Physiology and Healing in Sport: Difference between revisions

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== Physical Stress Theory ==
== Physical Stress Theory ==
The physical stress theory suggests that tissues adapt to physical stresses by modifying their composition and structure to best meet the mechanical demands of routine loading.  This theory proposes there are five qualitative responses to physical stress; atrophy, maintenance, hypertrophy, injury and death.<ref name=":0">Mueller MJ, Maluf KS. [https://academic.oup.com/ptj/article/82/4/383/2837004?login=false Tissue adaptation to physical stress: a proposed “Physical Stress Theory” to guide physical therapist practice, education, and research.] Physical therapy. 2002 Apr 1;82(4):383-403.</ref>  
The physical stress theory suggests that tissues adapt to physical stresses by modifying their composition and structure to best meet the mechanical demands of routine loading.  The direction, magnitude and time of the stressor establishes the overall level of exposure to physical stress. <ref name=":0" />  Injury may occur due to a high-magnitude stress applied for a brief period, a low-magnitude stress applied for a long duration, and/or a moderate-magnitude stress applied to the tissue ma
 
 
This theory proposes five qualitative responses to physical stress; atrophy, maintenance, hypertrophy, injury and death:<ref name=":0">Mueller MJ, Maluf KS. [https://academic.oup.com/ptj/article/82/4/383/2837004?login=false Tissue adaptation to physical stress: a proposed “Physical Stress Theory” to guide physical therapist practice, education, and research.] Physical therapy. 2002 Apr 1;82(4):383-403.</ref><ref>Higgins JD, Wendland DM. T[https://journals.lww.com/jacpt/Abstract/2015/12000/The_Use_of_the_Physical_Stress_Theory_to_Guide_the.3.aspx he Use of the Physical Stress Theory to Guide the Rehabilitation of a Patient With Bilateral Suspected Deep Tissue Injuries and Hip Repair]. Journal of Acute Care Physical Therapy. 2015 Dec 1;6(3):87-92.</ref>  


* Atrophy: physical stress levels that are lower than maintenance range; subsequent stresses to tissues lead to decreased tolerance
* Atrophy: physical stress levels that are lower than maintenance range; subsequent stresses to tissues lead to decreased tolerance
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* tissue death: extreme deviations from the maintenance stress range that exceed the adaptive capacity of tissues<ref name=":0" />
* tissue death: extreme deviations from the maintenance stress range that exceed the adaptive capacity of tissues<ref name=":0" />


'''Physical Stress Theory'''


 
* Injury may occur due to a high-magnitude stress applied for a brief period, a low-magnitude stress applied for a long duration, and/or a moderate-magnitude stress applied to the tissue man<ref name=":1" />
''t has been suggested that proper manipulation of RT variables (e.g., load, volume, rest, and frequency) can optimize muscle hypertrophic response<ref>Scarpelli MC, Nóbrega SR, Santanielo N, Alvarez IF, Otoboni GB, Ugrinowitsch C, Libardi CA. [https://journals.lww.com/nsca-jscr/Fulltext/2022/04000/Muscle_Hypertrophy_Response_Is_Affected_by.40.aspx Muscle hypertrophy response is affected by previous resistance training volume in trained individuals.] Journal of Strength and Conditioning Research. 2022 Apr 8;36(4):1153-7.</ref>''
 
''Maintaining a sufficient stimulus to match adaptive capacity is termed progressive overload. hile the term progressive overload refers to “the gradual increase of stress placed on the body during resistance training''<ref>Plotkin D, Coleman M, Van Every D, Maldonado J, Oberlin D, Israetel M, Feather J, Alto A, Vigotsky AD, Schoenfeld BJ. [https://peerj.com/articles/14142/ Progressive overload without progressing load? The effects of load or repetition progression on muscular adaptations]. PeerJ. 2022 Sep 30;10:e14142.</ref>
 
 
''The physical stress theory states that changes in the amount of physical stress applied to tissue cause an expected response in all biological tissues..Decreased tolerance to stress (atrophy), maintenance of tolerance to stress, increased tolerance to stress (hypertrophy), tissue injury, and tissue death.'' <ref>Higgins JD, Wendland DM. T[https://journals.lww.com/jacpt/Abstract/2015/12000/The_Use_of_the_Physical_Stress_Theory_to_Guide_the.3.aspx he Use of the Physical Stress Theory to Guide the Rehabilitation of a Patient With Bilateral Suspected Deep Tissue Injuries and Hip Repair]. Journal of Acute Care Physical Therapy. 2015 Dec 1;6(3):87-92.</ref>




''t has been suggested that proper manipulation of RT variables (e.g., load, volume, rest, and frequency) can optimize muscle hypertrophic response<ref>Scarpelli MC, Nóbrega SR, Santanielo N, Alvarez IF, Otoboni GB, Ugrinowitsch C, Libardi CA. [https://journals.lww.com/nsca-jscr/Fulltext/2022/04000/Muscle_Hypertrophy_Response_Is_Affected_by.40.aspx Muscle hypertrophy response is affected by previous resistance training volume in trained individuals.] Journal of Strength and Conditioning Research. 2022 Apr 8;36(4):1153-7.</ref>''[[File:Physical Stress theory.png|thumb]]''Maintaining a sufficient stimulus to match adaptive capacity is termed progressive overload. hile the term progressive overload refers to “the gradual increase of stress placed on the body during resistance training''<ref>Plotkin D, Coleman M, Van Every D, Maldonado J, Oberlin D, Israetel M, Feather J, Alto A, Vigotsky AD, Schoenfeld BJ. [https://peerj.com/articles/14142/ Progressive overload without progressing load? The effects of load or repetition progression on muscular adaptations]. PeerJ. 2022 Sep 30;10:e14142.</ref>


'''Physical Stress Theory'''
'''Physical Stress Theory'''
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* Excessively high levels of stress lead to tissue injury and potential permanent damage
* Excessively high levels of stress lead to tissue injury and potential permanent damage
* The magnitude, time, and direction of stress application determine the overall level of exposure to physical stress
* The magnitude, time, and direction of stress application determine the overall level of exposure to physical stress
* [[File:Physical Stress theory.png|thumb]]Injury may occur due to a high-magnitude stress applied for a brief period, a low-magnitude stress applied for a long duration, and/or a moderate-magnitude stress applied to the tissue man<ref>Mueller MJ, Maluf KS. [https://open.spotify.com/ Tissue adaptation to physical stress: a proposed “Physical Stress Theory” to guide physical therapist practice, education, and research. Physical therapy]. 2002 Apr 1;82(4):383-403.</ref>
* [[File:Physical Stress theory.png|thumb]]Injury may occur due to a high-magnitude stress applied for a brief period, a low-magnitude stress applied for a long duration, and/or a moderate-magnitude stress applied to the tissue man<ref name=":1">Mueller MJ, Maluf KS. [https://open.spotify.com/ Tissue adaptation to physical stress: a proposed “Physical Stress Theory” to guide physical therapist practice, education, and research. Physical therapy]. 2002 Apr 1;82(4):383-403.</ref>


f''lammation occurs immediately following tissue injury and renders the injured tissue less tolerant of stress than it was prior to injury.''<ref name=":0" /> ''Injured and inflamed tissues must be protected from subsequent excessive stress until acute inflammation subsides.''<ref name=":0" />PST, we propose that tissues accommodate to physical stresses by altering their structure and composition to best meet the mechanical demands of routine loading. The 5 qualitative responses to physical stress are decreased stress tolerance (eg, atrophy), maintenance, increased stress tolerance (eg, hypertrophy), injury, and death.<ref name=":0" />
f''lammation occurs immediately following tissue injury and renders the injured tissue less tolerant of stress than it was prior to injury.''<ref name=":0" /> ''Injured and inflamed tissues must be protected from subsequent excessive stress until acute inflammation subsides.''<ref name=":0" />PST, we propose that tissues accommodate to physical stresses by altering their structure and composition to best meet the mechanical demands of routine loading. The 5 qualitative responses to physical stress are decreased stress tolerance (eg, atrophy), maintenance, increased stress tolerance (eg, hypertrophy), injury, and death.<ref name=":0" />

Revision as of 23:18, 9 December 2022

Stress[edit | edit source]

Stress is defined as any intrinsic or extrinsic stimulus that provokes a biological response. Stress response is the compensatory reaction to the stressor. Based on the severity, timing and type of evoked stimulus, stress can cause diverse actions on the body.[1] The severity of the physiological reaction to a stimulus is situationally dependent and highly individual.[2]

Physical Stress Theory[edit | edit source]

The physical stress theory suggests that tissues adapt to physical stresses by modifying their composition and structure to best meet the mechanical demands of routine loading. The direction, magnitude and time of the stressor establishes the overall level of exposure to physical stress. [3] Injury may occur due to a high-magnitude stress applied for a brief period, a low-magnitude stress applied for a long duration, and/or a moderate-magnitude stress applied to the tissue ma


This theory proposes five qualitative responses to physical stress; atrophy, maintenance, hypertrophy, injury and death:[3][4]

  • Atrophy: physical stress levels that are lower than maintenance range; subsequent stresses to tissues lead to decreased tolerance
  • No apparent change: stressors that are in the maintenance range
  • hypertrophy: stressors that exceed the maintenance range (overload); subsequent stress leads tissue to increased tolerance
  • tissue injury: excessively high levels of physical stress
  • tissue death: extreme deviations from the maintenance stress range that exceed the adaptive capacity of tissues[3]

Physical Stress Theory

  • Injury may occur due to a high-magnitude stress applied for a brief period, a low-magnitude stress applied for a long duration, and/or a moderate-magnitude stress applied to the tissue man[5]


t has been suggested that proper manipulation of RT variables (e.g., load, volume, rest, and frequency) can optimize muscle hypertrophic response[6]

Physical Stress theory.png

Maintaining a sufficient stimulus to match adaptive capacity is termed progressive overload. hile the term progressive overload refers to “the gradual increase of stress placed on the body during resistance training[7]

Physical Stress Theory

  • Biological tissues adapt to changes in the levels of applied stress
  • Maintaining tissue tolerance is essential to prevent atrophy, whereas overloading results in hypertrophy
  • Excessively high levels of stress lead to tissue injury and potential permanent damage
  • The magnitude, time, and direction of stress application determine the overall level of exposure to physical stress
  • Physical Stress theory.png
    Injury may occur due to a high-magnitude stress applied for a brief period, a low-magnitude stress applied for a long duration, and/or a moderate-magnitude stress applied to the tissue man[5]

flammation occurs immediately following tissue injury and renders the injured tissue less tolerant of stress than it was prior to injury.[3] Injured and inflamed tissues must be protected from subsequent excessive stress until acute inflammation subsides.[3]PST, we propose that tissues accommodate to physical stresses by altering their structure and composition to best meet the mechanical demands of routine loading. The 5 qualitative responses to physical stress are decreased stress tolerance (eg, atrophy), maintenance, increased stress tolerance (eg, hypertrophy), injury, and death.[3]

General Adaptation[edit | edit source]

Resources[edit | edit source]

References[edit | edit source]

  1. Yaribeygi H, Panahi Y, Sahraei H, Johnston TP, Sahebkar A. The impact of stress on body function: A review. EXCLI journal. 2017;16:1057.
  2. Anderson GS, Di Nota PM, Metz GA, Andersen JP. The impact of acute stress physiology on skilled motor performance: Implications for policing. Frontiers in psychology. 2019 Nov 7;10:2501.
  3. 3.0 3.1 3.2 3.3 3.4 3.5 Mueller MJ, Maluf KS. Tissue adaptation to physical stress: a proposed “Physical Stress Theory” to guide physical therapist practice, education, and research. Physical therapy. 2002 Apr 1;82(4):383-403.
  4. Higgins JD, Wendland DM. The Use of the Physical Stress Theory to Guide the Rehabilitation of a Patient With Bilateral Suspected Deep Tissue Injuries and Hip Repair. Journal of Acute Care Physical Therapy. 2015 Dec 1;6(3):87-92.
  5. 5.0 5.1 Mueller MJ, Maluf KS. Tissue adaptation to physical stress: a proposed “Physical Stress Theory” to guide physical therapist practice, education, and research. Physical therapy. 2002 Apr 1;82(4):383-403.
  6. Scarpelli MC, Nóbrega SR, Santanielo N, Alvarez IF, Otoboni GB, Ugrinowitsch C, Libardi CA. Muscle hypertrophy response is affected by previous resistance training volume in trained individuals. Journal of Strength and Conditioning Research. 2022 Apr 8;36(4):1153-7.
  7. Plotkin D, Coleman M, Van Every D, Maldonado J, Oberlin D, Israetel M, Feather J, Alto A, Vigotsky AD, Schoenfeld BJ. Progressive overload without progressing load? The effects of load or repetition progression on muscular adaptations. PeerJ. 2022 Sep 30;10:e14142.