Movement 2 exam
B. Asymmetrical reciprocal pattern
This is an example of a ________ pattern A. Symmetrical reciprocal B. Asymmetrical reciprocal C. Asymmetrical D. Symmetrical
A. Symmetrical reciprocal pattern
This is an example of a ________ pattern. (Scap AE; Pelvic PD) A. Symmetrical reciprocal B. Asymmetrical reciprocal C. Asymmetrical D. Symmetrical
- Sequencing of muscle activity for smooth movement - Proximal stability for distal mobility - Normal timing in trunk proximal to distal - Normal timing in extremities is distal to proximal
Timing for PNF
- Emphasize 1 component of the pattern - Use resistance to enhance a more localized contraction - Emphasizes a particular component within the pattern - Strengthening weaker component through irradiation and reinforcement - Strong muscles resisted isometrically ("locking in") while motion is allowed in weaker muscles
Timing for emphasis (PNF Technique):
- Elongation of joints - Traction force is applied through arc of motion - Facilitates muscle response
Traction for PNF
C. Autonomous
Treatment enhanced by a variety of environmental situations and continue to modify feedback and practice are training strategies for which motor learning stage? A. Cognitive B. Associative C. Autonomous D. Expert
- Rhythmic initiation - Reversal of antagonists (dynamic reversals and stabilizing reversals, rhythmic stabilization) - Repeated quick stretch - Combination of isotonic - Timing for emphasis - Contract relax - Hold relax
Types of PNF techniques
Sit to stand, scooting forward, and sit to side-lying
UE D1 Extension functional activities
Feeding, dressing, and brushing teeth
UE D1 flexion functional activities
Putting on seat belt and tucking in shirt
UE D2 extension functional activities
reaching for seatbelt, reaching for overhead light, and reaching into cabinet
UE D2 flexion functional activities
- Scapular posterior depression - Shoulder Ext, ABD, IR - Forearm pronation - Wrist extension, radial deviation - Finger extension - Thumb extension and abduction
UE patterns D1 Extension
- Shoulder elevation - Shoulder flex, add, ER - Forearm supination - Wrist flexion, radial deviation - Finger flexion - Thumb flexion, adduction
UE patterns D1 flexion
- Scapular anterior depression - Shoulder Ext, ADD, IR - Forearm pronation - Wrist flexion and ulnar deviation - Finger flex - Thumb flex, ADD, opposition
UE patterns D2 extension
- Scapular posterior elevation - Shoulder flex, ABD, ER - Forearm supination - Wrist ext and radial deviation - Finger ext - Thumb ext and ABD
UE patterns D2 flexion
- Walking - Rolling - Pushing something away - Reaching overhead - Dissociation of upper and lower trunk
What are some functional activities involved with symmetrical reciprocal?
- Walking backward - Preparing to kick a ball
What are some functional activities that involve pelvic posterior elevation?
- Trunk extension - Rolling backwards - Using crutches while walking - Pushing up with a straight trunk
What are some functional activities that involve scapular posterior depression?
- Reaching up in front of the body - Rolling forward - Gait related: terminal stance on the ipsilateral side and swing phase not he contralateral side
What are some types of functional activities for scapular anterior elevation?
1. D1: Flexion (flex, add, ER) and extension (ext, ABD, IR) 2. D2: Flexion (flex, ABD, ER) and Extension (Ext, ADD, IR)
What are the 2 diagonal patterns associated with the UE?
1. D1: Flexion (flexion, ADD, ER) and Extension (Extension, ABD, IR) 2. D2: Flexion (Flexion, ABD, IR) and Extension (Extension, ADD, ER)
What are the 2 diagonal patterns used with the lower extremities?
- Deep squat - Hurdle step - In line lunge - Shoulder mobility - Active SLR - Trunk stability push up - Rotary stability
What are the movement patterns of functional movement screen (FMS)
- Spiral and diagonal - Combine motion in 3 planes (sagittal, frontal, and transverse) - Mimic patterns in normal activities and sports - Combine patterns in different ways
What are the patterns of movement for PNF
E. All of the above
What are the principle muscles involved with anterior depression of the scapula? A. Rhomboids B. Serratus anterior C. Pec Major D. Pec Minor E. All of the above F. Just B and D
C. Iliopsoas is NOT a principle muscle involved with pelvic anterior elevation
What are the principle muscles involved with pelvic anterior elevation? A. Internal obliques B. External obliques C. Iliopsoas D. All of the above
D. Both A and B are correct (traps and levator scapular)
What are the principle muscles involved with scapular PE? A. Traps B. Levator scap C. Serratus anterior D. Both A and B E. All of the above
D. All of the above
What are the principle muscles involved with scapular posterior depression? A. Latissimus dorsi B. Rhomboids C. Serratus anterior (lower) D. All of the above are correct E. None of the above
1. Cognitive 2. Associative 3. Autonomous
What are the three main stages of motor learning?
1. Anterior elevation --> posterior depression 2. Posterior elevation --> anterior depression
What are the two diagonal pelvic patterns?
- ROM - Strength - Stability - Balance - Pain
What does rhythmic stabilization improve?
- Stability - Strength - Balance - Coordination
What does stabilizing reversals improve?
C. All of the above
What does timing for emphasis improve? A. Strength B. Coordination C. All the above
D. Measuring/ evaluating the person as a whole for a job
What is a functional assessment? A. Measuring/ evaluating the physical demands on site or a specific task a job has B. Measuring/ evaluating a persons ability to perform a job before they are hired C. Measuring/ evaluating a persons ability to return to work D. Measuring/ evaluating the person as a whole for a job
D. All of the above
What is the purpose of an FCE (functional capacity evaluation)? A. Determine the presence/degree of disability B. Improve job role performance by identification of functional decrements C. Improve the likelihood of safe return to job/task performance D. All of the above
- Hip: Ext, ABD, IR - Foot/ankle: PF, Eversion - Toe: Flexion, lateral deviation
What movements occur at the hip, foot/ankle, and toe to create LE D1 extension?
- Hip: flex, ADD, ER - Foot/ankle: DF, Inversion - Toe: Extension, medial deviation
What movements occur at the hip, foot/ankle, and toe to create LE D1 flexion?
- Hip: Ext, ADD, ER - Foot/ankle: PF, Inversion - Toe: Flexion, Medial deviation
What movements occur at the hip, foot/ankle, and toe to create LE D2 Extension?
- Hip: Flex, ABD, IR - Foot/ankle: DF, Eversion - Toe: Extension, lateral deviation
What movements occur at the hip, foot/ankle, and toe to create LE D2 Flexion?
D. All of the above
What must you consider when looking at someone's functional capacity? A. A Person's ability to perform a job B. A job's impact on a person C. A job's requirement of the person D. All of the above
B. AD
What pelvic pattern is associated with initial contact in the gait cycle? A. PE B. AD C. PD D. AE
B. AD
What pelvic pattern is associated with loading response in the gait cycle? A. PE B. AD C. PD D. AE
A. AE
What pelvic pattern is associated with this functional activity? A. AE B. AD C. PD D. PE
C. PD
What pelvic pattern is associated with this functional activity? A. AE B. AD C. PD D. PE
A. PE
What pelvic pattern is associated with this functional activity? A. PE B. AD C. PD D. AE
B. AD
What pelvic pattern is associated with this functional activity? A. PE B. AD C. PD D. AE
D. PE
What pelvic pattern is associated with this functional activity? (walking backward) A. AE B. AD C. PD D. PE
B. AE
What pelvic pattern is involved during the swing phase of gait? A. PE B. AE C. PD D. AD
C. PD
What pelvic pattern is involved during the terminal stance phase of gait? A. PE B. AE C. PD D. AD
A. AD
What scapular pattern is associated with this functional activity? A. AD B. AE C. PD D. PE
B. AD
What scapular pattern is associated with this functional activity? A. AE B. AD C. PD D. PE
D. PE
What scapular pattern is associated with this functional activity? A. AE B. AD C. PD D. PE
C. PE
What scapular pattern is associated with this functional activity? A. AE B. AD C. PE D. PD
D. PD
What scapular pattern is associated with this functional activity? A. AE B. AD C. PE D. PD
D. Dynamic command: "Push against my hands"
What type of commands are used in stabilizing reversals? A. Dynamic command: "stay still, don't try and move" B. Static command: " Push against my hands" C. Static command: "Stay still, don't try and move" D. Dynamic command: "Push against my hands"
A. AE
What type of scapular pattern is this? A. AE B. AD C. PE D. PD
A. Discrete
What type of skill is this? A. Discrete B. Continuous C. Serial D. Open environment E. Closed environment
B. Continuous
What type of skill is this? A. Discrete B. Continuous C. Serial D. Open environment E. Closed environment
C. Serial
What type of skill is this? A. Discrete B. Continuous C. Serial D. Open environment E. Closed environment
D. Open environment
What type of skill is this? A. Discrete B. Continuous C. Serial D. Open environment E. Closed environment
E. Closed environment
What type of skill is this? A. Discrete B. Continuous C. Serial D. Open environment E. Closed environment
C. Dynamic posture
What type of task is shifting your body weight. A. Transitional mobility B. Stability C. Dynamic posture D. Skill
A. Transitional mobility
What type of task is this? A. Transitional mobility B. Stability C. Dynamic posture D. Skill
B. Stability
What type of task is this? A. Transitional mobility B. Stability C. Dynamic posture D. Skill
C. D1 Extension
Which LE pattern does the stance phase of the gait cycle represent? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
A. D1 flexion
Which LE pattern does the swing phase of the gait cycle represent? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
A. D1 flexion
Which LE pattern does this demonstrate? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
B. D2 Flexion
Which LE pattern does this demonstrate? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
C. D1 Extension
Which LE pattern does this demonstrate? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
D. D2 extension
Which LE pattern does this demonstrate? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
C. D1 extension
Which LE pattern does this functional activity demonstrate? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
A. D1 flexion
Which LE pattern does this functional activity demonstrate? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
B. D2 Flexion
Which LE pattern does this functional activity demonstrate? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
B. D2 flexion
Which LE pattern does this functional activity demonstrate? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
D. D2 extension
Which LE pattern does this functional activity demonstrate? (supine to side-lying) A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
A. D1 flexion
Which UE pattern does this demonstrate? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
B. D2 Flexion
Which UE pattern does this demonstrate? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
C. D1 extension
Which UE pattern does this demonstrate? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
D. D2 extension
Which UE pattern does this demonstrate? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
B. D2 flexion
Which UE pattern does this functional activity demonstrate? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
A. D1 flexion
Which UE pattern does this functional activity demonstrate? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
C. D1 extension
Which UE pattern does this functional activity demonstrate? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
D. D2 extension
Which UE pattern does this functional activity demonstrate? A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
B. D2 flexion
Which UE pattern does this functional activity demonstrate? (passenger putting on seatbelt) A. D1 Flexion B. D2 Flexion C. D1 Extension D. D2 Extension
B. Bilateral asymmetrical (D1 extension and D2 extension)
Which bilateral UE pattern is the picture on the LEFT? A. Bilateral symmetrical (D2 extension) B. Bilateral asymmetrical (D1 extension and D2 extension) C. Bilateral symmetrical reciprocal (D2 flexion and D2 extension) D. Bilateral asymmetrical reciprocal (D1 flexion and D2 extension)
B. Bilateral asymmetrical (D1 flexion and D2 flexion)
Which bilateral UE pattern is the picture on the RIGHT? A. Bilateral symmetrical (D2 flexion) B. Bilateral asymmetrical (D1 flexion and D2 flexion) C. Bilateral symmetrical reciprocal (D2 flexion and D2 extension) D. Bilateral asymmetrical reciprocal (D1 flexion and D2 extension)
C. Bilateral symmetrical reciprocal (D2 flexion and D2 extension) - Same pattern, different direction
Which bilateral UE pattern is this picture? A. Bilateral symmetrical (D2 flexion) B. Bilateral asymmetrical (D1 flexion and D2 flexion) C. Bilateral symmetrical reciprocal (D2 flexion and D2 extension) D. Bilateral asymmetrical reciprocal (D1 extension and D2 flexion)
D. Bilateral asymmetrical reciprocal (D1 extension and D2 flexion)
Which bilateral UE pattern is this picture? A. Bilateral symmetrical (D2 flexion) B. Bilateral asymmetrical (D1 flexion and D2 flexion) C. Bilateral symmetrical reciprocal (D2 flexion and D2 extension) D. Bilateral asymmetrical reciprocal (D1 extension and D2 flexion)
A. Bilateral symmetrical (D1 extension)
Which bilateral UE pattern is this? A. Bilateral symmetrical (D1 extension) B. Bilateral asymmetrical (D1 extension and D2 extension) C. Bilateral symmetrical reciprocal (D2 flexion and D2 extension) D. Bilateral symmetrical (D2 extension)
A. Bilateral symmetrical (D1 flexion)
Which bilateral UE pattern is this? A. Bilateral symmetrical (D1 flexion) B. Bilateral asymmetrical (D1 flexion and D2 flexion) C. Bilateral symmetrical reciprocal (D2 flexion and D2 extension) D. Bilateral symmetrical (D2 flexion)
A. Bilateral symmetrical (D2 extension)
Which bilateral UE pattern is this? A. Bilateral symmetrical (D2 extension) B. Bilateral asymmetrical (D1 extension and D2 extension) C. Bilateral symmetrical reciprocal (D2 flexion and D2 extension) D. Bilateral symmetrical (D1 extension)
A. Bilateral symmetrical (D2 flexion)
Which bilateral UE pattern is this? A. Bilateral symmetrical (D2 flexion) B. Bilateral asymmetrical (D1 flexion and D2 flexion) C. Bilateral symmetrical reciprocal (D2 flexion and D2 extension) D. Bilateral symmetrical (D2 extension)
A. Chop
Which bilateral UE pattern is this? A. Chop B. Lift
B. Lift
Which bilateral UE pattern is this? A. Chop B. Lift
F. Both A and C are incorrect - Patient position: side-lying, head and spine in NEUTRAL - Starting in PD
Which of the following is INCORRECT in regards to scapular AE. A. Patient position: side-lying, head and spine in slight flexion B. PT position: behind patient, facing head in line with diagonal C. Starting in AE D. Movement: scapula moves up and forward towards nose. Inferior angle rotates away from spine. resistance is down and back E. Verbal cues: "Pull your shoulders up and forward" F. Both A and C are incorrect
B. Passive structures
Which of the following is NOT one of the physical factors that are thought to influence stability A. Inert structures B. Passive structures C. Neutral control D. Active structures
D. Prognosis of the patient
Which of the following is NOT one of the three motor control frameworks. A. Movement analysis B. Observation and Description of movement C. Plan of care to address movement dysfunction D. Prognosis of the patient
E. All of the above are correct
Which of the following is NOT true about specific functional performance tests: A. Match function B. Be objective C. Be reliable D. Be sensitive to change E. All of the above are correct
D. Both A and B (for PNF techniques and their goals refer to unit 4 chart)
Which of the following is a PNF technique for initiating motion? A. RI B. Repeated quick stretch from beginning of ROM C. Hold relax D. Both A and B E. All of the above are correct
D. Both A and B (bad habits and posture) - These negative learning examples have to be unlearned before correct movement patterns can be mastered.
Which of the following is an example of negative learning. A. Bad habits B. Bad posture C. Bad breath D. Both A and B E. All of the above
E. All of the above - Massed flexion is scapular AD and pelvic AE - Massed extension is scapular PE and pelvic PD
Which of the following is an example of symmetrical reciprocal? A. Scapular AD, Pelvic AE B. Massed flexion C. Scapular PE, Pelvic PD D. Massed extension E. All of the above F. Only A and C
A. Identify ways to modify patients home environment is incorrect. - FCE are used to identify ways to modify the workplace.
Which of the following is incorrect in regards to what the results of the FCE are used for. A. Identify ways to modify patients home environment B. Information for rating disability C. Identify levels of "return to work" D. Identify symptom magnifiers E. All the above are correct
C. Test may be "self limited" - SFM is NOT dictated by pain - Do NOT stop a test due to pain, if patient maintains proper body mechanics
Which of the following is involved in the safe functional max (SFM). A. Dictated by pain B. If patient has pain but proper body mechanics, you must stop the exam C. Test may be "self limited" D. All the above
A. Rolling supine to side-lying
Which of the following represent a LE D2 extension functional activity? A. Rolling supine to side-lying B. Sitting to side-lying C. stepping into a car D. Both A and C
A. Multidisciplinary
Work hardening is a _________ approach. A. Multidisciplinary B. Dual C. Disciplinary D. Singular
B. Goals associated with those needs/impairments
Work hardening is designed to achieve what? A. Work associated with those needs/impairments B. Goals associated with those needs/impairments C. Diagnosis associated with those needs/impairments D. All of the above
Alignment and congruency
________ and _______ are the most valuable tools in flexibility and power.
D. Structural work; Strategic work
________ work is not needed all the time while ______ work is always needed. A. Strategic work; Structural work B. Biological work; Physical work C. Physical work; Biological work D. Structural work; Strategic work
B. Symptom magnification
_________ describes objective inconsistency in the test. Describes behavior. A. Malingering B. Symptom magnification C. Symptom reconstruction D. Faking it
A. Malingering
__________ is a psychological diagnoses that describes motivation. A. Malingering B. Symptom magnification C. Symptom reconstruction D. Faking it
D. Symptom magnification syndrome (SMS)
_____________ stratifies symptoms magnifying patients into personality types. A. Malingering B. Symptom magnification C. Symptom reconstruction D. Symptom magnification syndrome (SMS)
D2 flexion, D1 flexion, D1 extension, and D2 extension
bilateral symmetrical pattern
- Optimal resistance facilitates muscle contraction - Resistance applied manually and functionally - Types of contractions: isotonic (concentric and eccentric) and isometric - Promote relaxation of antagonist muscle (reciprocal inhibition)
Appropriate resistance for PNF
- Compression of joints - Applied manually or functionally - Ensure all joints are properly aligned
Approximation for PNF
Opposite pattern
Asymmetrical (PNF)
opposite diagonal, opposite direction
Asymmetrical reciprocal
- Combined concentric, eccentric, and isometric (stabilizing) contraction of 1 group of muscles (agonist) without relaxation. - For Tx: begin were patient has MOST strength or best coordination. - Verbal cues: "Push up", "hold", "slowly let me win" - Often used in antigravity activities and assumption of postures (Ex: bridges and sit to stand).
Combination of Isotonics (COI) (PNF Technique):
greatest muscle tension
Midrange muscle positon
A. Stability
Motor control of the trunk is a critical component to ______. A. Stability B. Control C. Flexibility D. All of the above
C. Practicing a task incorrectly
Negative learning is defined as: A. Learning a task slowly B. Performing a task correctly C. Practicing a task incorrectly D. Both A and C are correct
- Directly in line with desired motion - Use body to resist - Enhances therapist control of patient - Reduces fatigue - Protects against injury
PT position for PNF
- Optimal alignment --> neutral - Muscle position --> Midrange, shortened range, and lengthened range - Changes in body position - Indications --> enhance muscle contraction and maximize postural stability
Patient position for PNF
- Normal functional movement - Synergistic patterns
Patterns of movement for PNF
Weak contractile force
Shortened range muscle position
- Anterior elevation --> posterior depression - Posterior elevation --> anterior depression
2 diagonal scapular patterns
A. SMFA - FMS is only used when patient is NOT having pain - SMFA is used when a patient IS having pain
A patient comes in with right shoulder pain with elevation. She can't play tennis because of this pain. She is also having difficulty gripping the tennis racket. Which test COULD you use for this patient? A. SMFA B. FMS C. Either test D. None of the above
A. Condition
An individuals motor function emerges from the interaction between all of the following EXCEPT: A. Condition B. Task C. Individual D. Environment
A. YASSS - If the patient is active, why not? not every elderly person is inactive.
Can you perform an SMFA on an elderly patient? A. YASSS B. Hell nooo C. Ehhh who cares
- Resisted isotonic contraction of the restricting muscle (antagonist) followed by relaxation and active movement into new range - Goal: Improve ROM
Contract relax (PNF Technique):
A. Cognitive
Demonstrations, verbal instructions, manual guidance, mental practice, lots of extrinsic feedback, and a reference of correctness are all training strategies of which motor learning stage? A. Cognitive B. Associative C. Autonomous D. Expert
C. Mobility; Stability
FMS aims to identify imbalances in ______ and _____. A. Functional tasks; ADL B. Dynamic; Static muscles C. Mobility; Stability D. Gait; Functional tasks
A. Stiffness
For stability of the spine, you must have "appropriate amount of ___________ for the anticipated load" A. Stiffness B. Control C. Stability D. All of the above
B. Performance; Learning
Frequent extrinsic feedback may improve ________ but can slow _______. A. Learning; Performance B. Performance; Learning C. Learning; Correctness D. Correctness; Learning
- Promote learning of new movement and initiation - Improve intra- and inter muscular coordination - Promote relaxation, independent movement
Goals of Rhythmic Initiation (RI)
- Improve active motor control/ motor learning - improve coordination, AROM, Strength, eccentric control of movement - Improve function
Goals of combination of isotonics (PNF Technique):
- Enhance initiation of motion and motor learning - Increase strength, endurance, ROM - Improve intra- and inter-muscular coordination - Reduce fatigue - Guide desired motion
Goals of repeated quick stretch (PNF Technique):
- Resisted isometric contraction of the antagonist muscles (shortened muscles) followed by relaxation. - Goal: Improve ROM especially in patients with pain
Hold relax (PNF Technique):
E. All of the above
How can physical therapists prevent injury at the work place? A. Pre-employment screenings B. Job analysis C. Education of body mechanics D. Education of preventing overuse syndromes E. All of the above
E. Both A and B - Movement patterns and body mechanics (spine position, BOS, and symmetry of movement)
How can you determine if a patient is "safe" performing an FCA? A. Observing patients movement patterns B. Looking at the patients body mechanics C. If patient presents with pain D. All of the above E. Both A and B
D. All of the above are correct
How do we identify symptom magnifiers? A. Symptoms are not controlled or effected by anything B. Symptoms control activities; activities do not control symptoms ("pain won't let me") C. Things don't add up (objective findings don't match symptoms) D. All of the above are correct E. Only B and C are correct
A. FCA - each station = max effort
How do you determine a patients max effort for SFM? A. FCA - each station = max effort B. FCE - each station = max effort C. FCA - impairments = max effort D. FCE - impairments = max effort
Side-lying. Hips flexed to ~80 - 90 degrees. Head and spine in neutral
How should the patient be positioned while performing pelvic patterns?
A. Elevate the shoulder complex. Use the lateral border of your hand to downwardly rotate and retract the scapula back into neutral
If scapular deviation is noted, how should you set the scapula for AE --> PD? A. Elevate the shoulder complex. Use the lateral border of your hand to downwardly rotate and retract the scapula back into neutral B. Move shoulder into posterior elevated position using lateral border of your hands. Compress and upwardly rotate the scapula to allow superior angle to move towards the spinous process of cervical vertebrae. C. Elevate the shoulder complex. Use the medial border of your hand to upwardly rotate and retract the scapula back into neutral D. Move shoulder into posterior elevation position using medial border of your hands. Compress and downwardly rotate the scapula to allow the inferior angle to move towards the spinous process of thoracic vertebrae
B. Move shoulder into posterior elevated position using lateral border of your hands. Compress and upwardly rotate the scapula to allow superior angle to move towards the spinous process of cervical vertebrae.
If scapular deviation is noted, how should you set the scapula for PE--> AD? A. Elevate the shoulder complex. Use the lateral border of your hand to downwardly rotate and retract the scapula back into neutral B. Move shoulder into posterior elevated position using lateral border of your hands. Compress and upwardly rotate the scapula to allow superior angle to move towards the spinous process of cervical vertebrae. C. Elevate the shoulder complex. Use the medial border of your hand to upwardly rotate and retract the scapula back into neutral D. Move shoulder into posterior elevation position using medial border of your hands. Compress and downwardly rotate the scapula to allow the inferior angle to move towards the spinous process of thoracic vertebrae
- Charles Sherrington's Law of irradiation (reflex theory) - Irradiation --> spread of the response to stimulation. facilitation (contraction) and Inhibition (relaxation) - Reinforcement--> to strengthen/ make stronger - Result of properly applied resistance - Response increases as the stimuli increase duration and intensity - Can occur in any direction and across any segment in the body
Irradiation and reinforcement for PNF
B. Performance; Learning
Less extrinsic feedback may slow _______ initially but may lead to improved _____. A. Learning; Performance B. Performance; Learning C. Learning; Correctness D. Correctness; Learning
- Guiding movement - Provide resistance - Lumbrical grip - Enhance kinesthetic awareness (movement or position) - Enhance muscle contraction and synergistic patterns
Manual contacts for PNF
0 --> A. (Anytime the athlete has pain) 1 --> C. (The person is unable to complete the movement pattern or unable to assume the position to perform movement) 2 --> D. (Person is able to complete the movement but must compensate in some way to complete task) 3 --> B. (Person performs the movement correctly, without compensation)
Match the following FMS scoring system properly: 0 --> 1 --> 2 --> 3 --> A. Anytime the athlete has pain B. Person performs the movement correctly, without compensation C. The person is unable to complete the movement pattern or unable to assume the position to perform movement D. Person is able to complete the movement but must compensate in some way to complete task
1. Massed: B. (Practice > rest) 2. Distributed: D. (Practice < or equal to rest) 3. Constant: A. (Practice same way) 4. Variable: E. (Practice with variations in task) 5. Blocked: C. (1 Task practiced repeatedly) 6. Random: F. (Variety of tasks performed in random order)
Match the following practice conditions: 1. Massed 2. Distributed 3. Constant 4. Variable 5. Blocked 6. Random A. Practice same way B. Practice > rest C. 1 Task practiced repeatedly D. Practice < or equal to rest E. Practice with variations in task F. Variety of tasks performed in random order
1. Functional non painful (FN): B. (Unrestricted movement; without pain or increased symptoms) 2. Functional painful (FP): D. (Unrestricted movement: reproduces or increases symptoms) 3. Dysfunctional painful (DP): A. (Movement is limited/ restricted; reproduces or increases symptoms) 4. Dysfunctional non painful (DN): C. (Movement is limited/ restricted; without pain or increased symptoms)
Match the following scoring system for the SFMA: 1. Functional non painful (FN) 2. Functional painful (FP) 3. Dysfunctional painful (DP) 4. Dysfunctional non painful (DN) A. Movement is limited/ restricted; reproduces or increases symptoms B. Unrestricted movement; without pain or increased symptoms C. Movement is limited/ restricted; without pain or increased symptoms D. Unrestricted movement: reproduces or increases symptoms
1. Constant feedback: E. (Given after every trial) 2. Delayed feedback: D. (Brief time delay) 3. Summary feedback: C. (After a set number of trials) 4. Faded feedback: B. (Given less frequent with ongoing practice) 5. Bandwidth feedback: A. (Given only if performance falls outside a predetermined error range)
Match the following timing and amount of extrinsic feedback: 1. Constant feedback 2. Delayed feedback 3. Summary feedback 4. Faded feedback 5. Bandwidth feedback A. Given only if performance falls outside a predetermined error range B. Given less frequent with ongoing practice C. After a set number of trials D. Brief time delay E. Given after every trial
1. Concurrent feedback: D. (Given during task performance) 2. Terminal feedback: A. (Given at end of task performance) 3. Knowledge of performance (KP): C. (Related to the nature or quality of the movement pattern) 4. Knowledge of results (KR): B. (Terminal feedback about the end result or overall outcome of movement)
Match the following types of extrinsic feedback: 1. Concurrent feedback 2. Terminal feedback 3. Knowledge of performance (KP) 4. Knowledge of results (KR) A. Given at end of task performance B. Terminal feedback about the end result or overall outcome of movement C. Related to the nature or quality of the movement pattern D. Given during task performance
1. Initial condition: D (Individual's system and environmental conditions) 2. Preparation: B (Period of time when movement is organized) 3. Initiation: A (Instant when displacement of body segment begins) 4. Execution: E (Period when body segments are undergoing movement) 5. Termination: C (Instant when movement stops)
Match the following: 1. Initial condition 2. Preparation 3. Initiation 4. Execution 5. Termination A. Instant when displacement of body segment begins B. Period of time when movement is organized C. Instant when movement stops D. Individual's system and environmental conditions E. Period when body segments are undergoing movement
1. Screening: B. (To create grouping and classification; to check risk) 2. Testing: C. (To gauge ability) 3. Assessment: A. (To estimate inability)
Match the following: 1. Screening 2. Testing 3. Assessment A. To estimate inability B. To create grouping and classification; to check risk C. To gauge ability
C. PT evaluation
Precede the FCA/ FCE with a normal ___________ so you will know the patients physical limitations. A. PT treatment B. Work analysis C. PT evaluation D. All of the above
- Patient position - PT position - Manual contacts - Verbal cues and commands - Patterns of movement - Timing - Appropriate resistance - Approximation - Traction - Visual input - Irradiation and reinforcement - Quick stretch
Principles of PNF
- Facilitate existing contractions through increased motor unit recruitment - Lengthened position of muscles - Initiate dynamic movements - Proper verbal cues and resistance enhances effects - Know the contraindications
Quick stretch PNF
- Stretch reflex elicited from muscles under tension of contraction - Can be performed at the beginning of the ROM or throughout the range at point of weakness - DO NOT APPLY in presence of joint instability, pain, or injured muscle
Repeated quick stretch (PNF Technique):
- Dynamic reversals: Resistance of active motion changing from 1 direction (agonist) to the opposite (antagonist) without pause or relaxation. "Pull up" or "push down" - Stabilizing reversals - Rhythmic stabilization
Reversals of antagonist
- PROM: "Relax, let me move you" - AAROM: "Now, help me move you" - AROM: "Now, move on your own" - Resisted: "Now, push up"
Rhythmic Initiation (RI) (PNF Technique):
- Rhythmic motion of limb/body through the desired range starting with PROM --> active resisted movement
Rhythmic Initiation (RI) (PNF Technique):
- Alternating isometric contractions of antagonist patterns against resistance focusing on co-contractions - No intention to move** - Static command: "Stay still" or "Try not to move" - Increase resistance slowly as patient builds matching force - Muscle activation: agonist and antagonist together (co-contraction)
Rhythmic stabilization (PNF Technique):
D. All of the above
Scapular patterns influence the function of: A. C-spine B. T-spine C. Bilateral UE D. All of the above
D. 2,3,1 Patient actively moves limb in pattern to end range (agonist contraction)--> Strong resisted contraction of the antagonist 5-8 seconds (autogenic inhibition). "hold, do not let me move you" --> Voluntary relaxation and active movement into the new range of agonist pattern
Select the correct order for contract relax: 1. Voluntary relaxation and ACTIVE movement into the new range of agonist pattern 2. Patient actively moves limb in pattern to end range (agonist contraction) 3. Strong resisted contraction of the antagonist 5-8 seconds (autogenic inhibition). "hold, do not let me move you" A. 1,2,3 B. 3,2,1 C. 2,1,3 D. 2,3,1
A. 1,2,3 Patient actively moves limb in pattern to end range (agonist contraction)--> Strong resisted isometric contraction of the antagonist 5-8 seconds (autogenic inhibition) --> Voluntary relaxation and PASSIVE movement into the new range of agonist pattern
Select the correct order for hold relax: 1. Patient actively moves limb in pattern to end range (agonist contraction) 2. Strong resisted isometric contraction of the antagonist 5-8 seconds (autogenic inhibition). 3. Voluntary relaxation and PASSIVE movement into the new range of agonist pattern A. 1,2,3 B. 3,2,1 C. 1,3,2 D. 2,3,1
E. Both A and C (basic movements and optional movements)
Selective functional movement assesses: A. Basic movements B. Dynamic movements C. Optional movements D. All of the above E. Both A and C
- Alternating isometric contractions with stabilizing hold to agonist and then to antagonist opposed by enough resistance to prevent motion - Intention to move**** - Dynamic command "push against my hand" - Increase resistance slowly as patient builds matching force - Muscle activity: Agonist to antagonist to agonist to antagonist
Stabilizing reversals (PNF Technique):
Same pattern
Symmetrical (PNF)
Same diagonal, opposite direction
Symmetrical reciprocal
E. Just A and B
The Y balance test is a A. Screening B. Test C. Analysis D. All the above E. Just A and B
D. All of the following are correct in the associative stage
The associative stage of motor learning involves the following EXCEPT: A. Refining the strategy for the task/ improving coordination and efficiency B. More consistent performance C. Proprioceptive cues are more important than visual cues D. All of the following are correct E. Both A and B
C. Able to accomplish tasks only in current environment settings is INCORRECT. - Patients are able to accomplish tasks in a variety of environmental settings
The autonomous stage of motor learning involves the following EXCEPT: A. Movement is refined B. Automatic performance of the movement C. Able to accomplish tasks only in current environment settings D. Able to do secondary tasks E. All of the above are correct
B. Performance is consistent is incorrect. - Performance in the cognitive stage of motor learning is usually variable
The cognitive stage of motor learning involves the following EXCEPT: A. Developing an overall understanding of the task B. Performance is consistent C. Trail and error process D. Movement guided primarily by vision
True
True or False: During the movement analysis you are developing and testing a hypothesis.
B. Mobility; control of mobility
The principle of control states that "You must have ________ before you have ___________" A. Control of mobility; mobility B. Mobility; Control of mobility C. Stability; Control of stability D. Control of stability; Stability
C. Neutral positon
The scapula needs to be in a _________ position to move freely and efficiently A. Anterior B. Posterior C. Neutral D. Elongated
False: "Practice does not make perfect. Only PERFECT practice makes perfect"
True or False: "Practice makes perfect"
False. - This is a psychological diagnosis, therefore we do NOT use it.
True or False: A PT or OT are able to diagnose or use the term malingering in documentation.
False - SMFA can be used as a diagnostic tool
True or False: An SMFA CANNOT prove a patient has an increased risk for falling.
False. - Hold relax is best for patients with pain
True or False: Contract relax PNF is BEST for patients with pain.
False - Refer to the myths of core stability unit 7
True or False: Core stability exercises are no more effective than, and will not prevent injury more than, any other forms of exercise
True
True or False: Different types of feedback may affect motor performance and motor learning differently
False. Distribution of movement equals distribution of FORCE
True or False: Distribution of movement equals distribution of mass?
False. - FCA requires a large area - FCA requires a lot of time (4-6 hours over the course of 2 days to check for reliability) - Trained PT/OT for consistency
True or False: FCA requires a large area over the course of 1 day performed by an regular PT/OT
True
True or False: FME determines disability vs ability
False: - FMS is only a SCREEN. You would get a hypothesis from an FMS
True or False: FMS is considered an assessment
True
True or False: For stability of the spine, "as much as necessary as little as possible"
False. - Functional assessment/eval assess the body as a whole - Job analysis assesses a specific task
True or False: Functional assessment/ evaluation assesses a specific task
True
True or False: General practice principles states that "practice attempts should be maximized to promote motor learning"
True
True or False: If you can reduce workers comp claims.. it increases interest from the companies.
True
True or False: In the lower extremity patterns, the distal component begins the pattern
False: - Intrinsic feedback is information that one receives from their own sensory system
True or False: Intrinsic feedback is information that one receives from an external source
False: It is important to have great documentation and remain objective.
True or False: It is not important to have perfect documentation for legal implications.
True
True or False: Local and global retraining ideally should be trained concurrently.
False. Low threshold training is MORE effective than high threshold training
True or False: Low threshold training is less effective than high threshold training.
True
True or False: PNF techniques promote functional movement through facilitation, inhibition, strengthening, and relaxation of muscle groups
False. You should begin where the patient has the most strength/ coordination.
True or False: PNF: In combination of isotonic, you should begin in elongated length
True
True or False: Pathologies are a result of deformation of tissues secondary to restrictions and compensations
True
True or False: SFM = at least 100% max effort
False: SFMA is intended to provoke pain in order to Dx injury of pain related to movement.
True or False: SFMA is intended to NOT provoke pain in order to diagnose injury to movement
False. Rhythmic stabilization improves pain.
True or False: Stabilizing reversals help improve pain.
True
True or False: The pelvic patterns influence the function of the spine and bilateral LE
False. The distal component begins the pattern - Ex: hand/wrist --> elbow --> shoulder
True or False: The proximal component begins the PNF pattern.
True
True or False: The spine is made to move in all planes of movement
True
True or False: The true art of physical therapy is to understand the whole of synergistic functional movement and those therapeutic techniques that will have the greatest positive effect on that movement in the least amount of time.
True
True or False: This is a movement pattern of FMS
False - Refer to the myth of core stability
True or False: Weak trunk muscles, weak abdominals and imbalances between trunk muscles groups are not a pathology, just a normal variation
False. When injured, your local muscles turn off and your global muscles turn on
True or False: When injured, your global muscles turn off and your local muscles turn on.
False: When movement is dysfunctional, typically it is a result of a BREAKDOWN somewhere within the movement system.
True or False: When movement is dysfunctional, typically it is a result of a BUILD UP somewhere within the movement system.
True
True or False: Work hardening involved muscular endurance, strength, attendance (punching in and out), increased ROM, and CV endurance
False. - Work hardening must have a BEHAVIOR modification to it.. Behavior modification
True or False: Work hardening must have a physical component to it... Physical modification.
False - Do NOT use the Y balance test in the acute stage. - Best to use this test in the chronic stage
True or False: You can use a Y balance test with a patient in any stage of condition
True
True or False: You can use a Y balance test with a soccer player?
True
True or False: You should NOT apply repeated quick stretch in presence of joint instability, pain, or injured muscle?
False - Ex: Patient sitting in 90/90 of flexion at hip and knee. DF/PF = no LBP. But in supine, 90/90 degrees of flexion at hip and knee, DF/PF = LBP
True or False: You are not able to use the FCA /FCE to simulate symptom reconstruction (to test for faking)
A. Hydraulic amplifier
Trunk stabilization intervention: Improved stability of the spine with training of intra-abdominal pressure using the diaphragm, abdominal muscles, and pelvic floor, the " ________________" A. Hydraulic amplifier B. Local muscles C. Global muscles D. None of the above
B. Deep stability muscles
Trunk stabilization intervention: Integration of ______________ muscles system into functional movement and high ADL's A. Superficial muscles B. Deep stability muscles C. Hydraulic amplifier muscles D. All of the above
- Clear, concise, well-timed - Preparatory verbal cues - Action verbal cues - Corrective verbal cues - Enhance strength of muscle contraction and synergistic movements - Improve motor learning
Verbal cues for PNF
B. Associative
Video self assessment, less verbal cues, and changes to feedback and practice will be needed to allow performance to refine the movement are all training strategies to which motor learning stage? A. Cognitive B. Associative C. Autonomous D. Expert
- Visual feedback (show patient what they are doing and how it should be done) - Enhance and guide movement - Mirror
Visual input for PNF
B. Return to work, Go to work hardening, disability, and job modification
What are potential outcomes of an FCA? A. Return to work, Go to work hardening, ability, and job modification B. Return to work, Go to work hardening, disability, and job modification C. Only returning to work D. Only work hardening
- Terminal stance activities - Jumping - Walking up stairs - Making high steps
What are some functional activities associated with pelvic posterior depression?
- Rolling forward - Reaching forward - Throwing a ball in sports activities - Reaching down (ex: tying shoes)
What are some functional activities for scapular anterior depression?
- Moving backwards - Reaching out before throwing - Donning a shirt
What are some functional activities for scapular posterior elevation?
- Going down stairs - Initial contact - Loading response
What are some functional activities involved with pelvic anterior depression?
- Rolling forward - Swing phase of gait
What are some functional activities involved with pelvic anterior elevation?
A. Measuring the physical demands on site or a specific task a job has
What is a job analysis? A. Measuring/ evaluating the physical demands on site or a specific task a job has B. Measuring/ evaluating a persons ability to perform a job before they are hired C. Measuring/ evaluating a persons ability to return to work D. Measuring/ evaluating the person as a whole for a job
A. Restriction --> Compensation --> Give --> Pathology --> Pain
What is the pathway of movement dysfunction A. Restriction --> Compensation --> Give --> Pathology --> Pain B. Pain --> Restriction--> Compensation --> Give --> Pathology C. Give --> Compensation --> Restriction --> Pain --> Pathology
A. Tends to be male with no future orientation is incorrect. - Tends to be FEMALE with no future orientation
Which of the following DO NOT describe the refugee personality type of SMS. A. Tends to be male with no future orientation B. Patient feels they are indispensable. "cat's meow" C. Job hop D. Martyr E. Can you do this? patient's response is "yes...but"
D. Tends to be responsible (but pretends to be irresponsible) is incorrect - Patient tends to be irresponsible but pretends to be responsible.
Which of the following DOES NOT describe the game player personality type of SMS. A. Tends to be male, opportunistic B. Sees symptoms as a way out of the slums C. Extravagant goal setting and impulsive D. Tends to be responsible (but pretends to be irresponsible) E. Symptoms may be appropriate, but rare
B. Presents with decreased assistive device is incorrect - Patient will resent with increased assistive device.
Which of the following DOES NOT describe the perpetual/ identified patient personality type of SMS. A. Not gender specific B. Presents with decreased assistive device C. Life is to be survived, not enjoyed D. Tend to fall in the middle of the test for unknown reason E. Symptoms will/may be fictitious
C. Ascending stairs
Which of the following DOES NOT represent an LE D1 extension functional activity? A. Stance phase of gait B. Descending stairs C. Ascending stairs D. All of the above are correct
B. Side-lying to sitting
Which of the following DOES NOT represent an LE D2 flexion functional activity? A. Stepping into the shower B. Side-lying to sitting C. Sitting to side-lying D. All of the above are correct
E. Both B and C (swing phase of gait and ascending stairs)
Which of the following are LE D1 flexion functional activities? A. Descending stairs B. Swing phase of gait C. Ascending stairs D. None of the above E. Both B and C
C. External oblique
Which of the following are NOT local muscles. A. Multifidi B. Internal oblique C. External oblique D. Transverse abdominus E. All the above are correct
E. Pain is NOT a reason to stop an FCA
Which of the following are NOT reasons to stop an FCA. A. HR, Angina B. Skin color C. Sweating or shaking D. SOB or compensations E. Pain
D. All of the above - Functional tests can vary depending on the patient and their goals
Which of the following are considered functional tests? A. Sit to stand B. Timed up and go C. Stair ambulation D. All of the above E. Just A and B
E. Only A and C
Which of the following are functional activities that the chop pattern assists with? A. Rolling: Supine to side-lying B. Rolling: Side-lying to supine C. Supine to sit D. All of the above E. Only A and C
B. Rolling: sidling to supine
Which of the following are functional activities that the lift pattern assists with? A. Rolling: Supine to side-lying B. Rolling: Side-lying to supine C. Supine to sit D. All of the above E. Only A and C
E. Only B an C (contralateral internal and external oblique)
Which of the following are principle muscles involved with pelvic posterior depression? A. Ipsilateral internal obliques B. Contralateral external obliques C. Contralateral internal obliques D. Only A and B E. Only B and C
E. All of the above
Which of the following are principle muscles involved with pelvic posterior elevation? A. ipsilateral quadrates lumborum B. Ipsilateral latissimus dorsi C. Iliocostalis lumborum D. Longissimus thoracic E. All of the above
C. Scapular PE; Pelvis PD
Which of the following describes mass extension. A. Scapular AD; Pelvis AE B. Scapular PD; Pelvis AD C. Scapular PE; Pelvis PD D. Scapular AE; Pelvis AD
A. Scapular AD; Pelvis AE
Which of the following describes mass flexion. A. Scapular AD; Pelvis AE B. Scapular PD; Pelvis AD C. Scapular PE; Pelvis PD D. Scapular AE; Pelvis AD
E. Verbal cues are incorrect here - Correct verbal cues "Push your shoulder down and back"
Which of the following is INCORRECT in regards to scapular PD. A. Patient position: side-lying, head and spine in neutral B. PT position: behind patient, facing head in line with diagonal C. Starting in AE D. Movement: scapula moves down and back towards. Inferior angle rotates towards spine. resistance is up and forward E. Verbal cues: "Pull your shoulders up and forward" F. Both A and C are incorrect
F. They are all correct
Which of the following is INCORRECT in regards to scapular PE. A. Patient position: side-lying, head and spine in neutral B. PT position: behind patient, facing head in line with diagonal C. Starting in AD D. Movement: scapula moves up and back. Resistance is down and forward E. Verbal cues: "Pull your shoulders up and back" F. They are all correct
D. Neck extension. - Neck flexion is used in the chop pattern not extension.
Which of the following is INCORRECT in regards to the chop pattern? A. Bilateral asymmetrical UE extension B. Neck flexion C. Trunk rotation with flexion D. Neck extension
A. Bilateral symmetrical UE extension is incorrect. - Bilateral asymmetrical UE extension is used in the lift pattern
Which of the following is INCORRECT in regards to the lift pattern? A. Bilateral symmetrical UE extension B. Neck extension C. Trunk extension with rotation D. All the above are correct
E. All the above are correct
Which of the following is INCORRECT in regards to what the FCA looks at: A. Strength: How much a person can lift without accommodation B. Coordination and balance C. Body mechanics D. Behavior during the test: patient stops test due to pain E. All the above are correct
C. Resistance is up and forward is INCORRECT. - Proper resistance is up and BACK
Which of the following is INCORRECT with anterior depression scapular pattern? A. Starting in PE B. Scapula is moving down and forward towards opposite hip C. Resistance is up and forward D. Verbal cues "Pull your shoulder down and towards your belly button"
D. Contract relax is NOT a PNF technique used for decreasing pain (for PNF techniques and their goals refer to unit 4 chart)
Which of the following is NOT a PNF technique for decreasing pain? A. Rhythmic stabilization B. Stabilization reversals C. Hold relax D. Contract relax E. All of the above are correct
C. RI is not a PNF technique used for increasing stability (for PNF techniques and their goals refer to unit 4 chart)
Which of the following is NOT a PNF technique for increasing stability? A. COI B. Stabilizing reversals C. RI D. Rhythmic stabilization E. All of the above are correct
D. None of the above. They are all a PNF technique goal for relaxation (for PNF techniques and their goals refer to unit 4 chart)
Which of the following is NOT a PNF technique for relaxation? A. RI B. Rhythmic stabilization C. Hold relax D. None of the above E. All of the above are correct
F. Erector spinae
Which of the following is NOT a force couple of the transverse abdominus A. Diaphragm B. Transverse abdominus C. Obliques and Rectus abdominus D. Pelvic Floor E. Multifidus F. Erector Spinae
D. Delayed initiation of motion and motor learning. - Quick stretch enhances this.
Which of the following is NOT a goal of repeated quick stretch: A. Reduce fatigue B. Increase strength and endurance C. Guide desired motion D. Delays initiation of motion and motor learning E. All of the above are correct
B. Drama queen
Which of the following is NOT a personality type of symptom magnification syndrome (SMS). A. Refugee B. Drama queen C. Game player D. Perpetual/ identified patient
A. Multifidi are NOT a principle muscle involved with pelvic anterior depression
Which of the following is NOT a principle muscle involved with pelvic anterior depression. A. Multifidi B. Contralateral quadrates lumborum C. Iliocostalis lumborum D. Longissimus thoracis E. They are all correct
C. Lower traps
Which of the following is NOT a principle muscle involved with scapular AE. A. Levator scapulae B. Rhomboids C. Lower traps D. Serratus anterior
C. Maintenance medicine is incorrect
Which of the following is NOT a term used to describe this: "The branch of medicine concerned with the maintenance of health and the prevention and treatment of diseases and accidental injuries in the work place." A. Occupational medicine B. Industrial medicine C. Maintenance medicine D. Both A and B E. All the above are correct
C. Dynamic Stability
Which of the following is NOT a type of task: A. Transitional mobility B. Stability C. Dynamic stability D. Dynamic posture E. Skill (discrete, continuous, serial, open, and closed)
C. Balancing on an uneven surface
Which of the following is NOT an activity limitation according to the ICF model. A. Ambulating up the stairs B. Walking to your car C. Balancing on an uneven surface D. All the above are activity limitations
D. Somatosensory cues is NOT an extrinsic feedback
Which of the following is NOT an example of extrinsic feedback. A. Visual cues B. Auditory cues C. Verbal cues D. Somatosensory cues
E. All of the above are examples of intrinsic feedback
Which of the following is NOT an example of intrinsic feedback. A. Somatosensory B. Visual C. Vestibular D. Auditory E. All of the above are correct
C. Scapular AE, Pelvic PE is NOT an example of symmetrical reciprocal. - Same diagonal, opposite pattern
Which of the following is NOT an example of symmetrical reciprocal? A. Scapular AE, Pelvic PD (elongation with rotation) B. Scapular PD, Pelvic AE (trunk shortening with rotation) C. Scapular AE, Pelvic PE (Elongation with rotation) D. Both A and B
C. Bowling with friends - This is a participation limitation
Which of the following is NOT considered an activity limitation. A. Walking your dog B. Sitting up from a chair C. Bowling with friends D. All the above are activity limitations
D. Knowing one's limits
Which of the following is NOT one of Joe's guiding principles. A. Whole body health B. Whole body commitment C. Breath D. Knowing one's limits
D. Both A and B - Functional capacity assessment/evaluation
Which of the following is the correct term used to describe this statement: "A detailed examination and evaluation that objectively measures the patient's current level of function, primarily within the contest of the demands of competitive employment" A. Functional capacity assessment B. Functional capacity evaluation C. Occupational assessment D. Both A and B E. All of the above
E. All of the above
Which of the following is true about a functional capacity assessment (FCA)? A. Looks at abilities vs disabilities B. Looks at whole body C. Must determine safe functional maximum D. Consider what is safe level of performance E. All of the above
A. Co-contraction (agonist and antagonist together)
Which of the following is true regarding muscle activation of rhythmic stabilization: A. Co-contraction (agonist and antagonist together) B. Agonist to antagonist to agonist to antagonist C. Just agonist contraction D. Just antagonist contraction
B. Agonist to antagonist to agonist to antagonist
Which of the following is true regarding muscle activation of stabilizing reversal: A. Co-contraction (agonist and antagonist together) B. Agonist to antagonist to agonist to antagonist C. Just agonist contraction D. Just antagonist contraction
B. Abnormal movement leads to abnormal stress which leads to injury
Which of the following is true: A. Abnormal stress leads to abnormal movement which leads to injury B. Abnormal movement leads to abnormal stress which leads to injury C. Abnormal stress leads to injury which leads to abnormal movement
D. All of the above
Which of the following is true: To successfully perform daily tasks, we must have a clear understanding of how our body works A. Biomechanically B. Neuromuscular C. Psychologically D. All of the above
B. Testing
Which of the following matches this definition: A series of questions, problems, or practical tasks to gauge knowledge, experience, or ability; measurement with no interpretation needed A. Screening B. Testing C. Assessment
A. Screening
Which of the following matches this definition: A system for selecting suitable people; to protect somebody from something unpleasant or dangerous. A. Screening B. Testing C. Assessment
C. Assessment
Which of the following matches this definition: To examine something; To judge or evaluate it; To calculate a value based on various factors. A. Screening B. Testing C. Assessment
E. All of the above are correct
Which of the following statements about the vertebral disc is incorrect. A. Functions as a shock absorber B. Axial elongation places the vertebrae in their optimal position, minimizing destructive forces to the disc C. Weight bearing increases compressive forces on disc D. Compression/decompression is necessary for disc health E. All of the above are correct
B. PT's fingers on posterior iliac crest is incorrect. - PT's fingers are on the ANTERIOR iliac crest
Which of these is INCORRECT regarding pelvic anterior elevation. A. Starting in PD B. PT's fingers on posterior iliac crest and lateral border of hands on iliac crest C. Pelvis moves up and forward while resistance is down and back D. Verbal cues: "pull your pelvis up and forward" E. They are all correct
E. Both C and D (variable and random are best for improving learning)
Which practice condition is best for improving learning? A. Constant B. Blocked C. Variable D. Random E. Both C and D
E. Both A and B (Constant and blocked are best for improving performance)
Which practice condition is best for improving performance? A. Constant B. Blocked C. Variable D. Random E. Both A and B
A. AE
Which scapular pattern is associated with the swing phase of gait on the contralateral side? A. AE B. AD C. PE D. PD
A. AE
Which scapular pattern is associated with the terminal stance of gait on the ipsilateral side? A. AE B. AD C. PE D. PD
D. Posterior elevation --> anterior depression
Which scapular pattern is this? A. AE --> PE B. AE --> PD C. PD --> AE D. PE --> AD
B. Anterior elevation --> posterior depression
Which scapular pattern is this? A. AE --> PE B. AE --> PD C. PD --> AE D. PE --> AD
B. Objectively measure a patient's level of function with in the context of the individuals work environment
Why was functional capacity evaluations introduced to workers comp? A. Subjectively measure a patient's level of function with in the context of the individuals home environment B. Objectively measure a patient's level of function with in the context of the individuals work environment C. Assess patients prior level of function with in the context of the individuals work environment D. Assess patients current level of function with in the context of the individuals work environment
optimal stretch for muscle spindles
lengthened range muscle position