1.
Angie Western, 35, was referred to you by her doctor for the treatment of carpal tunnel syndrome. Her symptoms appeared about 1 month ago and worsened last week. She cannot type for more than 10 minutes before the pain becomes overwhelming. She has difficulty using utensils and reports that she often drops things. Your assessment confirms carpal tunnel syndrome. During the testing and treatment, you notice that AF and PR ROM elicit moderate bilateral numbness and tingling.
As self-care, you prescribe:
Correct Answer
E. C & D
Explanation
The correct answer is C & D. Stretching for the forearm flexors within a comfortable range helps to improve flexibility and reduce muscle tightness in the affected area, which can help relieve symptoms of carpal tunnel syndrome. Muscle setting for the forearm flexors, also known as isometric exercises, can help reduce pain by strengthening the muscles without causing excessive strain on the affected area. These exercises can be done as part of a self-care routine to manage symptoms and promote healing.
2.
Angie Western, 35, was referred to you by her doctor for the treatment of carpal tunnel syndrome. Her symptoms appeared about 1 month ago and worsened last week. She cannot type for more than 10 minutes before the pain becomes overwhelming. She has difficulty using utensils and reports that she often drops things. Your assessment confirms carpal tunnel syndrome. During the testing and treatment, you notice that AF and PR ROM elicit moderate bilateral numbness and tingling.
To apply muscle setting in this case, how many repetitions would you have her perform?:
Correct Answer
A. 10
Explanation
In this case, the correct answer is 10. Muscle setting exercises involve performing repetitive contractions of a muscle group to improve strength and stability. Since Angie is experiencing moderate bilateral numbness and tingling, it is important to start with a conservative approach. Starting with a lower number of repetitions, such as 10, allows for gradual progression and minimizes the risk of exacerbating her symptoms. This approach will help improve her symptoms and gradually increase her tolerance for typing and other activities without overwhelming pain.
3.
Angie Western, 35, was referred to you by her doctor for the treatment of carpal tunnel syndrome. Her symptoms appeared about 1 month ago and worsened last week. She cannot type for more than 10 minutes before the pain becomes overwhelming. She has difficulty using utensils and reports that she often drops things. Your assessment confirms carpal tunnel syndrome. During the testing and treatment, you notice that AF and PR ROM elicit moderate bilateral numbness and tingling.
What percentage of muscle strength capacity would she use during muscle setting?:
Correct Answer
A. 60%
Explanation
During muscle setting, the patient would use approximately 60% of their muscle strength capacity. This is because muscle setting exercises involve contracting the muscles at a submaximal level, typically around 60% of their maximum capacity, in order to improve muscle tone and endurance without causing excessive strain or fatigue. In this case, Angie's carpal tunnel syndrome symptoms limit her ability to use her hands and fingers, so it is important to start with a lower intensity level during muscle setting exercises to avoid exacerbating her symptoms.
4.
"Setting the Core" refers to the co-contraction of which of the following?
Correct Answer
D. Transversus abdominis, pelvic floor muscles
Explanation
"Setting the Core" refers to the co-contraction of the transversus abdominis and pelvic floor muscles. This co-contraction helps stabilize the spine and pelvis, providing support and strength to the core. By engaging these muscles together, individuals can improve their posture, balance, and overall core stability. This is particularly important in activities that require a strong and stable core, such as lifting heavy objects or performing dynamic movements.
5.
Functional testing of the glenohumeral joint reveals restriction with a stretch end-feel in external rotation. Which of these muscles would you stretch?
Correct Answer
D. Anterior deltoid, latissimus dorsi, pectoralis major
Explanation
The correct answer is Anterior deltoid, latissimus dorsi, pectoralis major. The question states that there is restriction with a stretch end-feel in external rotation of the glenohumeral joint. The muscles that would limit external rotation are the ones that internally rotate the joint. The anterior deltoid, latissimus dorsi, and pectoralis major are all muscles that contribute to internal rotation of the glenohumeral joint. Stretching these muscles would help to improve external rotation range of motion.
6.
Suppose that you're treating the client and his hip adduction is limited due to moderately painful TrPs in the hip adductors. Which of these technique(s) would you use to increase ROM and decrease pain?
Correct Answer
C. Either one would work
Explanation
Both reciprocal inhibition and autogenic inhibition can be used to increase range of motion (ROM) and decrease pain in this scenario. Reciprocal inhibition involves activating the antagonist muscles to the hip adductors, which in turn inhibits the activity of the hip adductors and allows for increased ROM. Autogenic inhibition, on the other hand, involves applying sustained pressure or stretching to the hip adductors, which stimulates the Golgi tendon organs and leads to relaxation of the muscle and increased ROM. Therefore, either technique can be effective in this case.
7.
When do we use Contract relax?
Correct Answer
B. When ROM is good, and movement is pain free
Explanation
Contract relax is a technique used in physical therapy to improve range of motion (ROM) and reduce muscle tightness. It involves contracting the muscle being targeted for a few seconds and then relaxing it, followed by passive stretching of the muscle. This technique is typically used when the ROM is already good and movement is pain-free. It helps to further enhance flexibility and maintain joint mobility in individuals who do not have any restrictions or pain during movement.
8.
When do you use Hold relax?
Correct Answer
C. When ROM is extremely limited or active movement causes pain
Explanation
Hold relax is a technique used in physical therapy to improve range of motion (ROM) and reduce pain. It involves the patient actively contracting the muscle being targeted, then relaxing and allowing the therapist to passively move the joint through its full range of motion. This technique is particularly useful when ROM is extremely limited or when active movement causes pain. By using the hold relax technique, the therapist can help the patient gradually increase their ROM and reduce pain during movement.
9.
Active isolated stretching is:
Correct Answer
E. Used as a warm-up
Explanation
Active isolated stretching is used as a warm-up. This means that it is performed before engaging in physical activity to prepare the muscles for movement. By performing active isolated stretching, the muscles are gently stretched and warmed up, which can help improve flexibility, increase blood flow to the muscles, and reduce the risk of injury during exercise. It is important to note that active isolated stretching is not typically used to treat muscle spasms, limited range of motion, or trigger points.
10.
Endurance training is the ability to perform:
Correct Answer
D. Low intensity repetitive exercise over prolonged period of time
Explanation
Endurance training refers to the ability to perform low intensity repetitive exercise over a prolonged period of time. This type of training focuses on improving cardiovascular fitness and stamina by gradually increasing the duration of the exercise. It helps to build endurance and improve the body's ability to sustain physical activity for extended periods without fatigue. This type of training is commonly used in activities such as long-distance running, cycling, and swimming.
11.
Examples of conditions that can produce contractures include the following:
Correct Answer
E. All of the above
Explanation
Contractures are a condition where there is a permanent tightening or shortening of muscles, tendons, or other tissues, leading to limited range of motion in a joint. Prolonged immobilization can cause contractures as the muscles and tissues become stiff and lose flexibility. Multiple sclerosis (MS) is a neurological condition that can cause muscle weakness and spasms, leading to contractures. Scoliosis, an abnormal curvature of the spine, can also contribute to contractures as it affects the alignment and movement of the spine and surrounding muscles. Cesarean section, a surgical procedure for delivering a baby, may result in postoperative complications and prolonged immobility, potentially leading to contractures. Therefore, all of the mentioned conditions can produce contractures.
12.
Name the movement that occurs with the distal segment of a limb moving freely in space.
Correct Answer
A. Open kinematic chain exercise
Explanation
Open kinematic chain exercise refers to a movement where the distal segment of a limb is free to move in space. In this type of exercise, the end of the limb is not fixed or attached to any surface, allowing for independent movement. This type of exercise is commonly used in rehabilitation settings to improve joint mobility, coordination, and strength. It is often contrasted with closed kinetic chain exercises, where the distal segment is fixed or in contact with a surface. Functional exercises aim to mimic real-life movements and tasks, while reverse action is not a recognized term in the context of this question.