CCSP Adjunctive Sports Therapies 5

Question 1

During iontophoresis application on a pitcher's elbow, which parameter determines the total ionic medication dose delivered to tissue?

Accepted Answer

Current amplitude in milliamps times treatment time in minutes (mA·min)

Answer

Iontophoretic dose is calculated as current (mA) × time (min), with a typical therapeutic dose of 40–80 mA·min ensuring adequate drug ion migration.

Question 2

A cross-country skier is treated with cupping therapy for thoracic myofascial pain. The characteristic round skin discolorations post-treatment result from:

Accepted Answer

Extravasation of red blood cells into the dermis due to negative pressure

Answer

The negative pressure created by cupping draws blood into the local tissue, causing capillary rupture and RBC extravasation that appears as round ecchymotic marks.

Question 3

In aquatic therapy for a post-operative ACL athlete, the primary advantage of exercising in chest-deep water is:

Accepted Answer

Approximately 75% reduction in effective body weight reducing joint compressive forces

Answer

Buoyancy in chest-deep water unloads approximately 75% of body weight, allowing early weight-bearing exercise with significantly reduced tibiofemoral compressive forces.

Question 4

Electrical muscle stimulation (EMS) is applied to a volleyball player's quadriceps post-ACL reconstruction. Which pulse frequency BEST produces a tetanic contraction for strengthening purposes?

Accepted Answer

50–80 Hz (tetanic contraction)

Answer

Frequencies of 50–80 Hz fuse individual muscle twitches into a sustained tetanic contraction sufficient to generate therapeutic strengthening forces.

Question 5

A CCSP recommends diathermy for a cyclist's chronic IT band syndrome. The primary advantage of shortwave diathermy over superficial heat is:

Accepted Answer

Ability to heat deep tissues beyond the reach of superficial heat packs

Answer

Shortwave diathermy converts electromagnetic energy into heat in deep tissues (up to 5 cm), exceeding the ~1 cm penetration of superficial heat packs.

(CCSP) Certified Chiropractic Sports Physician Practice Test

(CCSP) Certified Chiropractic Sports Physician Practice Test

CCSP Adjunctive Sports Therapies 5