MPT Therapeutic Exercise and Functional Rehabilitation 2

Question 1

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:

Accepted Answer

Achieving 120 degrees flexion, independent stair climbing, and safe community ambulation

Answer

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.

Question 2

Which term describes resistance training in which the muscle lengthens while producing force against an external load?

Accepted Answer

Eccentric contraction

Answer

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).

Question 3

Which balance training progression is most appropriate for an elderly patient at high fall risk who currently requires bilateral upper extremity support for standing?

Accepted Answer

Progress from bilateral UE support to unilateral UE support to fingertip support to no support while standing on a firm surface

Answer

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.

Question 4

Reactive neuromuscular training (RNT) in therapeutic exercise is best described as:

Accepted Answer

External perturbations that facilitate appropriate motor responses and enhance neuromuscular control

Answer

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.

Question 5

According to the Cyriax model of orthopedic assessment, a capsular pattern of the hip joint presents as:

Accepted Answer

Greatest limitation in hip internal rotation, followed by abduction, then flexion

Answer

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).

MPT - Master of Physical Therapy Practice Test

MPT - Master of Physical Therapy Practice Test

MPT Therapeutic Exercise and Functional Rehabilitation 2