AK Patient Assessment & Clinical Evaluation 2 — Questions and Answers
Question 1: During an AK postural assessment, a patient presents with a high iliac crest on the right side and a low shoulder on the right. This pattern most likely suggests:
- A short right leg functional pattern
- A long right leg functional pattern (Correct answer)
- Right thoracic scoliosis with no leg involvement
- Left sacral base deficiency
Correct answer: A long right leg functional pattern
A high iliac crest combined with a low shoulder on the same side suggests a functional long leg pattern on that side.
Question 2: In applied kinesiology, a therapy localization test is considered positive when:
- The patient reports pain at the contact point
- Touching a specific area changes muscle test strength (Correct answer)
- The muscle becomes hypertonic upon contact
- Skin conductance increases at the contact point
Correct answer: Touching a specific area changes muscle test strength
Therapy localization is positive when touching a body area changes (strengthens or weakens) a previously tested indicator muscle.
Question 3: A patient exhibits weakness of the gluteus medius on manual muscle testing. Which gait deviation would most commonly be associated with this finding?
- Antalgic gait
- Trendelenburg gait (Correct answer)
- Steppage gait
- Scissor gait
Correct answer: Trendelenburg gait
Gluteus medius weakness causes contralateral pelvic drop during stance phase, known as Trendelenburg gait.
Question 4: When performing an AK challenge to a vertebral segment, the purpose is to:
- Determine the patient's pain threshold at that level
- Identify whether correction of that segment will alter muscle function (Correct answer)
- Measure range of motion at the challenged segment
- Assess disc hydration through applied pressure
Correct answer: Identify whether correction of that segment will alter muscle function
Challenging a spinal segment tests whether adjusting it would change the neurological status reflected in an indicator muscle.
Question 5: In AK evaluation, the reactive muscle phenomenon refers to:
- A muscle that responds excessively to stretching
- An inhibition of one muscle caused by activation of a different muscle (Correct answer)
- Spasticity following upper motor neuron lesion
- Hyperreflexia detected during deep tendon testing
Correct answer: An inhibition of one muscle caused by activation of a different muscle
Reactive muscle patterns occur when activation of one muscle neurologically inhibits a previously strong muscle.
Question 6: Which of the following best describes the 'circuit retaining mode' in AK patient assessment?
- Holding a previous therapy localization point while testing a second area (Correct answer)
- Repeating the same muscle test three times to confirm reliability
- Using bilateral testing to compare muscle strength symmetry
- Recording EMG signals continuously during functional movement
Correct answer: Holding a previous therapy localization point while testing a second area
Circuit retaining mode involves maintaining contact with one therapy localization point while simultaneously testing another, revealing combined dysfunctions.
Question 7: During AK assessment, the cloacal reflexes are evaluated because they relate to:
- Adrenal gland function and emotional stress responses
- Pelvic floor muscle coordination and sphincter tone
- Hemispheric dominance and eye-hand laterality (Correct answer)
- Primary respiratory mechanism and cranial sacral rhythm
Correct answer: Hemispheric dominance and eye-hand laterality
Cloacal reflexes in AK relate to hemispheric integration, laterality, and switching patterns affecting coordination.
During an AK postural assessment, a patient presents with a high iliac crest on the right side and a low shoulder on the right.
This pattern most likely suggests: