Therapeutic Exercise and Functional Rehabilitation Flashcards
6 cards from real MPT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Therapeutic Exercise and Functional Rehabilitation flashcards as text
A patient is 6 weeks post total knee arthroplasty (TKA). They have full passive knee extension and 95 degrees flexion. The primary rehabilitation goal at this stage is:
Answer: Achieving 120 degrees flexion, independent stair climbing, and safe community ambulation
At 6 weeks post-TKA, goals include achieving functional ROM (greater than 120 degrees for most ADLs), independence with functional mobility (stairs, transfers), and reducing pain and swelling.
Which term describes resistance training in which the muscle lengthens while producing force against an external load?
Answer: Eccentric contraction
Eccentric contractions occur when the external load exceeds the muscle force, causing the muscle to lengthen while still producing tension (e.g., lowering a weight, descending stairs).
Which balance training progression is most appropriate for an elderly patient at high fall risk who currently requires bilateral upper extremity support for standing?
Answer: Progress from bilateral UE support to unilateral UE support to fingertip support to no support while standing on a firm surface
Fall prevention balance training follows a systematic progression from maximum support (bilateral UE) to reduced support (unilateral, fingertip), on stable surfaces before progressing to unstable surfaces.
Reactive neuromuscular training (RNT) in therapeutic exercise is best described as:
Answer: External perturbations that facilitate appropriate motor responses and enhance neuromuscular control
RNT uses external perturbations (band resistance, manual force) to accentuate an error and facilitate the patient's automatic corrective neuromuscular response, training the nervous system to self-correct.
According to the Cyriax model of orthopedic assessment, a capsular pattern of the hip joint presents as:
Answer: Greatest limitation in hip internal rotation, followed by abduction, then flexion
Cyriax capsular pattern for the hip is: most limited in internal rotation, then abduction, then flexion. This pattern indicates intra-articular hip pathology (osteoarthritis, capsular fibrosis).
Plyometric training is most appropriate at which stage of rehabilitation following a lower extremity injury?
Answer: When the patient has achieved greater than 90% limb symmetry index on strength tests and passed criteria-based functional tests
Plyometric training should begin when the patient has achieved greater than 90% limb symmetry on strength tests (typically single-leg hop, triple hop), acceptable pain levels, and full functional ROM.