Deck 16: Using Therapeutic Exercise in Rehabilitation

Question 1

Which of the following statements is true of the role of athletic trainers in the rehabilitation of athletes?

A) Athletic trainers are restricted from taking part in the return-to-play decisions regarding their athletes.
B) Athletic trainers most often assume the primary responsibility for design, implementation, and supervision of rehabilitation programs.
C) Athletic trainers should follow a cookbook approach to rehabilitation, with specific protocols that can be followed like a recipe.
D) Athletic trainers ensure that the approach to rehabilitation in an athletic environment is the same as most other rehabilitation settings.
E) Athletic trainers ensure that their athletes regain balance and postural control before they attempt to minimize swelling.

Answer 1

Athletic trainers most often assume the primary responsibility for design, implementation, and supervision of rehabilitation programs.

Question 2

When does the process of rehabilitation begin with an injury?

A) It begins when the patient is emotionally ready to begin.
B) It begins after the patient has been referred by a physician.
C) It begins immediately following the injury.
D) It begins once insurance has been cleared.
E) It begins once swelling is controlled.

Answer 2

It begins immediately following the injury.

Question 3

What would be an inappropriate component when designing a rehabilitation program?

A) Reestablishment of neuromuscular control
B) Maintenance of BMI value
C) Restoration or increase of muscular strength
D) Establishment or enhancement of core stability
E) Minimization of swelling

Answer 3

Maintenance of BMI value

Question 4

When designing rehabilitation programs, what should an athletic trainer do in order for the program to be effective?

A) The athletic trainer should use pre-designed programs.
B) The athletic trainer should design the program specific to the injury.
C) The athletic trainer should create a program that will abbreviate the return to activity.
D) The athletic trainer should keep in mind the reimbursement values for various exercises and apparati.
E) The athletic trainer should remember that every designed program should vary accordingly to the individual patient.

Question 5

Which of the following statements is true of the negative effects of injury immobilization and sudden physical inactivity?

A) The resting heart rate decreases approximately one-half beat per minute each day of immobilization.
B) Bones become stronger as immobilization eliminates stress on them.
C) Joint immobilization causes a loss of normal compression, which leads to degeneration of the joint.
D) The stroke volume, maximum oxygen uptake, and vital capacity increase concurrently with the increase in heart rate.
E) Motor nerves become more efficient in recruiting and stimulating individual muscle fibers within a given motor unit.

Question 6

Loss of articular cartilage in immobilized joints can be retarded through the use of

A) isometric contraction to prevent motor neuron discharge.
B) braces to immobilize joint ligaments in shortened positions.
C) compression exercises intended to decrease lubrication within joints.
D) electrical muscle stimulation and continuous passive motion.
E) high frequency, short duration endurance exercises.

Question 7

One of the negative effects of immobilization on the human body is the increase in _____.

A) neuron discharge
B) heart rate
C) oxygen uptake
D) stroke volume
E) joint lubrication

Question 8

In order to progress in rehabilitation, what first aid management must be implemented?

A) Swelling
B) Range of motion
C) Splinting and/or bracing
D) Pain reduction
E) Weight-bearing

Question 9

In the treatment of injured athletes, cryotherapy is used to:

A) reduce the contractile function of muscles.
B) reduce the ability to detect movement.
C) encourage the production of synovial fluid at the injured sites.
D) extend the maturation-remodeling phase of healing.
E) reduce the likelihood of swelling.

Question 10

Which of the components of the rehabilitation program involves isokinetic exercises?

A) Reestablishing neuromuscular control
B) Restoring muscular strength, endurance, and power
C) Establishing/enhancing core stability
D) Incorporating functional progression
E) Restoring range of motion

Question 11

Which of the components of the rehabilitation program involves the complex integration of muscular forces, neurological sensory information received from the mechanoreceptors, and biomechanical information?

A) Maintaining cardiorespiratory fitness
B) Restoring range of motion
C) Reestablishing neuromuscular control
D) Regaining postural stability and balance
E) Establishing/enhancing core stability

Question 12

If persistent pain made strengthening and flexibility exercises difficult for the patient, what could the athletic trainer introduce to help control pain?

A) Range of motion
B) NSAIDs
C) Therapeutic modalities
D) Counseling
E) Cortisone injection

Question 13

Which of the following statements is true of Golgi tendon organs?

A) They are activated by light touch.
B) They are sensitive to changes in the length of muscles.
C) They are classified as joint mechanoreceptors.
D) They are sensitive to extreme thermal or chemical energy.
E) They are sensitive to changes in muscle tension.

Question 14

Which of the following statements is true in the context of improving the range of motion of injured athletes?

A) Mobilization techniques should be used whenever there are tight articular structures.
B) Rehabilitation programs should always focus more on passive physiological movements than accessory motions.
C) Accessory movements are voluntary, and physiological movements normally accompany them.
D) Accessory component motions need to be restricted for normal physiological cardinal plane movements to occur.
E) Restricted physiological movement is corrected through joint mobilization.

Question 15

Which of the following statements is true of progressive resistance exercises?

A) They are primarily used to restrict accessory motion.
B) They require special equipment known as isokinetic machines.
C) They use isotonic contractions, in which force is generated while the muscle is changing in length.
D) They are most useful when the use of free weights will make injuries worse.
E) They are the least commonly used strengthening technique in a reconditioning program.

Question 16

Which of the components of the rehabilitation program involves a series of activities that increase in demand and skill?

A) Incorporating functional progression
B) Reestablishing neuromuscular control
C) Restoring muscular strength, endurance, power
D) Establishing/Enhancing core stability
E) Regaining postural stability and balance

Question 17

Which major component of a rehabilitation program is shown in the photo?

A) Reestablishing neuromuscular control
B) Establishing/enhancing core stability
C) Restoring muscular strength, endurance, and power
D) Restoring range of motion
E) Regaining postural stability and balance
F) Maintaining cardiorespiratory fitness
G) Incorporating functional progression

Question 18

Which major component of a rehabilitation program is shown in the photo?

A) Reestablishing neuromuscular control
B) Establishing/enhancing core stability
C) Restoring muscular strength, endurance, and power
D) Restoring range of motion
E) Regaining postural stability and balance
F) Maintaining cardiorespiratory fitness
G) Incorporating functional progression

Question 19

Which of the following statements CORRECTLY states the basic principles for using PNF techniques?

A) Visual cues should be implemented when performing PNF techniques.
B) Rotational movement is a component of PNF patterns.
C) Giving a quick stretch causes a reflex relaxation of that muscle.
D) When learning the patterns, the patient should avoid looking at the moving limb for biofeedback.
E) Pressing the joint together causes decreased stability.

Question 20

What measure can the athletic trainer provide to ensure the patient's adherence to the rehabilitation program?

A) Allow the patient to take time off at his/her discretion
B) Be creative and allow patient to assist in designing rehabilitation program
C) Ask that family and friends not join the patient while doing rehabilitation
D) Encourage the patient that pain will be experienced
E) Express from the start that sticking to the full program is very difficult

Question 21

Which of the following statement from a patient's progress note would disqualify a patient to be released to full activity?

A) Patient reports pain scale of 0 out of 10 when performing all rehabilitation exercises.
B) Patient's knee range of motion is bilaterally equal.
C) Patient reports of hesitance when not wearing prophylactic brace.
D) Patient reports that the athletic team is going full contact the week of release.
E) Patient's girth measurement to the unaffected limb is ?.25cm in comparison.

Question 22

Which of the following scenarios would be a contraindication for an athletic trainer to perform a mobilization technique?

A) A golfer who has wrist pain after playing 18 holes
B) A swimmer who's trapezius is in spasm
C) A javelin thrower who has multidirectional instability
D) A volleyball player who has had a capsular shrinkage
E) A football player who has had ligamentous reconstruction

Question 23

Who coined the five grades of motion used for joint mobilization?

A) Prentice
B) Maitland
C) Arnheim
D) Thomas
E) Mulligan

Question 24

Which of the following grades of motion takes a patient past the point of limitation?

A) Grade 1
B) Grade 2
C) Grade 3
D) Grade 4
E) Grade 5

Question 25

What is another term for myofascial release?

A) Tight fascia
B) Joint mobilization
C) Soft tissue mobilization
D) Manipulation
E) Positional release

Question 26

In order to utilize the strain/counterstrain approach, what should be performed?

A) Actively place the muscles in a position of greatest comfort.
B) Actively place the joint in neutral.
C) Actively place the muscles in a position of discomfort.
D) Passively place the muscles in a position of greatest comfort.
E) Passively place the muscles in a position of discomfort.