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RESISTANCE EXERCISES
Definitions:
• Resisted exercise:
Resisted exercise is any form of active
exercise in which dynamic or static muscle
contraction is resisted by an outside force
applied manually or mechanically.
• Strength: Muscle strength is the greatest
measurable force that can be exerted by a
muscle or muscle group to overcome
resistance during a single maximum effort.
• Power: Muscle power is defined as work
produced by the muscle per unit of time.
Power= force X distance/time
• Endurance: It is the ability to perform low
intensity repetitive or sustained activities over
a prolonged period of time.
Types of muscle works:
• Isometric muscle work:
In this type of muscle work there is
increase in tone of the muscle without any
change in the muscle length.
e.g. isometric strengthening for neck
extensors: the clasped hand behind the head
is pushed back by the head. No movement of
the head or neck occurs but the tone of neck
extensors increases.

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passive movement by Mallesh
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1. Passive movement involves moving a joint through its range of motion without active contraction of the muscles around the joint. It is done by a therapist or machine when a patient cannot actively move on their own or has a reduced range of motion. 2. There are two main types of passive movement - relaxed passive movements and passive manual mobilization techniques. Relaxed passive movements are smooth movements done by a therapist through a patient's full available range, while manual techniques include joint mobilization, manipulation, and controlled stretching. 3. Continued passive motion devices are used after limb or joint surgery to maintain movement and limit stiffness and pain. They move the joint through its full range while the patient is in bed to prevent immobil

Russian current
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Russian current is a medium-frequency current delivered in bursts at 2500 Hz. It produces strong muscle contractions through synchronous motor nerve depolarization. Key characteristics include a carrier frequency of 2500 Hz, burst frequency of 50 Hz, burst duration of 10 ms, and a 10/50/10 training protocol. Russian current is indicated for muscle strengthening, reducing muscle spasm and edema, such as following knee ligament injuries or surgery.

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• Isotonic muscle work: in this type of muscle work
there is change in length of the muscle while it
maintains an even tone throughout the
contraction period. This is of two types:
• Concentric work: here the origin and insertions
come closer and the muscle length shortens.
e.g. getting up from a chair: knee and hip
extensors contract concentrically to bring about
extension in these two joints.
• Eccentric work: here the origin and the insertion
go away from each other and the muscle length
increases.
e.g. sitting on a chair from standing: knee and hip
extensors contract eccentrically to bring about
flexion in these two joints.
• In concentric contraction the force generated
by the muscle is greater than the resistance.
• In isometric contraction force generated by
the muscle is equal to the resistance.
• In eccentric contraction the force generated
by the muscle is lesser than the resistance.
Principles of resistance exercise
Principle of overload:
• If muscle performance is to improve , a load
that exceed the metabolic capacity of the
muscle, must be applied; that is a muscle
must be challenged to perform at a level
greater than to which it is accustomed.
• Overload can be applied by increasing the
intensity or volume. In strength training the
intensity is increased where as in endurance
training the volume i.e. frequency, repetitions
and time is increased.
SAID (Specific Adaptation to Imposed Demand)
principle:
• Adaptations produced by the training are highly
specific to the nature of the stimulus or
overload applied.
• SAID applies to all the systems of the body.
• The adaptations are specific to strength, power,
endurance, functional activity, joint angle,
sequence of muscle activations, energy systems
and virtually all other variable present.

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Frenkel exercises are a series of movements developed to treat patients with loss of proprioception. The exercises start simple and increase in difficulty, using visual and auditory cues to facilitate restoration of smooth, coordinated movement. Key principles are concentration, precision, and repetition of movements like limb motions and transfers of weight. Exercises progress from lying to sitting to standing positions and incorporate movement of the legs, arms, and whole body. The goal is to improve coordination, balance, proprioception and control through attention to rhythmic counting and placement of limbs in specific positions.

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Principle of Reversibility:
• The adaptations achieved through resistance
exercise persist as long as the resistance
exercise is performed regularly and go back
gradually to the pre exercise levels once the
training is stopped. This means the effects of
resistance training are reversible.
Inter individual variability:
• Every individual responds to resistance
exercise in a different way, thus similar stimuli
may bring about a lot of improvement in one
patient and no improvement in others.
Ranges of muscle work
FULL RANGE:
Contraction takes place
throughout the range,
starting from fully stretched
position in case of concentric
contraction and from fully
shortened position in case of
eccentric contraction.
Full range contractions are
normally needed only during
emergencies (e.g. preventing
a fall).
Uses:
Maintain joint mobility
Increase circulation
Preparation for situations when
power & mobility is needed.
Ranges of muscle work
INNER RANGE:
The muscle either shortens
concentrically from half way
of its range, or is lengthened
by eccentric contraction
from fully contracted state
to halfway.
Uses:
Gain or maintain joint
movement in the direction
of muscle pull.
Train some extensors that
stabilize joints. E.g. Knee:
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Ranges of muscle work
• OUTER RANGE:
Concentric contraction from
fully stretched position to
halfway range and
eccentric contraction from
halfway range to the fully
contracted position
Uses:
Very useful for initiation of
contraction (stretch reflex
acts better)
Muscles contract more
forcefully (Frank sterling
law)
Ranges of muscle work
MIDDLE RANGE:
In this range of muscle work
the muscles neither reach
the fully contracted range
nor are fully stretched, but
moves only in the range
inbetween. This range is
most functional and
generally most efficient
(angle of pull near 90
degree)
USES:
Maintenance of muscle tone
and normal power .
Group action of muscles
1. Prime movers/
agonists
2. Antagonists
3. Synergists
4. Fixators
Indications
1. Curative:
• Muscle: weakness or paralysis
• Bone: to increase density
• Aerobic system: improves aerobic capacity
• Other connective tissues: improve pliability and strength
2. Preventive:
• to preserve muscle power in all the conditions where muscle
weakness is anticipated.
• To live a healthy life with high levels of fitness.
3. Preparative: to prepare for some specific activity where the
adaptations of resistance exercise will be useful, e.g training for arm
muscles of a boxer will prepare him for a better performance.
4. Recreative: various form of resistance training is used as sports and
recreation activity, like body building.

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Adaptations of resistance exercise
I. Neural adaptation:
Starts within 4 weeks of regular training.
Caused by decreased CNS inhibition, decreased
GTO sensitivity & changes in NMJ
• Increased number of motor unit recruitment
• Increased rate of firing
• Synchronized firing
Adaptations of resistance exercise
II. Skeletal muscle adaptation:
A. HYPERTROPHY
It is increase in the muscle bulk without increase in the
number of muscle fibers, due to increased myofibril
volume.
Starts between 4-8 weeks of resistance training.
Caused by increased protein synthesis and reduced
protein degradation.
Maximum hypertrophy in high volume moderate
resistance exercises performed eccentrically.
Adaptations of resistance exercise
B. HYPERPLASIA
It means increase in the no. of muscle fibers.
A small portion of muscle fibers may increase in
number by longitudinal splitting.
C. VASCULAR & METABOLIC ADAPTATIONS
Increased capillary bed density
Increased mitochondrial density
ATP & CP storage increases
Myoglobin storage increases
CPK & Myokinase increases
Adaptations of resistance exercise
III. Bone:
Minimizes or prevents loss of bone mineral
density.
Can be used for the treatment of osteoporosis/
osteopenia
IV. Connective tissue
Tensile strength of tendons ligaments and
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DETERMINANTS OF RESISTANCE TRAINING
1. Frequency
2. Intensity
3. Time
4. Type
5. Alignment & Stabilization
6. Volume
7. Periodization
8. Rest interval
9. Sequencing
10.Integration to functional activities
The determinants are interdependent for a
successful regime
Repetition maximum
RM is a method of quantifying exercise intensity, Given by
Delorme
Definition:
A repetition maximum is defined as the greatest amount of
weight a muscle can move through the available ROM
for a specific no of times.
1 RM for a muscle is the maximum weight (resistance) with
which the muscle can contract through full/ available
ROM for one time. The muscle will be unable to perform
the repetition for a second time .
10 RM for a muscle is the maximum weight (resistance)
with which the muscle can contract through full/
available ROM for 10 times. The muscle will be unable to
perform the 11th repetition.
Uses of RM
1. To document a baseline measurement of
dynamic strength of a muscle
2. To identify an exercise load to be used
during exercise
3. To find out prognosis in reassessment and
alter the exercise regime accordingly.
How to measure 1RM?
Measured by repetitions to fatigue method
using equations/ charts.
Various equations and charts are available eg.
1 RM=(No of reps/30)+1 X weight used
Example: if one lifts 15 kg for 20 times, 1RM= ?
For reps to fatigue the muscle is warmed up and
stretched and then given a weight (preferably
free weight) which can be performed
comfortably over 5 repetitions. The no. of
repetition the candidate can perform before
fatigue is noted.

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Resistance exercise
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The document defines various terms related to resistance exercise such as resisted exercise, strength, power, endurance, isometric muscle work, isotonic muscle work, and types of muscle contractions. It describes the principles of resistance exercise including overload, SAID, reversibility, and individual variability. It discusses ranges of muscle work, group actions of muscles, and indications for resistance exercise. Overall, the document provides an overview of key concepts in resistance training.

strength
Training zone
The amount of resistance to be used in a training
program is usually a percentage of 1 RM
For sedentary: 30-40% of 1 RM
For untrained healthy individual: 60-70% of 1 RM
For highly trained: 80-95% of 1 RM
Time/duration
The duration of a resistance training regime is
the total no. of weeks or months during which
the exercise program is carried out.
Duration determines the adaptations:
< 4 weeks program-neural adaptation only.
6-12 weeks program- musculoskeletal
adaptation
(hypertrophy, increased vascularization)
Alignment and stabilization
Alignment and stabilization is necessary for
isolation of muscle and to prevent
substitution.
Stabilization can be external or internal by
isometric contraction of a fixator, (e.g.
abdominals in case of SLR)
Volume
Volume is the summation of the total no. of
repetitions and sets of a particular exercise
during a single exercise session multiplied by the
resistance used.
Higher the intensity lower the no. of repetitions.
Repetitions
Repetitions is the no. of times a particular
movement is repeated in a series of complete
and continuous excursions against a specific load.
Set
A predetermined no. of repetitions grouped
together is known as a set or bout. After each set
there is a brief interval of rest.

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6-Resistance Exercise.pptx
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This document provides information on resistance exercise for impaired muscle performance. It defines key elements of muscle performance like strength, power, and endurance. When muscle performance is impaired, resistance exercise can help by overloading muscles in a progressive manner based on principles like specificity of adaptation and reversibility. The document discusses factors that influence tension generation and fatigue in muscles. It also outlines general guidelines for implementing a safe and effective resistance exercise program, including determining the appropriate intensity, sets, repetitions, and other variables.

• Determination of repetitions:
It is based on the principle of repetition maximum.
Most commonly 10 repetitions of 10 RM is used. 10
RM is approximately 75% of 1RM.
Alternatively 15 RM (60% of 1 RM) or 5 RM (90% of
1 RM) is used.
A session may have a single set or multiple sets.
Single set exercises are used with low intensity in
early phases of rehab. For strength gaining
multiple sets are recommended.
For strength gain: low repetitions high resistance
For endurance gain: high repetitions low resistance
Types of resistance
• Manual and mechanical
• Static and dynamic
• Concentric and eccentric
• Open and closed chain
• Constant and variable load
• Isokinetic exercise.
PRE
Progressive resistance exercise is a dynamic
resistance training in which a constant external
load is applied to the contracting muscle by some
mechanical means and incrementally increased.
The RM is used as the basis of progression in the
resistance.
Multiple sets are used in a session, which may
consist of 2-3 sets of 6-12 repititions of 6-12 RM
Common variants are DeLorme, Oxford and
McQueen method.
Delorme: 4 sessions weekly, progress 10 RM once weekly
oxford: 5 times weekly

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The document discusses three key elements of muscle performance: strength, power, and endurance. It defines each element and describes different types of training to improve each one. Strength training uses heavy resistance for low repetitions to increase muscle size and strength through neural and muscular adaptations. Power training aims to increase work output over time by boosting strength and movement speed. Endurance training uses light loads for many repetitions over long periods to enhance oxidative and metabolic capacities. The overload principle states that muscles must be challenged beyond their current abilities in order to improve.

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The document outlines several key determinants of resistance exercise programs including alignment and stabilization, intensity, volume, exercise order, frequency, duration, rest intervals, mode of exercise, velocity of exercise, periodization, and integration of function. It provides details on each determinant such as how intensity refers to the amount of resistance used and is dependent on volume, frequency, and exercise order. It also explains how factors like rest intervals, frequency, and duration must be considered to avoid overtraining.

education
• McQueen Regime:
10reps@ 100% of 10RM
10reps@ 100% of 10RM
10reps@ 100% of 10RM
10reps@ 100% of 10RM
3 sessions weekly. Progress 10 RM every 1-2
week
DAPRE
BRIME
• Gerber & Hicks described a program of brief
isometric exercise of one to six isometric
contractions, held for 3 to 6 secs, with 20 sec
rests between contractions.
• Purpose is to maintain or slightly increase the
strength of quadriceps during acute knee joint
inflammation when the joint is otherwise held
at rest and to avoid increasing blood pressure
when this is a consideration.
• Usually done for arthritis.
Precaution
1. Valsalva
2. Substitution
3. Overwork (weakness)/overtraining (fatigue)
4. Muscle soreness: acute and DOMS
5. Pathological fracture

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This document discusses various aspects of muscle physiology and training principles. It defines key terms like muscle strength, power, endurance and different energy systems. It describes how muscle adaptations occur in response to different types of training like resistance, aerobic and anaerobic training. It also summarizes the cardiovascular, respiratory, muscular and other physiological adaptations that result from endurance training.

Resisted Exercise.pdf
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Resisted exercise involves opposing mechanical or manual resistance to muscle action in order to strengthen muscles. As muscles contract against increasing resistance, they hypertrophy and gain power and endurance. Progressive resisted exercise (PRE) systematically increases weight over time to continually challenge muscles. PRE techniques like DeLorme-Watkins use repetitions with increasing percentages of 10 repetition maximum weight to improve strength, while Oxford technique decreases weight in small increments each set to enhance endurance. Resisted exercise strengthens muscles and increases blood flow, with benefits including restored muscle power and maintenance of strength.

exercise therapyresisted exercisesactive exercises
EXERCISE PRINCIPLES
EXERCISE PRINCIPLESEXERCISE PRINCIPLES
EXERCISE PRINCIPLES

The document discusses various exercise principles including the SAID principle, kinetic chain model, resistance exercise principles, and different training systems such as circuit training. It explains how the body specifically adapts to different exercise demands and reviews open and closed kinetic chain exercises. Different methods for applying progressive overload are also reviewed including increasing intensity, volume, and frequency.

Contraindication
1. pain:
Pain in free active movement
Acute pain in resisted isometrics
Pain that can not be eliminated by reducing the
resistance
2. inflammation:
Acute inflammation in muscle or inflammatory
neuro muscular pathology
Dynamic exercise is contraindicated in inflammation
of the joint
3. Severe cardiopulmonary disease.
4. Loss of joint integrity

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Resistance exercises

  • 2. Definitions: • Resisted exercise: Resisted exercise is any form of active exercise in which dynamic or static muscle contraction is resisted by an outside force applied manually or mechanically.
  • 3. • Strength: Muscle strength is the greatest measurable force that can be exerted by a muscle or muscle group to overcome resistance during a single maximum effort. • Power: Muscle power is defined as work produced by the muscle per unit of time. Power= force X distance/time • Endurance: It is the ability to perform low intensity repetitive or sustained activities over a prolonged period of time.
  • 4. Types of muscle works: • Isometric muscle work: In this type of muscle work there is increase in tone of the muscle without any change in the muscle length. e.g. isometric strengthening for neck extensors: the clasped hand behind the head is pushed back by the head. No movement of the head or neck occurs but the tone of neck extensors increases.
  • 5. • Isotonic muscle work: in this type of muscle work there is change in length of the muscle while it maintains an even tone throughout the contraction period. This is of two types: • Concentric work: here the origin and insertions come closer and the muscle length shortens. e.g. getting up from a chair: knee and hip extensors contract concentrically to bring about extension in these two joints. • Eccentric work: here the origin and the insertion go away from each other and the muscle length increases. e.g. sitting on a chair from standing: knee and hip extensors contract eccentrically to bring about flexion in these two joints.
  • 6. • In concentric contraction the force generated by the muscle is greater than the resistance. • In isometric contraction force generated by the muscle is equal to the resistance. • In eccentric contraction the force generated by the muscle is lesser than the resistance.
  • 7. Principles of resistance exercise Principle of overload: • If muscle performance is to improve , a load that exceed the metabolic capacity of the muscle, must be applied; that is a muscle must be challenged to perform at a level greater than to which it is accustomed. • Overload can be applied by increasing the intensity or volume. In strength training the intensity is increased where as in endurance training the volume i.e. frequency, repetitions and time is increased.
  • 8. SAID (Specific Adaptation to Imposed Demand) principle: • Adaptations produced by the training are highly specific to the nature of the stimulus or overload applied. • SAID applies to all the systems of the body. • The adaptations are specific to strength, power, endurance, functional activity, joint angle, sequence of muscle activations, energy systems and virtually all other variable present.
  • 9. Principle of Reversibility: • The adaptations achieved through resistance exercise persist as long as the resistance exercise is performed regularly and go back gradually to the pre exercise levels once the training is stopped. This means the effects of resistance training are reversible.
  • 10. Inter individual variability: • Every individual responds to resistance exercise in a different way, thus similar stimuli may bring about a lot of improvement in one patient and no improvement in others.
  • 11. Ranges of muscle work FULL RANGE: Contraction takes place throughout the range, starting from fully stretched position in case of concentric contraction and from fully shortened position in case of eccentric contraction. Full range contractions are normally needed only during emergencies (e.g. preventing a fall). Uses: Maintain joint mobility Increase circulation Preparation for situations when power & mobility is needed.
  • 12. Ranges of muscle work INNER RANGE: The muscle either shortens concentrically from half way of its range, or is lengthened by eccentric contraction from fully contracted state to halfway. Uses: Gain or maintain joint movement in the direction of muscle pull. Train some extensors that stabilize joints. E.g. Knee: VMO strengthening
  • 13. Ranges of muscle work • OUTER RANGE: Concentric contraction from fully stretched position to halfway range and eccentric contraction from halfway range to the fully contracted position Uses: Very useful for initiation of contraction (stretch reflex acts better) Muscles contract more forcefully (Frank sterling law)
  • 14. Ranges of muscle work MIDDLE RANGE: In this range of muscle work the muscles neither reach the fully contracted range nor are fully stretched, but moves only in the range inbetween. This range is most functional and generally most efficient (angle of pull near 90 degree) USES: Maintenance of muscle tone and normal power .
  • 15. Group action of muscles 1. Prime movers/ agonists 2. Antagonists 3. Synergists 4. Fixators
  • 16. Indications 1. Curative: • Muscle: weakness or paralysis • Bone: to increase density • Aerobic system: improves aerobic capacity • Other connective tissues: improve pliability and strength 2. Preventive: • to preserve muscle power in all the conditions where muscle weakness is anticipated. • To live a healthy life with high levels of fitness. 3. Preparative: to prepare for some specific activity where the adaptations of resistance exercise will be useful, e.g training for arm muscles of a boxer will prepare him for a better performance. 4. Recreative: various form of resistance training is used as sports and recreation activity, like body building.
  • 17. Adaptations of resistance exercise I. Neural adaptation: Starts within 4 weeks of regular training. Caused by decreased CNS inhibition, decreased GTO sensitivity & changes in NMJ • Increased number of motor unit recruitment • Increased rate of firing • Synchronized firing
  • 18. Adaptations of resistance exercise II. Skeletal muscle adaptation: A. HYPERTROPHY It is increase in the muscle bulk without increase in the number of muscle fibers, due to increased myofibril volume. Starts between 4-8 weeks of resistance training. Caused by increased protein synthesis and reduced protein degradation. Maximum hypertrophy in high volume moderate resistance exercises performed eccentrically.
  • 19. Adaptations of resistance exercise B. HYPERPLASIA It means increase in the no. of muscle fibers. A small portion of muscle fibers may increase in number by longitudinal splitting. C. VASCULAR & METABOLIC ADAPTATIONS Increased capillary bed density Increased mitochondrial density ATP & CP storage increases Myoglobin storage increases CPK & Myokinase increases
  • 20. Adaptations of resistance exercise III. Bone: Minimizes or prevents loss of bone mineral density. Can be used for the treatment of osteoporosis/ osteopenia IV. Connective tissue Tensile strength of tendons ligaments and connective tissue in muscle increases
  • 21. DETERMINANTS OF RESISTANCE TRAINING 1. Frequency 2. Intensity 3. Time 4. Type 5. Alignment & Stabilization 6. Volume 7. Periodization 8. Rest interval 9. Sequencing 10.Integration to functional activities The determinants are interdependent for a successful regime
  • 22. Repetition maximum RM is a method of quantifying exercise intensity, Given by Delorme Definition: A repetition maximum is defined as the greatest amount of weight a muscle can move through the available ROM for a specific no of times. 1 RM for a muscle is the maximum weight (resistance) with which the muscle can contract through full/ available ROM for one time. The muscle will be unable to perform the repetition for a second time . 10 RM for a muscle is the maximum weight (resistance) with which the muscle can contract through full/ available ROM for 10 times. The muscle will be unable to perform the 11th repetition.
  • 23. Uses of RM 1. To document a baseline measurement of dynamic strength of a muscle 2. To identify an exercise load to be used during exercise 3. To find out prognosis in reassessment and alter the exercise regime accordingly.
  • 24. How to measure 1RM? Measured by repetitions to fatigue method using equations/ charts. Various equations and charts are available eg. 1 RM=(No of reps/30)+1 X weight used Example: if one lifts 15 kg for 20 times, 1RM= ? For reps to fatigue the muscle is warmed up and stretched and then given a weight (preferably free weight) which can be performed comfortably over 5 repetitions. The no. of repetition the candidate can perform before fatigue is noted.
  • 25. Training zone The amount of resistance to be used in a training program is usually a percentage of 1 RM For sedentary: 30-40% of 1 RM For untrained healthy individual: 60-70% of 1 RM For highly trained: 80-95% of 1 RM
  • 26. Time/duration The duration of a resistance training regime is the total no. of weeks or months during which the exercise program is carried out. Duration determines the adaptations: < 4 weeks program-neural adaptation only. 6-12 weeks program- musculoskeletal adaptation (hypertrophy, increased vascularization)
  • 27. Alignment and stabilization Alignment and stabilization is necessary for isolation of muscle and to prevent substitution. Stabilization can be external or internal by isometric contraction of a fixator, (e.g. abdominals in case of SLR)
  • 28. Volume Volume is the summation of the total no. of repetitions and sets of a particular exercise during a single exercise session multiplied by the resistance used. Higher the intensity lower the no. of repetitions. Repetitions Repetitions is the no. of times a particular movement is repeated in a series of complete and continuous excursions against a specific load. Set A predetermined no. of repetitions grouped together is known as a set or bout. After each set there is a brief interval of rest.
  • 29. • Determination of repetitions: It is based on the principle of repetition maximum. Most commonly 10 repetitions of 10 RM is used. 10 RM is approximately 75% of 1RM. Alternatively 15 RM (60% of 1 RM) or 5 RM (90% of 1 RM) is used. A session may have a single set or multiple sets. Single set exercises are used with low intensity in early phases of rehab. For strength gaining multiple sets are recommended. For strength gain: low repetitions high resistance For endurance gain: high repetitions low resistance
  • 30. Types of resistance • Manual and mechanical • Static and dynamic • Concentric and eccentric • Open and closed chain • Constant and variable load • Isokinetic exercise.
  • 31. PRE Progressive resistance exercise is a dynamic resistance training in which a constant external load is applied to the contracting muscle by some mechanical means and incrementally increased. The RM is used as the basis of progression in the resistance. Multiple sets are used in a session, which may consist of 2-3 sets of 6-12 repititions of 6-12 RM Common variants are DeLorme, Oxford and McQueen method.
  • 32. Delorme: 4 sessions weekly, progress 10 RM once weekly oxford: 5 times weekly
  • 33. • McQueen Regime: 10reps@ 100% of 10RM 10reps@ 100% of 10RM 10reps@ 100% of 10RM 10reps@ 100% of 10RM 3 sessions weekly. Progress 10 RM every 1-2 week
  • 34. DAPRE
  • 35. BRIME • Gerber & Hicks described a program of brief isometric exercise of one to six isometric contractions, held for 3 to 6 secs, with 20 sec rests between contractions. • Purpose is to maintain or slightly increase the strength of quadriceps during acute knee joint inflammation when the joint is otherwise held at rest and to avoid increasing blood pressure when this is a consideration. • Usually done for arthritis.
  • 36. Precaution 1. Valsalva 2. Substitution 3. Overwork (weakness)/overtraining (fatigue) 4. Muscle soreness: acute and DOMS 5. Pathological fracture
  • 37. Contraindication 1. pain: Pain in free active movement Acute pain in resisted isometrics Pain that can not be eliminated by reducing the resistance 2. inflammation: Acute inflammation in muscle or inflammatory neuro muscular pathology Dynamic exercise is contraindicated in inflammation of the joint 3. Severe cardiopulmonary disease. 4. Loss of joint integrity