COKO Patient Assessment and Evaluation 3

Question 1

When assessing shoulder impingement syndrome, a positive Hawkins-Kennedy test is elicited by which maneuver?

Accepted Answer

Passive forward flexion to 90° with internal rotation of the humerus

Answer

The Hawkins-Kennedy test involves passively flexing the shoulder to 90° and then internally rotating the humerus, which compresses subacromial structures to reproduce impingement pain.

Question 2

In the context of COKO practice standards, informed consent for a kinesiological assessment must include which element?

Accepted Answer

An explanation of the nature, risks, benefits, and alternatives to the assessment

Answer

Informed consent requires explaining the nature of the assessment, its potential risks and benefits, and available alternatives so the client can make an autonomous decision.

Question 3

A kinesiologist measures a client's ankle dorsiflexion range of motion in non-weight-bearing using a goniometer and obtains 8°. The normal reference range is 15–20°. How should this finding be classified?

Accepted Answer

Hypomobility

Answer

A dorsiflexion measurement of 8° falls below the accepted normal range of 15–20°, indicating hypomobility or restricted range of motion at that joint.

Question 4

Which assessment tool is specifically validated to measure health-related quality of life across eight domains including physical functioning, bodily pain, and mental health?

Accepted Answer

SF-36 (Short Form-36)

Answer

The SF-36 is a widely validated generic health-related quality of life measure assessing eight domains applicable across diverse patient populations.

Question 5

A kinesiologist observes that a client exhibits forward head posture during a static postural assessment. Which compensatory change in the thoracic and cervical spine typically accompanies this finding?

Accepted Answer

Increased cervical lordosis with increased thoracic kyphosis

Answer

Forward head posture is coupled with increased upper cervical extension (lordosis) and increased thoracic kyphosis as the spine adapts to the anterior translation of the head.

(COKO) College of Kinesiologists of Ontario Practice Test

(COKO) College of Kinesiologists of Ontario Practice Test

COKO Patient Assessment and Evaluation 3