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France 7-1 CHAPTER 7 Prehabilitation and Preseason Conditioning Preparation and Resources Needed Materials: Diagrams of different motor-unit arrangements. Equipment: Weight-training room where students can experience, firsthand, the different types of exercise. Personnel: Athletes from different sports in your school who are willing to describe what they do to prepare for their sports season. Recommended Time to Complete: Seven days (based on two class periods per day, 170 school days per year). More activities are available through the textbook, workbook, and instructor’ s manual than can be fit into the recommended time. The instructor should select activities that best suit his or her own teaching situation and training program duration. Key Terms adaptation The systematic application of exercise stress sufficient to stimulate muscle fatigue, but not so severe that breakdown and injury occur. atrophy Weakness and wasting away of muscle tissue. ballistic stretching A rhythmical, bouncing action that stretches the muscles a little further each time. Once a popular technique, this form of stretching is rarely used today. Especially when the muscles are cold, ballistic stretching was responsible for increased injuries. cardiorespiratory conditioning An activity that puts increased demand on the lungs, heart, and other body systems; also known as aerobic or endurance training. © 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. France 7-2 circuit training The use of 6 to 10 strength exercises completed one right after another; each exercise is performed for a specific number of repetitions or period of time before moving to the next exercise. dynamic (isotonic) exercise An activity that causes the muscle to contract and shorten. fast-twitch fiber Fiber in a motor unit that produces quick and forceful contractions; these fibers are easily fatigued. flexibility The ability of a joint to move freely through its full range of motion. hypertrophy An increase in the size of muscle tissue. isokinetic exercise A type of exercise in which a machine is used to control the speed of contraction within the range of motion. isometric exercise An activity that causes tension in the muscle to increase but does not cause the muscle to shorten. manual resistance training A form of dynamic exercise accomplished utilizing a training partner. motor unit A motor nerve plus all the muscle fibers it stimulates. overload Progressive overwork of muscles, at a controlled, increased rate, to achieve consistent gains in strength. prehabilitation Trying to prevent injuries before they occur, through a preventative management program. preseason conditioning A program, beginning six to eight weeks prior to sports participation, that allows the body to gradually adapt to the demands to be placed on it. progressive resistance exercise A type of training in which muscles are worked until they reach their capacity; once the athlete is able to maintain that capacity, the workload on the muscle is increased to further build strength and endurance. proprioceptive neuromuscular facilitation (PNF) A combined relaxing and contracting of the muscles; an initial isometric contraction against maximum resistance is held at the end of the range of motion, followed by relaxation and passive stretching. rehabilitation The process of restoring function through programmed exercise, to enable a return to competition. reversibility The process of muscle atrophy due to disuse, immobilization, or starvation; leads to decreased strength and muscle mass. © 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. France 7-3 slow-twitch fiber Fiber in a motor unit that requires a long period of time to generate force; these fibers are resistant to fatigue. specificity The ability of particular muscle groups to respond to targeted training, so that increased strength is gained in that muscle group only. static stretching A gradual, slow stretching of the muscle through the entire range of motion, then holding the position for 20 to 30 seconds. stretching Moving the joints beyond their normal range of motion. Lecture Outline I Prehabilitation a Rehabilitation: i Programmed exercise regimen designed to return an athlete to fitness and competition b Prehabilitation: i Trying to prevent injuries before they occur, through a preventative management program Key Concept Prehabilitation decreases the chance of injury by addressing areas of concern or deficit identified before participation in a sporting event. A program can be implemented to strengthen and develop these areas, thus reducing the chance of injury during participation. II Preseason Conditioning a Developing the athlete in the off-season i Athletes work on overall conditioning as well as concentrating on specific weaknesses b Preseason conditioning program i Begins six to eight weeks prior to sports participation Allows body to gradually adapt to demands c Sports medicine physicians, certified athletic trainers, and qualified youth coaches prescribe preseason conditioning programs © 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. France 7-4 i Provide athletes with information on the type, frequency, intensity, and duration of training Key Concept Preseason conditioning allows athletes to gradually build up to the level of activity that will be expected of them on the playing field. By starting slowly, the body is able to adjust to new demands. Once the body has accommodated, the athlete can increase the intensity of the conditioning. Thus, by working incrementally to adjust the body, the athlete prepares for the demands of the season. III Strength Training a Body changes in response to increased training load i Highly adaptive ii Requires a systematic application of exercise stress Stress should be sufficient to stimulate muscle fatigue, but not so severe that breakdown and injury occur Key Concept Manual resistance training is done with a partner. The partner adds resistance to a lift, allowing the muscles to fatigue, and then releases enough resistance so the lifter can finish the range of motion. Circuit training uses 6 to 10 strength exercises, completed one after another and performed for a specified number of repetitions or time period. Athletes may choose to work with a personal trainer to develop an individualized training program that allows them to meet specific goals. A variety of exercise types can be used. b Hypertrophies i c Muscle is worked beyond its normal limits, adapts, and becomes larger Atrophies i Muscle is worked less than normal and becomes smaller d Progressive resistance exercise i Body adapts to increased demand by training e Overload i Muscles must be overloaded to improve strength © 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. France 7-5 f Specificity i Muscles adapt to nature of work performed g Reversibility i Muscle disuse leads to a decrease in strength and muscle mass h Individual differences i People vary in the rate at which they gain strength Key Concept Progressive resistance training allows the body to adapt to the demands placed on it through training. Four factors determine the rate and type of strength gain: 1. Overload, the overwork of muscles at tensions close to their maximum. 2. Specificity, the targeting of a particular muscle group to improve and gain strength in that muscle group alone. 3. Reversibility, the characteristic of muscles that causes decreases in strength and mass with disuse. 4. Individual differences, which account for an individual’ s ability to strengthen certain muscles at a particular rate. Genetics have a strong influence on strength gain. IV Strength Training Exercises a Isometric exercise i Muscles contract, but there is no motion in the affected joints ii Usually performed against an immovable surface or object iii Often used for rehabilitation Exact area of muscle weakness can be isolated Strengthening is administered at the proper joint angle b Dynamic exercise i Movement of the joint during muscle contraction (e.g., weight training with dumbbells and barbells) ii Manual resistance training © 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. France 7-6 c Isokinetic exercise i Machines control speed of contraction within range of motion Combines isometrics and weight training d Circuit training i Six to ten strength exercises completed as a circuit ii Improves strength and stamina Key Concept In isometric exercise, the muscles maintain a constant length throughout the contraction. This type of exercise targets an exact area of weakness due to an injury. In dynamic (or isotonic) exercise, there is movement of the joint during muscle contraction. This type of exercise helps improve blood circulation, strength, and endurance. Isokinetic exercises use machines to control the speed of the contraction within a range of motion. These exercises provide muscle overload at a constant, preset speed and full range of motion. e Stretching i f Moving joints beyond normal range of motion Flexibility i Ability of a joint to move freely through full range of motion Key Concept Stretching and flexibility decrease the risk of injury. Stretching allows the athlete to actually lengthen the muscles, resulting in an increased range of motion. Therefore, joints and limbs can move further before they suffer an injury. g Static stretching i Gradual stretching of a muscle through the muscle’ s entire range of motion h Ballistic stretching i i Rhythmical, bouncing action Proprioceptive neuromuscular facilitation i Combination of contraction and relaxation of muscles © 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. France 7-7 V Cardiorespiratory Conditioning a Activities that put increased demand on lungs, heart, and other body systems b Uses large muscle groups for activities Key Concept Cardiorespiratory training conditions the heart and other muscles to use oxygen more efficiently. This allows the athlete to perform for longer periods of time. c Muscular endurance i Ability of muscles to sustain high-intensity, aerobic exercise d An aerobic conditioning program should take into account: i Beginning fitness level ii Age iii Sex iv Physical limitations VI Special Individualized Programs a Cost depends on program type and amount of time devoted to personalized instruction b Personal trainers should be certified i The National Federation of Professional Trainers ii The International Sport Sciences Association iii The American College of Sports Medicine c Athletes should “ comparison shop” to find a personal trainer to fit their needs VII Conclusion a Trying to prevent injuries before they occur is known as prehabilitation b Personalized programs are an integral component of the total athletic fitness program c There are many different ways to achieve fitness © 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. France 7-8 d Stretching and flexibility are important components of fitness e A well-thought-out stretching and flexibility program helps with injury prevention and treatment Lesson Plans and Teaching Strategies Follow the lecture outline to present material to students, using a variety of teaching strategies described in the Instructional Strategies, such as modified lecture and cooperative/collaborative learning. Plan a trip to your school’ s weight room school. Ask coaches and/or athletes to demonstrate the different types of exercise described in the chapter. Having students try a few of the exercises gives them a better understanding of how athletes prepare for their sport. The same is true of stretching techniques. Use diagrams of motor units to help describe the differences that exist between them. If animations of muscle stimulation and action are available through video (preferably computer program, DVD, or laser disk animations, where the action can be controlled for slow motion, freeze-frame, reverse, etc.), students can understand even better what happens when muscles are stimulated. Answers to Student Exercises Textbook Review Questions 1 Responses will vary. 2 A well-rounded preseason conditioning program will begin six to eight weeks before sports participation. This allows the body to gradually adapt to the increased demands placed on it, until it is ready for the intensive competition levels of the sports season. Let the sports medicine physicians, certified athletic trainers, and/or qualified youth coaches prescribe the preseason conditioning program and provide athletes with the type, frequency, intensity, and duration of training. 3 Isometric exercises provide tension in the muscles without movement, such as pressing one’ s hands against a wall. A dynamic (or isotonic) exercise does involve © 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. France 7-9 movement, such as in weight training. Isokinetic exercise uses machines that control the speed of contraction, such as an isokinetic stationary bicycle set to spin no more than 90 revolutions per minute. 4 Personal trainers can individually assist with strength training, cardiovascular fitness, speed and endurance work, and help with body composition. 5 Answers will vary. 6 One benefit is lengthening the muscles about to be used, leading to an increased range of movement and reducing the chance of injury. Warming up before stretching increases heart rate, blood pressure, and respiratory rate, allowing more oxygen and nutrients to be delivered to the muscles. 7 Static stretching is gradual stretching of the muscle through its entire range of motion. Ballistic stretching involves rhythmic bouncing, stretching the muscles a little further with each bounce. Proprioceptive neuromuscular facilitation (PNF) involves an initial isometric contraction against maximum resistance at the end of the range of motion, held for six seconds, followed by a passive stretch. PNF is designed to be done with a qualified assistant. 8 Answers will vary. Benefits of cardiorespiratory training include an increase in heart size and pumping volume, decrease in resting heart rate and blood pressure, reduced fatigue, improved self-confidence, improved muscle strength and tone, increased endurance, reduced stress levels, reduced body fat, and improved overall physical and mental health. Workbook Quiz 1. C 2. D 3. A 4. A 5. D 6. A © 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. France 7-10 7. D 8. B 9. B 10. C Critical Thinking 1. Answers will vary. Heather should start a conditioning program. She can contact a variety of individuals or organizations to obtain advice specific to her needs. Personal trainers can assist in strength training, cardiovascular fitness, speed, and endurance work, as well as helping with body composition. Personal trainers should have the proven knowledge and expertise to set up a personal training program or be certified by NFPT, ISSA, or ACSM. © 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.