Therapeutic Exercise

20 Questions | By Wildcherry26

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Questions and Answers

1.

Angie Western, 35, was referred to you by her doctor for the treatment of carpal tunnel syndrome. Her symptoms appeared about 1 month ago and worsened last week. She cannot type for more than 10 minutes before the pain becomes overwhelming. She has difficulty using utensils and reports that she often drops things. Your assessment confirms carpal tunnel syndrome. During the testing and treatment, you notice that AF and PR ROM elicit moderate bilateral numbness and tingling. As self-care, you prescribe:

Discuss
- A.
  
  Endurance resistance exercise for the forearm flexors
- B.
  
  Strength resistance texercise for the forearm flexors
- C.
  
  Stretching for the forearm flexors within a comfortable range
- D.
  
  Muscle setting for the forearm flexors to reduce pain
- E.
  
  C & D
2.

Angie Western, 35, was referred to you by her doctor for the treatment of carpal tunnel syndrome. Her symptoms appeared about 1 month ago and worsened last week. She cannot type for more than 10 minutes before the pain becomes overwhelming. She has difficulty using utensils and reports that she often drops things. Your assessment confirms carpal tunnel syndrome. During the testing and treatment, you notice that AF and PR ROM elicit moderate bilateral numbness and tingling. To apply muscle setting in this case, how many repetitions would you have her perform?:

Discuss
- A.
  
  10
- B.
  
  3
- C.
  
  15
- D.
  
  30
3.

Angie Western, 35, was referred to you by her doctor for the treatment of carpal tunnel syndrome. Her symptoms appeared about 1 month ago and worsened last week. She cannot type for more than 10 minutes before the pain becomes overwhelming. She has difficulty using utensils and reports that she often drops things. Your assessment confirms carpal tunnel syndrome. During the testing and treatment, you notice that AF and PR ROM elicit moderate bilateral numbness and tingling. What percentage of muscle strength capacity would she use during muscle setting?:

Discuss
- A.
  
  60%
- B.
  
  80%
- C.
  
  90%
- D.
  
  None of the above
4.

To achieve an effective stretch for the costal fibres of your client's pectoralis major, the should must be abducted:
- A.
  
  Below 90 degrees
- B.
  
  At 90 degrees
- C.
  
  Above 90 degrees
- D.
  
  All of the above
5.

Eccentric exercise is a shortening of the muscle. It implies that the force produced by the muscle's contraction is greater than the resistance.
- A.
  
  True
- B.
  
  False
6.

Osteoporosis is a condition characterized by a reduction of mineralized bone.
- A.
  
  True
- B.
  
  False
7.

"Setting the Core" refers to the co-contraction of:
- A.
  
  Rectus abdominus, transversus abdominus, multifidi
- B.
  
  Internal and external obliques, and multifidi
- C.
  
  Transversus abdominus, multifidi
- D.
  
  Transversus abdominus, pelvic floor muscles
- E.
  
  All of the above
8.

A standing self-stretch for the rectus femoris would require the advanced client to flex their knee while extending their hip.
- A.
  
  True
- B.
  
  False
9.

Functional testing of the glenohumeral joint reveals restrction with a stretch end-feel in external rotation, which muscles would you stretch?
- A.
  
  Posterior deltoid, subscapularis, pectoralis major
- B.
  
  Anterior deltoid, infraspinatus, pectoralis major
- C.
  
  Posterior deltoid, subscapularis, pectoralis minor
- D.
  
  Anterior deltoid, lattisimus dorsi, pectoralis major
10.

Your orthopedic assessment reveals a positive Ober's test. You should provide self-care to your client that includes:
- A.
  
  Shortening the TFL and hamstrings
- B.
  
  Lengthening the quadriceps and hamstrings
- C.
  
  Shortening the quadriceps and gluteus maximus
- D.
  
  Lengthening the TFL
- E.
  
  None of the above
11.

Your client's hip adduction is limited due to moderately painful TrPs in the hip adductors. Which technique would you use to increase ROM and decrease pain?
- A.
  
  Reciprocal inhibition
- B.
  
  Autogenic inhibition
- C.
  
  Either one would work
12.

Valsalva maneuver decreases intrathoracic pressure, thus causing copmlications to cardiovascular conditions.
- A.
  
  True
- B.
  
  False
13.

Isometric resisted hip flexion will affect pectineus through:
- A.
  
  Autogenic inhibition
- B.
  
  Reciprocal inhibition
14.

Contract relax is:
- A.
  
  Used when muscle spasm restricts joint movement
- B.
  
  Used when ROM is good, and movement is pain free
- C.
  
  Used when ROM is extremely limited or active movement causes pain
- D.
  
  Used to treat trigger points
- E.
  
  Used as a warm-up
15.

Hold relax is:
- A.
  
  Used when muscle spasm restricts joint movement
- B.
  
  Used when ROM is good, and movement is pain free
- C.
  
  Used when ROM is extremely limited or active movement causes pain
- D.
  
  Used to treat trigger points
- E.
  
  Used as a warm-up
16.

Active isolated stretching is:
- A.
  
  Used when muscle spasm restricts joint movement
- B.
  
  Used when ROM is good, and movement is pain free
- C.
  
  Used when ROM is extremely limited or active movement causes pain
- D.
  
  Used to treat trigger points
- E.
  
  Used as a warm-up
17.

Endurance training is the ability to perform:
- A.
  
  High intensity repetitive exercise over prolonged period of time
- B.
  
  Low intensity repetitive exercise over short period of time
- C.
  
  High intensity repetitive exercise over short period of time
- D.
  
  Low intensity repetitive exercise over prolonged period of time
18.

Examples of conditions that can produce contractures include the following:
- A.
  
  Prolonged immobilization
- B.
  
  MS
- C.
  
  Scoliosis
- D.
  
  Cesarean section
- E.
  
  All of the above
19.

Movement that occurs with the distal segment of a limb moving freely in space is called:
- A.
  
  Open kinematic chain exercise
- B.
  
  Functional exercise
- C.
  
  Closed kinematic chain exercise
- D.
  
  Reverse action
- E.
  
  None of the above
20.

A protective stretch reflex that prevents overstretching in a muscle is called:
- A.
  
  Stretch reflex
- B.
  
  Myotatic reflex
- C.
  
  Autogenic inhibition
- D.
  
  A & B
- E.
  
  None of the above

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