ACSM Corrective Exercise Specialist 4

Question 1

Which foot and ankle compensation during the OHSA indicates overactivity of the gastrocnemius and soleus?

Accepted Answer

Heel rise

Answer

When the gastrocnemius/soleus is overactive and limits ankle dorsiflexion, the heels rise off the ground during the squat to compensate.

Question 2

A client presents with arms falling forward during the OHSA. Which muscle pair is most likely underactive?

Accepted Answer

Middle and lower trapezius with rotator cuff

Answer

Arms falling forward indicates the thoracic extensors and shoulder external rotators (mid/lower trapezius, rotator cuff) are underactive and cannot maintain overhead position.

Question 3

In ACSM corrective exercise programming, which type of strengthening exercise involves the neuromuscular system in a functionally integrated pattern?

Accepted Answer

Integration exercise

Answer

Integration exercises train the neuromuscular system in multiplanar, functional movement patterns that mirror real-world activities.

Question 4

Which assessment is used to identify movement impairments specific to the upper extremity push pattern?

Accepted Answer

Pushing assessment

Answer

The pushing assessment specifically evaluates compensation patterns during horizontal push movements, revealing shoulder and thoracic dysfunction.

Question 5

Which muscle imbalance most directly contributes to shoulder impingement syndrome in overhead athletes?

Accepted Answer

Overactive upper trapezius and pectoralis minor, underactive lower trapezius and serratus anterior

Answer

Overactive upper trapezius and pectoralis minor combined with underactive lower trapezius and serratus anterior reduce subacromial space and contribute to impingement.

ACSM Practice Test

ACSM Practice Test

ACSM Corrective Exercise Specialist 4