Review

Question 1

ACSM guidelines for strengthening

Answer 1

Question 2

ACSM guidelines for Endurance

Answer 2

Question 3

ACSM guidelines for stretching

Answer 3

Question 4

Bladder irritants

Answer 4

Carbonation (soda), Caffine, Alcohol, Sugar

Question 5

Diaphragm movement

Answer 5

Diaphragm moves down as you breath in, moves up as you exhale. Pelvic floor follows the diaphragms movement

Question 6

Differences in types of stretching

Answer 6

Static stretching- normal stretching

Cyclic- A short duration stretch repeated multiple times

Ballsitic stretching- rapid forceful intermittent stretching (for sports with ballistic movements)

Low Load Long Duration- best for tissue changes , best for patients with chronic fibrotic contractures

Question 7

Education for someone that is pregnant

Answer 7

-Supine for no more than 5 mins

Able to maintain previous level of exercise

Sleep on side

Diastasis recti is normal

150mins of exercise recommended

Normal to gain 15-35lbs

Question 8

Fundamental 6-pack

Answer 8

Multifidus

Internal Oblique/ Transverse Abdominus

Lats

Pelvic Floor

Diaphragm

Gluteus Maximus

Question 9

Indications for back surgery

Answer 9

Cauda Equina

Acute loss of function

Failue of 3 months of conservative treatment

Question 10

Indications/contraindications for strengthening/endurance/stretching

Answer 10

Contra for stretching- Bony Block, Non-union fracture, acute inflammation, infection, sharp or acute pain w elongation, hematoma or tissue trauma, hypermobility, hypomobility provides control

Question 11

Opening/closing of the facets during movements

Answer 11

Opens on same side as rotation, opposite side of flexion

Opens on both sides w/ flexion, closes on both sides with extension

Question 12

Presentation of disc vs facet vs nerve root

Answer 12

Disc- Ext preference

Facet- Restricted movement in certain directions

Nerve root- dermatomal/myotomal pattern

Question 13

Presentations of different postures

Answer 13

Lordotic posture - increased lumbosacral angle, anterior pelvic tilt, more hip flexion

Swayback posture- Shift of pelvis anterior, forward head, kyphosis, flattened lumbar spine

Flat back posture- Decreased lumbosacral angle, decreased lumbar lordosis, Posterior pelvic tilt

Question 14

Protocol for prone vs supine utilizing biofeedback (blood pressure cuff)

Answer 14

supine - Inflate cuff to 20-40mmhg, increase by 2 up to 30-50

Prone- cuff to 70mmhg, decrease by 2mmhg to 60

Question 15

SIJ positions

Answer 15

Nutation = flexion, As compared to more posterior innominates

Counter nutation = extension, as compared to more anterior innominates

Hip flexion does Sacral Counternutation

Hip Extension does sacral nutation

Counternutation increases lumbar lordosis

Nutation decreases lumbar lordosis

Question 16

Types of incontinence

Answer 16

Stress incontinence- too much intra-abdominal pressure. Includes coughing

Urge incontinence- cant make it to the bathroom you have to pee so bad

Overflow incontinence- cant feel when your bladder is full

functional incontinence- physically cant make it to the bathroom

mixed incontinence

fecal/anal incontinence- gas or feces leaks out

Question 17

Understand what a hinge point indicates

Answer 17

Area of the spine w/ hypermobility, possibly compensating for hypomobility elsewhere

Question 18

When DOMS is most likely to develop

Answer 18

Due to unaccustomed vigorous exercise (eccentrics), happens a day or 2 later

microtrauma to myofibrils

Question 19

What does G1P1001 mean?

Answer 19

G1 = Pregnant 1 time

P1001 means:

1- full term birth

0- pre term births

0- miscarriages

1- currently living child