Different exercise variablesintensity
sets
reps
rest interval
exercise selection
exercise order
speed/tempo
frequencyVolumetotal work performed
usually expressed as sets x reps x frequencyIntensityhow hard you are working
can be external (resistance being used) or internal (perceived effort level)3 mechanisms of hypertrophymechanical tension
muscle damage
metabolic stressmechanical tensiontension of muscle that occurs during lengthening while under heavy load
primary contributor to muscle growthmuscle damagetears to sarcolemma, basal lamina, connective tissue, etc.
body response to this is like acute inflammatory response
release of growth factors lead to satellite cell proliferationmetabolic stressoccurs via short, intense, exercise bursts
causes a buildup of metabolitesusing RPE in clinical settingexact dosage will vary
testing 1RM and using percentage is rarely clinically appropriate
RPE is alternative to 1RMconsiderations of exercise selectionPhysical activity level (sedentary vs. active)
Stage of healing
Psychosocial considerations
Feasibility (equipment/time commitment)
Bio-motor related goals (hypertrophy, ROM, strength)
Patient specific goalstop 4 exercise modifications due to painadjust ROM
modify intensity
alter speed of exercise
play around with similar, slightly different, exercisesRead/write out exercise tempoeccentric - transition - concentric
x = explosiveStrength Goal guidelines> 85% of 1RM
2-4 sets
< 6 reps
moderate rest period (2-5min)
7-10 RPEHypertrophy goal guidelines67-85% of 1RM
3-6 sets
6-12 reps
short-mod rest periods (60-120s)
6-9 RPE