Rehabilitation & Recovery Protocols Flashcards

A client with anterior pelvic tilt and lumbar hyperlordosis begins a rehabilitation program. Which combination of interventions is most appropriate?

Answer: Inhibit hip flexors and strengthen glutes and deep abdominals

Anterior pelvic tilt is driven by overactive hip flexors and underactive glutes/deep abdominals, so the protocol addresses both sides of the imbalance.

In the context of PAS recovery protocols, what does the term 'tissue tolerance' refer to?

Answer: The maximum mechanical load a healing tissue can safely accept at a given stage

Tissue tolerance is the maximal mechanical stress a healing structure can withstand without re-injury at a specific point in its repair timeline.

Which soft tissue technique is most appropriate during the acute phase of an overuse injury to reduce hypertonicity without further tissue trauma?

Answer: Light effleurage and gentle cross-fiber stroking

Light effleurage and gentle cross-fiber stroking promote circulation and reduce tone without adding mechanical stress to acutely inflamed tissue.

A postural alignment specialist is working with a client post-ACL reconstruction. At what stage is it appropriate to introduce lateral agility drills?

Answer: After the client demonstrates controlled single-leg squat without valgus collapse

Lateral agility drills require adequate single-leg stability; introducing them before the client can control knee valgus significantly increases re-injury risk.

Which breathing pattern abnormality is commonly associated with thoracic kyphosis and should be addressed in a rehabilitation program?

Answer: Apical (chest) breathing with reduced diaphragmatic activity

Thoracic kyphosis compresses the thoracic cavity, promoting apical breathing and reducing diaphragmatic excursion, which must be corrected to restore thoracic mobility.

What is the SAID principle and how does it apply to rehabilitation programming?

Answer: Specific Adaptation to Imposed Demands — training must mimic the stresses of the target activity

SAID states that the body adapts specifically to the type of stress placed on it, so rehabilitation exercises must progressively replicate the demands of the client's functional goals.

During shoulder rehabilitation following a rotator cuff strain, in which position should early strengthening exercises begin to minimize subacromial impingement risk?

Answer: Mid-range with the arm below 90° of elevation

Exercises below 90° of shoulder elevation reduce subacromial compressive forces, making this the safest range for early rotator cuff loading.