Question 1

Each of the following is a contraindication to stretching adaptively shortened tissues except:

Accepted Answer

A) Sharp, acute pain during ROM. 
B) When ROM is limited because scar tissue has reduced soft tissue extensibility. 
C) A bony block. 
D) When tight (shortened) soft tissues provide functional stability of a body segment affected by paralysis. 
A) Sharp, acute pain during ROM. 
B) When ROM is limited because scar tissue has reduced soft tissue extensibility. 
C) A bony block. 
D) When tight (shortened) soft tissues provide functional stability of a body segment affected by paralysis.

Question 2

To achieve permanent lengthening of connective tissue:

Accepted Answer

A) The collagen fibers must line up in a parallel fashion. 
B) The region of necking, or macrofailure, must be reached. 
C) Bonds between collagen fibers must be remodeled in the lengthened position. 
D) The ground substance between the fibers must be reduced. 
A) The collagen fibers must line up in a parallel fashion. 
B) The region of necking, or macrofailure, must be reached. 
C) Bonds between collagen fibers must be remodeled in the lengthened position. 
D) The ground substance between the fibers must be reduced.

Question 3

Which of the following descriptions of stretching procedures performed for several repetitions during a single treatment session and repeated over a series of stretching sessions represents the safest and most comfortable process to achieve soft tissue lengthening?

Accepted Answer

A) In an end-range position, apply several high-intensity, rapid-velocity stretch forces. 
B) Slowly apply a low-load force; maintain the end-range position for an extended time period and release the stretch force slowly. 
C) Apply an end-range, high-load force slowly, maintain the end-range stretch for an extended time period, and release the stretch quickly. 
D) In an end-range position, apply several low-intensity, rapid-velocity stretch forces. 
A) In an end-range position, apply several high-intensity, rapid-velocity stretch forces. 
B) Slowly apply a low-load force; maintain the end-range position for an extended time period and release the stretch force slowly. 
C) Apply an end-range, high-load force slowly, maintain the end-range stretch for an extended time period, and release the stretch quickly. 
D) In an end-range position, apply several low-intensity, rapid-velocity stretch forces.

Question 4

Which of the following is an incorrect statement about hypomobility?

Accepted Answer

A) It may be associated with loss of passive or dynamic flexibility. 
B) It may be caused by muscle imbalance or weakness. 
C) It is usually associated with joint instability. 
D) It may occur with or without tissue trauma. 
A) It may be associated with loss of passive or dynamic flexibility. 
B) It may be caused by muscle imbalance or weakness. 
C) It is usually associated with joint instability. 
D) It may occur with or without tissue trauma.

Question 5

Ballistic stretching:

Accepted Answer

A) Should be used with elderly patients or patients with long-standing contractures. 
B) Utilizes quick bouncing movements during the stretching maneuver, resulting in an increased chance for tissue trauma and muscle soreness. 
C) Is effective only if done concurrently with joint-mobilization techniques. 
D) Can be very effective because the rapid force has greater chance of reaching the plastic range, leading to tissue remodeling. 
A) Should be used with elderly patients or patients with long-standing contractures. 
B) Utilizes quick bouncing movements during the stretching maneuver, resulting in an increased chance for tissue trauma and muscle soreness. 
C) Is effective only if done concurrently with joint-mobilization techniques. 
D) Can be very effective because the rapid force has greater chance of reaching the plastic range, leading to tissue remodeling.

Question 6

To maintain gains in ROM achieved as the result of a stretching program, it is recommended to:

Accepted Answer

A) Use the stretch-induced gains in ROM during functional activities as soon as able on a regular basis. 
B) Perform daily resistance training of the muscle group opposite the stretched muscle. 
C) Apply heat on a daily basis to the lengthened muscle groups. 
D) Perform daily resistance training of the stretched muscle. 
A) Use the stretch-induced gains in ROM during functional activities as soon as able on a regular basis. 
B) Perform daily resistance training of the muscle group opposite the stretched muscle. 
C) Apply heat on a daily basis to the lengthened muscle groups. 
D) Perform daily resistance training of the stretched muscle.

Question 7

Connective tissue fatigue occurs:

Accepted Answer

A) When the heart rate is maintained at 80% of the age-adjusted maximum during active exercise. 
B) When there is a buildup of metabolites in connective tissue as the result of active stretching procedures. 
C) When a muscle is not allowed adequate time to recover from exhaustion after exercise. 
D) When a submaximal stress load is applied repeatedly and causes tissue failure as in a stress fracture or overuse syndrome. 
A) When the heart rate is maintained at 80% of the age-adjusted maximum during active exercise. 
B) When there is a buildup of metabolites in connective tissue as the result of active stretching procedures. 
C) When a muscle is not allowed adequate time to recover from exhaustion after exercise. 
D) When a submaximal stress load is applied repeatedly and causes tissue failure as in a stress fracture or overuse syndrome.

Question 8

When a patient is involved in a stretching program, it is recommended that you:

Accepted Answer

A) Strengthen the muscle to be stretched in order to convert nondistensible, noncontractile tissue to easily distensible contractile tissue. 
B) Avoid strengthening the muscle that has been stretched because it is easier to achieve elongation when the muscle is weak. 
C) Avoid active exercises for warm-up prior to stretching because it may increase excitability of the muscle tissue and prevent relaxation during stretching. 
D) Warm up the tissues to be stretched by engaging in light-intensity active exercise or using therapeutic heat prior to stretching. 
A) Strengthen the muscle to be stretched in order to convert nondistensible, noncontractile tissue to easily distensible contractile tissue. 
B) Avoid strengthening the muscle that has been stretched because it is easier to achieve elongation when the muscle is weak. 
C) Avoid active exercises for warm-up prior to stretching because it may increase excitability of the muscle tissue and prevent relaxation during stretching. 
D) Warm up the tissues to be stretched by engaging in light-intensity active exercise or using therapeutic heat prior to stretching.

Question 9

The goal of this exercise is to increase the flexibility (extensibility) of the pectoralis major muscle.You teach the patient to stand facing a corner with the shoulders abducted to 90°, elbows flexed to 90°, and hands and forearms placed on the walls.You tell the patient to relax into the stretch (by leaning into the corner) for 30 seconds; push his forearms into the walls for a count of six; then relax and lean forward toward the corner again and hold for 30 seconds.The self-stretching technique the patient is using is:

Accepted Answer

A) Hold-relax (contract-relax). 
B) Contract-relax-contract (hold-relax-agonist contraction). 
C) Agonist contraction. 
D) Static-progressive stretching. 
A) Hold-relax (contract-relax). 
B) Contract-relax-contract (hold-relax-agonist contraction). 
C) Agonist contraction. 
D) Static-progressive stretching.

Question 10

To most effectively use the phenomenon of creep in a stretching routine:

Accepted Answer

A) The tissues should be warmed and the force (load) maintained as long as tolerated. 
B) The force should be repeated in a cyclic manner. 
C) A high-intensity, rapidly applied force should be used. 
D) The force should be great enough to cause necking. 
A) The tissues should be warmed and the force (load) maintained as long as tolerated. 
B) The force should be repeated in a cyclic manner. 
C) A high-intensity, rapidly applied force should be used. 
D) The force should be great enough to cause necking.

Each of the following is a contraindication to stretching adaptively shortened tissues except:

To achieve permanent lengthening of connective tissue:

Which of the following descriptions of stretching procedures performed for several repetitions during a single treatment session and repeated over a series of stretching sessions represents the safest and most comfortable process to achieve soft tissue lengthening?

Which of the following is an incorrect statement about hypomobility?

Ballistic stretching:

To maintain gains in ROM achieved as the result of a stretching program, it is recommended to:

Connective tissue fatigue occurs:

When a patient is involved in a stretching program, it is recommended that you:

To most effectively use the phenomenon of creep in a stretching routine:

Therapeutic Exercise: Foundational Concepts

Prevention, Health, and Wellness

Range of Motion

Peripheral Joint Mobilizationmanipulation

Resistance Exercise for Impaired Muscle Performance

Principles of Aerobic Exercise

Exercise for Impaired Balance

Aquatic Exercise

Soft Tissue Injury, Repair, and Management

Joint, Connective Tissue, and Bone Disorders and Management

Surgical Interventions and Postoperative Management

Peripheral Nerve Disorders and Management

The Spine: Structure, Function, and Posture

The Spine: Management Guidelines

The Spine: Exercise and Manipulation Interventions

The Shoulder and Shoulder Girdle

The Elbow and Forearm Complex

The Wrist and Hand

The Hip

The Knee

The Ankle and Foot

Advanced Functional Training

Exercise in the Older Adult

Womens Health: Obstetrics and Pelvic Floor

Management of Lymphatic Disorders

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Exam 4: Stretching for Improved Mobility

Each of the following is a contraindication to stretching adaptively shortened tissues except:

To achieve permanent lengthening of connective tissue:

Which of the following descriptions of stretching procedures performed for several repetitions during a single treatment session and repeated over a series of stretching sessions represents the safest and most comfortable process to achieve soft tissue lengthening?

Which of the following is an incorrect statement about hypomobility?

Ballistic stretching:

To maintain gains in ROM achieved as the result of a stretching program, it is recommended to:

Connective tissue fatigue occurs:

When a patient is involved in a stretching program, it is recommended that you:

To most effectively use the phenomenon of creep in a stretching routine:

Therapeutic Exercise: Foundational Concepts

Prevention, Health, and Wellness

Range of Motion

Peripheral Joint Mobilizationmanipulation

Resistance Exercise for Impaired Muscle Performance

Principles of Aerobic Exercise

Exercise for Impaired Balance

Aquatic Exercise

Soft Tissue Injury, Repair, and Management

Joint, Connective Tissue, and Bone Disorders and Management

Surgical Interventions and Postoperative Management

Peripheral Nerve Disorders and Management

The Spine: Structure, Function, and Posture

The Spine: Management Guidelines

The Spine: Exercise and Manipulation Interventions

The Shoulder and Shoulder Girdle

The Elbow and Forearm Complex

The Wrist and Hand

The Hip

The Knee

The Ankle and Foot

Advanced Functional Training

Exercise in the Older Adult

Womens Health: Obstetrics and Pelvic Floor

Management of Lymphatic Disorders

Filters