Rehabilitation & Recovery Protocols Flashcards

A client presents with medial knee collapse (dynamic valgus) during a single-leg squat. Which compensatory pattern at the hip is most likely contributing?

Answer: Hip adductor dominance with gluteus medius inhibition

Gluteus medius inhibition allows the hip adductors to dominate, causing the femur to internally rotate and adduct, producing visible medial knee collapse.

What is the significance of the 'pain-free arc of motion' when designing rehabilitation exercises for a client with a joint pathology?

Answer: It identifies the range where movement can be performed without provoking the injured tissue, guiding safe exercise selection

Training within the pain-free arc allows tissue loading and adaptation without triggering inflammatory responses that delay healing.

Which of the following best describes the purpose of eccentric exercise in tendon rehabilitation?

Answer: To stimulate tendon collagen remodeling and improve tensile strength through controlled loading during lengthening

Eccentric loading applies mechanical tension to the tendon during muscle lengthening, stimulating collagen synthesis and improving tendon stiffness and load capacity.

A PAS practitioner identifies that a client has an elevated first rib on the right side. Which muscle is most likely overactive and contributing to this finding?

Answer: Right scalene complex (anterior/middle scalene)

The scalene muscles attach to the first and second ribs; chronic hypertonicity elevates the first rib and can compress neurovascular structures in the thoracic outlet.

When a client demonstrates a Trendelenburg sign during single-leg stance, what does this indicate about their neuromuscular function?

Answer: Contralateral gluteus medius weakness causing the pelvis to drop on the unsupported side

A Trendelenburg sign occurs when the stance-side gluteus medius cannot maintain pelvic level, causing the pelvis to drop toward the swinging/unsupported leg.

In the context of postural rehabilitation, what does 'regional interdependence' mean?

Answer: Dysfunction in one region of the body can directly influence symptoms and impairments in remote regions

Regional interdependence recognizes that musculoskeletal dysfunction at one area (e.g., foot pronation) can alter mechanics and contribute to symptoms far from the origin (e.g., knee or low back pain).

Which of the following best represents an appropriate client education point regarding the recovery process after a postural dysfunction correction program?

Answer: Movement habit changes require consistent practice over weeks to months to rewire neuromuscular patterns

Neuromuscular re-patterning requires repeated practice over an extended period because the nervous system must establish new default movement and postural habits.