DPT Sports Rehabilitation & Performance 4

Question 1

A sprinter sustains a Grade II proximal hamstring strain. During the early rehabilitation phase, which exercise is MOST appropriate to initiate pain-free lengthening under load?

Accepted Answer

Standing hip hinge (Romanian deadlift) at limited range of motion

Answer

The Romanian deadlift (hip hinge) allows progressive eccentric hamstring loading in a lengthened position at a controlled range, which is appropriate in early-to-mid hamstring strain rehab.

Question 2

Which landing strategy is MOST associated with reduced ACL loading during a single-leg drop landing?

Accepted Answer

Greater trunk flexion, hip flexion, and knee flexion at initial contact

Answer

Greater trunk, hip, and knee flexion at initial contact distributes landing forces across multiple joints and reduces anterior tibial shear force on the ACL.

Question 3

A collegiate tennis player is evaluated for lateral elbow pain. Cozen's test and Mill's test are both positive. The MOST likely diagnosis and initial intervention are:

Accepted Answer

Lateral epicondylitis; wrist extensor eccentric loading and equipment modification

Answer

Positive Cozen's and Mill's tests confirm lateral epicondylitis (common extensor tendinopathy), managed with wrist extensor eccentric loading and racket grip/tension modification.

Question 4

In the return-to-sport continuum after lower extremity injury, which stage follows 'return to training' and precedes 'return to competition'?

Accepted Answer

Return to performance

Answer

The Ardern et al. framework places 'return to performance' between full training and competition, emphasizing sport-specific performance benchmarks must be met before competitive return.

Question 5

A distance runner with chronic exertional compartment syndrome (CECS) of the anterior compartment reports symptoms onset at mile 2 of every run. Intracompartmental pressure post-run is 30 mmHg (normal <20 mmHg). Conservative management has failed. What is the next appropriate step?

Accepted Answer

Recommend surgical fasciotomy referral

Answer

Fasciotomy is the definitive treatment for CECS when conservative management fails and post-exercise pressures remain elevated above 20 mmHg.

(DPT) Board Certified Doctor of Physical Therapy Practice Test

(DPT) Board Certified Doctor of Physical Therapy Practice Test

DPT Sports Rehabilitation & Performance 4