Therapeutic Exercise — Chapter 1 Quiz

According to the definition of therapeutic exercise and the goal of designing an individualized program of therapeutic exercise, the physical therapist might develop a therapeutic exercise program in order to:

Optimize overall health status, fitness, or sense of well being.

Awareness of safety measures during exercise protects the patient and the therapist. All of the following measures should be routinely taken to prevent injury to the patient and/or therapist except:

Recommend that the patient discontinue taking any medication that might impair their balance or tolerance for physical activity.

Which of the following terms associated with aspects of physical function is used to describe the ability of the neuromuscular system to strategically or dynamically hold proximal or distal body segments in appropriate positions using synergistic muscle action?

Stability

Which of the following terms is synonymous with cardiopulmonary fitness and is associated with aspects of physical function that can be modified by therapeutic exercise?

Cardiopulmonary endurance

Each of the following is a step in the process of evidence-based practice except:

Spend many hours gathering any and all information that might be used to answer the question.

According to the International Classification of Functioning, Disability and Health (ICF) endorsed by the American Physical Therapy Association (APTA), a rotator cuff tear is considered a(n):

Health condition

Ms. C is an 18 year old who is 3 days post ACL reconstruction. She must wear a knee immobilizer during ambulation with axillary crutches and must remain partial weight bearing on the involved side. She has limited passive and active range of motion of the operated knee. According to the ICF model of functioning and disability, her limited knee ROM is classified as a:

Primary impairment of body function

Ms. L is a 78 year old who underwent surgery for internal fixation of an intertrochanteric fracture of the (L) hip 3 days ago. For the next few weeks she must remain nonweight-bearing on the operated side and has begun to use a walker for ambulation. She is able to walk for short distances around her hospital bed but is not yet able to rise from a chair to standing. According to the ICF model, the inability to stand from a sitting position is classified as a(n):

Activity limitation

Part of a preseason screening program for high school athletes includes testing the stability of the glenohumeral and scapulothoracic joints. If you identify an athlete with signs of shoulder instability but has no activity limitations or participation restrictions, you might suggest an exercise program designed to prevent or reduce the risk of injury during the season. This is an example of what type of prevention?

Secondary prevention

Your patient is performing pelvic tilt exercises for the first time and needs verbal and tactile cues (feedback) to perform the exercises correctly. This represents which stage of motor learning?

Cognitive

During several physical therapy sessions, a patient you have been treating for low back pain learned how to perform pelvic tilt exercises in several positions (supine, sitting, quadruped, standing). With continued practice at home, your patient is now able to perform extremity movements while maintaining a stable pelvic position. This represents which stage of motor learning?

Autonomous

You are helping a patient learn a motor skill. You set up several variations of the same task (walking on several types of surfaces). You have the patient perform one variation of the tasks and have him identify his own errors after the first repetition (or point out errors to him after the first repetition). Next, allow him to repeat the same variation of the task one or two more times before moving on to another variation of the task. What term best describes this type of practice?

Random-blocked

In which of the following stages of motor learning does augmented/extrinsic feedback have the most positive impact on acquisition of a motor skill?

Cognitive stage

Helping a patient acquire the ability to shift his weight from side to side in a standing position by means of manual guidance by the therapist is called:

Concurrent feedback

For which of the following tasks will teaching components (parts) of the motor task be most effective?

Performing a standing-pivot transfer from bed to wheelchair

Consistent with the taxonomy of motor tasks, which of the following activities is the best example of body stability in an open environment with intertrial variability without manipulation?

Maintaining sitting balance while riding a bus from school to home

Which of the following is not a prerequisite for motor skill acquisition and retention?

Augmented feedback

As a therapist, you can be relatively confident that motor learning has taken place when your patient demonstrates which of the following?

The ability to perform a slight variation of the task in a new context during treatment session

Patient satisfaction is an important area for outcome assessment in physical therapy when following the patient management model described in the Guide to Physical Therapist Practice. There are several determinants of patient satisfaction that, if included in the gathering and analysis of data, may help clinics to improve the quality of care being provided. Each of these has been shown in the literature to be determinant of patient satisfaction except:

The chronicity of the patient’s condition (higher satisfaction with patients having chronic conditions).

The body systems react, adapt, and develop in response to forces and physical stresses placed on them. All of the following stresses help the body to develop and maintain a functional level of strength except:

Bed rest

Adjusting the load demand of exercise is one of the key tasks required of the physical therapist in order to achieve a positive therapeutic outcome. All of the following are variables specific to adjusting load except:

Stage of tissue healing

Use of the Physical Stress Theory (PST) is best represented by which of the following scenarios?

The therapist adjusts the exercise load based on determination of exercise tolerance which may result in either increasing or decreasing the exercise parameters.