Pre-Season Training for Basketball: Preparing the athlete for the demands of the season.

Pre-Season Training for Basketball: Preparing the athlete for the demands of the season. Pre-Season Training for Basketball: Preparing the athlete for the demands of the season. Glenn Harris, MS, CSCS Head Coach, Strength & Conditioning Boston University Athletics Contact Information: Department

More information

IDENTIFYING RISK FACTORS AND PROGRAMMING FOR INJURY PREVENTION

IDENTIFYING RISK FACTORS AND PROGRAMMING FOR INJURY PREVENTION ACL INJURY / RE-INJURY PREVENTION IDENTIFYING RISK FACTORS AND PROGRAMMING FOR INJURY PREVENTION JAMIE MCCARTNEY, B.Sc., CSCS MATT JORDAN, M.Sc., CSCS Strength and Conditioning, Canadian Sport Institute-Calgary

More information

ACL Reconstruction Rehabilitation Program

ACL Reconstruction Rehabilitation Program ACL Reconstruction Rehabilitation Program 1. Introduction to Rehabilitation 2. The Keys to Successful Rehabilitation 3. Stage 1 (to the end of week 1) 4. Stage 2 (to the end of week 2) 5. Stage 3 (to the

More information

Strength Training For Power

Strength Training For Power Strength Training For Power Roger Marandino, MS, CSCS Power is the rate at which work is performed. Power is also defined as force multiplied by velocity. For example, moving a heavy weight very fast requires

More information

Plyometric Training. Plyometric Training. chapter

Plyometric Training. Plyometric Training. chapter chapter 16 Plyometric Training Plyometric Training David H. Potach, PT; MS; CSCS,*D; NSCA-CPT,*D Donald A. Chu, PhD; PT; ATC; CSCS,*D; NSCA-CPT,*D; FNSCA Chapter Objectives Explain the physiology of plyometric

More information

Isokinetic specific training protocol in athletes with handball goalie s elbow injury

Isokinetic specific training protocol in athletes with handball goalie s elbow injury (2015), vol. XI, no 1, 2513-2518 Journal of the Romanian Sports Medicine Society 2513 Isokinetic specific training protocol in athletes with handball goalie s elbow injury Hatzimanouil Dimitrios 1, Konstantinos

More information

Neuromuscular Adaptations to Training

Neuromuscular Adaptations to Training Neuromuscular Adaptations to Training Baechle Chapter 4, pp. 143-151, 151, Powers & Howley pp. 253-255 255 Lecture Overview Neural Adaptations Skeletal Muscle Adaptations Connective Tissue Anatomy Connective

More information

Potential Mechanisms for a Role of Metabolic Stress in Hypertrophic Adaptations to Resistance Training

Potential Mechanisms for a Role of Metabolic Stress in Hypertrophic Adaptations to Resistance Training Sports Med DOI 10.1007/s40279-013-0017-1 REVIEW ARTICLE Potential Mechanisms for a Role of Metabolic Stress in Hypertrophic Adaptations to Resistance Training Brad J. Schoenfeld Ó Springer International

More information

Exercise Physiology: Theory and Application to Fitness and Performance By Scott Powers & Edward Howley

Exercise Physiology: Theory and Application to Fitness and Performance By Scott Powers & Edward Howley Exercise Physiology: Theory and Application to Fitness and Performance By Scott Powers & Edward Howley Chapter 8 Skeletal Muscle: Structure and Function Summary Created by Dan Hechler Class Lecture Exercise

More information

The effect of concurrent exercises on testosterone to cortisol ratio in nonathlete

The effect of concurrent exercises on testosterone to cortisol ratio in nonathlete Available online at www.scholarsresearchlibrary.com Annals of Biological Research, 2012, 3 (6): 2776-2780 (http://scholarsresearchlibrary.com/archive.html) ISSN 0976-1233 CODEN (USA): ABRNBW The effect

More information

The Royal Military College - Duntroon Army Officer Selection Board Bridging Period Conditioning Program

The Royal Military College - Duntroon Army Officer Selection Board Bridging Period Conditioning Program The Royal Military College - Duntroon Army Officer Selection Board Bridging Period Conditioning Program CONTENTS Page Contents i INTRODUCTION 1 FAQS 2 CYCLE 1: NEUROMUSCULAR CONDITIONING FOCUS (WEEKS 1

More information

Anterior Cruciate Ligament Reconstruction Accelerated Rehabilitation Protocol Dr. Mark Adickes

Anterior Cruciate Ligament Reconstruction Accelerated Rehabilitation Protocol Dr. Mark Adickes Anterior Cruciate Ligament Reconstruction Accelerated Rehabilitation Protocol Introduction: This rehabilitation protocol is designed for patients with ACL injuries who anticipate returning early to a high

More information

During short-duration, high-intensity exercises, the. Long-Term Effects of Creatine Monohydrate on Strength and Power

During short-duration, high-intensity exercises, the. Long-Term Effects of Creatine Monohydrate on Strength and Power Journal of Strength and Conditioning Research, 1999, 13(3), 187 192 1999 National Strength & Conditioning Association Long-Term Effects of Creatine Monohydrate on Strength and Power DAVID R. PEARSON, DEREK

More information

Skeletal Muscle Mechanics

Skeletal Muscle Mechanics Skeletal Muscle Mechanics Brief reminder Types of muscle contraction Force of weight = force developed by muscle Muscle length does not change Force of weight < force developed by muscle Muscle allowed

More information

Muscular Strength and Endurance. Tom Seabourne, Ph.D.

Muscular Strength and Endurance. Tom Seabourne, Ph.D. Muscular Strength and Endurance Tom Seabourne, Ph.D. Muscle Physiology Muscles consist of many muscle fibers (cells) connected in bundles Muscle fibers are made up of myofibrils Strength training increases

More information

ACL Reconstruction with Hamstring Graft

ACL Reconstruction with Hamstring Graft ACL Reconstruction with Hamstring Graft 1. Defined a. Replacement of a torn anterior cruciate ligament with the hamstring tendon. This is a soft tissue fixation method. b. ACL reconstruction is often combined

More information

Pre - Operative Rehabilitation Program for Anterior Cruciate Ligament Reconstruction

Pre - Operative Rehabilitation Program for Anterior Cruciate Ligament Reconstruction Pre - Operative Rehabilitation Program for Anterior Cruciate Ligament Reconstruction This protocol is designed to assist you with your preparation for surgery and should be followed under the direction

More information

Strength, Size, or Power?

Strength, Size, or Power? Strength, Size, or Power? Helen M. Binkley, Ph.D., CSCS*D, NSCA-CPT Which one are you training for strength, size, or power? First, let s identify what each of these are. Strength is the ability to produce

More information

The Effect of Preoperative Quadriceps Strength on Strength and Function After Anterior Cruciate Ligament Reconstruction

The Effect of Preoperative Quadriceps Strength on Strength and Function After Anterior Cruciate Ligament Reconstruction Journal of Sport Rehabilitation, 2012, 21, 89-93 2012 Human Kinetics, Inc. The Effect of Preoperative Quadriceps Strength on Strength and Function After Anterior Cruciate Ligament Reconstruction Carrie

More information

Prevention & Management of ACL Injury. Ian Horsley PhD, MCSP Lee Herrington PhD, MCSP

Prevention & Management of ACL Injury. Ian Horsley PhD, MCSP Lee Herrington PhD, MCSP Prevention & Management of ACL Injury Ian Horsley PhD, MCSP Lee Herrington PhD, MCSP ACL injury ACL injury 30/100,000, 40% sports injuries (NHS) Limited statistics in UK related to sport Rugby Union 2002-2004

More information

Patellofemoral/Chondromalacia Protocol

Patellofemoral/Chondromalacia Protocol Patellofemoral/Chondromalacia Protocol Anatomy and Biomechanics The knee is composed of two joints, the tibiofemoral and the patellofemoral. The patellofemoral joint is made up of the patella (knee cap)

More information

International University of Monaco 21/05/2012 16:01 - Page 1. Monday 30/04 Tuesday 01/05 Wednesday 02/05 Thursday 03/05 Friday 04/05 Saturday 05/05

International University of Monaco 21/05/2012 16:01 - Page 1. Monday 30/04 Tuesday 01/05 Wednesday 02/05 Thursday 03/05 Friday 04/05 Saturday 05/05 International University of Monaco 21/05/12 16:01 - Page 1 Master in International Sport Business and Management - from 30 avril to 05 mai 12 Monday 30/04 Tuesday 01/05 Wednesday 02/05 Thursday 03/05 Friday

More information

MATCHDAY 1 7-9 September 2014

MATCHDAY 1 7-9 September 2014 MATCHDAY 1 7-9 September 2014 7 September Sunday 18:00 Group D 7 September Sunday 20:45 Group D 7 September Sunday 20:45 Group D 7 September Sunday 18:00 Group F 7 September Sunday 20:45 Group F 7 September

More information

Platelet-Rich Plasma Rehabilitation Guidelines

Platelet-Rich Plasma Rehabilitation Guidelines UW Health Sports Rehabilitation Platelet-Rich Plasma Rehabilitation Guidelines What is Tendinopathy? Tendons are strong bands of connective tissue comprised primarily of a substance called collagen. Mechanically,

More information

Landing Biomechanics Utilizing Different Tasks: Implications in ACL Injury Research. Adam Hernandez Erik Swartz, PhD ATC Dain LaRoche, PhD

Landing Biomechanics Utilizing Different Tasks: Implications in ACL Injury Research. Adam Hernandez Erik Swartz, PhD ATC Dain LaRoche, PhD A Gender Comparison of Lower Extremity Landing Biomechanics Utilizing Different Tasks: Implications in ACL Injury Research Adam Hernandez Erik Swartz, PhD ATC Dain LaRoche, PhD Anterior Cruciate Ligament

More information

ACL Rehabilitation Pathway. Expediating Safe Return to Optimum Performance. www.sportssurgeryclinic.com

ACL Rehabilitation Pathway. Expediating Safe Return to Optimum Performance. www.sportssurgeryclinic.com Specialists in Joint Replacement, Spinal Surgery, Orthopaedics and Sport Injuries ACL Rehabilitation Pathway Expediating Safe Return to Optimum Performance www.sportssurgeryclinic.com Contents Introduction...

More information

Interval Training. Interval Training

Interval Training. Interval Training Interval Training Interval Training More work can be performed at higher exercise intensities with same or less fatigue than in continuous training Fitness Weight Loss Competition Baechle and Earle, Essentials

More information

PREVENTING ACL INJURIES IN SOCCER. By Brian Goodstein, MS, ATC, CSCS

PREVENTING ACL INJURIES IN SOCCER. By Brian Goodstein, MS, ATC, CSCS PREVENTING ACL INJURIES IN SOCCER By Brian Goodstein, MS, ATC, CSCS ACL injuries can be devastating to a soccer player s competitive season. For this reason, reputable medical institutions like the Cincinnati

More information

Some cross-training workouts to improve your energy system fitness

Some cross-training workouts to improve your energy system fitness Some cross-training workouts to improve your energy system fitness In the previous post (http://www.danbakerstrength.com/free-articles/recent-trends-inhigh-intensity-aerobic-training/), I detailed how

More information

An Everyday Approach to Metabolic Resistance Training (MRT)

An Everyday Approach to Metabolic Resistance Training (MRT) An Everyday Approach to Metabolic Resistance Training (MRT) Jeff Paluseo What is Metabolic Resistance Training? A concept that involves a combination of different training styles and protocols to maximize

More information

RETURN TO PLAY AFTER ACL RECONSTRUCTION

RETURN TO PLAY AFTER ACL RECONSTRUCTION RETURN TO PLAY AFTER ACL RECONSTRUCTION 7/29/2016 Grant Bowman, MD Orthopaedic Surgery and Sports Medicine 1 Disclosures I have no relevant financial disclosures or other conflicts of interest pertaining

More information

Curriculum Vitae Christine Waters-Banker, PhD ATC

Curriculum Vitae Christine Waters-Banker, PhD ATC Curriculum Vitae Christine Waters-Banker, PhD ATC I. GENERAL INFORMATION... 2 II. EDUCATION... 2 III. PROFESSIONAL EXPERIENCES... 2 IV. TEACHING ACTIVITY... 3 University of Kentucky... 3 Lexington Traditional

More information

The quest to increase lean body mass is widely THE MECHANISMS OF MUSCLE HYPERTROPHY AND THEIR APPLICATION TO RESISTANCE TRAINING BRAD J.

The quest to increase lean body mass is widely THE MECHANISMS OF MUSCLE HYPERTROPHY AND THEIR APPLICATION TO RESISTANCE TRAINING BRAD J. BRIEF REVIEW THE MECHANISMS OF MUSCLE HYPERTROPHY AND THEIR APPLICATION TO RESISTANCE TRAINING BRAD J. SCHOENFELD Global Fitness Services, Scarsdale, New York ABSTRACT Schoenfeld, BJ. The mechanisms of

More information

New Research More research has been done in the past decade in the area of strength and conditioning than in the five decades prior to 1987

New Research More research has been done in the past decade in the area of strength and conditioning than in the five decades prior to 1987 Designing a Resistance Training Program for the Track and Field Athlete 2010 Illinois State High School Clinic Larry Judge Ph.D. Ball State University Muncie, IN USA Overall Core Control To be successful

More information

Strength and Stability Training for Distance Runners By Ben Wisbey

Strength and Stability Training for Distance Runners By Ben Wisbey Strength and Stability Training for Distance Runners By Ben Wisbey Strength training is one of the most commonly discussed topics amongst distance runners, generating great debates with many strong opinions.

More information

Academic Calendar for Faculty

Academic Calendar for Faculty Summer 2013 Term June 3, 2013 (Monday) June 3-4, 2013 (Monday Tuesday) June 5, 2013 (Wednesday) June 5-6, 2013 (Wednesday Thursday) June 6, 2013 (Thursday) July 3, 2013 (Wednesday) July 4, 2013 (Thursday)

More information

Clients w/ Orthopedic, Injury and Rehabilitation Concerns. Chapter 21

Clients w/ Orthopedic, Injury and Rehabilitation Concerns. Chapter 21 Clients w/ Orthopedic, Injury and Rehabilitation Concerns Chapter 21 Terminology Macrotrauma A specific, sudden episode of overload injury to a given tissue, resulting in disrupted tissue integrity (Acute)

More information

Fitness Weight Training Worksheet

Fitness Weight Training Worksheet Fitness Weight Training Worksheet 1. Name three major components of an overall physical activity program: 2. List and Describe three benefits of weight training: 3. What accounts for most strength gains

More information

Theory and Practice of Improving Acceleration in Athletes

Theory and Practice of Improving Acceleration in Athletes 1 Theory and Practice of Improving Acceleration in Athletes Introduction Acceleration ability is defined as the sprint performance of an athlete over short distances (16), with the distance defined as

More information

What Are the Health Benefits Associated with Strength Training?

What Are the Health Benefits Associated with Strength Training? Strength Training Program Necessary Basic information to obtain results. -- Most of the information contained in this handout is based on information gathered, researched, and presented by the National

More information

ANTERIOR CRUCIATE LIGAGMENT INJURY PREVENTION. Milad Alam, PGY2 Aug 12 th, 2014

ANTERIOR CRUCIATE LIGAGMENT INJURY PREVENTION. Milad Alam, PGY2 Aug 12 th, 2014 ANTERIOR CRUCIATE LIGAGMENT INJURY PREVENTION Milad Alam, PGY2 Aug 12 th, 2014 Femoral Attachment: post-med corner of medial side of lateral femoral condyle Tibial Attachment: in a fossa, anterior medial

More information

ACL Non-Operative Protocol

ACL Non-Operative Protocol ACL Non-Operative Protocol Anatomy and Biomechanics The knee is a hinge joint connecting the femur and tibia bones. It is held together by several important ligaments. The most important ligament to the

More information

Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013

Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013 Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013 Jeffrey R. Baker, DPM, FACFAS Weil Foot and Ankle Institute Des Plaines, IL Ankle Injury/Sprains

More information

Warm-up and Cool-down

Warm-up and Cool-down Warm-up and Cool-down Stretching, Warm-up And Cool-down A regular stretching, warm-up and cool-down routine is essential component of any athlete s program no matter what their age or competition level.

More information

Flexibility, Static and Dynamic Stretching, and Warm-Up

Flexibility, Static and Dynamic Stretching, and Warm-Up Readings: Flexibility, Static and Dynamic Stretching, and Warm-Up NSCA text: Chapter 12 pp 251 260, 266-274 Course web site: Supplemental optional reading articles on course web site discussed and cited

More information

Insulin s Effects on Testosterone, Growth Hormone and IGF I Following Resistance Training

Insulin s Effects on Testosterone, Growth Hormone and IGF I Following Resistance Training Insulin s Effects on Testosterone, Growth Hormone and IGF I Following Resistance Training By: Jason Dudley Summary Nutrition supplements with a combination of carbohydrate and protein (with a ratio of

More information

FINAL SCHEDULE YEAR 1 AUGUST 18 22 WEEK 1

FINAL SCHEDULE YEAR 1 AUGUST 18 22 WEEK 1 YEAR 1 AUGUST 18 22 WEEK 1 TIME MONDAY (18) TUESDAY (19) WEDNESDAY (20) THURSDAY (21) FRIDAY (22) 11am 1 LUNCH LUNCH LUNCH LUNCH LUNCH 3 YEAR 1 AUGUST 25 29 WEEK 2 TIME MONDAY (25) TUESDAY (26) WEDNESDAY

More information

ANTERIOR CRUCIATE LIGAMENT INJURY PREVENTION IN NEW ZEALAND. Barry Tietjens Unisports Sports Medicine Auckland

ANTERIOR CRUCIATE LIGAMENT INJURY PREVENTION IN NEW ZEALAND. Barry Tietjens Unisports Sports Medicine Auckland ANTERIOR CRUCIATE LIGAMENT INJURY PREVENTION IN NEW ZEALAND Barry Tietjens Unisports Sports Medicine Auckland NO DISCLOSURES ACL INJURY PREVENTION Knee injuries involving the ACL are common in sport ACL

More information

Progression Models in Resistance Training for Healthy Adults

Progression Models in Resistance Training for Healthy Adults POSITION STAND Progression Models in Resistance Training for Healthy Adults SUMMARY American College of Sports Medicine Position Stand on Progression Models in Resistance Training for Healthy Adults. Med.

More information

Preventing Knee Injuries in Women s Soccer

Preventing Knee Injuries in Women s Soccer Preventing Knee Injuries in Women s Soccer By Wayne Nelson, DC, CCRS The United States has recently seen a rapid increase in participation of young athletes with organized youth soccer leagues. As parents

More information

Neuromuscular Electrical Stimulation (NMES)

Neuromuscular Electrical Stimulation (NMES) Neuromuscular Electrical Stimulation (NMES) There is an increasing application of long term (i.e. chronic) electrical stimulation in order to modify or change muscle function. This work was initially concentrated

More information

INSTRUCTOR GUIDE. TOPIC: Trauma Basics: Managing Lower Extremity Fractures

INSTRUCTOR GUIDE. TOPIC: Trauma Basics: Managing Lower Extremity Fractures INSTRUCTOR GUIDE TOPIC: Trauma Basics: Managing Lower Extremity Fractures TIME REQUIRED: Three Hours MATERIALS: Splints, Traction Splints, Scoop Stretcher, Long Spine Board, Blankets, Pillows, Kling, Triangular

More information

MEDIAL PATELLA FEMORAL LIGAMENT RECONSTRUCTION Rehab Protocol

MEDIAL PATELLA FEMORAL LIGAMENT RECONSTRUCTION Rehab Protocol Rehab Protocol This rehabilitation protocol has been designed for patients who have undergone an MPFL reconstruction. Dependent upon the particular procedure, this protocol also may be slightly deviated

More information

ACL Repair Protocol. Phase 1: Immediate Post-operative phase (first post op day to two weeks)

ACL Repair Protocol. Phase 1: Immediate Post-operative phase (first post op day to two weeks) ACL Repair Protocol Phase 0: pre-operative recommendations Normal gait AROM 0-120 degrees of flexion Strength: 20 SLR with no lag Minimal effusion Patient education on post-operative exercises and need

More information

Physical Fitness: What, when, why? Strength: Start to Maintenance. Planning a yearly programme

Physical Fitness: What, when, why? Strength: Start to Maintenance. Planning a yearly programme Physical Fitness: What, when, why? Strength: Start to Maintenance Conditioning: Fit to compete Planning a yearly programme Knowledge and Understanding. Strength Training Principles for GAA. Develop ability

More information

INJURY IN FEMALE SOCCER PLAYERS

INJURY IN FEMALE SOCCER PLAYERS INJURY IN FEMALE SOCCER PLAYERS Pr E. SERVIEN, MD PhD Orthopaedic surgery Centre Albert Trillat Hopital de la Croix-Rousse, FIFA medical center of excellence Lyon University France Background female athlete

More information

Rest Interval between Sets in Strength Training

Rest Interval between Sets in Strength Training REVIEW ARTICLE Sports Med 2009; 39 (9): 765-777 0112-1642/09/0009-0765/$49.95/0 ª 2009 Adis Data Information BV. All rights reserved. Rest Interval between Sets in Strength Training Belmiro Freitas de

More information

Muscle Fiber Types and Training

Muscle Fiber Types and Training Muscle Fiber Types and Training By Jason R. Karp, M.S. Karp, J. R., 2001. Muscle Fiber Types and Training. Track Coach. 155:4943-4946. How skeletal muscles adapt to a repeated stimulus depends, to a large

More information

ACL RECONSTRUCTION POST-OPERATIVE REHABILITATION PROGRAMME

ACL RECONSTRUCTION POST-OPERATIVE REHABILITATION PROGRAMME ACL RECONSTRUCTION POST-OPERATIVE REHABILITATION PROGRAMME ABOUT THE OPERATION The aim of your operation is to reconstruct the Anterior Cruciate Ligament (ACL) to restore knee joint stability. A graft,

More information

Timing van voeding voeding voor, tijdens en na inspanning. Link physical activity nutrition. Outline. The human engine

Timing van voeding voeding voor, tijdens en na inspanning. Link physical activity nutrition. Outline. The human engine Timing van voeding voeding voor, tijdens en na inspanning Lex Verdijk Congres Sport en Voeding 20 november 2015 Outline Link between physical activity and nutrition Skeletal muscle as the human engine

More information

UNIVERSAL FITNESS NETWORK, Inc. 2315 West Monica Dunlap, IL 61525 (309)-360-5615 bahenso@comcast.net FACTS ABOUT THE PHYSICAL FITNESS ASSESSMENT TESTS

UNIVERSAL FITNESS NETWORK, Inc. 2315 West Monica Dunlap, IL 61525 (309)-360-5615 bahenso@comcast.net FACTS ABOUT THE PHYSICAL FITNESS ASSESSMENT TESTS UNIVERSAL FITNESS NETWORK, Inc. 2315 West Monica Dunlap, IL 61525 (309)-360-5615 bahenso@comcast.net FACTS ABOUT THE PHYSICAL FITNESS ASSESSMENT TESTS Universal Fitness Network, Inc. specializes in physical

More information