CH03.rtf - Therapeutic

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hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025
Chapter 3: Range of Motion}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
alang1025 \ltrch \dbch \af6 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \nowidctlpar \lin0 \rin0 \itap0 \rtlch \fcs1 \af0 \afs22 \ltrch \
fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af5 \hich \af5 \dbch \af6 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1 \af0 \afs22 \ltrch \
fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \itap0 \rtlch \fcs1 \af0 \
afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af5 \hich \af5 \dbch \
af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \li0 \
ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \itap0 \rtlch \fcs1
\af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af5 \hich \af5 \dbch
\af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1 \
af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \
plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \
alang1025 Multiple Choice}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
alang1025 1. Which of the following is a goal of passive range of motion (PROM)
exercises?}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \
nowidctlpar \lin0 \rin0 \itap0 \rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \
alang1025 \ltrch \loch \af5 \hich \af5 \dbch \af6 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \alang1025 {\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 A. Prevent muscle atrophy}{\rtlch \fcs1 \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 B. Enhance
movement of synovial fluid for articular cartilage nutrition}{\rtlch \fcs1 \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 C. Increase
joint range of motion (ROM) and muscle length}{\rtlch \fcs1 \af0 \afs22 \ltrch \
af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\alang1025 {\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 D. Improve muscle performance}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \
lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \itap0 \rtlch \fcs1 \af0 \afs22 \
ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af5 \hich \af5 \dbch \af6 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1 \af0 \afs22
\ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \loch \f0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 ;ANS:}{\rtlch \
fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 B}{\rtlch
\fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \
alang1025 {\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch
\dbch \af6 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
alang1025 ;KEY}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \
ltrch \dbch \af6 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \alang1025 :}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 }{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \b1 \
\langfe1033 \langfenp1033 \alang1025 Book Part:}{\rtlch \fcs1 \af0 \afs22 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Part II: Applied Science of
Exercise and Techniques}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 DIF: Basic}{\rtlch \fcs1 \af0 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 /}{\rtlch \fcs1 \af0 \afs22 \
ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 2. Which of the following
is a contraindication to PROM exercises?}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 A. When movement of a
body segment is disruptive to the healing process}{\rtlch \fcs1 \af0 \afs22 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 B. Presence of
muscle weakness or paralysis}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 C. Presence of chronically impaired
circulation}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 D. When a patient is in a coma}{\rtlch \fcs1 \
langfe1033 \langfenp1033 \alang1025 ;ANS:}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 A}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
\ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 ;KEY}{\rtlch \fcs1 \af0 \
afs22 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \loch \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 :}{\rtlch \fcs1 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\alang1025 }{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 Book Part:}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \
rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \alang1025 Part II: Applied Science of Exercise and
Techniques}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 DIF: Basic}{\rtlch \fcs1 \af0 \afs22 \ltrch \
langfe1033 \langfenp1033 \alang1025 /}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 3. All of the following can cause impaired
range of motion (ROM) }{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \i1 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 except:}{\rtlch \fcs1 \af0 \afs22 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 A. Early movement after
surgery}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\af6 \hich \af5 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
alang1025 .}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 B. Muscle imbalance and disuse}{\rtlch \fcs1 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 .}{\rtlch \fcs1
\af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af5 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 C.
Neurological injury}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 .}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 D. Systemic inflammatory
disease}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\af6 \hich \af5 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 ;ANS:}{\rtlch \fcs1 \af0 \afs22 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 A}{\rtlch \fcs1 \af0 \
af0 \afs22 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 ;KEY}{\rtlch \
fcs1 \af0 \afs22 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 :}{\
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 }{\
rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \
af6 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025
Book Part:}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 Part II: Applied Science of Exercise and Techniques}{\rtlch \fcs1 \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 DIF: Basic}{\
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par
}\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0
\itap0 \rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \
dbch \af6 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \li0
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \itap0 \rtlch \
fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af5 \hich \
af5 \dbch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\rtlch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\
pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \
\langfe1033 \langfenp1033 \alang1025 4. Which of the following best describes ROM
exercises?}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 A. Functional excursion of a muscle}{\rtlch \
alang1025 B. Passive or active stretching exercise beyond the available range of
movement}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 C. Active muscle insufficiency}{\rtlch \fcs1 \
alang1025 D. Passive, assisted, or active movement of a body segment through the
available range of motion}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 ;ANS:}{\rtlch \fcs1 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 D}{\rtlch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 5. During active ROM
exercises, which of the following structures is most elongated with full active
extension and ulnar deviation of the wrist if the fingers remain relaxed?}{\rtlch \
alang1025
A. Flexor carpi ulnaris}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 B. Flexor carpi radialis}{\rtlch \
alang1025 C. Flexor digitorum profundus}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 D. Flexor digitorum
superficialis}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 B}{\rtlch \fcs1 \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 DIF: Difficult}
{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 /}{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 6. You are treating a
patient with weak hip abductors (muscle grade is 2/5). Which of the following ROM
exercises is most appropriate to prevent tightness of the hip adductors and
maintain the current level of strength of the hip abductors?}{\rtlch \fcs1 \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 A. Perform
passive abduction of the hip with the patient positioned in the supine position}{\
alang1025 B. Have the patient perform active hip abduction through the available
ROM while positioned in the side-lying position}{\rtlch \fcs1 \af0 \afs22 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 C. Have the patient
perform active hip abduction through the available ROM while positioned in the
supine position as you support the weight of the leg}{\rtlch \fcs1 \af0 \afs22 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 D. Perform
passive abduction of the hip with the patient positioned
in the side-lying position}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 C}{\rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 DIF: Difficult}{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 7. The most effective
results of continuous passive motion (CPM) can be expected:}{\rtlch \fcs1 \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 A. If the
device is applied for at least 5 hours per day but its use is delayed for at least
5 days postoperatively}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 B. If the device is
applied as early as possible after surgery for at least 4 to 8 hours per day}{\
hich \af5 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 .}{\
alang1025 C. If the device is applied immediately after surgery for 1 hour, then on
alternate days for 1 hour each time}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 D. If the rate of motion
is at least 5 cycles per minute, no matter how many hours per day the device is
used}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
.}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \
lin0 \rin0 \itap0 \rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \
ltrch \loch \af5 \hich \af5 \dbch \af6 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \alang1025 {\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 B}{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025
\par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0
\rin0 \itap0 \rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \
loch \af5 \hich \af5 \dbch \af6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 DIF: Intermediate}{\rtlch \fcs1 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 8. Which of the following
PROM exercises provides the most flexion of the lumbar spine?}{\rtlch \fcs1 \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 A. Single knee
to chest}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 B. Posterior pelvic tilt with the patient lying
supine with hips/knees at 45\uc1 \u176 ?/90\uc1 \u176 ?}{\rtlch \fcs1 \af0 \afs22 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 C. Posterior
pelvic tilt with patient lying supine}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 D. Double knees to chest}
langfe1033 \langfenp1033 \alang1025 ;ANS:}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 D}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
\ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 ;KEY}{\rtlch \fcs1 \af0 \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 :}{\rtlch \fcs1 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 }{\rtlch \fcs1
\af0 \afs22 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Book Part:}{\
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025
Part II: Applied Science of Exercise and Techniques}{\rtlch \fcs1 \af0 \afs22 \
alang1025 {\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 9. Mr. J underwent a
repair of a torn biceps brachii 2 days ago. During PROM exercises, which
combination of motions should you avoid at end range to protect (not disrupt) the
healing tissue?}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \
slmult1 \nowidctlpar \lin0 \rin0 \itap0 \rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22
\rtlch \alang1025 \ltrch \loch \af5 \hich \af5 \dbch \af6 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 A. Elbow extension, shoulder extension, forearm
supination}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 B. Elbow extension, shoulder flexion, forearm
pronation}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 C. Elbow extension}{\rtlch \fcs1 \af0 \afs22 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 ,}{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 shoulder flexion,
forearm supination}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfe1033 \langfenp1033 \alang1025 D. Elbow extension}{\rtlch \fcs1 \af0 \afs22 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 ,}{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 shoulder extension,
forearm pronation}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 D}{\rtlch \fcs1 \af0 \
afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 10. Which of the
following is a true statement about ROM exercises?}{\rtlch \fcs1 \af0 \afs22 \ltrch
\fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \loch \f0 \lang1033 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 A. Passive ROM is
synonymous with stretching.}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 B. If a joint is hypermobile, PROM
exercises are contraindicated.}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 C. Passive ROM can be carried out
manually or mechanically.}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 D. Whenever possible, active-
assistive ROM should be performed in positions that eliminate the effect of gravity
on the weak muscle that is actively contracting.}{\rtlch \fcs1 \af0 \afs22 \ltrch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 C}{\rtlch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 11. During ROM of the
cervical spine:}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfe1033 \langfenp1033 \alang1025 A. Avoid grasping the jaw}{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 .}{\rtlch \fcs1 \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 B. Avoid
extension past neutral (i.e., hyperextension)}{\rtlch \fcs1 \af0 \afs22 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 .}{\rtlch \fcs1 \af0 \afs22 \
af0 \afs22 \ltrch \fcs0 \fs24
\rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \alang1025 C. Perform ROM while the patient is in an
upright position (seated or standing)}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 .}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24
langnp1033 \langfe1033 \langfenp1033 \alang1025 D. Never combine flexion with
rotation}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 DIF:
Intermediate}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 /}{\rtlch \fcs1
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 12. During your
examination of a patient\uc1 \u8217 ?s lower extremity, you have identified
tightness of the gastrocnemius muscle. You are teaching a patient to perform self-
ROM exercises of the ankle. In order to maintain the gastrocnemius in a relaxed
position while moving the ankle into full range of dorsiflexion available, the
patient should:}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfe1033 \langfenp1033 \alang1025 A. Actively extend the toes}{\rtlch \fcs1 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 .}{\rtlch \fcs1
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 B.
Keep the knee extended}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 C. Actively flex the
toes}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
.}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \
lin0 \rin0 \itap0 \rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \
ltrch \loch \af5 \hich \af5 \dbch \af6 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \alang1025 {\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 D. Keep the knee flexed}{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 .}{\rtlch \fcs1 \af0 \
\af0
\afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af5 \hich \af5 \dbch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 D}{\rtlch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 13. In order to maintain
the web space of the hand, it is important to maintain which of the following
motions of the carpometacarpal joint of the thumb?}{\rtlch \fcs1 \af0 \afs22 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 A. Adduction and flexion}
alang1025 B. Abduction and extension}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 C. Adduction and extension}{\
alang1025 D. Abduction and flexion}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 B}{\rtlch \
alang1025 \ltrch
langfe1033 \langfenp1033 \alang1025 DIF: Basic}{\rtlch \fcs1 \af0 \afs22 \ltrch \
\langfe1033 \langfenp1033 \alang1025 14. The most effective and safe way to perform
passive pronation and supination of the forearm is to:}{\rtlch \fcs1 \af0 \afs22 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 A. Grasp the
patient\uc1 \u8217 ?s hand around the metacarpals and perform ROM while maintaining
the elbow in extension.}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 B. Grasp the patient\uc1 \u8217 ?s
forearm just proximal of the wrist and perform ROM while maintaining the elbow in
extension.}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 C. Grasp the patient\uc1 \u8217 ?s forearm just
proximal of the wrist and perform ROM while maintaining the elbow in flexion}{\
hich \af5 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 .}{\
alang1025 D. Grasp the patient\uc1 \u8217 ?s hand around the metacarpals and
perform ROM while maintaining the elbow in flexion.}{\rtlch \fcs1 \af0 \afs22 \
alang1025 ;ANS:}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 C}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 ;KEY}{\rtlch \fcs1 \af0 \afs22 \
ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 :}{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 }{\rtlch \fcs1 \af0 \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Book Part:}{\rtlch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Part II:
Applied Science of Exercise and Techniques}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 DIF: Intermediate}{\rtlch
langnp1033 \langfe1033 \langfenp1033
\alang1025 {\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
\langfe1033 \langfenp1033 \alang1025 15. You are treating a patient who sustained
an anterior dislocation of the glenohumeral joint. When it is permissible for the
patient to begin self-assisted or active ROM of the involved shoulder within pain-
free ranges, which of the following exercises places the most stress on the
anterior aspect of the capsule at the end range of}{\rtlch \fcs1 \af0 \afs22 \ltrch
\fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 external rotation}{\
rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \dbch \
,}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
therefore posing the greatest risk of re-dislocating the involved shoulder?}{\rtlch
alang1025 A. Wand exercises while lying in the supine position with both shoulders
abducted to 90}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \uc1 \u61616 ?}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24
langfe1033 \langfenp1033 \alang1025 (upper arms supported on the treatment table)
and both elbows flexed to 90}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \uc1 \u61616 ?}{\rtlch \fcs1 \af0 \afs22 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 B. Wand exercises while
sitting in a chair or standing, both arms at the patient\uc1 \u8217 ?s sides and
elbows flexed to 90}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \uc1 \u61616 ?}{\rtlch \fcs1 \af0 \afs22 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 C. Self-assisted shoulder
ROM guided manually by the sound hand while lying on the sound side and the
involved upper arm resting on a pillow placed alongside the chest and the elbow
flexed to 90}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \uc1 \u61616 ?}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24
langnp1033 \langfe1033 \langfenp1033 \alang1025 D. Self-assisted shoulder ROM
guided manually by the sound hand while the patient is lying in the supine position
on a treatment table and the involved arm is at the patient\uc1 \u8217 ?s side,
resting on a pillow in slight abduction and flexion and the elbow is flexed to 90}
hich \af7 \loch \f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \uc1
\u61616 ?}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \li0 \ri0 \lisb0 \sa0
\lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \itap0 \rtlch \fcs1 \af0 \afs22 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 /}{\rtlch \fcs1
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 16. When
incorporating functional patterns into ROM interventions, which of the following
guidelines is correct?}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 A. PROM should always be performed
in anatomical planes of motion to reinforce motor learning.}{\rtlch \fcs1 \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 B. Mechanical
assistance should not be used for assisted ROM because it will reduce motor
learning}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 }{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 C. Incorporate the functional movement into the
patient\uc1 \u8217 ?s daily activities once the pattern can be performed safely and
correctly, without assistance or compensation.}{\rtlch \fcs1 \af0 \afs22 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 D. Patients with visual
impairments should always perform ROM in anatomical planes, avoiding functional
patterns, so that joint alignment is maintained.}{\rtlch \fcs1 \af0 \afs22 \ltrch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 C}{\rtlch
langfenp1033 \alang1025 : Book Part: }{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 Part II: Applied Science of Exercise and
Techniques}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 DIF: Intermediate}{\rtlch \fcs1 \af0 \afs22 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }}

CH03.rtf - Therapeutic

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{\rtf1 \ansi \ansicpg1252 \deff0 \stshfdbch2 \stshfloch0 \stshfhich0 \deflang1033 \

deflangfe1033 {\fonttbl {\f0 \froman \fcharset0 \fprq2 {\*\panose

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