Question 1

Interventions to improve impaired mobility include all of the following except:&#10;A) Range of motion exercises.&#10;B) Joint-mobilization exercises.&#10;C) Proprioceptive exercises.&#10;D) Stretching exercises.

Accepted Answer

Proprioceptive exercises are primarily aimed at improving balance and coordination, not directly at improving mobility.

Question 2

Which of the following is not a benefit of using CPM?&#10;A) Increased synovial fluid lubrication of the joint&#10;B) Prevents development of adhesions&#10;C) Long-term functional gains&#10;D) Enhancing incisional healing

Accepted Answer

CPM (Continuous Passive Motion) is primarily used to increase joint mobility and prevent stiffness, but it does not directly contribute to long-term functional gains.

Question 3

To achieve full PROM of dorsiflexion at the ankle joint,you need to place the limb in which of the following positions?&#10;A) Knee flexion and ankle dorsiflexion&#10;B) Knee flexion and ankle plantarflexion&#10;C) Knee extension and ankle dorsiflexion&#10;D) Knee extension and ankle plantarflexion

Accepted Answer

To achieve full passive range of motion (PROM) of dorsiflexion at the ankle joint, the knee should be in flexion. This position relaxes the gastrocnemius muscle, which crosses both the knee and ankle joints, allowing for greater dorsiflexion.

Question 4

Optimal duration per day on a CPM for maximal patient compliance and most gained range of motion is:&#10;A) 2-4 hours.&#10;B) 4-8 hours.&#10;C) 8-12 hours.&#10;D) 18-22 hours.

Accepted Answer

The optimal duration per day on a CPM for maximal patient compliance and most gained range of motion is between 4-8 hours. This range has been shown to have the greatest effect on range of motion compared to lower or higher durations, while still being feasible for patients to comply with. Longer durations may lead to patient discomfort and noncompliance, while shorter durations may not be effective in achieving maximal range of motion.

Question 5

Self-feeding requires functional ROM of any of the following motions except:&#10;A) Shoulder flexion.&#10;B) Shoulder abduction.&#10;C) Elbow flexion.&#10;D) Forearm pronation.

Accepted Answer

Forearm pronation is not required for self-feeding. The other motions listed (shoulder flexion, shoulder abduction, elbow flexion) are necessary for functional reaching and bringing food to the mouth.

Question 6

The common substitution for shoulder internal and external rotation to watch for in a patient positioned supine for self-ROM is:&#10;A) Scapular elevation.&#10;B) Trunk rotation.&#10;C) Trunk lateral bend.&#10;D) Elbow flexion and extension.

Accepted Answer

The answer of The common substitution for shoulder internal and...

Question 7

According to the authors,the suggested number of repetitions for AROM to any given joint is:&#10;A) 2-3.&#10;B) 3-5.&#10;C) 5-10.&#10;D) 15-20.

Accepted Answer

The authors suggest doing 5-10 repetitions for AROM to any given joint.

Question 8

Which of the following positions offers the greatest protection of control of the upper extremity when performing self-assisted shoulder flexion AAROM using a dowel rod?&#10;A) Side-lying&#10;B) Supine&#10;C) Sitting&#10;D) Standing

Accepted Answer

The supine position offers the greatest protection and control for the upper extremity during self-assisted shoulder flexion AAROM with a dowel rod, as it provides stability and support to the body, reducing the risk of compensatory movements.

Question 9

You've been doing AROM for the left hip abductors and you wish to progress your patient to work this muscle group against gravity.Which of the following positions would you place him in?&#10;A) Supine&#10;B) Prone&#10;C) Left side-lying&#10;D) Right side-lying

Accepted Answer

To work the left hip abductors against gravity, the patient should be placed in the right side-lying position, allowing the left leg to lift against gravity.

Question 10

Indications for AROM exercises can be any of the following except:&#10;A) Aerobic conditioning.&#10;B) Early strengthening.&#10;C) To mobilize segments above and below an immobilized area.&#10;D) To maintain general extremity strength in a region where there is acute,inflamed tissue.

Accepted Answer

AROM exercises are not recommended in a region where there is acute, inflamed tissue because they can cause further damage or irritation. AROM may be contraindicated for aerobic conditioning in some cases, but it is not an indication for AROM exercises. The other two options listed, early strengthening and mobilizing segments above and below an immobilized area, are common indications for AROM exercises.

Deck 3: Range of Motion