Exercise - Precautions, Risks - Description, Preparation, Aftercare
By definition, exercise is physical activity that is planned, structured, and repetitive for the purpose of conditioning any part of the body. Exercise is utilized to improve health, maintain fitness and is important as a means of physical rehabilitation.
Exercise is used in preventing or treating coronary heart disease, osteoporosis, weakness, diabetes, obesity, and depression. Range of motion is one aspect of exercise important for increasing or maintaining joint function. Strengthening exercises provide appropriate resistance to the muscles to increase endurance and strength. Cardiac rehabilitation exercises are developed and individualized to improve the cardiovascular system for prevention and rehabilitation of cardiac disorders and diseases. A well-balanced exercise program can improve general health, build endurance, and delay many of the effects of aging. The benefits of exercise not only extend into the areas of physical health, but also enhance emotional well-being.
Range of motion exercise
Range of motion exercise refers to activity whose goal is improving movement of a specific joint. This motion is influenced by several structures: configuration of bone surfaces within the joint, joint capsule, ligaments, and muscles and tendons acting on the joint. There are three types of range of motion exercises: passive, active, and active assists. Passive range of motion is movement applied to the joint solely by another person or persons or a passive motion machine. When passive range of motion is applied, the joint of the individual receiving exercise is completely relaxed while the outside force takes the body part, such as a leg or arm, throughout the available range. Injury, surgery, or immobilization of a joint may affect the normal joint range of motion. Active range of motion is movement of the joint provided entirely by the individual performing the exercise. In this case, there is no outside force aiding in the movement. Active assist range of motion is described as the joint receiving partial assistance from an outside force. This range of motion may result from the majority of motion applied by the exerciser or by the person or persons assisting the individual. It may also be a half-and-half effort on the joint from each source.
Strengthening exercise increases muscle strength and mass, bone strength, and the body's metabolism. It can help attain and maintain proper weight and improve body image and self-esteem. A certain level of muscle strength is needed to do daily activities, such as walking, running and climbing stairs. Strengthening exercises increase this muscle strength by putting more strain on a muscle than it is normally accustomed to receiving. This increased load stimulates the growth of proteins inside each muscle cell that allow the muscle as a whole to contract. There is evidence indicating that strength training may be better than aerobic exercise alone for improving self-esteem and body image. Weight training allows one immediate feedback, through observation of progress in muscle growth and improved muscle tone. Strengthening exercise can take the form of isometric, isotonic and isokinetic strengthening.
During isometric exercises muscles contract, however there is no motion in the affected joints. The muscle fibers maintain a constant length throughout the entire contraction. The exercises are usually performed against an immovable surface or object such as pressing the hand against the wall. The muscles of the arm are contracting but the wall is not reacting or moving as a result of the physical effort. Isometric training is effective for developing total strength of a particular muscle or group of muscles. It is often used for rehabilitation since the exact area of muscle weakness can be isolated and strengthening can be administered at the proper joint angle. This kind of training can provide a relatively quick and convenient method for overloading and strengthening muscles without any special equipment and with little chance of injury.
Isotonic exercise differs from isometric exercise in that there is movement of the joint during the muscle contraction. A classic example of an isotonic exercise is weight training with dumbbells and barbells. As the weight is lifted throughout the range of motion, the muscle shortens and lengthens. Calisthenics are also an example of isotonic exercise. These would include chinups, push-ups, and sit-ups, all of which use body weight as the resistance force.
Isokinetic exercise utilizes machines that control the speed of contraction within the range of motion. Isokinetic exercise attempts to combine the best features of both isometrics and weight training. It provides muscular overload at a constant preset speed while the muscle mobilizes its force through the full range of motion. For example, an isokinetic stationary bicycle set at 90 revolutions per minute means that despite how hard and fast the exerciser works, the isokinetic properties of the bicycle will allow the exerciser to pedal only as fast as 90 revolutions per minute. Machines known as Cybex and Biodex provide isokinetic results; they are generally used by physical therapists and are not readily available to the general population.
Exercise can be very helpful in prevention and rehabilitation of cardiac disorders and disease. With an individually designed exercise program, set at a level considered safe for that individual, heart failure patients can improve their fitness levels substantially. The greatest benefit occurs as the muscles improve the efficiency of their oxygen use, which reduces the need for the heart to pump as much blood. While such exercise doesn't appear to improve the condition of the heart itself, the increased fitness level reduces the total workload of the heart. The related increase in endurance should also translate into a generally more active lifestyle. Endurance or aerobic routines, such as running, brisk walking, cycling, or swimming, increase the strength and efficiency of the muscles of the heart.
A physical examination by a physician is important to determine if strenuous exercise is appropriate or detrimental for the individual. Prior to the exercise program, proper stretching is important to prevent the possibility of soft tissue injury resulting from tight muscles, tendons, ligaments, and other joint related structures.
Proper cool down after exercise is important in reducing the occurrence of painful muscle spasms. It has been documented that proper cool down may also decrease frequency and intensity of muscle stiffness the day following any exercise program.
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