CCEP Rehabilitation & Therapeutic Exercises 2 — Questions and Answers
Question 1: Which proprioceptive training progression is most appropriate for a patient in the late-stage rehabilitation of a Grade II lateral ankle sprain?
- Single-leg stance on firm surface
- Single-leg stance on unstable surface with perturbation (Correct answer)
- Bilateral stance on foam pad
- Non-weight-bearing ankle alphabet exercises
Correct answer: Single-leg stance on unstable surface with perturbation
Late-stage ankle sprain rehab should incorporate dynamic perturbation training on unstable surfaces to challenge neuromuscular control under realistic conditions.
Question 2: The star excursion balance test (SEBT) is primarily used to assess which functional capacity?
- Ankle dorsiflexion range of motion
- Dynamic postural control and neuromuscular stability (Correct answer)
- Hip abductor strength
- Quadriceps-to-hamstring strength ratio
Correct answer: Dynamic postural control and neuromuscular stability
The SEBT measures dynamic postural control by requiring the patient to reach in multiple directions while maintaining single-leg stance.
Question 3: A patient recovering from a patellar tendinopathy presents with pain during eccentric loading. Which exercise should be PRIORITIZED?
- Leg press through full ROM
- Concentric knee extension on machine
- Decline board single-leg squat (Correct answer)
- Straight-leg raise with ankle weight
Correct answer: Decline board single-leg squat
Decline board single-leg squats optimize eccentric load on the patellar tendon and are the gold standard exercise for patellar tendinopathy rehab.
Question 4: Which rehabilitation principle best describes the concept of 'training specificity' for an athlete returning to sport after shoulder labral repair?
- Exercises should replicate the forces and movement patterns of the sport (Correct answer)
- Training intensity should remain below lactate threshold
- Rehabilitation should focus exclusively on isolated joint exercises
- Progressive resistance is contraindicated until full ROM is restored
Correct answer: Exercises should replicate the forces and movement patterns of the sport
Training specificity dictates that rehabilitation exercises should mimic sport-specific movement patterns and forces to optimize functional return to play.
Question 5: During closed kinetic chain (CKC) exercises for the lower extremity, ground reaction forces create which type of muscle action at the knee?
- Primarily concentric quadriceps activation
- Co-contraction of quadriceps and hamstrings (Correct answer)
- Isolated eccentric hamstring loading
- Predominantly isometric hip flexor engagement
Correct answer: Co-contraction of quadriceps and hamstrings
CKC exercises produce co-contraction of quadriceps and hamstrings due to compressive joint loading, enhancing joint stability compared to open kinetic chain exercises.
Question 6: A patient with chronic lateral epicondylitis has failed conservative care for 3 months. Which therapeutic exercise approach has the strongest evidence?
- High-repetition isotonic wrist extension with light resistance
- Heavy slow resistance training of wrist extensors (Correct answer)
- Stretching of wrist flexors and extensors only
- Grip strengthening with putty at high repetitions
Correct answer: Heavy slow resistance training of wrist extensors
Heavy slow resistance (HSR) training of the wrist extensors has strong evidence for chronic tendinopathy by stimulating tendon remodeling and reducing pain.
Question 7: When prescribing therapeutic exercise for a patient with adhesive capsulitis (frozen shoulder), which phase requires the most aggressive stretching?
- Freezing phase
- Frozen phase
- Thawing phase (Correct answer)
- All phases require equal intensity stretching
Correct answer: Thawing phase
The thawing phase of adhesive capsulitis involves spontaneous improvement in ROM and is the most appropriate time for aggressive stretching and mobilization.
CCEP Rehabilitation & Therapeutic Exercises 2
Which proprioceptive training progression is most appropriate for a patient in the late-stage rehabilitation of a Grade II lateral ankle sprain?