Pregunta 1
Pregunta
What angle should the ankle be at in initial contact?
Respuesta
-
0-Degrees
-
30-Degrees
-
45-Degrees
-
90-Degrees
Pregunta 2
Pregunta
If an unexpected obstacle popped up out of the floor what type of postural control would a patient use?
Respuesta
-
Adaptive
-
Anticipatory
-
Intrinsic
-
Extrinsic
Pregunta 3
Pregunta
Which strategy occurs in response to a small perturbation on a firm support surface?
Respuesta
-
Ankle Strategy
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Hip Strategy
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Stepping Strategy
Pregunta 4
Pregunta
Which order do the muscles fire in an ankle strategy?
Respuesta
-
Distal to Proximal
-
Proximal to Distal
Pregunta 5
Pregunta
Which of the following represents the proper order of activation for the ANKLE strategy used in response to a FORWARD-induced sway (aka forward-sway, anterior sway, made to move forward)?
Respuesta
-
Gastrocnemius -> Hamstrings -> Paraspinals
-
Paraspinals -> Hamstrings -> Gastroncnemius
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Gastrocnemius -> Quadriceps - > Paraspinals
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Paraspinals -> Quadriceps -> Gastroncnemius
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Gastrocnemius -> Quadriceps - > Abdominals
-
Abdominals -> Quadriceps -> Gastroncnemius
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Gastrocnemius -> Hamstrings -> Abdominals
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Abdominals -> Hamstrings -> Gastroncnemius
Pregunta 6
Pregunta
Which of the following represents the proper order of activation for the ANKLE strategy used in response to a BACKWARD-induced sway (aka backward-sway, posterior-sway, made to move backward)?
Respuesta
-
Tibialis Anterior -> Quadriceps -> Abdominals
-
Abdominals -> Quadriceps -> Tibialis Anterior
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Tibialis Anterior -> Hamstrings -> Abdominals
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Abdominals -> Hamstrings -> Tibialis Anterior
-
Gastrocnemius -> Quadriceps -> Abdominals
-
Abdominals -> Quadriceps -> Gastrocnemius
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Gastrocnemius -> Hamstrings -> Abdominals
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Abdominals -> Hamstrings -> Gastrocnemius
Pregunta 7
Pregunta
Which strategy occurs in response to larger or faster perturbations, or when the support surface is compliant (i.e. soft), or very narrow (i.e. a balance beam).
Respuesta
-
Ankle Strategy
-
Hip Strategy
-
Stepping Strategy
Pregunta 8
Pregunta
Which direction do the muscles fire in a hip strategy?
Respuesta
-
proximal to distal
-
distal to proximal
Pregunta 9
Pregunta
Which of the following represents the proper order of activation for the HIP strategy used in response to a BACKWARD-induced sway (aka backward-sway, posterior-sway, made to move backward)?
Respuesta
-
Paraspinals -> Hamstrings
-
Hamstrings -> Paraspinals
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Paraspinals -> Quadriceps
-
Quadriceps -> Paraspinals
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Paraspinals -> Gluteals
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Gluteals -> Quadriceps
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Hamstrings -> Gluteals
Pregunta 10
Pregunta
Which of the following represents the proper order of activation for the HIP strategy used in response to a FORWARD-induced sway (aka forward-sway, anterior sway, made to move forward)?
Respuesta
-
Abdominals -> Quadriceps
-
Quadriceps -> Abdominals
-
Abdominals -> Hamstrings
-
Hamstrings -> Abdominals
Pregunta 11
Pregunta
Which postural strategy utilizes UE movements
Respuesta
-
Ankle Strategy
-
Hip Strategy
-
Stepping Strategy
-
All of the Above
-
None of the Above
Pregunta 12
Pregunta
If the necessary musculature for a given strategy is significantly weak (weak ankle or trunk musculature), a stepping strategy may be employed instead.
Pregunta 13
Pregunta
If someone were standing on a foam-pad and they were pushed forward what muscles would they recruit to prevent LOB? Which strategy is this?
Respuesta
-
Abdominals -> Quadriceps
-
Hip Strategy
-
Ankle Strategy
-
Quadriceps -> Abdominals
-
Stepping Strategy
-
Gastrocnemius -> Hamstrings -> Paraspinals
-
Paraspinals -> Hamstrings -> Gastrocnemius
-
Paraspinals -> Hamstrings
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Tibialis Anterior -> Quadriceps -> Abdominals
Pregunta 14
Pregunta
If you were to nudge a patient on his sternum in a posterior direction on a firm surface what postural strategy do you think he might use? What muscles would be activated (in order of activation) to prevent a LOB?
Respuesta
-
Ankle Strategy - Posterior Sway
-
Tibialis Anterior -> Quadriceps -> Abdominals
-
Abdominals -> Quadriceps
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Gastrocnemius -> Hamstrings -> Paraspinals
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Paraspinals -> Hamstrings
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Abdominals -> Quadriceps -> Tibialis Anterior
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Quadriceps -> Abdominals
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Paraspinals -> Hamstrings -> Gastrocnemius
Pregunta 15
Pregunta
If you were to ask a patient to stand on a piece of foam what sensory system(s) would be providing inaccurate information for postural control? What system(s) would be providing accurate information?
Pregunta 16
Pregunta
Which test(s) would you use to test somatosensation, vision, and the vestibular system?
Pregunta 17
Pregunta
Which system do young children typically rely upon for balance?
Respuesta
-
Vision
-
somatosensation
-
vestibular
Pregunta 18
Pregunta
Which of the following conditions is most likely to have scaling difficulties with the postural synergies?
Respuesta
-
Parkinson's Disease
-
Lesion of Cerebellum
-
Traumatic Brain Injury
-
Stroke
-
Multiple Sclerosis
Pregunta 19
Pregunta
Which of the following conditions is most likely to demonstrate coactivation of the postural synergies?
Respuesta
-
Parkinson's Disease
-
Lesion of Cerebellum
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Multiple Sclerosis
-
Stroke
-
Traumatic Brain Injury
Pregunta 20
Pregunta
Which of the following tests assess anticipatory postural control?
Pregunta 21
Pregunta
If an individual has an inferior shoulder subluxation, what is the position of the humerus, humeral head, and scapula?
Respuesta
-
Humeral Head is below the inferior lip of the glenoid fossa
-
Humerus is in internal rotation
-
Scapula is depressed and downwardly rotated, with the inferior angle of the scapula winging
-
Scapula is depressed and upwardly rotated, with the inferior angle of the scapula winging
-
Humeral Head is behind the posterior lip of the glenoid fossa
-
Humeral Head is in front of the anterior lip of the glenoid fossa
Pregunta 22
Pregunta
Select the Intrinsic Causes of Shoulder Subluxation.
Respuesta
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Trunk – Joint Malalignment
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Imbalance of Muscle Activation
-
Weakness
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Tone Abnormalities
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Soft Tissue Extensibility
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Positioning
-
Handling
-
Assistive Devices
Pregunta 23
Pregunta
Which of the following are in agreement with Fitts' Law?
Respuesta
-
Assuming a static distance, if target size decreases, the time to reach it increases.
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Assuming a static distance, if target size increases, the time to reach it increases.
-
Assuming a static target size, if distance increases, the time to reach it increases.
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Assuming a static target size, if distance decreases, the time to reach it increases.
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Movement time is a function of the distance to the target and the accuracy needed to hit the target.
-
There is a positive correlation between movement precision, movement distance, and movement time.
-
There is a negative correlation between movement precision, movement distance, and movement time.
Pregunta 24
Pregunta
What are the 2 requirements for a successful grasp?
Respuesta
-
Hand must be adapted to the shape, size, and use of the object.
-
Finger movements must be timed so that they close around the object at the appropriate moment.
-
Subject must be strong enough to lift the object.
-
Subject must be able to see the object in order to grasp it successfully.
Pregunta 25
Pregunta
Moving the arm into shoulder flexion or abduction without proper scapulohumeral rhythm, may cause which of the following?
Respuesta
-
Shoulder Subluxation
-
Shoulder Impingement
Pregunta 26
Pregunta
Without proper scapulohumeral rhythm, which of the following motions are likely to cause shoulder impingement?
Pregunta 27
Pregunta
[blank_start]Action Research Arm[blank_end] Test - Assesses upper limb functioning using observational methods
[blank_start]Box and Block[blank_end] Test - Assesses unilateral gross manual dexterity
[blank_start]Wolf Motor Function[blank_end] Test - Quantitative measure of upper extremity motor ability through timed and functional tasks.
Respuesta
-
Action Research Arm
-
Box and Block
-
Wolf Motor Function
-
Box and Block
-
Wolf Motor Function
-
Action Research Arm
-
Wolf Motor Function
-
Action Research Arm
-
Box and Block
Pregunta 28
Pregunta
What neurological diagnosis do you think is likely to have motor adaptation problems?
Respuesta
-
Stroke
-
Multiple Sclerosis
-
Parkinson's Disease
-
Traumatic Brain Injury
-
Lesion of the Cerebellum
Pregunta 29
Pregunta
Hypermetric scaling is likely to result from which of the following?
Respuesta
-
Lesion of the Cerebellum
-
Traumatic Brain Injury
-
Parkinson's Disease
-
Multiple Sclerosis
-
Stroke
Pregunta 30
Pregunta
What neurologic condition will result in delayed initiation of reaching tasks?
Respuesta
-
Parkinson's Disease
-
Traumatic Brain Injury
-
Lesion of the Cerebellum
-
Multiple Sclerosis
-
Stroke
Pregunta 31
Pregunta
In a reach-and-grasp task, which of the following elements is most important for the accuracy of the movement?
Respuesta
-
Visual Feedback
-
Proprioceptive Feedback
-
Somatosensory Feedback
-
Speed of Movement
-
Distance to Object
Pregunta 32
Pregunta
Which of the following may cause shoulder pain?
Respuesta
-
Loss of scapulohumeral rhythm
-
Inadequate external rotation of the humerus during flexion and abduction leading to impingement
-
Lack of the downward gliding movement of the head of the humerus in the glenoid fossa resulting in impingement
-
Inferior Shoulder Subluxation
Pregunta 33
Pregunta
[blank_start]Progression[blank_end]: Rhythmic patterns of muscle activation advance the body in the desired direction. Also includes the ability to initiate, terminate and guide movement in a desired direction.
[blank_start]Stability[blank_end]: The ability to maintain upright posture against gravity and against perturbations (expected and unexpected) during gait.
[blank_start]Adaptation[blank_end]: The ability to alter the gait pattern to meet the demands of the environment (negotiating obstacles, uneven terrain, and altering speed and direction).
Respuesta
-
Progression
-
Stability
-
Adaptation
-
Stability
-
Adaptation
-
Progression
-
Adaptation
-
Progression
-
Stability
Pregunta 34
Pregunta
[blank_start]Step Length[blank_end] - The distance from initial contact of one foot to initial contact of the other foot.
[blank_start]Stride Length[blank_end] - The distance covered from initial contact of one foot to the following initial contact by the same foot.
[blank_start]Step Width[blank_end] - Horizontal distance between the middle heel of one foot and the middle heel of the opposite foot
[blank_start]Cadence[blank_end] - The number of steps per unit of time (112.5 per minute or 1.9 steps/second)
[blank_start]Gait Velocity[blank_end] - The average horizontal speed of the body.
Respuesta
-
Step Length
-
Stride Length
-
Step Width
-
Stride Length
-
Step Width
-
Step Length
-
Step Width
-
Step Length
-
Stride Length
-
Cadence
-
Gait Velocity
-
Gait Velocity
-
Cadence
Pregunta 35
Pregunta
[blank_start]Temporal Cortex[blank_end] - ID what an object is
[blank_start]Parietal Lobe[blank_end] - ID where an object is
[blank_start]Cerebellum and Basal Ganglia[blank_end] - Modify and Refine Movement
[blank_start]Motor Cortex[blank_end] - Activates motor pathways according to movement plan
[blank_start]Cerebellum[blank_end] - Error Detection/Correction during movement
Respuesta
-
Temporal Cortex
-
Parietal Lobe
-
Cerebellum and Basal Ganglia
-
Motor Cortex
-
Cerebellum
-
Parietal Lobe
-
Cerebellum
-
Temporal Cortex
-
Cerebellum and Basal Ganglia
-
Motor Cortex
-
Cerebellum and Basal Ganglia
-
Motor Cortex
-
Cerebellum
-
Parietal Lobe
-
Temporal Cortex
-
Motor Cortex
-
Temporal Cortex
-
Cerebellum
-
Cerebellum and Basal Ganglia
-
Parietal Lobe
-
Cerebellum
-
Parietal Lobe
-
Temporal Cortex
-
Cerebellum and Basal Ganglia
-
Motor Cortex
Pregunta 36
Pregunta
While moving both arms towards targets of identical size and distance, one arm had to mover over a hurdle, but the other did not. Movement time increased for both arms. Why?
Respuesta
-
Temporal Assimilation
-
Spatial Assimilation
-
Bimanual Timing
Pregunta 37
Pregunta
While moving both arms towards targets of identical size and distance, one arm had to move over a hurdle, but the other did not. The movement trajectory increased for the arm moving over the hurdle, but so did the trajectory for the other arm. Why?
Respuesta
-
Bimanual Timing
-
Spatial Assimilation
-
Temporal Assimilation
Pregunta 38
Pregunta
Limbs like to time movement together, either in-phase or out-of-phase. Why?
Respuesta
-
Bimanual Timing
-
Spatial Assimilation
-
Temporal Assimilation
Pregunta 39
Pregunta
According the Sensory Organization test (SOT/ CTSIB) which of the following conditions isolates the vestibular system:
Respuesta
-
Standing, platform fixed, eyes blindfolded
-
Standing, platform fixed, visual box surrounding subject is fixed, eyes open
-
Standing, platform tilts, eyes blindfolded
-
Standing, platform tilts, visual box surrounding subject is fixed, eyes open
Pregunta 40
Pregunta
You are standing in soft sand with your feet together when your friend unexpectedly pushes you forward? To prevent a loss of balance you respond with the following muscle activation pattern (in order of recruitment):
Respuesta
-
Abdominals, quadriceps
-
Abdominals, quadriceps, tibialis anterior
-
Gastrocnemius, hamstrings, paraspinals
-
Hamstrings, paraspinals
Pregunta 41
Pregunta
Individuals with co-activation of the postural synergies most likely have a lesion in which area of the central nervous system:
Respuesta
-
Basal Ganglia
-
Cerebellum
-
Dorsal Columns
-
Internal Capsule
Pregunta 42
Pregunta
You are standing in the dark on a pillow, in order to maintain postural stability your CNS is primarily relying on your:
Respuesta
-
Limbic system
-
Somatosensory system
-
Vestibular system
-
Visual system
Pregunta 43
Pregunta
You are walking through the forest when you unexpectedly trip on a tree root requiring you to employ a postural strategy to prevent you from falling down? This is an example of:
Respuesta
-
Feedback control
-
Feedforward control
-
Self-initiated control
Pregunta 44
Pregunta
While walking with your patient, she encounters a freshly mopped floor? Prior to stepping onto the wet surface, she slows her walking and begins taking short, shuffling steps? Which of the following best describes your observations?
Respuesta
-
Her hip flexors are fatigued and her step length is therefore reduced
-
She is using adaptive, feed-back strategies to modify her gait
-
She is using anticipatory strategies to modify her gait
-
She is using her central pattern generator to adapt her walking to the environment
Pregunta 45
Pregunta
A Trendelenberg gait pattern is the _________gait pattern due to ________.
Respuesta
-
Compensatory; hip adductor tightness
-
Compensatory; hip extensor tightness
-
Resultant; hip abductor weakness
-
Resultant; hip flexor weakness
Pregunta 46
Pregunta
Which of the following best explains why the pelvis rotates forward during gait?
Respuesta
-
To minimize medial-lateral displacement
-
To minimize the knee extension at initial contact
-
To minimize vertical displacement and energy expenditure
-
To prevent knee buckling and minimize the required ankle DF at initial contact
Pregunta 47
Pregunta
During stance, individuals with hip extensor weakness compensate by:
Respuesta
-
Circumducting the leg during the swing phase
-
Leaning their trunk forward (anteriorly)
-
Using a posterior trunk lean to minimize muscle activation
-
Vaulting to minimize use of the involved leg
Pregunta 48
Pregunta
Which muscle group controls the knee from the end of the loading response to midstance (i.e. from 15 degrees of flexion to 0 degrees of flexion)?
Pregunta 49
Pregunta
Which of the following is the correct order of events for a normal reach and grasp?
Respuesta
-
Eye movement to locate object, head turning, arm transport, hand pre-shaping, grasp
-
Eye movement to locate object, head turning, hand pre-shaping during arm transport, grasp
-
Head turning to locate object, eye movement & vision to identify what and where, hand pre-shaping, arm transport, grasp
-
Head turning, eye movement & vision to identify what and where, hand pre-shaping during arm transport, grasp
Pregunta 50
Pregunta
Your patient's right arm is weaker than her left arm. During bimanual tasks you observe that the right arm is able to move faster (more like the left arm) than when the arm is moved individually? This is known as:
Respuesta
-
Movement assimilation
-
Spatial assimilation
-
Temporal assimilation
-
Trajectory assimilation
Pregunta 51
Pregunta
During examination of UE control, you observe your patient reach for an object. The patient exhibits slow movement and movement decomposition to reach the object. When asked to reach quickly, the patient over-shoots the object. Strength testing reveals good to normal UE strength. Sensation is intact. Where is this lesion?
Respuesta
-
Basal ganglia
-
Cerebellum
-
Corticospinal tracts
-
Peripheral nerve
Pregunta 52
Pregunta
Which of the following is true regarding shoulder subluxation?
Respuesta
-
Pain is one of the first symptoms of a subluxed shoulder
-
Shoulder subluxation can be caused by weakness and abnormalities of tone
-
After stroke, shoulder subluxation can be caused by a tear in the labrum
-
Shoulder subluxation is rare and takes months to develop
Pregunta 53
Pregunta
Which of the following is true regarding examination and treatment of shoulder dysfunction?
Respuesta
-
An inferior subluxation is measured in centimeters to objectively document the amount of subluxation
-
It is important to examine trunk posture in persons with shoulder dysfunction
-
Patients with subluxation should immobilize their shoulder to prevent further dysfunction
-
Slings should not be used when gait training with persons with shoulder dysfunction