Final

Question 1

Which of the following is true of the tranvesospinalis group, which includes the multifidus

Answer 1

Responsible for segmental deceleration of flexiona nd rotation during dunctional movment

Question 2

Your patient demonstrates a positive prone active striaght leg raise test with force closure dysfunction. Which of teh following myofascial stabilizing systems is likely involved

Answer 2

Posterior oblique system

Question 3

During a cranio-cervical flexion test, the patient attempts to nod head to increase pressure in teh pressure biofeedback unit by 2mmHg and hold for 6-10 sec. a positive test is noted if teh patient has an inability to achieve the desired pressure chagne. This indicates

Answer 3

Decreased activation of deep segmental cervical stabilizing musculature

Question 4

The goals of the correctivfe phase of spinal stabilization training include all of the following except

Answer 4

Training with movements that replicate the patient’s sport and recreation activities

Question 5

Whicih fo the follwoing would not work toward enhancing the patient’s motivation to resure acitivity

Answer 5

Establish that there will be no set backs or flare ups

Question 6

Your patient exhibits increased muscle tone in the cervico-thoracic shoulder area. He states he is under a lot of stress at work. What is the most likely cause of the muscle tightness according to Janda

Answer 6

Limbic system dysfunction

Question 7

Whcih is true concerning abdominal bracing

Answer 7

Once the pt has kinesthetic awareness of performing the AB, it can be challenged by adding resistance to external perturbations in different planes

Question 8

When it is appropriate to progress a pt’s spinal stabilization program to include complex activities and functional exercises

Answer 8

Once patient learns to move and position the spine in fundamental ways

Question 9

As discussed in class, a decrease in closed kinetic chain dorsiflexion is a predicator of what condition

Answer 9

SI inflammation
Lumbalgia
Ipsilateral GH dysfunction

Question 10

Which type of muscle hypertonicity is associated with acute muscle strain

Answer 10

Myofascial trigger point

Question 11

Which is a MOI to the lumbar spine according to McGIll

Answer 11

Too many repetitions and motion and/or prolonged postures/loads
Cumulative loading in compression or shear
Axial torque with felxion

Question 12

You have performed a lumbar shear stability test and your paitent has positive findings of this test. Which is safe and effective exercise to strain the lumbar erector spinae

Answer 12

Quadraped/birddog

Question 13

You have performed a muscle relaxation technique (MRT) on your pts right upper trap. The muscle does not spontaneously lengthen after the application. What is a likely reason

Answer 13

The muscle tightness was probably a primary connective tissue cause

Question 14

Your pt presents with radiating-type pain down the arm into the fingers. He states that he is often assumes static postures for long periods of time while working on a computer. You have ruled out radicular involvement. What is the most likely cause according to janda

Answer 14

Myofascial trigger point

Question 15

Which of the following best describes a neurodynamic slider

Answer 15

Can be thought of as a tnesioner with one end put at slack
Is genetically predetermined and follows a predictable pattern
Increases transitions on a neural structure and does not produce deformation

Question 16

Your pt is a sedentary office worker who has demonstrated a positive supine ASLR with force closure dysfunction. What is an appropriate exercise

Answer 16

Side bridges

Question 17

What is a characteristic of an ideal core exercise

Answer 17

It should challenge the muscles of the core while imposing minimal compressive load on the spine

Question 18

According ot McGIll, core stabilization exercises such as prone plank, should be held for how long? Isometric hold longer than this states time have been shown to cause rapid loss of available oxygen in the muscles

Answer 18

Up to 8 seconds

Question 19

Muscle hypertonicity secondary to acute overload

Answer 19

Is associated with hyper-irritable spot usually within taut band of skeletal muscle that refers pain in a characteristic pattern

Question 20

Which describes the use of isometric contraction in performing muscle relaxation techniques

Answer 20

Gentler contraction is tried first in order to isolate the myofascial trigger point

Question 21

Your patient has initiated level 1 sensorimotor training static phase. Which is most appropriate for him

Answer 21

Static balance exercise on a stable surface progressing to a rocker board

Question 22

Your new pt has never had a cervical spine adjustment suing a supine full spine technique. She reports having some apprehensiona nd inability to relax her neck. How can using post-isometric relaxation prior to the adjustment be assistive

Answer 22

It can relax the cervical muscles prior to the adminstration of the adjustment

Question 23

The second or automatic stage of motor leanring require

Answer 23

Automatic levelsof processing

Question 24

According to Janda sensory information coming into the CNS must be optimal at which of the following locations

Answer 24

Foot

Question 25

The small/short foot is described as

Answer 25

Increasing the medial longitudinal arch by suing the foot intrinsic muscles

Question 26

Your patient has muscle hypertonicity secondary to vertebral subluxation. Which is likely cause according to JAnda

Answer 26

Interneuron dysfunction

Question 27

Which is true concerning muscle co-contraction and spinal stability

Answer 27

Modest levels of co-activation are generally sufficient for spinal stability, but if a joint has lost its stiffness greater amounts of co-activation are needed

Question 28

Your 35 yo pt presents with dull nagging pain in the buttocks that seems to travel to the posterior thigh and mid-belly of the gastroc. The etiology is unkown although the pt does note that she had began attending LA fitness kickboxing 4-5x a week, she is trying to get in shape. SLR, Bowstring, Goldthwait, bechterew and bonnet are all negative. MRI that was performed by her MD ten days ago reveals mild disc degeneration L4-S1, but is otherwise unremarkable. What might be in your differential diagnosis

Answer 28

Gluteus minimum trigger point

Question 29

Which is an abnormal pattern of muscle activation in the neck flexion test

Answer 29

Extension of occiput on atlas

Question 30

Sensorimtor tairning emphasizes

Answer 30

Postural control and progressive challenges to the sensorimotor system

Question 31

As a baby approaches 6 months of age, the diaphragm, as a mjuscle, begins to fulfill its dual function. What is the dual fucntion as suggested by Frank, Kobesova, and Kolar

Answer 31

Respiration adn postural, spinal stability

Question 32

What did Janda believe was the cause of movement impairments and altered motor progarmming within the CNS

Answer 32

Muscle imbalances associated with tight postural and inhibited phasic muscles

Question 33

Level 2 sensorimotor tarinign involves

Answer 33

Incorporating arm and leg moevement ot balance exercises

Question 34

Shrier, the british journal of sports medicine 2004 and hurley 1999 suggested the evidence shown in clinical literature supports that _____ is the most important modifiable mediating factor for primary osteoarthrits

Answer 34

Proprioception

Question 35

Which of the following is true concerning spinal core staiblization tarinign

Answer 35

Should include motor control exercise that emphasize increasing a pts funcitonal capacity to eclipse the demands of their acitivites
Should idenitfy a successful self-management reoutine, which allows for resumption of social acitivies with a pre-episode acitivity tolerance
The ultimate goal of care is to restore optimal funcitonal to enhacne participation without limitation in ADL

Question 36

With regards to philosophy of exercise design which of the following does not ensure progressive positive slope

Answer 36

Removal of exercises which the patient finds boring or too easy

Question 37

Contraction of the ___ muscle precedes activation of other abdominal musculature regardless of direciton of reactive forces

Answer 37

Transverse abdominis

Question 38

When performing slump test, the pt hsould be in what position to put sciatic nerve at tension

Answer 38

Pt seated arms internally rotated and slightly extended, slumped in the thoracic and lumbar spine, cervical spine flexion, knee extenstion and foot dorsiflexion

Question 39

Your patient has recently taken on ta new proejct and is spending 70+ hours at a computer. He is having right posterior forearm pain adn after a thorough history, you believe he is having posterior interosseous nerve compression (radial tunnel syndrome) what nerve lsider position would you treat in

Answer 39

GH joint abduciton to 90, elbow extension, pronation at the radio-ulnar joint with wrist flexion and lateral cervical flexion left

Question 40

Your pt is having chronic low back pain, slight medial knee pain, you note a positive modified thomas test - tight iliopsoas. You suspect decrease activation to the posterior oblique force closure system. What exercise might you suggest for your patient

Answer 40

Bridge

Question 41

Area which includes the ipsilateral mastoid, inter-auricular, regions of the frontal and/or maxilla

Answer 41

Scalene

Question 42

Ipsilateral SI joint and gluteal fold

Answer 42

Deep quadratus lumborum

Question 43

Anterior thigh, ipsilateral paraspinal region as well as superior SI joint

Answer 43

Iliopsoas

Question 44

Ipsilateral pec area, medial scapula, are similar to C4, C5 dermatome, dorsal 1,2,3 digits

Answer 44

Scalene

Question 45

Hat band distribution

Answer 45

Sub-occipital

Question 46

Pt presents to office post MVA 2 weeks ago. Upon re-eeval, you nnote he has been having difficulty holding his C6 adjustments and you suspect slightly hypermobility at C6. What cervical muscles are the primary segmental stabilizers
What is one corrective exercise for decreased acitvation of primary cervical segemntal stabilizers

Answer 46

Longus capitis and longus colli

Craino-cervical flexion

Question 47

Name 2 spine sparing strategies that can be taught to pt to encourage hip flexion vs lumbar flexin

Answer 47

Hip hinge

Safe squatting

Question 48

Ankel to cervical mobility or stability

Answer 48

Ankle mobility
Knee stability
Hip mobility
Lumbar stability
T-spine mobility
Scap/thoracic stability
GH joints mobitility
Cervical spine stability