Sports Injury Rehabilitation Test Bank
Course Introduction
Sports Injury Rehabilitation focuses on the principles and practices involved in the assessment, treatment, and management of injuries sustained by athletes and physically active individuals. This course covers the anatomy and physiology of common sports-related injuries, rehabilitation protocols for various tissues and body regions, therapeutic modalities, and exercise prescription for recovery and performance enhancement. Emphasis is placed on evidence-based strategies to restore function, prevent re-injury, and promote optimal performance through multidisciplinary approaches involving collaboration with healthcare professionals. Students will develop practical skills in designing, implementing, and evaluating individualized rehabilitation programs tailored to the needs of diverse athletic populations.
Recommended Textbook
Michlovitzs Modalities for Therapeutic Intervention 6th Edition by James W. Bellew PT EdD
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17 Chapters
315 Verified Questions
315 Flashcards
Source URL: https://quizplus.com/study-set/1022
Page 2
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/20246
Sample Questions
Q1) Why is cold therapy often used during the initial stages of injury?
A) Cold increases blood flow to promote healing.
B) Cold blocks A-beta nerve fiber conduction to decrease pain.
C) Cold stimulates release of bradykinins into the tissues to cause vasodilation.
D) Cold causes vasoconstriction, resulting in decreased blood flow to injured tissues.
Answer: D
Q2) Which of the following modalities is capable of delivering heat to tissues?
A) Intermittent compression
B) Handheld ice cups
C) Continuous ultrasound
D) TENS
Answer: C
Q3) Which of the following modalities will reduce blood flow to tissues?
A) Thermotherapy
B) Ultrasound
C) Traction
D) Cryotherapy
Answer: D
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Chapter 2: Cold Therapy Modalities
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/20247
Sample Questions
Q1) After a cold pack treatment your patient appears flushed and reports she is lightheaded. You notice a red patch on the skin underneath her cold pack. Which of the following problems is most likely?
A) Reflex vasodilation
B) Cold urticaria
C) Cryoglobulinemia
D) Raynaud's phenomenon
Answer: B
Q2) Which of the following is an abnormal response to the application of cold?
A) Reddening of the skin
B) Raised, red, irregularly shaped areas on the skin
C) Numbness of the skin
D) Feelings of burning or aching of the skin
Answer: B
Q3) The addition of compression to cold therapy can improve which of the following?
A) Microcirculation and tissue oxygenation
B) Vasoconstriction and histamine release
C) Nerve conduction velocity and tissue hypoxia
D) Analgesia and edema formation
Answer: A
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Chapter 3: Therapeutic Heat
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/20248
Sample Questions
Q1) Which method of stretching connective tissue is most likely to result in long-term deformation?
A) Stretching to end-range very quickly, then holding at end-range while heating to tissue temperature of 45°C
B) Heating to achieve tissue temperature of 45°C combined with long duration stretching with low external load
C) Heating tissue greater than 45°C followed by ballistic (high velocity) stretching
D) Intermittent stretching while heating to tissue temperature of 45°C
Answer: B
Q2) Which of the following represents a risk one should consider when applying external heating modalities?
A) Increased tissue oxygen demand exceeds delivery of oxygen-rich blood.
B) Anti-inflammatory effect of heat results in increased joint effusion.
C) Heating a large volume of tissue results in compensatory cutaneous vasodilation, which increases risk for surface burns.
D) Systemic response of decreased heart rate results in cardiovascular complications. Answer: A
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Chapter 4: Therapeutic Ultrasound
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/20249
Sample Questions
Q1) Ultrasound (US) creates heat in tissues most likely as the result of
A) Acoustic steaming
B) Stable cavitation
C) Molecular vibration
D) Acoustic reflection
Q2) Which of the following does NOT have an influence on the amount of heating produced in a tissue by US?
A) US frequency
B) US intensity
C) Movement speed of the US applicator
D) Use of pulsed or continuous US
Q3) There is strong substantiated evidence for the use of continuous US to treat
A) Pain and dysfunction of carpal tunnel syndrome
B) Pain and dysfunction associated with lateral epicondylitis
C) Limited range of motion (ROM) associated with frozen shoulder
D) Dysfunction associated with nonspecific shoulder conditions
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Chapter 5: Hydrotherapy: the Use of Water As a Therapeutic Agent
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/20250
Sample Questions
Q1) Which of the following is an electrical safety rule for hydrotherapy interventions?
A) Patients should not touch the turbine, including the on/off switch, when it is running.
B) Whirlpool turbines should only be plugged into two-prong electrical outlets.
C) Ground-fault circuit interrupters are required for large whirlpools but are unnecessary for small ones.
D) Multiple electrical devices, such as whirlpool and electrotherapy devices, can be used simultaneously on a patient provided that at least one of the devices is grounded.
Q2) Resistance to movement when standing in a pool and performing arm-lowering exercises in the water is provided by which of the following properties of water?
A) Cohesiveness
B) Friction
C) Buoyancy
D) Density
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Chapter 6: Electromagnetic Modalities: Laser, Diathermy, and
Pulsed Electromagnetic Fields
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/20251
Sample Questions
Q1) Which of the following is true about electromagnetic energy?
A) Has matter that is equal in mass to its frequency
B) Transfers heat via conduction
C) Travels through space without a transport medium
D) Requires contact with the body or another conducting pathway
Q2) Your patient has a chronic flexion contracture of the left knee. Which of the following dosages would be most appropriate if you chose to apply diathermy prior to stretching the knee?
A) Nonthermal
B) Mild heat sensation
C) Moderate heat sensation
D) Vigorous heating
Q3) Which of the following correctly describes the inductive method of diathermy?
A) Creation of electromagnetic eddy currents in conductive tissues
B) Preferential heating of tissues with high electrical resistance
C) Induction of capacitive currents around the electrical field
D) Body part between electrodes becomes part of the electrical field
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Page 8
Chapter 7: Spinal Traction
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/20252
Sample Questions
Q1) A recently published clinical prediction rule for cervical traction includes which of the following?
A) Positive shoulder abduction test
B) Age of 50 years or younger
C) Negative upper limb tension test
D) Increased symptoms with manual distraction
Q2) Which of the following is an appropriate guideline regarding the patient's response to traction?
A) Some discomfort is expected during traction and may temporarily increase afterward.
B) Traction should relieve pain in an extremity but may increase neck or back pain.
C) Pain increases during traction are common but should diminish afterward.
D) The patient should not have an increase in symptoms during or after traction.
Q3) Mechanical traction is unlikely to be effective in achieving which of the following?
A) Separation of vertebral bodies
B) Distraction of vertebral facet joints
C) Stretching of soft tissues of the spine
D) Permanent reduction of herniated nucleus pulposus
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Chapter 8: Intermittent Pneumatic Compression
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/20253
Sample Questions
Q1) Which of the following is appropriate prior to applying the garment to the limb?
A) A stockinette without wrinkles should be placed over the limb.
B) Deep effleurage should be performed to decrease edema in the limb.
C) Application of an analgesic cream to the skin will limit discomfort during treatment.
D) Light aerobic exercise, such as stationary bicycling, will increase circulation to the limb.
Q2) Which statement about IPC is correct?
A) Effective for post-traumatic edema only if applied immediately after trauma
B) May help decrease high extremity blood pressure related to pulmonary edema
C) Effective in prevention of deep venous thrombosis formation in a person who is immobilized
D) Contraindicated for open wounds because of decreased oxygen delivery to the wound
Q3) Which of the following is a contraindication for IPC?
A) Persistent lower extremity edema secondary to congestive heart failure
B) Chronic venous stasis ulcer on the foot
C) Acute local dermatological infection
D) Lymphatic edema following mastectomy
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Chapter 9: Foundations of Clinical Electrotherapy
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/20254
Sample Questions
Q1) What can be done clinically to decrease impedance between the electrode and the skin?
A) Use smaller electrodes to disperse the current over a smaller area.
B) Use electrodes with gel or adhesive conductive agents.
C) Apply a thin layer of dry gauze between the electrode and the skin.
D) Strap electrodes tightly to the skin or place a sandbag on top of the electrode.
Q2) According to Ohm's law, when using a device that has a constant voltage, what will happen to the current when the skin resistance increases?
A) The current increases.
B) The patient will feel a short-duration shock.
C) There is no change in current.
D) The current decreases.
Q3) Which type of current will most likely cause changes in the tissues underlying the electrodes as a result of electrode polarity?
A) Direct current
B) Monophasic pulsed current
C) Balanced, asymmetrical biphasic pulsed current
D) Russian current
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11
Chapter 10: Clinical Electrical Stimulation: Application and Techniques
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/20255
Sample Questions
Q1) Which of the following correctly describes "pulse duration"?
A) Time from the beginning of the first phase to the end of the second phase
B) Total time elapsed from beginning to end of all phases, including interphase interval
C) Total time elapsed from beginning to end of all phases, not including any interphase intervals
D) Time of one pulse, not including any phases or intervals
Q2) How often can a typical disposable electrode be reused before it should be discarded?
A) Once
B) Twice
C) Depends on the amount of adhesive gel that is applied to the electrode
D) 15 to 20 times
Q3) Which pair of parameters is most commonly varied or manipulated to elicit the various forms of TENS such as conventional, acupuncture, and burst train?
A) Frequency and amplitude
B) Frequency and rise time
C) Frequency and pulse duration
D) Pulse duration and waveform shape
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Chapter 11: Mechanisms of Pain and Use of Therapeutic Modalities
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/20256
Sample Questions
Q1) Which of the following may occur with the co-administration of opioid medication and TENS?
A) Analgesic tolerance
B) Central inhibition
C) Pain gating
D) Descending facilitation
Q2) What are the three most common parameters used to provide the different modes of TENS?
A) Current waveform, pulse frequency, and fall time
B) Pulse frequency, pulse duration, and current amplitude
C) Current amplitude, pulse duration, and carrier frequency
D) Pulse duration, pulse frequency, and waveform shape
Q3) Stimulation of large-diameter A-beta afferents to activate local inhibitory circuits in the dorsal horn best describes what analgesic mechanism of TENS?
A) The gate theory of pain control
B) Descending inhibition
C) Analgesic hyperstimulation
D) Analgesic potentiation
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Chapter 12: Therapeutic Modalities for Improving Range of Motion
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Sample Questions
Q1) Which of the following modalities is most appropriate to use on a patient with decreased ROM due to restrictions in the posterior hip capsule?
A) Pulsed ultrasound
B) Pulsed shortwave diathermy
C) Heating pad
D) Extracorporeal shockwave therapy
Q2) For a patient having undergone ankle immobilization following a sprain, which of the following clinical measures best supports the administration of therapeutic modalities?
A) Active range of motion (AROM) ankle dorsiflexion of +2 degrees
B) AROM ankle inversion of 40 degrees
C) 4+/5 strength of the ankle evertors
D) Decreased stance time during gait
Q3) Extracorporeal shockwave therapy is thought to impart what physiological effect?
A) An inflammatory response in the target tissues and changes in the viscoelasticity of those tissues
B) Changes in cell membrane permeability to facilitate angiogenesis
C) Hyperpolarization of the peripheral free nerve endings to decrease pain
D) An increase in microvascular blood flow to perfuse injured tissues
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Chapter 13: Electrotherapy for Musculoskeletal Disorders
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/20258
Sample Questions
Q1) A possible limitation of NMES is which of the following?
A) The inability of NMES to achieve greater than 50% maximum voluntary contraction (MVC).
B) Recruitment of fast fibers occurs before recruitment of slow fibers.
C) Firing frequencies of muscle fibers are lower than frequencies used during NMES.
D) Duration of NMES treatments is much longer than comparable voluntary strengthening programs.
Q2) Which of the following is a contraindication for biofeedback?
A) Muscle spasticity
B) Diabetes
C) Peripheral neuropathy
D) There are no contraindications for biofeedback.
Q3) Which of the following parameters can be decreased to help limit fatigue during NMES?
A) Frequency
B) Fall-time
C) Off-time
D) Interpulse interval
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Chapter 14: Neuromuscular Electrical Stimulation Nmes
and Functional Electrical Stimulation Fes in Patients With
Neurological Diagnoses
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/20259
Sample Questions
Q1) Which set of parameters is most appropriate for treating urge incontinence?
A) 50 pps, 5 seconds on: 50 seconds off, 30 minutes, three times/day
B) 12 pps, 5 seconds on: 15 seconds off, 30 minutes, three times/day
C) 50 pps, 5 seconds on: 15 seconds off, 60 minutes, three times/week
D) 12 pps, 10 seconds on: 50 seconds off, 60 minutes, three times/week
Q2) Studies have shown that FES for upper extremity function has been effective in facilitating functional use of the extremity in which of the following patient populations?
A) Those who have had a stroke
B) Those with traumatic brain injury
C) Those having a spinal cord injury
D) All of the above
Q3) NMES applied to the antagonist muscle for patients with spasticity will reduce spasticity based on which of the following theories?
A) Reciprocal inhibition of the spastic agonist muscle
B) Recurrent inhibition via Renshaw cells
C) Sensory habituation of the antagonist muscle
D) Facilitation of parasympathetic neurons in the limb
Page 16
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Chapter 15: Therapeutic Modalities for Tissue Healing
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/20260
Sample Questions
Q1) Which of the following is a common clinical mistake when performing NPWT?
A) Debriding the wound prior to treatment
B) Applying contact dressing in touch with the entire wound bed
C) Overpacking the wound with contact dressing
D) Leaving the dressing over the wound for several days
Q2) The role of the inflammatory process that occurs following soft tissue injury can best be described as
A) Excessive and counterproductive to healing
B) Critical for successful tissue healing
C) Inadequate to promote scar formation
D) Required so the central nervous system (CNS) can produce mucopolysaccharides
Q3) What does the current research literature on the use of MIRE for the treatment of sensory neuropathy show?
A) Research is conclusive that MIRE is effective in restoring sensation.
B) No studies demonstrate that MIRE is effective for this condition.
C) No consistent body of evidence exists supporting MIRE for this condition.
D) Research remains inconclusive regarding effectiveness and concern about harmful side effects.
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17
Chapter 16: Alternative Modalities for Pain and Tissue
Healing
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/20261
Sample Questions
Q1) Which of the following patients should not receive MIRE?
A) A 64-year-old female with ulcers associated with scleroderma
B) A 55-year-old male with diabetic peripheral neuropathy of the right leg
C) A 38-old female with a lower leg wound following excision of melanoma
D) An 89-year-old male with decreased plantar sensation and decreased balance
Q2) Which statement regarding magnet therapy is correct?
A) Most magnets used for therapeutic effects produce a pulsed magnetic field.
B) Magnet therapy originated about 50 years ago with the development of the unipolar magnet.
C) Results of research have yet to show any effect of magnetic fields on cell function in vitro.
D) Bipolar magnets are arranged so that both poles are facing or in contact with the skin.
Q3) Which of the following are typical parameters used during hyperbaric oxygen therapy (HBOT)?
A) 2 to 3 atmospheres absolute (ATA) for a duration of 30 to 120 minutes
B) 5 to 10 ATA for a duration of 2 to 4 hours
C) 50 to 100 ATA for a duration of 4 to 6 hours
D) 500 to 1,000 ATA for a duration of 6 to 8 hours
Page 18
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Chapter 17: Electrophysiological Testing of Nerves and Muscles
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/20262
Sample Questions
Q1) After insertion of a needle electrode during an EMG exam the examiner will cease needle movement for a period of time. Which of the following is a normal finding during this "rest" period?
A) Positive sharp waves
B) Fibrillations
C) Miniature end-plate potentials
D) Complex repetitive discharges
Q2) Which of the following is a normal characteristic of a motor unit potential?
A) Amplitude of 10 to 50 mV
B) Duration of 5 to 15 msec
C) Usually has multiple phases (polyphasic)
D) Low frequency (usually 1 to 5 per second)
Q3) A patient with a neuropathic disorder will have which of the following characteristic recruitment patterns during an EMG exam?
A) Decreased number of motor units firing at a faster than normal rate
B) Small-amplitude, short-duration polyphasic motor units accomplished with little effort
C) Increased number of fasciculations and miniature end-plate potentials
D) Reduced insertional activity and frequent end-plate spikes
Page 19
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