MES Functional Movement Assessment & Corrective Exercise 2

Question 1

What is the recommended initial progression strategy for corrective exercise in a client with lower-crossed syndrome?

Accepted Answer

Inhibit/lengthen overactive hip flexors and lumbar extensors, then activate/strengthen inhibited glutes and abdominals

Answer

Lower-crossed syndrome requires releasing the tight muscles (hip flexors, lumbar extensors) before activating the inhibited antagonists (glutes, abdominals) to restore proper neuromuscular balance.

Question 2

Which functional test best assesses shoulder mobility limitations relevant to a client returning to overhead activities after rotator cuff injury?

Accepted Answer

Active shoulder flexion range of motion combined with Apley scratch test

Answer

Active ROM measurement and the Apley scratch test together assess glenohumeral mobility and scapular mobility in multiple planes, identifying residual restrictions before overhead loading.

Question 3

In a client with flat feet (pes planus), which kinetic chain effect most commonly results from excessive foot pronation?

Accepted Answer

Tibial internal rotation, knee valgus, and compensatory hip adduction/internal rotation

Answer

Flat feet cause excessive pronation that creates tibial internal rotation, which transmits up the kinetic chain as knee valgus and hip adduction, increasing injury risk proximally.

Question 4

Which rehabilitation stage is appropriate for introducing plyometric exercises in a client recovering from ACL reconstruction?

Accepted Answer

After achieving full ROM, adequate quad strength (>80% limb symmetry index), and dynamic balance control

Answer

Plyometric training requires adequate quadriceps strength (LSI >80%), full ROM, and neuromuscular control to safely introduce impact loading without risking re-injury.

Question 5

When assessing gait in a client with hip osteoarthritis, which compensatory pattern most commonly indicates hip abductor weakness on the affected side?

Accepted Answer

Trendelenburg sign: contralateral pelvis drops during stance on the affected leg

Answer

The Trendelenburg sign reflects insufficient hip abductor strength to stabilize the pelvis during single-leg stance, causing the contralateral hip to drop in the swing phase.

MES - ACE Medical Exercise Specialist Practice Test

MES - ACE Medical Exercise Specialist Practice Test

MES Functional Movement Assessment & Corrective Exercise 2