Deck 4: Stretching for Impaired Mobility

Question 1

Your patient has significant limitation in right shoulder external rotation.As you perform stretch interventions to improve ROM,you also need to develop strength in which of the following agonists?

A) Subscapularis
B) Anterior deltoid
C) Infraspinatus
D) Pectoralis minor

Answer 1

C

Question 2

Safe and effective stretching to increase ROM requires all of the following except:

A) Proper alignment and patient positioning.
B) Stabilization of the proximal attachment of the muscle.
C) Use of gained ROM in active function.
D) Strengthening of the agonist.

Answer 2

B

Question 3

While instructing a patient to fully elongate the latissimus dorsi muscle,you would have her place the limb in which position?

A) Shoulder flexion,abduction,and external rotation
B) Shoulder extension,abduction,and internal rotation
C) Shoulder extension,adduction,and internal rotation
D) Shoulder flexion,adduction,and external rotation

Answer 3

A

Question 4

To help reduce post-stretch soreness after stretching into shoulder flexion,cold should be applied with the limb in which of the following positions?

A) End-range shoulder flexion
B) End-range shoulder extension
C) Mid-range shoulder flexion
D) Cold is not recommended after a stretch.

Question 5

Your patient develops a contracture as the result of hypertonicity after a traumatic brain injury.This type of hip contracture is called a(n):

A) Arthrogenic contracture.
B) Pseudomyostatic contracture.
C) Fibrotic contracture.
D) Myostatic contracture.

Question 6

You are asked to do "selective stretching" with a patient with a spinal cord injury.Which of the following best describes the concept of this particular technique?

A) The duration and frequency of the treatment sessions are limited to 5 minutes once a day as a precaution.
B) Active and passive stretching techniques are alternated so that the muscle spindle will regenerate.
C) You allow tightness of specific muscles to remain in order to optimize function.
D) PNF patterns are used to encourage reflexive responses.

Question 7

The ability of soft tissue to assume a new and greater length after a stretch force is removed is called:

A) Plasticity.
B) Viscoelasticity.
C) Elasticity.
D) Tissue memory.

Question 8

A person who has been on extended bed rest has a hip contracture that places the hip in a position of external rotation.You note in your documentation that your patient has a:

A) Hip flexion contracture.
B) Hip adduction contracture.
C) Hip internal rotation contracture.
D) Hip external rotation contracture.

Question 9

The type of stretching technique that utilizes a high-speed,high-intensity,and short-duration stretch force is called a:

A) Ballistic stretch.
B) Static stretch.
C) Cyclic stretch.
D) Mechanical stretch.

Question 10

Which of the following in NOT a precaution for stretching interventions?

A) Patient with suspected osteoporosis
B) Soreness after previous session that lasted 4 hours
C) Edematous tissue
D) Patient who has been on prolonged bed rest