NSCA CSCS Injury Prevention 2 — Questions and Answers
Question 1: Which landing mechanics strategy is most effective for reducing ACL injury risk during deceleration tasks?
- Landing with a stiff knee and upright trunk
- Landing with hip and knee flexion greater than 30° and soft knee bend (Correct answer)
- Landing on the heel with locked ankles
- Landing with valgus knee collapse to absorb force
Correct answer: Landing with hip and knee flexion greater than 30° and soft knee bend
Landing with hip and knee flexion >30° and a soft knee reduces peak ground reaction forces and ACL strain.
Question 2: An athlete reports anterior knee pain worsening during downhill running. Which structure is most likely overloaded?
- Medial collateral ligament
- Patellar tendon and patellofemoral joint (Correct answer)
- Lateral ankle ligaments
- Biceps femoris tendon
Correct answer: Patellar tendon and patellofemoral joint
Downhill running increases compressive patellofemoral forces, stressing the patellar tendon and cartilage.
Question 3: What is the PRIMARY role of eccentric hamstring strength in injury prevention?
- Generating hip flexion power during sprinting
- Decelerating knee extension and protecting the ACL (Correct answer)
- Stabilizing the ankle during lateral cuts
- Controlling lumbar lordosis during lifting
Correct answer: Decelerating knee extension and protecting the ACL
Eccentric hamstring strength decelerates rapid knee extension, reducing ACL loading during high-speed movements.
Question 4: Which training modification best reduces overuse injury risk when introducing a new running program?
- Increasing weekly mileage by no more than 10% per week (Correct answer)
- Adding 30% volume every two weeks to accelerate adaptation
- Running on hard surfaces to stimulate bone adaptation
- Eliminating rest days to maintain training stimulus
Correct answer: Increasing weekly mileage by no more than 10% per week
The 10% rule limits cumulative load increases to allow musculoskeletal tissue adaptation and prevent overuse injuries.
Question 5: A basketball player exhibits excessive forward trunk lean and knee valgus during jump landing. Which muscle group weakness is most implicated?
- Gastrocnemius and soleus
- Hip abductors and external rotators (Correct answer)
- Wrist flexors and extensors
- Cervical flexors
Correct answer: Hip abductors and external rotators
Weak hip abductors and external rotators fail to control femoral adduction/internal rotation, causing knee valgus on landing.
Question 6: What is the primary benefit of incorporating plyometric progressions in an injury prevention program?
- Maximizing body fat reduction
- Improving neuromuscular coordination and shock absorption capacity (Correct answer)
- Increasing passive ligament laxity
- Reducing aerobic conditioning requirements
Correct answer: Improving neuromuscular coordination and shock absorption capacity
Progressive plyometrics enhance neuromuscular control and tissue resilience, improving the athlete's ability to safely absorb and redirect forces.
Question 7: Which screening tool is commonly used by strength and conditioning professionals to identify fundamental movement limitations that may predispose athletes to injury?
- Functional Movement Screen (FMS) (Correct answer)
- VO2max treadmill protocol
- Wingate anaerobic test
- YMCA step test
Correct answer: Functional Movement Screen (FMS)
The Functional Movement Screen assesses seven fundamental movement patterns and asymmetries linked to injury risk.
Which landing mechanics strategy is most effective for reducing ACL injury risk during deceleration tasks?