PAS Corrective Exercise Programming 2 — Questions and Answers
Question 1: Which phase of the OPT model is most appropriate as the starting point for a client with chronic postural dysfunction?
- Phase 1: Stabilization Endurance (Correct answer)
- Phase 2: Strength Endurance
- Phase 3: Hypertrophy
- Phase 4: Maximal Strength
Correct answer: Phase 1: Stabilization Endurance
Phase 1 Stabilization Endurance establishes neuromuscular control and postural stability before progressing to strength or power phases.
Question 2: A client presents with forward head posture. Which muscle is most likely overactive and should be inhibited?
- Deep cervical flexors
- Upper trapezius (Correct answer)
- Rhomboids
- Serratus anterior
Correct answer: Upper trapezius
The upper trapezius is commonly overactive in forward head posture, elevating and anteriorly tilting the scapula while contributing to cervical extension.
Question 3: What is the primary goal of self-myofascial release (SMR) in corrective exercise?
- Increase muscle hypertrophy
- Autogenic inhibition of overactive tissue (Correct answer)
- Strengthen underactive muscles
- Improve cardiovascular endurance
Correct answer: Autogenic inhibition of overactive tissue
SMR uses autogenic inhibition via Golgi tendon organ stimulation to decrease neural drive and reduce tension in overactive muscles.
Question 4: A client's overhead squat assessment reveals an anterior pelvic tilt. Which static stretch is most appropriate to address this finding?
- Hamstring stretch
- Hip flexor stretch (Correct answer)
- Calf stretch
- Thoracic extension stretch
Correct answer: Hip flexor stretch
Tight hip flexors anteriorly tilt the pelvis; stretching them helps restore neutral pelvic alignment.
Question 5: Which of the following best describes the purpose of isolated strengthening exercises in the corrective continuum?
- Fatigue the overactive muscles
- Re-educate underactive muscles in isolation (Correct answer)
- Increase cardiovascular output
- Improve flexibility of tight muscles
Correct answer: Re-educate underactive muscles in isolation
Isolated strengthening targets underactive muscles to improve their recruitment before integrating them into functional movement patterns.
Question 6: When programming corrective exercises, what should be addressed FIRST according to the NASM corrective exercise continuum?
- Integrated dynamic movement
- Isolated strengthening
- Static stretching
- Self-myofascial release (Correct answer)
Correct answer: Self-myofascial release
SMR is the first step in the corrective continuum — it inhibits overactive muscles before lengthening and strengthening can be effective.
Question 7: Which observation during an overhead squat assessment suggests overactivity of the gastrocnemius/soleus complex?
- Arms falling forward
- Excessive forward lean of torso
- Heels rising off the floor (Correct answer)
- Knees caving inward
Correct answer: Heels rising off the floor
Heel rise indicates restricted ankle dorsiflexion, commonly caused by overactivity and tightness of the gastrocnemius and soleus.
Which phase of the OPT model is most appropriate as the starting point for a client with chronic postural dysfunction?