APK6320 - Corrective Exercise Flashcards
Which of the following terms describes the concept that the site of a person’s pain may not be the same as the source of the person’s pain?
a.) scope of practice
b.) corrective exercise continuum
c.) regional interdependence
c.) regional interdependence
Corrective exercise prescriptions fit into a contemporary fitness and strength and conditioning program due to their emphasis on which of the following?
a.) removing muscle imbalances impacting regularly performed activities
b.) enhancing muscular power
c.) optimizing body composition
a.) removing muscle imbalances impacting regularly performed activities
Muscles that connect directly to the spine and are predominantly involved in LPHC stabilization are classified as…
a.) local musculature system
b.) deep longitudinal system
c.) global musculature system
a.) local musculature system
What muscle changes may occur as a result of a chronically inhibited neural drive?
a.) the muscle on the opposing side of the joint would pull the inhibited muscle into a shortened state
b.) force production is reduced as a result of the inhibited muscle being overactive
c.) the muscle on the opposing side of the joint would pull the inhibited muscle into a lengthened state
d.) force production is increased as a result of the inhibited muscle being overactive
c.) the muscle on the opposing side of the joint would pull the inhibited muscle into a lengthened state
___________ describes an athlete’s elite ability to produce force, reduce force, and dynamically stabilize the human movement system in all 3 planes of motion?
a.) structural efficiency
b.) neuromuscular efficiency
c.) neural drive
b.) neuromuscular efficiency
You witness your client make minor adjustments to their body’s position without any feedback from you, after teaching them a series of yoga poses. Which of the following terms describes what you are witnessing?
a.) knowledge of results
b.) internal (sensory) feedback
c.) external (augmented feedback)
b.) internal (sensory) feedback
Which of the following contractions prevents a weight from uncontrolled descent?
a.) isokinetic
b.) eccentric
c.) isometric
d.) concentric
b.) eccentric
____________ describes how CNS integrates sensory information with previous experiences?
a.) motor development
b.) motor learning
c.) motor behavior
d.) motor control
d.) motor control
What is the greatest risk factor for developing a musculoskeletal injury to a particular area of the body?
a.) previous musculoskeletal injury in that area
b.) BMI
c.) physical activity level
a.) previous musculoskeletal injury in that area
Which of the following deviations occurs in lower crossed syndrome?
a.) kyphotic posturing
b.) lateral pelvic tilt
c.) anterior pelvic tilt
d.) decreased lordotic curvature
c.) anterior pelvic tilt
What are the key components of the cumulative injury cycle?
a.) synergistic dominance and movement impairments
b.) muscle spasms, compensation and injury
c.) adhesion, dysfunction and surgery
d.) tissue trauma, inflammation, muscle spasms and adhesions
d.) tissue trauma, inflammation, muscle spasms and adhesions
Which of the following muscles are typically overactive in an individual with upper crossed syndrome?
a.) serratus anterior
b.) pectorals
c.) rhomboids
b.) pectorals
Which term describes a state of overactivity occurring when a segment of the body is repeatedly moved or chronically held in the same way?
a.) pattern overload
b.) arthrokinematic dysfunction
c.) synergistic dominance
a.) pattern overload
What assessment collects valuable subjective information and identifies “red flags” that may be the first glimpse at potential movement impairments?
a.) client intake screen
b.) mobility assessment
c.) static posture assessment
d.) overhead squat assessment
a.) client intake screen
What is the position of the hip joint of the leg you are testing during an active knee extension test?
a.) neutral
b.) extended
c.) flexed
c.) flexed
Which muscle would be considered overactive, leading to scapular wining during the Davies test?
a.) lower trapezius
b.) infraspinatus
c.) serratus anterior
d.) pectoralis minor
d.) pectoralis minor
How should the results of mobility assessments be recorded by a CES?
a.) record the ROM from a goniometer
b.) record yes/no regarding any mobility restrictions
c.) record a score of 0-3 based on pre-determined criteria for each joint
b.) record yes/no regarding any mobility restrictions
Mobility assessments contain which of the following categories of joint motion?
a.) passive motions only
b.) active motions only
c.) both active and passive motions
c.) both active and passive motions
A client’s shoulders elevate and their head migrates forward when performing a standing row movement assessment. Which of the following muscles is probably overactive?
a.) lower trapezius
b.) deep cervical flexors
c.) upper trapezius
c.) upper trapezius
Which of the following compensations during an overhead squat assessment will you likely be able to identify from the lateral view only?
a.) knees moving inward
b.) asymmetric weight shift
c.) low back arching
c.) low back arching
The overhead squat assessment does not involve a change in the base of support of the individual, and is therefore classified as…
a.) dynamic movement assessment
b.) transitional movement assessment
c.) static posture assessment
b.) transitional movement assessment
What is one potential limitation to using a handheld myofascial roller?
a.) most require the use of both hands and rolling is limited to lower extremities
b.) most require the use of one hand and generating sufficient pressure is difficult
c.) most are constructed of material that is too soft to use on muscles
d.) most are constructed of material that is too dense to use on muscles
a.) most require the use of both hands and rolling is limited to lower extremities
Current research suggests that myofascial release be changed to myofascial rolling due to…
a.) tissue rolling is better than release
b.) myofascial release is an old intervention and needs a name change
c.) current evidence needs to be updated to a new contemporary name
d.) there is no evidence that a “release” occurs in the myofascia after rolling
d.) there is no evidence that a “release” occurs in the myofascia after rolling
Myofascial rolling is classified as what type of intervention?
a.) strengthening
b.) compression
c.) therapeutic modality
d.) stretching
b.) compression
Which of the following falls within the scope of practice of a personal trainer with a CES certification?
a.) vibration
b.) cupping
c.) IASTM
a.) vibration
What should be recommended to a client you observe rolling out his lumbar spine with a hard density foam roller?
a.) recommend a moderate-density roller
b.) demonstrate the proper method of rolling on the lumbar spine to help the client avoid injury
c.) recommend a soft-density roller for the lumbar spine
d.) rolling the lumbar spine is a contraindication and should be avoided
d.) rolling the lumbar spine is a contraindication and should be avoided
What type of stretching can lead to decreased incidences of muscle and tendon injury?
a.) short-term static stretching
b.) long-term static stretching
c.) short-term neuromuscular stretching
d.) long-term dynamic stretching
b.) long-term static stretching
Which movement compensation may improve following the completion of myofascial rolling the latissimus dorsi?
a.) excessive trunk lean in an overhead squat
b.) arms falling forward in an overhead squat
c.) posterior pelvic tilt during an overhead squat
b.) arms falling forward in an overhead squat
The short foot exercise is appropriate as a means of targeting an underactive muscle when which of the following movement compensations is observed?
a.) excessive foot pronation (flat feet)
b.) feet turn out
c.) heel rise
a.) excessive foot pronation (flat feet)
Your client reaches the level of progression demonstrated in a one-leg deadlift to shoulder press. You are ready to begin working through a progression in another plane of motion. Which of the following exercises would be most appropriate?
a.) lateral lunge to press
b.) 180 degree jump
c.) squat to row
a.) lateral lunge to press
Isolated strengthening is a technique used to increase…
a.) extensibility
b.) synergistic dominance
c.) activation
d.) intramuscular coordination
d.) intramuscular coordination
The theoretical basis that attempting to strengthen muscles when joint motion restriction is present will provide less-than-optimal results and limited joint ROM comes in part from…
a.) Janda’s syndromes
b.) Clark’s models
c.) Mennell’s truisms
d.) Kendall’s postures
c.) Mennell’s truisms
What is the most appropriate next progression to a squat to shoulder press?
a.) lunge to press
b.) step up to press
c.) single leg squat to press
b.) step up to press
During which phase of the muscle action spectrum are most strength gains developed?
a.) concentric acceleration
b.) the amortization phase
c.) isometric stabilization
d.) eccentric deceleration
d.) eccentric deceleration
How long or short could an effective corrective exercise program be to get results?
a.) 5 mins
b.) 10-15 mins
c.) 30 mins
b.) 10-15 mins
What is the system referred to in the NASM Pyramid of Success?
a.) NMS stretching
b.) corrective exercise continuum
c.) overhead squat assessment
b.) corrective exercise continuum
What scenario might influence corrective exercise as the entire workout?
a.) pain
b.) injury
c.) deconditioned clients
c.) deconditioned clients
Which of the following is the best definition for the term recovery?
a.) between-exercise process where the body and brain require adequate rest in order to prepare for next day of training
b.) post-exercise process where the brain and body require replenishment and rejuvenation in order to prepare for upcoming training
c.) post-exercise process where the brain requires additional glucose to regenerate in order to prepare for same-day training
b.) post-exercise process where the brain and body require replenishment and rejuvenation in order to prepare for upcoming training
Location and equipment are related to what factors?
a.) environment-related
b.) training-related
c.) client-related
a.) environment-related
What are the two principles within the refuel recovery strategy?
a.) adequate muscle strength and cardiovascular endurance
b.) proper balance and muscle strength
c.) proper hydration and nutrition
d.) proper flexibility and muscle endurance
c.) proper hydration and nutrition
What is the concentric action of the anterior deltoid?
a.) stabilizes shoulder girdle
b.) shoulder flexion and internal rotation
c.) shoulder extension and external rotation
b.) shoulder flexion and internal rotation
What is the proximal attachment of the sternocleidomastoid?
a.) mastoid process and occiput
b.) medial one-third of the clavicle
c.) top of manubrium
a.) mastoid process and occiput
What is the concentric action of the internal oblique?
a.) bilateral spinal flexion, ipsilateral flexion and ipsilateral rotation
b.) stabilizes the LPHC
c.) bilateral spinal extension, contralateral flexion and contralateral rotation
a.) bilateral spinal flexion, ipsilateral flexion and ipsilateral rotation
What is the eccentric action of the rectus abdominus?
a.) spinal flexion
b.) stabilizes the LPHC
c.) spinal extension
c.) spinal extension
What is the eccentric action of the upper trapezius?
a.) stabilizes the cervical spine and scapula
b.) cervical flexion, lateral flexion and rotation; scapular depression
c.) cervical extension, lateral flexion and rotation; scapular elevation
b.) cervical flexion, lateral flexion and rotation; scapular depression
Which of the following describes the rationale for incorporating corrective exercise into an individual’s physical activity habits?
a.) application of appropriate movement technique may improve force absorption and reduce the incidence of injury
b.) musculoskeletal pain is less common now compared to 50 years ago due to the rise of corrective exercise principles
c.) the rise in daily technology use has led to higher activity rates in people outside their profession
a.) application of appropriate movement technique may improve force absorption and reduce the incidence of injury
When standing up from a seated position, what type of contraction is occurring in the lower extremity to create motion at the knee (knee extension)?
a.) concentric
b.) isometric
c.) eccentric
d.) isokeinetic
a.) concentric
_____________ describes corrective exercise techniques used to retrain the collective synergistic function of all muscles through functionally progressive movements?
a.) activation techniques
b.) integration techniques
c.) lengthening techniques
d.) inhibitory techniques
b.) integration techniques
Place in order the steps that lead to an increase in the risk of initiating the cumulative injury cycle:
- Altered Movement
- Altered Force-Couple Relationships
- Structural and Functional Inefficiency
- Altered Length-Tension Relationships
- Joint Dysfunction
a.) 4,3,5,2,1
b.) 5,4,2,1,3
c.) 3,1,2,5,4
b.) 5,4,2,1,3
Which of the following is NOT a component of the human movement system?
a.) skeletal system
b.) muscular system
c.) endocrine system
d.) nervous system
c.) endocrine system
Your client sits for prolonged periods of time while working on a computer each work day. Which of the following will you suspect is a problem in this individual?
a.) forward head and rounded shoulders
b.) overly tight hip extenders
c.) overly lengthened hip flexors
d.) none of the above
a.) forward head and rounded shoulders
Which of the following individuals would you suspect to have an overly-shortened gastrocnemius muscles?
a.) male business professional who sits and works on a laptop computer for prolonged periods of time
b.) painter who reaches overhead throughout the work day
c.) female business professional who wears 3-6” heels daily
c.) female business professional who wears 3-6” heels daily
Which of the following represents ideal posture when observing the five kinetic chain checkpoints?
a.) knees in line with 2nd and 3rd toes
b.) hips level in frontal plane with a posterior pelvic tilt
c.) knees in line with the 4th and 5th toes
d.) shoulder positioned anterior to ears
a.) knees in line with 2nd and 3rd toes
Pes Planus Distortion Syndrome may lead to…
a.) plantar fasciitis, medial tibial stress syndrome (shin splints), patellar tendonitis, and low back pain
b.) metatarsal stress fractures, femur fractures and quadricep strains
c.) hip bursitis, hamstring strains, Achilles tendonitis and ankle arthritis
d.) hip flexor strain, IT band friction syndrome, hamstring strains and Achilles tendonitis
a.) plantar fasciitis, medial tibial stress syndrome (shin splints), patellar tendonitis, and low back pain
Your client shows up to session with visible swelling in his left knee. What is the appropriate action to take?
a.) recommend icing knee and take NSAIDS
b.) continue the session as normal
c.) provide manual therapy to reduce swelling
d.) refer client to qualified medical professional
d.) refer client to qualified medical professional
What type of movement assessment should always be performed first?
a.) transitional
b.) static
c.) dynamic
d.) loaded
a.) transitional
Assessments that involve movement with a change in the base of support are known as…
a.) loaded movement assessments
b.) dynamic movement assessments
c.) transitional movement assessments
b.) dynamic movement assessments
What is considered normal mobility in the cervical side bending test?
a.) head can tilt to 45 degree angle
b.) head should remain neutral
c.) head can tilt to 90 degree angle
d.) head can tilt to 25 degree angle
a.) head can tilt to 45 degree angle
Place the following NASM movement assessments in the most appropriate order:
- Single Leg Squat
- Depth Jump
- Overhead Squat
- Loaded Squat
a.) 2,3,1,4
b.) 1,3,2,4
c.) 3,1,4,2
c.) 3,1,4,2
A client demonstrates an arms excessive lumbar lordosis compensation during an overhead squat assessment that is resolved when placing hands on hips. Which of the following mobility assessments should be used in the follow up?
a.) supine shoulder extension
b.) supine shoulder external rotation
c.) shoulder flexion
c.) shoulder flexion
Which view allows for the optimal assessment of frontal plane movements (adduction and abduction)?
a.) lateral
b.) top
c.) posterior
d.) anterior
d.) anterior
What is the position of the hip joint of the leg you are testing during an active knee extension test?
a.) extended
b.) flexed
c.) neutral
b.) flexed
Your client cannot safely maintain the position during the single-leg squat assessment. What is your next step?
a.) stop the assessment and refer client to medical provider
b.) move on to the next assessment
c.) attempt a split squat stance assessment instead
c.) attempt a split squat stance assessment instead
Which of the following best describes how to introduce tissue movement with the myofascial roller?
a.) perform active movements such as flexion/extension while maintaining pressure
b.) roll in a slow continuous motion for 60 seconds
c.) perform quick active movements while continuously rolling back and forth on the target tissue
d.) perform passive movements such as trainer-assisted flexion/extension while maintaining pressure
a.) perform active movements such as flexion/extension while maintaining pressure
Which of the following is an adequate intensity of isometric contraction for a neuromuscular stretch?
a.) 100% maximal isometric contraction
b.) 20% maximal isometric contraction
c.) 50% maximal isometric contraction
b.) 20% maximal isometric contraction
How long would you instruct a client age 65 and older to hold a stretch?
a.) 60 secs
b.) 15 secs
c.) 30 secs
a.) 60 secs
What modification is suggested by NASM if a client does not feel comfortable performing myofascial rolling with active movement of the targeted limb?
a.) continuation rolling for 90-120 secs of the target tissue
b.) isometrically contract the target muscle, then proceed with the active movement
c.) decrease the pressure, then proceed with the active movement.
a.) continuation rolling for 90-120 secs of the target tissue
What is recommended number of active movements to include in Step 2 of the myofascial rolling program?
a.) 1-3 reps
b.) 2-3 reps
c.) 4-6 reps
d.) 7-10 reps
c.) 4-6 reps
Which of the following statements is true regarding the intensity of the isometric contraction that is used during NMS?
a.) near maximal intensity contractions are necessary to produce significant improvements in ROM
b.) moderate (50%) or higher intensities are necessary to produce increases in ROM
c.) even light contractions of 20% can produce significant improvements in ROM
c.) even light contractions of 20% can produce significant improvements in ROM
What should the fitness professional do when they first observe movement compensations during integrated movement, in order to allow the athlete to cognitively process proper form?
a.) stop the exercise
b.) decrease the load to require less from the muscles
c.) increase the load to demand more from the muscles
d.) make the client aware of the compensation and give verbal cues
d.) make the client aware of the compensation and give verbal cues
The isometric tempo for activation exercise should last approximately how long?
a.) 1 second
b.) 2 seconds
c.) 3 seconds
d.) 4 seconds
b.) 2 seconds
What phase of the muscle action spectrum leads to the most muscle damage, inflammation, impaired muscle function and muscle soreness, providing a good reason to limit the number of sets for the initial exercise?
a.) isometric stabilization
b.) concentric acceleration
c.) the amortization phase
d.) eccentric deceleration
d.) eccentric deceleration
The combination of enhanced motor unit activation, synchronization and firing rate is known to increase ________ at that specific muscle?
a.) tenacity
b.) intramuscular coordination
c.) ROM
b.) intramuscular coordination
What is the most appropriate verbal cue to use if a client demonstrates knee valgus on landing?
a.) Keep your knees in line with your 2nd and 3rd toes.
b.) Keep you knees behind your toes.
c.) Keep your knees out wider than your 5th toe.
d.) Keep your knees directly over your ankles.
a.) Keep your knees in line with your 2nd and 3rd toes.
Research has shown that resistance training stimulates synthesis of which macronutrient substrate to repair and build muscle?
a.) fats
b.) carbs
c.) proteins
c.) proteins
For optimal sleep, what temperature should the room be?
a.) 45 F
b.) 60 F
c.) 72 F
d.) 95 F
c.) 72 F
Research has shown a correlation between which two specific sleep variables that result in optimizing next-day performance?
a.) duration of deep sleep and nighttime anabolic hormone release
b.) using a weighted blanket and black out drapes
c.) the specific foods and drinks that are consumed at dinner time
d.) the brand of bed and pillow the client owns
a.) duration of deep sleep and nighttime anabolic hormone release
Which of the following categories of recovery does corrective exercise fall into?
a.) refuel
b.) regenerate
c.) rest
b.) regenerate
What is an example of a client-related factor?
a.) where the client will be training primarily
b.) how much time the client has to commit to their program
c.) what neuromuscular and physiological adaptations are necessary to achieve training objective
d.) specific goals expressed by the client
d.) specific goals expressed by the client
How many minutes per day in accumulated relaxation does NASM recommend as part of a recovery strategy?
a.) 60+ mins
b.) 15+ mins
c.) 30+ mins
a.) 60+ mins
Which of the following is the BEST progression to use regarding performing a pattern in multiple planes of motion?
a.) sagittal to frontal to transverse
b.) frontal to transverse to sagittal
c.) transverse to sagittal to frontal
a.) sagittal to frontal to transverse
Which of these ankle positions are a proper description of pronation, as seen in a squat loading/lowering phase?
a.) plantar flexion, food adduction and inversion
b.) dorsiflexion, foot abduction and eversion
c.) dorsiflexion, food adduction and eversion
d.) plantar flexion, food abduction and inversion
b.) dorsiflexion, foot abduction and eversion
If your client is in the inhibition phase for the foot and ankle, which of the following muscles will most likely be involved?
a.) anterior tibialis
b.) gastrocnemius
c.) posterior tibialis
d.) medial hamstrings
b.) gastrocnemius
What is the most appropriate muscle to static stretch for a client who demonstrates over-pronation in the overhead squat?
a.) gluteus medius
b.) gastrocnemius
c.) anterior tibialis
d.) rectus femoris
b.) gastrocnemius
What two bones comprise the subtalar joint?
a.) calcaneus and tarsals
b.) talus and calcaneus
c.) fibula and talus
d.) tibia and fibula
b.) talus and calcaneus
Susie has pain and inflammation at the ankle joint, especially in the morning or after long periods of sitting. In her static assessment, you note her feet turn out and excessive pronation; in her OHSA she showed and excessive forward lean as well as the same compensations from the static assessment. What would you expect to find after further testing?
a.) toes moving away from the midline of the foot
b.) insufficient elasticity or stretch within the plantar fascia
c.) chronic ankle instability
d.) high arch in foot
b.) insufficient elasticity or stretch within the plantar fascia
Performing a gait assessment can be great technique for observing dynamic range of motion. During which phase of gait is ankle mobility assessed?
a.) midstance
b.) late midstance
c.) initial contact
d.) propulsion
b.) late midstance