T1 Phys Stress Topic 13 - Apr 2020 PDF

Module #13 – Stress Definitions of Stress... “the non‐specific response of the body to any demand for change” “physical, mental, or emotional strain or tension” "a condition or feeling experienced when a person perceives that demands exceed the personal and social resources the individual is able to...

Module #13 – Stress Definitions of Stress... “the non‐specific response of the body to any demand for change” “physical, mental, or emotional strain or tension” "a condition or feeling experienced when a person perceives that demands exceed the personal and social resources the individual is able to mobilize” eustress: ‘good’ stress distress: ‘bad’ stress The Stress Response (General Adaptation Syndrome) the wide‐ranging set of bodily changes, triggered by a stressor that gears the body to meet an emergency stressor: any stimulus that produces a stress response stressors can be internal or external the stress response is normal but is designed to be an acute response contemporary stress is more insidious because it is more psychologically than physically driven Factors Affecting Stress & The Stress Response the nature of the stressor and the state of the person being stressed determine the stress response... time thoughts, moods, feelings and beliefs your perceptions of the stressor physical state disease states inadequate sleep age Stress Responses increased HR increased fluid retention increased BP redirection of blood flow (increased to brain, heart, lungs, skeletal muscles – decreased to viscera, skin) bronchodilation mobilization of energy substrates p.253 The Alarm Stage – a.k.a. Fight or Flight short lived hypothalamus increases SyNS firing adrenal medulla: epinephrine, norepinephrine mobilizes resources to relevant organs (brain, skeletal muscles, heart) for immediate activity digestive, urinary, reproductive systems are inhibited The Resistance Stage (a.k.a. Resistance Reaction) longer lasting initiated by hypothalamus enhances and prolongs the effects of the SyNS ACTH: adrenal cortex is stimulated to release more cortisol hGH: lipolysis, glycogenolysis glucagon: increases blood glucose TSH: increases glucose utilization helps get us through a stressful phase p.254 The Exhaustion Stage resources get depleted and can’t support resistance prolonged elevated cortisol levels can lead to muscle wasting, immune suppression, ulceration, pancreatic beta cell failure resistance reactions may persist even after the stressor is removed Stress & Its Effects if part(s) of the homeostatic control system are dysfunctional, homeostasis may not be maintained (or is harder to maintain) if moderately affected, disease states occur if severely affected, death is possible Increased Stress longer healing times poorer healing as you age, the ability to maintain and (when disturbed) return to homeostasis decreases Stress & Disease exact mechanisms are not well established but the effects of stress can clearly predispose you to (or be an exacerbating factor for) certain ailments rheumatoid arthritis immune suppression MSK (TMJ, HA, torticollis, muscle tone) CV conditions (hypertension, CAD, CHD GI dysfunction metabolic syndrome diabetes CNS conditions (CP, MS, Parkinson’s, epilepsy...) FM, CFS insomnia anxiety depression irritability/personality changes unhealthy behaviours (excessive or abusive use of alcohol and/or drugs, smoking, decreased exercise, poor nutritional choices...) obesity p.255 How Do We Affect It? The Impact of Massage Therapy de‐stress improve sleep (which through the endocrine system facilitates healing) improve digestion help maintain healthy systems (immune, renal, CV, CNS etc…) maximize healing and the quality of healing help prevent disease states/exacerbation of diseases Massage and Stress tools we can use elements of hands‐on techniques that can be effective other treatment factors Get a massage. p.256