MPT Sports Physical Therapy 2 — Questions and Answers
Question 1: Iliotibial band syndrome (ITBS) in runners is associated with pain at which location?
- Anterior knee over the patella
- Lateral knee at the lateral femoral epicondyle (Correct answer)
- Medial joint line
- Posterior knee in the popliteal fossa
Correct answer: Lateral knee at the lateral femoral epicondyle
ITBS causes pain at the lateral femoral epicondyle where the ITB impinges during repetitive knee flexion-extension at approximately 30° of flexion.
Question 2: Which movement assessment tool screens for fundamental movement pattern asymmetry and dysfunction in athletes?
- Y Balance Test
- Functional Movement Screen (FMS) (Correct answer)
- Berg Balance Scale
- SEBT
Correct answer: Functional Movement Screen (FMS)
The Functional Movement Screen (FMS) scores 7 fundamental movement patterns on a 0–3 scale to identify asymmetry and dysfunction that may predispose to injury.
Question 3: Plantar fasciitis typically presents with pain that is:
- Constant and worsens throughout the day
- Worst with first steps in the morning or after prolonged rest (Correct answer)
- Sharp with passive ankle dorsiflexion only
- Located at the Achilles insertion
Correct answer: Worst with first steps in the morning or after prolonged rest
Plantar fasciitis classically causes severe pain with the first steps of the morning that initially eases with walking, due to fascia loading after sustained shortening.
Question 4: Concussion management in the US follows return-to-play protocols that require:
- Immediate return after symptom resolution
- Symptom-free at rest before gradual stepwise return to sport (Correct answer)
- Imaging confirmation of recovery
- A minimum 48-hour rest regardless of symptoms
Correct answer: Symptom-free at rest before gradual stepwise return to sport
Return-to-play after concussion requires being symptom-free at rest, then progressing through stepwise increasing activity levels per established protocols.
Question 5: Rotator cuff strengthening programs focus primarily on which muscles to improve dynamic shoulder stability?
- Deltoid and biceps
- Supraspinatus, infraspinatus, teres minor, and subscapularis (Correct answer)
- Pectoralis major and latissimus dorsi
- Serratus anterior and trapezius only
Correct answer: Supraspinatus, infraspinatus, teres minor, and subscapularis
The four rotator cuff muscles (supraspinatus, infraspinatus, teres minor, subscapularis) provide dynamic glenohumeral stability and are the focus of shoulder injury rehabilitation.
Question 6: In patellar tendinopathy rehabilitation, heavy slow resistance (HSR) training is preferred because:
- It minimizes tendon load
- It stimulates tendon collagen synthesis without exceeding compressive load tolerance (Correct answer)
- It improves aerobic capacity
- It replaces the need for eccentric exercise
Correct answer: It stimulates tendon collagen synthesis without exceeding compressive load tolerance
Heavy slow resistance training loads the tendon with optimal mechanical stimulus for collagen synthesis while avoiding the reactive flare seen with high-velocity loading.
MPT Sports Physical Therapy 2
Iliotibial band syndrome (ITBS) in runners is associated with pain at which location?