The Evaluation, Functional Tests

Question 1

Which portion of the evaluation is considered by the CFS authors to be one of the most comprehensive components of a back care program?

Answer 1

The Subjective Evaluation

Question 2

What are the purposes to a subjective evaluation?

Answer 2

Establish a rapport with the patient
Gain information about the patient’s functional status, lifestyle, symptoms, etc.
Assist the patient in self assessment and becoming responsible for his/her problem

Question 3

When should objective data be graded?

Answer 3

As often as possible

Question 4

What questions should be asked about a patient’s pain each time they are seen to determine progress and current presenting symptoms?

Answer 4

Location of pain
Frequency of pain
Duration of pain
Intensity of pain

Question 5

Immediate onset of pain is typical of pain that is ________ in nature

Answer 5

Mechanical

Question 6

Delayed onset of pain is typical of pain that is _________ in nature

Answer 6

Inflammatory

Question 7

Pain with an immediate onset can be linked to _____________

Answer 7

A specific movement, activity, or posture

Question 8

Pain with an immediate onset can or cannot be monitored by a patient during treatment and exercise?

Answer 8

Can

Question 9

When a patient is not able to determine what aggravated their symptoms this is most likely due to a _________ onset of pain

Answer 9

Delayed.

Question 10

A therapist can minimize the problems that a delayed onset of symptoms can created by _______

Answer 10

Limiting the treatment performed.

Question 11

Patients with delayed onset of pain need to be placed on a _____________

Answer 11

Progressive Exercise Program.

Question 12

Questions related to ADL response that are important for therapists building corefirst strategies are:

Answer 12

Aggravating activities

Easing activities

Question 13

It can be helpful to classify functionally a patient into one of the following categories related to activity based pain:

Answer 13

Load Sensitive
Pressure Sensitive
Position Sensitive
Stasis Sensitive

Question 14

The person who came up with functional classifications in pain was _____________

Answer 14

Eileen Volowitiz

Question 15

The Saliba functional classification is a ratio of two components, the first is the ___________ the second is the _____________

Answer 15

Thoracic block position over the pelvis

Angulation of the thoracic block.

Question 16

Efficient alignment in the saliba postural classification lines up the _________ over the __________

Answer 16

Diaphragm

Pelvic Floor

Question 17

When confirming a vertical/posterior posture by VCT will cause __________________

Answer 17

Accentuated extension in T/L region and upper lumbar region

Question 18

When confirming a posterior/posterior posture by VCT will cause __________________

Answer 18

Accentuated extension in lumbar spine coupled with a forward shear of the pelvis

Question 19

When confirming a posterior/anterior posture by VCT will cause __________________

Answer 19

Slight flexion in the thoracic and upper lumbar spine coupled with a forward shear of the pelvis.

Question 20

When confirming an anterior posterior posture by VCT will cause __________________

Answer 20

Extension in the upper/mid lumbar and posterior shear of the pelvis.

Question 21

When confirming an anterior posterior posture by VCT will cause __________________

Answer 21

Overall flexion of the trunk

Question 22

Using a vertical compression test as a pre test allows the therapist to:

Answer 22

Demonstrate the effect of mechanical, neuromuscular, or motor control dysfunctions on ACE and strength to patient
Gather objective data related to the patients structural and functional strategies

Question 23

Using Vertical Compression as a post test allows the therapist to:

Answer 23

Demonstrate to the patient the effect of efficient structure on alignment and ACE.

Question 24

The purpose of the vertical compression test is:

Answer 24

To use vertical loading on the system to confirm the Saliba Postural Classification System and Identify Mechanical Stress Points

Question 25

During a vertical compression test the therapist is evaluating and recording:

Answer 25

The translation of the applied force through the kinetic chain and into the base of support.

Question 26

The patient's position during the VCT is

Answer 26

Any weight bearing position | In standing the patient is asked to stand in a neutral position and relax everything but the knees.

Question 27

During a vertical compression test the therapist must ensure that their forearms are _______ to the floor at all times

Answer 27

Vertical

Question 28

During a vertical compression test in standing the hands are placed on the patient's shoulders between the _______ and the _______

Answer 28

Acromion | First Rib Insertion

Question 29

For a vertical compression test in sitting the hands may be placed on the hands or on the ______ to determine its position for sitting

Answer 29

Pelvis

Question 30

When performing a VCT you should not lean on the patient as this will __________

Answer 30

Pre Activate a response

Question 31

A grade of 1 on a VCT is the amount of pressure needed to:

Answer 31

Feel the pressure of the patient’s bony surfaces through the soft tissue covering the carpal ridge.

Question 32

A score of three on a VCT is _________ times the pressure of a grade of one

Answer 32

Three

Question 33

An efficient response on a VCT is on in which the pressure applied by the therapist translates evenly into the __________

Answer 33

Base of support

Question 34

An efficient end feel for a vertical compression test is _________

Answer 34

Springy

Question 35

The base of support that should be felt during a vertical compression is __________ for standing and ________ for sitting

Answer 35

The arch of the foot into the second ray | The pelvic floor

Question 36

An inefficient response for a vertical compression test causes the spine to ________ or is a _________ end feel

Answer 36

Move | Hard

Question 37

During a vertical compression test a hard end feel of the whole body indicates:

Answer 37

A holding pattern

Question 38

When a vertical compression test is graded the grade is the level at which

Answer 38

The dysfunction or failure is noted

Question 39

As well as the grade, ___________ should be included with documentation of a vertical compression test

Answer 39

Description of the associated compensatory dysfunction

Question 40

PHIT during functional testing stands for:

Answer 40

Position Hover Instruct Test

Question 41

The purpose of the Elbow Flexion Test is

Answer 41

To test the proper timing of core and global muscles in response to an external load through the forearms and confirm findings of the CoreFirst Based Postural Classification System

Question 42

When Evaluating an Elbow Flexion Test the therapist looks for firing in this sequence of muscles

Answer 42

Core Scapular Stabilizers Global Arm Muscles Global Balance Response

Question 43

During an elbow flexion test the patient’s arms are flexed to ______ degrees and the patients forearms are __________

Answer 43

90 | Supinated (Loose packed position)

Question 44

During an elbow flexion test the patient's arms are positioned with the humerus _________ to the floor

Answer 44

Perpendicular

Question 45

During an elbow flexion test the patient is not allowed to use __________ to assist in stabilization

Answer 45

Shoulder adduction

Question 46

When testing an elbow flexion test the therapists arms must be ____________

Answer 46

Perpendicular to the floor or Vertical

Question 47

The verbal command given when performing an elbow flexion test is:

Answer 47

Don’t let me straighten your elbows.

Question 48

A grade of one on the elbow flexion test is defined as:

Answer 48

The amount of pressure required to feel the bones of your hands on the bones of the patient’s forearms

Question 49

An Efficient state for the elbow flexion test is one in which the patient can

Answer 49

Maintain the elbow position through automatic engagement of core, rotator cuff, shoulder girdle, and global shoulder and arm muscles

Question 50

In the inefficient state during the EFT the patient will attempt to maintain the position with _______ muscles, will give at the ___________ or will lose their __________

Answer 50

Global Arms, shoulder girdle, or spine Balance

Question 51

The purpose of the Lumbar Protective Mechanism is to:

Answer 51

Determine the patient’s automatic trunk response to external force

Question 52

The components of the lumbar protective mechanism to be evaluated are

Answer 52

Initiation Strength Endurance

Question 53

When testing a patient's lumbar protective mechanism it is best to stand in the ________ of movement

Answer 53

Diagonal

Question 54

When testing a lumbar protective mechanism the hands are placed on the anterior aspect of the patient’s ________ region just below the ___________

Answer 54

Shoulder | Coracoid process

Question 55

When placing hands for a lumbar protective mechanism a _______ grip is used

Answer 55

Lumbrical

Question 56

During testing of an LPM the core can only respond with slow pressure, the test is then graded as ________ initiation

Answer 56

Sluggish

Question 57

Endurance for the LPM is tested up to _______ seconds

Answer 57

30

Question 58

During an LPM the patient is allowed to give at the ___________ but not the trunk or hips

Answer 58

Ankles