For final

Question 1

SAID principle?

Answer 1

Specific Adaption To Imposed Demands

Question 2

Therapeutic exercise

Answer 2

A systematic, planned performance of bodily movements, postures, or physical activities intended to provide a patient/client with the means to:

1. Remediate or prevent impairments
2. Improve, restore, or enhance physical function
3. Prevent or reduce health-related risk factors
4. Optimize overall health status, fitness, or sense of well-being

Question 3

Types of contractures?

Answer 3

Myostatic
Pseudomyostatic
Arthrogenic
Fibrotic

Question 4

Myostatic contractrure?

Can it be resolved?

Answer 4

No mm patho, musculotendonous unit has shortened adaptively. (resolvable in shortterm

Question 5

Pseudomyogenic contracture?

Can it be resolved?

Answer 5

Hypertonicity associated with CNS lesion
Can be caused by mm guarding or pain

Can be resolved with PNF stretch

Question 6

Arthrogenic contracture?

Can it be resolved?

Answer 6

The result of intra-articular pathology Adhesions, effusion, >synovial fluid, etc.

A periarticular contracture develops if mm crosses the joint lose mobility.

no

Question 7

Fibrotic contracture?

Can it be resolved?

Answer 7

Fibrous tissues in muscle overdevelop can be fatty,scar, or bone. D/t immobility.

Can be stretched but not to original length

No resolution c/o surgery

Question 8

Match the terms with their definitions

MRE

Overtraining

Overwork

GTO

Ballistic stretching

Answer 8

Match the terms with their definitions
MRE

Overtraining

Overwork

GTO

Ballistic stretching

Question 9

MRE

Answer 9

Manual resisted exercise

Externally applied either static or dynalmic

Question 10

Overtraining

Answer 10

A decline in performance of healthy individiuals in intense exercise routines

Question 11

Overwork

Answer 11

A progressive decline in already weak persons or persons with neuromuscular conditions

Question 12

GTO

Answer 12

Golgi tendon organ (near the MMtendonous junctions of extrafusal muscle fibers.

Question 13

Ballistic stretching

Answer 13

Rapid, forceful, high speed, bouncing stretch

Question 14

Describe the PNF stretch technique contract-relax. Be thorough!

Answer 14

Step 1. Stretch the muscle in question, hold for 30 sec

step 2. Prompt the patient to push against you as you resist the muscles action, hold for 10 sec.

Step 3. Stretch the muscle again, hold for 30 sec.

This technique affects the golgi tendon organ of the muscle and causes it to relax. The result is that the muscle will stretch further than it would with a normal passive stretch.

Question 15

Load that exceeds the metabolic capacity of the muscle must be applied for the mm to improve performance is the definition of ____________________.

Answer 15

Overload principal

Question 16

________________ techniques are manipulative procedures that have evolved out of osteopathic medicine and are designed to lengthen muscle and fascia and to mobilize joints.

Answer 16

MET

Question 17

The Specific Adaptation to Imposed Demands (SAID) principle relates to?

Answer 17

Specificity of Training

Question 18

Your patient, Nicegan, has signs of erythema, edema, heat, and pain with palpation. Which phase of injury does she display?

Answer 18

Acute

Question 19

Another patient, Paul, who happens to enjoy hunting cougars in his spare time, requires stretching to reach functional ROM, strengthening exercises, and the PT is performing joint mobilization. Which phase of injury does this represent?

Answer 19

Chronic

Question 20

And yet another patient, Shelcy, has much less edema but still has pain at the end of available ROM, heat and mild erythema at the involved joint. The M.D. wants you to be very aggressive with treatment but you’re concerned. You’re concerned because you believe that he is in which phase of injury

Answer 20

Subacute

(not sure) Because she still has some pain and edema but the pain is only at the end of available ROM.

Question 21

The main focus of the rehab of somebody in the acute stage should be?
The integrity of the surrounding periosteum

The quality of the involved extremity’s joint movement

Controlled Motion

Protect the site/injury from further damage

Answer 21

The integrity of the surrounding periosteum

The quality of the involved extremity’s joint movement

Controlled Motion

Protect the site/injury from further damage—-correct

Question 22

In which of the following stages of motor learning does augmented feedback have the most positive impact on acquisition of a motor skill?

Associative

Cognitive

External feedback has equal impact in all stages

Autonomous

Answer 22

Associative —–Correct

Cognitive

External feedback has equal impact in all stages

Autonomous

Question 23

What is the best method for determining the progression of exercise during the subacute stage of healing?
Increase endurance exercises by 3 repetitions each treatment session

Let patient response guide the progression of exercise
Increase strength training by 1 lb each treatment session

Increase range of motion 10 degrees each treatment session

Answer 23

Increase endurance exercises by 3 repetitions each treatment session

Let patient response guide the progression of exercise
Correct

Increase strength training by 1 lb each treatment session

Increase range of motion 10 degrees each treatment session

Question 24

Which of the following types of active exercises is the most appropriate to use first during the acute phase of healing after a muscle injury?

Submaximal isokinetic concentric exercise at slow velocities

Multiple angle isometrics against manual resistance

Low intensity muscle setting

Active ROM exercises

Answer 24

Submaximal isokinetic concentric exercise at slow velocities

Multiple angle isometrics against manual resistance

Low intensity muscle setting—-correct

Active ROM exercises

Question 25

Which of the following stages of soft tissue healing is characterized by remodeling and maturation of collagen in the scar? Late subacute stage Acute stage Chronic stage Early subacute stage

Answer 25

Late subacute stage Acute stage Chronic stage-----correct Early subacute stage

Question 26

Physical agents may be used in any of the phases of injury – as treatment, or as adjunct to treatment True False

Answer 26

True

Question 27

Which of the following is the main goal for a patient in the chronic phase of injury Reduce the edema, heat, and pain of the involved area Keep the injury from developing immature collagen Do not re-injure the involved area Increase function, strength, and ROM of the involved extremity

Answer 27

Reduce the edema, heat, and pain of the involved area Keep the injury from developing immature collagen Do not re-injure the involved area Increase function, strength, and ROM of the involved extremity-----Correct

Question 28

According to the definition of therapeutic exercise and the impact of exercise on the disablement process, which of the following is a correct statement about therapeutic exercise? It can be used to:

Answer 28

Remediate, decrease, or prevent physical impairments and functional limitations

Question 29

Secondary trauma to the surrounding tissue occurs with which of the following? Correct! Subluxation of a joint. Any subacute phase treatment Immature formation of collagen fibers Bursitis and/or tendinitis

Answer 29

Subluxation of a joint. ----Correct Any subacute phase treatment Immature formation of collagen fibers Bursitis and/or tendinitis

Question 30

Another patient, Kara, who did not volunteer to be in this exam because she doesn't volunteer anymore, requires stretching to reach functional ROM, is performing strengthening exercises, and the PT is performing joint mobilization. Which phase of injury does this represent and why? Your Answer: late subacute/controlled motion

Answer 30

Your Answer: chronic Because you only stretch in the chronic/late subacue phases.

Question 31

Another term for the PNF technique agonist contraction is__________.

Answer 31

Active Stretch

Question 32

The optimum time frame for holding a stretch is______________.

Answer 32

30 secs

Question 33

In which of the following stages of motor learning does augmented feedback have the most positive impact on acquisition of a motor skill?

Answer 33

Cognitive

Question 34

What is the best method for determining the progression of exercise during the subacute stage of healing? Be thorough! What do you use to guide the progression of exercise by your patient?

Answer 34

The best guide is the patient's feedback. As the patient's pain and inflammation decrease, the amount of resistance, number of reps, length of stretches, and extent of ROM should increase ; all should progress incrementally and should be backed off if the patient's pain or inflammation increase.

Question 35

Which of the following stages of soft tissue healing is characterized by remodeling and maturation of collagen in the scar?

Answer 35

Chronic stage

Question 36

Your patient develops a contracture as the result of hypertonicity after a traumatic brain injury (TBI). This type of contracture is called a(n)?

Answer 36

Pseudomyostatic

Question 37

Your patient has significant limitation in right shoulder external rotation. As you perform stretch interventions to improve ROM, you also need to develop strength in which of the following agonists Subscapularis Anterior Deltoid Infraspinatus Pectoralis Minor

Answer 37

Subscapularis Anterior Deltoid Correct! Infraspinatus Pectoralis

Question 38

Safe and effective stretching to increase ROM requires all of the following except: Proper alignment and patient positioning Stabilization of the proximal attachment of the mm Use of gained ROM in active function Strengthening of the agonist

Answer 38

Proper alignment and patient positioning Correct Answer Stabilization of the proximal attachment of the mm Use of gained ROM in active function You Answered Strengthening of the agonist

Question 39

According to the authors of your text, the suggested number of repetitions for AROM to any given joint is:

Answer 39

5-10

Question 40

The common substitution pattern for a supine patient performing shoulder internal/external rotation is? Mark all that apply. Elbow flexion/extension Scapular elevation Trunk rotation Trunk lateral bend

Answer 40

Correct Answer Elbow flexion/extension Scapular elevation Correct Answer Trunk rotation Trunk lateral bend

Question 41

Self feeding requires functional ROM of any of the following motions except: Shoulder Flexion Shoulder Abduction Elbow Flexion Forearm Pronation

Answer 41

Shoulder Flexion Correct Answer Shoulder Abduction Elbow Flexion \ You Answered Forearm Pronation

Question 42

A patient performing hip abduction exercises with a cuff weight in the supine position is primarily applying resistance force to which of the following muscle groups? Hip Adductors Hip Abductors Hip Flexors Hip Extensors

Answer 42

Hip Adductors You Answered Hip Abductors Correct Answer Hip Flexors Hip Extensors

Question 43

Laminar flow

Answer 43

Correct Answer Movement where all molecules move parallel to each other. Typically slow movement

Question 44

Which of the following is the clinical condition characterized by adaptive shortening of skin, fascia, muscle, or joint capsule. Adhesion Reflex Muscle Guarding Sprain Contracture

Answer 44

Adhesion Reflex Muscle Guarding Sprain Correct! Contracture

Question 45

Turbulent Flow

Answer 45

Molecules do not move parallet, faster

Question 46

Surface tension

Answer 46

membrane, force per length, underwater is faser

Question 47

Viscosity

Answer 47

Friction btwen molecules slows with resistance

Question 48

Hydrostatic Pressure

Answer 48

exerted on submessedobjects, equal from all directions

Question 49

Drag

Answer 49

Combined resistance of turbulance and viscosity