CCSP Rehabilitation & Therapeutic Exercise 5

Question 1

A collegiate gymnast presents with lumbar spondylolysis. Which core exercise is MOST appropriate during the initial return-to-activity phase?

Accepted Answer

Dead bug with contralateral arm/leg extension

Answer

The dead bug exercise activates deep stabilizers (transversus abdominis, multifidus) in a neutral spine position, avoiding the hyperextension stress that aggravates pars interarticularis lesions.

Question 2

In the management of rotator cuff tendinopathy, which exercise position minimizes subacromial space compression?

Accepted Answer

90° shoulder abduction in the scapular plane

Answer

Scapular plane abduction at 90° (scaption) optimally positions the rotator cuff and minimizes subacromial impingement compared to pure abduction or overhead positions.

Question 3

Which outcome measure is specifically designed to assess sport-related shoulder function and includes both symptoms and sport participation domains?

Accepted Answer

WOSI (Western Ontario Shoulder Instability) index

Answer

The WOSI index is a disease-specific questionnaire for shoulder instability that includes physical symptoms, sport/recreation, work/lifestyle, and emotional domains.

Question 4

The Trendelenburg gait pattern observed in a runner is caused primarily by weakness of which muscle?

Accepted Answer

Ipsilateral hip abductors

Answer

Ipsilateral (stance-side) hip abductor weakness causes the contralateral pelvis to drop during single-leg stance, producing the Trendelenburg gait sign.

Question 5

A cyclist with iliotibial band syndrome undergoes a comprehensive rehabilitation program. Which biomechanical factor is most commonly addressed?

Accepted Answer

Increased hip adduction and internal rotation during pedaling

Answer

Increased hip adduction and internal rotation during the pedal stroke elevates IT band tension against the lateral femoral condyle, and correcting this is central to ITBS rehab.

(CCSP) Certified Chiropractic Sports Physician Practice Test

(CCSP) Certified Chiropractic Sports Physician Practice Test

CCSP Rehabilitation & Therapeutic Exercise 5