ATE Final

"Place-and-hold" exercises are:

Gentle muscle setting (isometric/static) exercises used during the early phase of rehabilitation after, for example, a tendon repair whereby an involved finger is placed passively in a particular position (by the therapist or by the patient using the sound hand); the patient then is asked to try actively to hold the position without assistance

. Osteoarthritis of the hip is typically characterized by a progressive decrease in range of motion (ROM) of the following movement combinations:

Internal Rotation and Extension

Each of the following is true about the use of early controlled motion after tendon repair in the hand and forearm except:

Is used more often after extensor tendon repair than after flexor tendon repair.

Although interventions used to manage patellofemoral pain syndrome are based on an examination of each patient on an individual basis, each of the following interventions is commonly employed except:

Lateral gliding of the patella

Which one of the following ligaments of the ankle is most frequently stressed with an inversion sprain?

Lateral ligaments

Which of the following is true about ligament injuries of the knee and post-injury management?

MCL injuries are managed nonoperatively more often than ACL, PCL, or LCL injuries

Your patient exhibits a forward head posture and excessive thoracic kyphosis. Considering the

Upper and lower trapezius and serratus anterior

Tennis elbow may involve all of the following structures except the:

carpi ulnaris and extensor digiti minimi

Your patient is nearing the end of his rehabilitation for return to sport and is performing more of his program independently at home. As you are providing education regarding precautions and recognizing signs and symptoms, you discuss how much recovery time he should allow between sessions of high-intensity plyometric drills. Based on research, how much time do you suggest?

1-2 Minutes

Each of the following is true regarding management of the patient with RA of the hands except:

A) PRE is contraindicated so long as there are signs of inflammation B) Principles of joint protection and energy conservation are integral components of patient education to reduce deforming forces on involved joints and reduce excessive fatigue C) Application of splints should be avoided in the rheumatoid hand because it promotes loss of joint mobility D) With MCP joint deformities, forceful pinch and grip exercises are contraindicated Anything bad that isn't: joint protection, non/low impact exercises, focus on flexibility, and maybe non-steroidal medication.

Each of the following is a true statement about rehabilitation following dislocation of the glenohumeral joint except:

After an initial dislocation and a course of nonoperative management, recurrence of a dislocation is higher in older patients (> 40 years of age) than in younger patients (< 30 years of age)

Which of the following is true about managing a tear of the medial or lateral meniscus?

After meniscus repair, initially avoid knee flexion beyond 60° to 70° during weight- bearing exercises for about 2 months because flexion beyond this range can displace the repaired meniscus in a posterior direction

Each of the following principles is important when designing a therapeutic exercise program to correct hip muscle length/strength imbalances except:

Because of the functional demands placed on the lower extremities, it is more important to have full hip range of motion than to have "normal" strength of hip musculature

During closed-chain strengthening of the quadriceps, knee ROM in which the greatest amount of patellofemoral compression occurs is:

Between 60 of knee flexion to full knee flexion.

To strengthen the elbow extensors in a closed chain, you have the patient perform push-ups, using body weight as the source of resistance. Which of the following variations of push-ups provides the greatest amount of resistance to the elbow extensors?

Bilateral pushups while in a fully prone position on the floor with weight on the hands and toes

Moving and planting activities, in which the patient is required to move, change position, and then hold the position (freeze) are most appropriate for a patient returning to which activity/function?

Change of movement/ jumping and landing from a jump High intensity explosive activities

Research studies in the literature surrounding ACL rehabilitation have coined the terms potential copers and potential noncopers to identify and classify individuals with ACL injury who are good versus poor candidates for nonoperative rehabilitation. True copers applies to individuals who:

Copers= non-operated Non-copers= surgery True copers=rehabilitation candidates and have shown that they are able to continue preinjury activities without ACL reconstruction less anterior, laxity. high activity

Plyometric drills are prescribed to improve which dimension of muscle performance?

Fast twitch muscles (Power)

Another term for the concept of plyometric training is reactive neuromuscular training. At the cellular and neuromuscular receptor level, which of the following describes the mechanism of plyometric?

Exercises that generate quick, powerful movements involving an explosive concentric muscle contraction preceded by an eccentric muscle action. AKA, "jump training"

For effective shoulder function, each of the following is necessary except

Greater mobility in the external rotators than the internal rotators

Of the following activities, which is the most appropriate choice for developing stability of the scapulothoracic joint?

Have the patient stand, facing a wall, and place his hands on the wall. Have the patient perform repeated push-ups to and from the wall

You place your patient's wrist in a splint because he is experiencing an acute episode of lateral epicondylitis. Which of the following is the least appropriate intervention while the inflamed soft tissue is healing?

Have the patient wear a splint to immobilize the wrist continuously for at least 2 weeks or until there is no pain.

Patient stands on one leg, places the other leg on a table, bends forward with the back straight, and reaches toward the foot of the elevated leg

Hip adductors and internal rotators

The term hybrid total hip arthroplasty refers to a(n):

Hip replacement with a cemented femoral component and a noncemented acetabular component

Which of the following is true about total knee arthroplasty (TKA)?

If a semi constrained or unconstrained prosthetic implant is used, the medial and lateral collateral ligaments (MCL and LCL) must be intact or repairable for adequate postoperative mediallateral stability of the replaced joint

Which of the following is a true statement about surgical repair of the rotator cuff and postoperative management?

If the size and severity of the tears are similar, rehabilitation after repair of an acute, traumatic cuff tear typically progresses more rapidly than after repair of a traumatic tear associated with chronic impingement

You are seeing a patient to initiate exercises 5 days after reconstruction of the ACL with a patellar tendon autograft. During the first phase of the postoperative exercise program, your primary concern is:

Imposing controlled loads on the knee while protecting the graft from excessive stresses

Which of the following is true about myositis ossificans (heterotopic bone formation) in the elbow region?

It is distinguished from traumatic arthritis of the humeroulnar joint in that passive

The primary value of a patient performing quadriceps setting exercises when the knee is immobilized in a long leg cast for an extended period of time is to:

Maintain mobility of the patella

Which of the following is least appropriate after arthroplasty of the wrist?

Manual stretching techniques to restore full ROM of the wrist during the final phase of rehabilitation

Your patient reports a sudden onset of severe pain yesterday in the (L) posterior thigh while sprinting. Today he is unable to fully extend his (L) knee while walking because of pain. Which of the following interventions is most appropriate to use when initiating therapy today?

Passive knee flexion/extension within the painfree range with the hip positioned in 0 degree

A quadriceps lag may be described as:

Patient cannot actively extend the knee to full extension despite the fact that there is full passive knee extension.

Which of the following exercises, designed to self-stretch the hamstrings, is the safest and utilizes the most effective stabilization?

Patient stands on one leg, places the other leg on a table, bends forward with the back straight, and reaches toward the foot of the elevated leg

A 40-year-old teacher who has been referred to you has experienced pain along the plantar aspect of the heel for more than 6 months. It is most noticeable when getting out of bed in the morning, upon standing after sitting for longer than 1 hour, and after playing racquetball. During walking, pain is most noticeable at the terminal stance/pre-swing phase of gait. The mostly likely disorder causing these symptoms is:

Plantar fasciitis

You have been treating a 25-year-old soccer player, who has been recovering from hip bursitis. She is pain free and performing routine activities of daily living, walking and running without symptoms. She is now progressing to a phase of advanced functional training to prepare her for the quick turns, starts and stops, and dynamic single leg stances when kicking the soccer ball. Which of the following activities would be appropriate to include in her program to specifically achieve these

Plyometrics

Which of the following surgical approaches for conventional total hip arthroplasty is associated with the highest risk of postoperative hip dislocation if the hip flexes (passively or actively) beyond 80 to 90 during the early postoperative weeks?

Posterolateral

For an individual to be able to execute functional activities, it is necessary to have the ability to maintain the position of the body in equilibrium within the environment. This state of equilibrium is called:

Stability

All of the following are examples of plyometric activities for the upper extremities except:

Wall push-ups

Which of the following is an inappropriate component of an exercise program 1 to 3 weeks postoperatively for a patient without preoperative rotator cuff deficiency who underwent total shoulder replacement?

Wand exercises for active-assistive shoulder extension (combined with internal rotation) by placing the wand behind the back and sliding it up the back

Which of the following correctly identifies biomechanical abnormalities that contribute to patellofemoral pain or patellar instability?

Weakness of the VMO, tight lateral retinaculum, genu valgum, excessive external tibial torsion, excessive pronation of the feet, weakness of the hip abductors and external rotators

Using a handheld weight as the source of resistance, which of the following positions to strengthen the elbow extensors begins with the long head of the triceps brachii fully lengthened?

With the patient standing or sitting in a chair, begin with the elbow fully flexed and the arm elevated overhead and stabilized to maintain the shoulder in as much flexion as possible

Your patient has regained normal strength (5/5) and ROM during rehabilitation following a traumatic injury that severely stressed several ligaments and joints of the ankle. He continues to have poor control while walking on gravel or other uneven surfaces. To address this problem, your exercise program should focus on:

a. Strengthening exercises for the invertor and evertor muscles of the ankle using elastic resistance b. Stretching the invertor and evertor muscles of the ankle c. Performing balance training with closed-chain disturbed balance activities on a rocker/balance board d. Practicing walking on uneven surfaces while wearing a custom-made ankle/foot orthosis that control inversion and eversion

. Muscles that typically are shortened in patients with increased thoracic kyphosis; forward head; and protracted, forward tilted scapula are the:

shortened pectoralis major and minor, stretched and weak rhomboids, middle trap (scapular retractors) - Stretched and weak thoracic extensors (erector spinae, transversospinialis, interspinialis) -tight upper traps, levator scapula, &amp; pecs; weak deep neck flexors, lower traps, &amp; serratus anterior

Rotator cuff disease is multifactorial and is associated with both intrinsic and extrinsic factors affecting the structures in the suprahumeral space. Of the following contributing factors, which is classified as an intrinsic factor?

those that compromise the structural integrity of the musculotendinous structures and include vascular changes in the rotator cuff tendons, tissue tension overload, and collagen disorientation and degeneration -conditions typically involve the deep articular side of the tendons, and may progress to articular-side rotator cuff tears, seen most often in those older than 40 years