CCSP - Certified Chiropractic Sports Physician Sports Injury Treatment Questions and Answers

Question 1

A 24-year-old collegiate soccer player presents with acute lateral ankle pain after an inversion injury during a match 2 hours ago.
There is localized swelling and tenderness over the anterior talofibular ligament (ATFL), and the athlete is unable to bear full weight.
According to the principles of acute sports injury management emphasized in CCSP training, which of the following is the MOST appropriate initial course of action?

Accepted Answer

Application of the R.I.C.E. (Rest, Ice, Compression, Elevation) protocol and assessment for potential fracture.

Answer

Immediate application of heat to increase blood flow and promote healing.

Answer

Aggressive manual joint mobilization to restore normal ankle ROM.

Answer

Administration of a corticosteroid injection to rapidly reduce inflammation.

Question 2

A certified chiropractic sports physician is developing a rehabilitation plan for a swimmer with chronic shoulder impingement syndrome. Which of the following components is essential for addressing the underlying biomechanical faults and preventing recurrence?

Accepted Answer

A customized program of corrective exercises focusing on scapular stabilization and rotator cuff strengthening.

Answer

Exclusive use of passive modalities like ultrasound and electrical stimulation.

Answer

A focus on strengthening the internal rotator muscles of the shoulder.

Answer

Complete rest from all swimming activities for a minimum of 6 months.

Question 3

Which of the following BEST describes the primary goal of using manual therapy techniques, such as joint mobilization and soft tissue therapy, in the subacute phase of a sports injury?

Accepted Answer

To restore normal joint arthrokinematics, reduce pain, and improve tissue extensibility.

Answer

To increase the formation of dense, fibrotic scar tissue for joint stability.

Answer

To primarily manage systemic inflammation throughout the body.

Answer

To bypass the need for any active rehabilitation or therapeutic exercise.

Question 4

A 17-year-old basketball player is referred to you for management of Osgood-Schlatter disease. Treatment should be primarily focused on:

Accepted Answer

Stretching the quadriceps and hamstrings, activity modification, and addressing biomechanical factors.

Answer

Aggressive, high-force manipulation of the tibiofemoral joint.

Answer

Surgical excision of the tibial tuberosity.

Answer

Complete immobilization of the knee in a cast for 4-6 weeks.

Question 5

During a sideline evaluation of a football player who just took a blow to the head, which of the following signs would necessitate immediate referral to a hospital for emergency medical evaluation?

Accepted Answer

The athlete demonstrates worsening confusion, slurred speech, and unequal pupil size.

Answer

The athlete reports a mild headache but is fully oriented.

Answer

The athlete complains of dizziness that resolves within two minutes.

Answer

The athlete is emotionally upset but shows no other neurological signs.

Question 6

Which of the following return-to-play criteria is MOST important for a CCSP to confirm before clearing an athlete who has recovered from a hamstring strain?

Accepted Answer

Symmetrical strength and flexibility compared to the uninjured leg, and successful completion of sport-specific functional testing without pain.

Answer

The athlete's subjective report of being 100% pain-free at rest.

Answer

Completion of a full 4-week period of rest, regardless of functional status.

Answer

An MRI that shows complete resolution of all signal changes at the injury site.