CCSP Sports Injury Treatment 4

Question 1

A high school football player sustains a 'stinger' (burner). What is the mechanism and appropriate management?

Accepted Answer

Brachial plexus traction or cervical root compression; remove from play until symptoms fully resolve

Answer

Stingers result from brachial plexus stretch or cervical root compression; the athlete must be asymptomatic before returning to play.

Question 2

Which modality is most indicated for reducing acute post-surgical knee edema in the first 72 hours?

Accepted Answer

Cryotherapy with intermittent compression

Answer

Cryotherapy with intermittent compression reduces post-surgical edema via vasoconstriction and mechanical lymphatic pumping.

Question 3

A triathlete with chronic Achilles tendinopathy is prescribed eccentric heel drops. At what position should the eccentric phase occur?

Accepted Answer

Both straight-knee and bent-knee positions on a decline board (Alfredson protocol)

Answer

The Alfredson eccentric protocol uses both straight-knee (gastrocnemius focus) and bent-knee (soleus focus) drops on a decline board for Achilles tendinopathy.

Question 4

What is the most appropriate first-line treatment for an acute lateral epicondylalgia (tennis elbow) in a recreational athlete?

Accepted Answer

Activity modification, wrist extensor strengthening, and manual therapy

Answer

Activity modification combined with eccentric/isometric wrist extensor strengthening and manual therapy has the best long-term outcomes for lateral epicondylalgia.

Question 5

A marathon runner presents with a femoral neck stress fracture. What is the critical management decision?

Accepted Answer

Non-weight-bearing and urgent orthopedic referral due to fracture completion risk

Answer

Femoral neck stress fractures carry high risk of complete fracture and avascular necrosis, requiring immediate non-weight-bearing and orthopedic consultation.

(CCSP) Certified Chiropractic Sports Physician Practice Test

(CCSP) Certified Chiropractic Sports Physician Practice Test

CCSP Sports Injury Treatment 4