Therapeutic Exercise Foundations and Techniques 6th Edition Kisner Test Bank

Therapeutic Exercise Foundations and
Techniques 6th Edition Kisner Test

Bank
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Chapter 8: Exercise for Impaired Balance
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The center of gravity (COG) in most adult humans is located slightly:
A. Posterior to the L2 vertebra.
B. Posterior to the S2 vertebra.
C. Anterior to the L2 vertebra.
D. Anterior to the S2 vertebra.
____ 2. Which of the following terms is defined as “the sway boundaries in which an individual can
maintain equilibrium without changing his/her base of support”?
A. Center of mass
B. Limits of stability
C. Limits of pressure
D. Center of gravity
____ 3. The vestibular system provides which of the following types of sensory information for balance
control?
A. Muscle tension and length
B. Joint movement and position
C. Position of the head and body with respect to inertial forces
D. Position of the head relative to the environment
____ 4. When a hip strategy is used for balance control in response to a posterior displacement of the support
surface, which muscle groups are activated and in what sequence?
A. Abdominals followed by the quadriceps
B. Quadriceps followed by the abdominals
C. Hamstrings followed by the paraspinals
D. Paraspinals followed by the hamstrings
____ 5. Mrs. S is a 65-year-old woman with a history of falling due to episodic loss of balance. The medical
diagnosis is “balance disorder.” Which of the following tests is the best choice to administer to
determine if Mrs. S has a fear of falling?
A. Activities-Specific Balance Confidence Scale
B. Tinetti Mobility Test
C. Berg Balance Scale
D. Functional Reach Test
____ 6. During an examination of a patient who has a history of episodic falls, you observe the patient
performing functional tasks to determine how she loses her balance. You note that the patient
becomes unsteady whenever she picks up objects from the floor or reaches for objects in a kitchen
cupboard. These findings most likely indicate a control deficit in:
A. Anticipatory balance.
B. Reactive balance.
C. Static balance.
D. Sensory organization.
____ 7. While testing a patient’s balance, you have the patient perform a series of activities, starting with
those that require a low level of balance control and progressing to more difficult tasks. Of the
following, the task that requires the greatest amount of balance control is:
A. Catching and throwing a ball while sitting.
B. Raising the opposite arm and leg while in the quadruped position.
C. Walking with one foot placed in front of the other.
D. While standing, balancing on one leg for 10 seconds.
____ 8. As part of a patient’s balance training program, you have her walk across a balance beam or on a line
drawn on the floor. The motor strategy this patient is most likely retraining is the:
A. Ankle strategy.
B. Suspensory strategy.
C. Stepping strategy.
D. Hip strategy.
____ 9. To improve a patient’s dynamic postural control using visual and vestibular inputs, the most
appropriate activity for the patient to perform is:
A. Standing on a foam surface with feet apart and eyes open.
B. Marching in place on a firm surface with the eyes open.
C. Walking with a narrowed base of support on foam with eyes open.
D. Walking with a narrowed base of support on a firm surface with eyes closed.
____ 10. To prevent falls and maximize safety while lifting heavy objects from the floor, an elderly patient is
instructed to:
A. Bend at the knees as far as possible, keeping the back straight and placing the load
between the legs.
B. Keep the knees straight, bend at the hips, keep the back straight, and pick up the
load quickly.
C. Bend at the knees partially while keeping her back straight and pick up the load
slowly.
D. Bend the knees partially and rotate and laterally bend the back to lift the load to
one side of the hips.
____ 11. As part of the treatment program to improve a patient’s balance, you decide to utilize a balance
training program recommended by Nitz and Choy. The components of this program include:
A. Group exercises that consist of practicing standing postures and walking and
perturbation training.
B. Individual and group exercises emphasizing dynamic and multisensory activities
delivered in a circuit mode.
C. Group exercises consisting of stretching, strengthening, and coordination
exercises; body mechanics; survival training; and walking.
D. Home program consisting of lower and upper extremity exercises in sitting and
standing positions.
____ 12. The semicircular canals of the vestibular system would contribute the most to balance control during
which of the following activities?
A. Standing and quickly turning the head to look at a person
B. Sitting in a chair reading a newspaper
C. Standing on a bus that suddenly accelerates forward
D. Standing on an elevator that suddenly accelerates downward
____ 13. The typical pattern of muscle activation associated with an ankle strategy to correct forward body
sway is:
A. Gastrocnemius and hamstrings are activated simultaneously, followed by the
paraspinals.
B. Gastrocnemius is activated first, then the hamstrings, followed by the paraspinals.
C. Paraspinals are activated first, then hamstrings, followed by the gastrocnemius.
D. Hamstrings, gastrocnemius, and paraspinals are activated simultaneously.
____ 14. Individuals with somatosensory deficits in the lower extremities, such as peripheral
polyneuropathies, tend to use which of the following motor strategies in response to balance
disturbances?
A. Ankle strategy
B. Hip strategy
C. Stepping strategy
D. Suspensory strategy
____ 15. The most important neural structures for the integration and processing of sensory information for
balance control are:
A. Basal ganglia, primary motor area, and cerebellum.
B. Basal ganglia, thalamus, and supplementary motor area.
C. Supplementary motor area, cerebellum, and basal ganglia.
D. Supplementary motor area, cerebellum, and thalamus.
____ 16. Individuals who become unstable or fall in condition 5 (standing on foam with eyes closed) and
condition 6 (standing on foam wearing a dome) during the Clinical Test of Sensory Integration on
Balance most likely have deficits in:
A. Proprioception.
B. Somatosensation.
C. Vestibular function.
D. Vision.
____ 17. To maintain balance in condition 3 (standing on a firm surface wearing a dome) of the Clinical Test
of Sensory Integration on Balance, a person must rely solely on:
A. Somatosensory and vestibular information.
B. Vestibular information.
C. Visual and somatosensory information.
D. Visual and vestibular information.
____ 18. The Romberg Test is measures: A. Anticipatory balance control.

A. Reactive balance control.
B. Static balance control.
C. Dynamic balance control.
____ 19. A balance test that can reliably detect deficits in individuals with chronic ankle instability is the:
A. Functional Reach Test.
B. Multi-Directional Reach Test.
C. Star Excursion Test.
D. Postural Stress Test.
____ 20. An 82-year-old woman is referred to physical therapy with a history of two falls in the past month.
The patient lives alone and relies on her daughter for transportation. The best choice of an exercise
program for this person is:
A. Otago Exercise Program.
B. Nitz and Choy Circuit Exercise Program.
C. Tai Chi Exercise Program.
D. Group Balance Exercise Program by Means and colleagues.
____ 21. A 76-year-old community-dwelling man is referred to physical therapy for balance training. He
reports no previous falls. His Timed Up and Go (TUG) score is 15 seconds. The best setting for him
to receive training is in:
A. An individual or community-based group exercise program.
B. A community-based group exercise program with individual supervision provided
by trained staff.
C. A clinic with physical therapist or physical therapist assistant supervision.
D. At home with physical therapist or physical therapist assistant supervision.
____ 22. The outcome measure developed specifically to measure balance control during gait in people with
vestibular disorders is the:
A. Timed Up and Go Test.
B. Tinetti Performance-Oriented Mobility Assessment.
C. Functional Gait Assessment.
D. Dynamic Gait Index.
Chapter 8: Exercise for Impaired Balance
Answer Section
MULTIPLE CHOICE
1. ANS: D PTS: 1 DIF: Basic

KEY: Book Part: Part II: Applied Science of Exercise and Techniques
2. ANS: B PTS: 1 DIF: Basic
3. ANS: C PTS: 1 DIF: Basic
4. ANS: A PTS: 1 DIF: Intermediate
7. ANS: C PTS: 1 DIF: Intermediate
8. ANS: D PTS: 1 DIF: Intermediate
9. ANS: C PTS: 1 DIF: Difficult
11. ANS: B PTS: 1 DIF: Intermediate

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Therapeutic Exercise Foundations and Techniques 6th Edition Kisner Test Bank

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Therapeutic Exercise Foundations and

Techniques 6th Edition Kisner Test

____ 18. The Romberg Test is measures: A. Anticipatory balance control.

1. ANS: D PTS: 1 DIF: Basic

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