MES Functional Movement Assessment & Corrective Exercise 3

Question 1

Which corrective breathing technique is most beneficial for a client with chronic pain who exhibits upper chest breathing and breath-holding patterns during exercise?

Accepted Answer

Diaphragmatic breathing retraining to restore intra-abdominal pressure and reduce sympathetic dominance

Answer

Dysfunctional breathing patterns elevate sympathetic tone and impair intra-abdominal pressure; diaphragmatic retraining restores normal respiratory mechanics and nervous system regulation.

Question 2

A client with scapular dyskinesis demonstrates winging of the medial border during a push-up plus. Which primary muscle weakness is most responsible?

Accepted Answer

Serratus anterior

Answer

The serratus anterior protracts and upwardly rotates the scapula during push-up plus; weakness allows the medial border to wing away from the thorax under load.

Question 3

What is the most appropriate exercise for a client in the early stages of corrective programming for anterior pelvic tilt?

Accepted Answer

Dead bug exercise targeting deep core activation while maintaining neutral lumbar spine

Answer

The dead bug develops deep core stabilizer activation (transverse abdominis, multifidus) in a neutral spine position, directly addressing the muscle inhibition that underlies anterior pelvic tilt.

Question 4

Which assessment finding during a push-up test indicates insufficient shoulder stability for progressing to overhead pressing movements?

Accepted Answer

Scapular winging, humeral internal rotation, or loss of neutral spine during the movement

Answer

Scapular winging, humeral internal rotation, and spinal deviation during a push-up indicate rotator cuff and scapular stabilizer deficits that must be corrected before overhead loading.

Question 5

In a client post-total knee replacement (TKR), what is the most important functional milestone before beginning stair-climbing training?

Accepted Answer

Return of full passive knee extension and at least 90° of active knee flexion

Answer

Full passive extension prevents gait deviations and contracture, while 90° of active flexion is the minimum range needed to safely clear each step during stair climbing.

MES - ACE Medical Exercise Specialist Practice Test

MES - ACE Medical Exercise Specialist Practice Test

MES Functional Movement Assessment & Corrective Exercise 3