CCSP Sports Injury Treatment 3

Question 1

A gymnast presents with a stress fracture of the pars interarticularis (spondylolysis). What is the initial treatment?

Accepted Answer

Activity restriction and bracing with core stabilization rehabilitation

Answer

Activity restriction, a thoracolumbar brace, and core stabilization exercises allow pars healing and are first-line for spondylolysis.

Question 2

Which nerve is most commonly injured in carpal tunnel syndrome among cyclists due to handlebar pressure?

Accepted Answer

Median nerve at the carpal tunnel

Answer

Prolonged handlebar pressure on the palm compresses the median nerve at the carpal tunnel, causing cyclist's palsy variant with CTS symptoms.

Question 3

When returning an athlete to play after a concussion, which symptom should immediately halt the return-to-play progression?

Accepted Answer

Re-emergence of any concussion symptoms at any step

Answer

Any concussion symptoms returning at any stage of the RTP protocol require dropping back to the previous asymptomatic step.

Question 4

A swimmer presents with supraspinatus tendinopathy ('swimmer's shoulder'). Which biomechanical correction is most critical?

Accepted Answer

Reducing hand entry angle to decrease impingement arc

Answer

Correcting hand entry angle reduces internal impingement of the supraspinatus during the catch phase of freestyle swimming.

Question 5

Which injection approach is preferred for plantar fasciitis refractory to conservative care for at least 3 months?

Accepted Answer

Platelet-rich plasma (PRP) injection

Answer

PRP injection has demonstrated superior long-term outcomes compared to corticosteroids for chronic plantar fasciitis by promoting tissue regeneration.

(CCSP) Certified Chiropractic Sports Physician Practice Test

(CCSP) Certified Chiropractic Sports Physician Practice Test

CCSP Sports Injury Treatment 3