MES Program Design & Implementation 4

Question 1

Which group of exercises makes up McGill's "Big Three" for spinal stability in clients with low back pain?

Accepted Answer

Curl-up, side bridge, bird dog

Answer

The modified curl-up, side bridge, and bird dog train core endurance with low spinal loading.

Question 2

For a client recovering from a posterior-approach total hip replacement, which movement should be avoided?

Accepted Answer

Hip flexion beyond 90 degrees

Answer

Posterior precautions restrict hip flexion beyond 90°, adduction past midline, and internal rotation to prevent dislocation.

Question 3

Which environmental modification is most important for clients with multiple sclerosis?

Accepted Answer

Exercising in a cool environment

Answer

Many people with MS are heat sensitive, and elevated body temperature can temporarily worsen symptoms.

Question 4

Which training emphasis is particularly beneficial for clients with Parkinson's disease?

Accepted Answer

Large-amplitude movements and balance training

Answer

Large-amplitude, rhythmic movements and balance work counter bradykinesia and improve gait.

Question 5

What is the best general approach to program design for a client with fibromyalgia?

Accepted Answer

Start at low intensity and progress very gradually

Answer

Low starting intensity with slow progression improves adherence and reduces symptom flare-ups.

MES - ACE Medical Exercise Specialist Practice Test