Test Bank + Answers Maintaining Capacity For Mobility Ch9

Chapter 9: Maintaining Capacity for Mobility Through Range of Motion

Multiple Choice

1. Which of the following best describes arthrokinematics?
   1. The combination of straight and diagonal plane motions of a joint
   2. The internal joint motions that allow movement of one bone in relation to another
   3. The movement of a long bone around a joint axis
   4. The movement of one bone in relation to another bone
2. While performing passive range-of-motion (PROM) exercises with a patient who is recovering from shoulder surgery, the patient immediately tightens up when starting the motion and reports a sharp pain over the middle deltoid. Which of the following would be MOST appropriate for the clinician to do?
   1. Advise the patient that discomfort is to be expected and proceed with the exercises as ordered.
   2. Advise the patient to relax to the extent possible and continue with the motions in a reduced, pain-free range.
   3. Perform the exercises as planned, but with fewer repetitions.
   4. Immediately discontinue the exercises and contact the primary care provider for additional instructions.
3. Which of the following techniques should be given to a care partner to perform on a 2-year-old boy with spastic diplegia (cerebral palsy) to maintain range of motion in his lower extremities?
   1. Slow movement held for 5 to 20 seconds at the end range performed twice a week
   2. Slow movement held for 20 to 60 seconds at the end range performed every other day
   3. Slow movement held for 20 to 60 seconds at the end range performed once a day
   4. Slow movement held for 20 to 60 seconds at the end range performed three times a day
4. Which of the following conditions is MOST likely to result in spasticity?
   1. Ankle sprain
   2. Diabetes
   3. Spinal cord injury
   4. Rotator cuff tear
5. Which of the following best describes ballistic stretching?
   1. Involves a bouncing motion at the end of the range
   2. Is most effective with sedentary individuals
   3. Is more effective than static stretching
   4. Results in long-term ROM gains
6. Which of the following describes accessory motion?
   1. Also called overpressure testing
   2. Assessed during active ROM
   3. Also known as joint play
   4. Evident throughout the entire range
7. Which of the following describes spasticity?
   1. A form of hypotonicity
   2. Common in conditions such as stroke
   3. Generally elicited with slow movements
   4. Typically evident in only one muscle group
8. Which of the following describes a joint capsular pattern?
   1. Affects only the joints of the upper extremities
   2. Is a normal arthrokinematic joint structure
   3. Is a pattern of ROM limitation within a joint
   4. Is the result of joint hypermobility
9. A person’s awareness of joint position is called ______________________.
   1. Kinesthesia
   2. Nociception
   3. Proprioception
   4. Synesthesia
10. When performing PROM exercises on a patient who has undergone shoulder surgery and who reports increased pain and fear, which of the following instructions would be the BEST to give the patient?
    1. Instruct the patient to close their eyes and attend to how the movement feels.
    2. Instruct the patient to close their eyes and focus on a distracting thought.
    3. Instruct the patient to watch the movement and pay attention to how it feels.
    4. Instruct the patient to watch the movement and focus on a distracting thought.
11. Internal and external rotation at the hip is movement in which plane?
    1. Axial
    2. Coronal
    3. Sagittal
    4. Transverse
12. Pressure exerted on the veins by contraction of surrounding muscles to push blood through the tissues is called ________________________.
    1. Arterial perfusion
    2. Skeletal muscle pump
    3. Vascular compression
    4. Venous stasis
13. What information regarding PROM for a patient in the intensive care unit (ICU) is MOST important to share with the care partner?
    1. PROM exercises will help maintain the patient’s strength.
    2. PROM activity will help maintain the patient’s ROM for functional activities.
    3. PROM exercises will improve the patient’s proprioception.
    4. PROM activity will prevent pressure ulcers from developing.
14. When working with a patient, which of the following actions will result in optimal body mechanics for the clinician?
    1. Positioning the patient on the opposite side of the bed to allow adequate room to work
    2. Using a narrow base of support (BoS) to reduce energy expenditure
    3. Using trunk flexion to help move the patient’s limbs freely
    4. When moving a patient, facing in the direction of the movement and maintaining good trunk control
15. When performing PROM for knee flexion, the patient reports pain and the ROM is stopped at 45 degrees. The end-feel for this movement is described as which of the following?
    1. Soft end-feel
    2. Empty end-feel
    3. Firm end-feel
    4. Hard end-feel

True/False

16. To accurately assess capsular and ligamentous flexibility of two-joint muscles, it is necessary to lengthen the muscles simultaneously over both of the joints involved.

17. The development of hypertonia that results in atypical and dysfunctional movement is a contraindication to active ROM.

18. PROM exercise tends to yield slightly less ROM than active ROM activity.