chapter 7: client intake and assessment Flashcards
steps of intake
- general fitness history/ questions
- static postural assessment
- movement assessments
- mobility assessments
Ankle sprains and kinetic chain
Ankle sprains have been shown to decrease the neural control to the gluteus medius and gluteus maximus muscles. Additionally, chronic ankle instability can lead to altered knee flexion on landing tasks. This, in turn, can lead to poor neuromuscular control and balance, potentially resulting in further injury
knee injuries
Knee injuries can cause a decrease in the neural control to muscles that stabilize the patellofemoral and tibiofemoral joints. Noncontact knee injuries are often the result of ankle or hip dysfunctions. If the ankle or hip joint begins to function improperly, this can result in altered movement and force distribution of the knee, leading to further injury over time
low back injuries
Low-back injuries can cause reduced lumbar mobility, slower movement, and reduced proprioception (Laird et al., 2014). If not addressed, limited lumbar mobility will be affected and this could have an impact on the kinetic chain as the entire spine works as a functional unit. Limited mobility in the lumbar spine could cause limited mobility in the thoracic spine, resulting in shoulder and cervical pathologies as well
shoulder injuries
Shoulder injuries cause altered neural control of the rotator cuff muscles, which can lead to instability of the shoulder joint during functional activities. Shoulder dysfunction associated with previous injuries has been linked to reduced thoracic mobility (Haik et al., 2014). For overhead throwing athletes, past injuries to the shoulder could also alter throwing mechanics, leading to further injury
smart goals
S—Specific: What does the client want to achieve? Consider who, what, where, when, why, and how.
M—Measurable: How will the goal be measured? What are the criteria for goal completion?
A—Attainable: Is the goal achievable by the individual? The effort, time, and costs re-quired for achieving the goal need to be considered.
R—Realistic: Is the goal relevant to the individual’s lifestyle and fitness needs? Is it some-thing they can reasonably expect to be able to achieve?
T—Timely: What is the timeframe the goal should be completed in? What is the target completion date?
True or False? Corrective exercise is intended to help clients directly manage issues of acute pain and injury rehabilitation.
false
It is recommended that adults sleep how many hours a night?
8-9 hours
Which statement most accurately describes the potential impact a previous low-back injury could have on a client?
reduced proprioception
Pattern overload
Occurs when a segment of the body is repeatedly moved or chronically held in the same way, leading to a state of muscle overactivity.
best way to see client posture
have them take shoes off
The Kendall flat-back posture presents with which of the following static positions in the lower body?
Reduced lumbar lordosis, posterior tilted pelvis, and extended hips and knees
The Kendall kyphosis-lordosis posture presents with which of the following static positions in the lower body?
Excessive lumbar lordosis, anterior tilted pelvis, flexed hips, and flexed/hyperextended knees
Which upper-body muscles are commonly overactive in the Kendall flat-back posture?
Pectoralis minor, shoulder adductors, upper trapezius, and levator scapulae
The Kendall sway-back posture presents with which of the following static positions in the upper body?
Forward head, extended cervical spine, and excessive thoracic kyphosis