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Myofascial I Final
Myofascial I Final
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1
Fast twitch fibers (often postural muscles) are usually affected first in muscular atrophy.
False
True
2
Sarcopenia: Loss in muscle tissue with advanced age & an infiltration of excessive amounts of connective tissue and fat.
False
True
3
Acute pain can present with dull pain.
False
True
4
Nicole went a little crazy at the club last night & started complaining of neck pain. You notice some swelling. She is:
Experiencing a grade I strain
Experiencing a grade IV strain
Experiencing a grade II strain
Experiencing a grade III strain
5
Which of the following is described as an all purpose technique in which tissue is lifted, stretched and squeezed?
Fascia rolling
Skin rolling
IASTM technique
Superficial message
Deep message
Cross friction message
6
Which of the following are TRUE about Neural cross-talk (tissue dysfunction)?
May fail to send information to the spinal cord, creating muscle atrophy
May cause a jam in normal patterned transmission
May cause the spinal cord to create spasm or splinting in receiving muscles
May cause a lack of coordination in recieving muscles
7
Healthy aged people can experience an approximate 10% decline in peak strength after the age of _____.
50
60
40
30
75
8
"Depolarization and neutralization of abnormal chemicals at motor end plates"
Brain stem effect
Chemical effect
Mechanical effect
Inflammation effect
Neurophysiological effect
Electrophysiological effect
9
The perception of "feeling tight" correlates with fascial tightness.
False
True
10
After only ____ days of immobilization, a healthy individual can experience up to a ____% decrease in initial 1 rep max.
25 days ; 45%
20 days ; 30%
10 days ; 40%
32 days ; 45%
14 days ; 40%
24 days ; 30%
11
Which of the following are TRUE about deep friction massage?
Maintains stability of soft tissue structures to prevent scar formation.
Maintains mobility of soft tissue structures to prevent scar formation.
You can perform friction massages on muscles.
You can perform friction massages on ligaments.
You can perform friction massages on tendons.
You can perform friction massages on bone.
12
Taylor has pain over her lateral thigh but cant quite pinpoint an exact spot. She explains it feels deep & achy. She is:
Experiencing acute pain
Experiencing scleratomal pain
Experiencing dermatomal pain
Experiencing chronic pain
13
Too much flexibility can alter the reflex arc, creating muscle spasms.
True
False
14
"Triggers the system that controls inflammation and decreases pain"
Neurophysiological effect
Inflammation effect
Brain stem effect
Pain effect
Mechanical effect
Sympathetic nervous system effect
15
Movement and stabiliy are delicately balanced and controlled by the brain and spinal cord.
True
False
16
Touch can release GABA (inhibitory neurotransmitter) in the _______ of the spinal cord.
Gray matter
Dorsal horn
Neuron
Interneuron
White matter
Ventral horn
17
IASTM allows precise detection and treatment of fascial restrictions as well as muscle and tendon dysfunction.
False
True
18
In sports and athletic performance, the amount of flexibility needed will depend on the sport and body type of athlete.
False
True
19
Muscle spasms are MORE PAINFUL than trigger points.
True
False
20
Which of the following are TRUE about grade III strains?
Usually associated with a "pop"
Swelling
Complete tear of the muscle fibers
Minimal loss of strength
Discoloration
Partial tear of the muscle fibers
21
According to Tozzi, myofascial release can be effective in releasing areas of impaired sliding fascial mobility.
True
False
22
"Activates opioid-based neural pain reduction"
Mechanical effect
Neurophysiological effect
Inflammation effect
Sympathetic nervous system effect
Brain stem effect
Pain effect
23
Myofascial therapies use ____ force to manipulate the myofascial complex intended to reduce pain and improve function.
Gentle
Aggressive
None of the above
Mechanical
24
When stretching, the majority of length is gained int the first ____ seconds.
20
36
22
18
15
30
25
Mechanical stimulation breaks up "glitches" at the interneuron and spinal reflex arc.
True
False
26
Mechanism by which cupping works is by creating negative pressure within the cups and separating the layers of fascia
True
False
27
IASTM can be repeated several times to impart maximum stimulus to the reflex effects and to stimulate circulation.
True
False
28
Ligaments connect bone to bone.
False
True
29
Touch can cause release of _______ and _______ from the periaqueductal gray.
Estrogen
Endorphins
Testosterone
Sex chromosomes
Serotonin
Cortisol
30
According to our discussion, allowable range of motion in an adult can be highly variable on:
Body type
Age
Gender
Natural variability
31
Proteoglycans are ____ that bind ____ in order to form a hydrated gel.
Proteins ; water
Neurotransmitters ; water
GAGs ; water
Muscle spindles ; water
32
"Inhibition of neural pathways"
Neurophysiological effect
Inflammation effect
Sympathetic nervous system effect
Mechanical effect
Brain stem effect
Pain effect
33
Skin rolling enhances nerve AND blood circulation by lifting, stretching and squeezing between skin and muscle.
False
True
34
Chronic pain may be the result of a variety of health conditions such as:
Fibromyalgia
Cancer
Lumar disc bulge
Arthritis
35
Tendinosis is the inflammation of the tendon and results from micro-tearing acute overloads.
False
True
36
Eric walks into the office complaining of knee pain that started about a week ago. How would you go about treating this?
Rest, ice, compression, elevation (RICE)
Xanax
Anti-inflammatory modalites and medications
Eccentric strength training to encourage collagen-synthesis
37
Central sensitization results in secondary changes in brain activity.
True
False
38
Myofascial pain is a complex form of neurotransmitter dysfunction involving both _____ and _____ systems.
PNS
ANS
CNS
GNS
39
Transverse friction when applied in the early repair cycle enhances longitudinal reorientation of collagen fibers.
True
False
40
In our example of the trampoline, elastin is considered which of the following?
The legs
The shape
The springs
The sheet
41
Which of the following involves an increased release of neurotransmitters, glutamate and substance P?
Central sensitization
Muscle spasms
Trigger points
General adaptation syndrome (GAS)
42
Non-pharmacological interventions for trigger points include all the following except:
Stroking
Skin rolling
Topical creams
Pressure
43
Which of the following would most likely result in surgery?
Grade III strain
Grade IV strain
Grade II sprain
Grade I sprain
Grade IV sprain
Grade I strain
44
Which of the following are TRUE about tendinosis?
3-6 month recovery time
Common
Rare
Immediate onset
Treat with anti-inflammatory modalities and medication
4-6 week recovery time
45
The mechanism of injury (MOI) of chronic conditions is easily identified.
False
True
46
"Disrupts TrP and tissue"
Neurophysiological effect
Chemical effect
Brain stem effect
Electrophysiological effect
Inflammation effect
Mechanical effect
47
Jake hurt his finger while making a quiz. He explains the pain has gotten a little better but its been 2 weeks. He is:
Experiencing chronic pain
Experiencing scleratomal pain
Experiencing acute pain
Experiencing dermatomal pain
48
Dry needling is considered a muscle energy technique.
False
True
49
A muscular contraction against resistance or external force that initiates, accelerates, and shortens the muscle.
Asymetric
Isometric
Eccentric
Concentric
50
A muscular contraction that stabilizes joints, and produces force without shortening of the muscle:
Eccentric
Asymetric
Concentric
Isometric
51
Muscular dysfunction is reflexed in the form of which of the following?
All of the above
Balance and coordination
Altered muscle posture and tone
Performance
52
The plum line is used to describe ideal posture.
True
False
53
Which of the following is the most common disability in the world?
Chronic pain
Cancer
Fibromyalgia
Acute pain
54
During athletic performance excessive flexibility takes away the effectiveness of ______ recoil of connective tissue.
Hard
Elastic
Stiff
Soft
55
The anterior sling consists of which of the following muscles?
External oblique
Belly button
Ipsilateral adductors
Internal oblique
56
What does IASTM stand for?
Internal-Apple-Sauce-Teasing-Machine
Instrument-Assisted-Superficial-Tissue-Mobilization
Instrument-Assisted-Soft-Tissue-Mobilization
Instrument-Assisted-Scrapingt-Tissue-Machine
57
Strains occur in tendons.
True
False
58
Which of the following is TRUE about the trigger point model?
Acupucture pierces muscle tissue and creates a LTR.
Recent studies have found DN to be most effective when LTR is elicted.
Dr. Lewit introduced the needle effect in 1979.
Dr. Travell published the method of injection into TrP in 1942.
Dry needling focuses on omitting unnecessary medication and side effects.
59
After ATP attaches to the myosin, the cross-bridge link breaks between myosins and actin.
False
True
60
Which of the following is described as a "Subtle CNS glitch in the spinal cord"?
General adaptation syndrome (GAS)
Central sensitization
Neuromuscular inhibition
Neural cross-talk
61
Which of the following are TRUE about myofascial trigger points?
Sarcomere lengthening
Sarcomere shortening
Soft, discrete, palpable nodules
Hard, discrete, palable nodules
62
Chronic pain: ____% frequently limited their activities at work or in life.
<3%
<5%
>7%
<7%
>3%
>5%
63
Friction message causes transverse movement of collagen fibers to help prevent adhesion formation.
True
False
64
Evidence indicates that static stretching pre-participation decreases the risk of injury
True
False
65
The anterior and posterior oblique sling aid in the support of functional movements such as human gait and throwing.
True
False
66
Which type of fascia is more involved in alterations of lymphatic flow and venous circulation?
Deep fascia
Intermediate fascia
Superficial fascia
All of the above
67
"Activates non-opioid pain relief via serotonin and norepinephrine from the brain stem"
Inflammation effect
Sympathetic nervous system effect
Brain stem effect
Neurophysiological effect
Mechanical effect
Pain effect
68
Which of the following is TRUE about muscle tightness?
Stiffness
Pain generator
Increase of contractile activity
Spasm/Trigger points
Loss of flexibility
Decreased extensibility
69
IASTM amplifies tactile feedback allowing you to feel ____ and more subtly compared to using your hands alone.
Superficially
Deeper
Fascia
Musculature
70
Noel has crazy feet, but denies any injury to the area. He further explains that the pain is all he thinks about. He is:
Experiencing acute pain
Experiencing general adaptation syndrome (GAS)
Experiencing central sensitization
Experiencing dermatomal pain
71
"Spontaneous electric activity at the motor end plate (LTR)"
Brain stem effect
Electrophysiological effect
Mechanical effect
Neurophysiological effect
Inflammation effect
Chemical effect
72
Somatic pain: Referral pain patterns from deep spinal structures such as discs, joints, tendons, or muscles (multifidus)
True
False
73
Which of the following will promote the flow of congested interstitial fluid?
Deep massage
Superficial massage
Cross friction massage
Active release technique (ART)
Touch
Neuromuscular techniques
74
"Reverses sensitivity to pain and normalizes nociceptive channels"
Neurophysiological effect
Sympathetic nervous system effect
Pain effect
Mechanical effect
Brain stem effect
Inflammation effect
75
In some situations, it may be detrimental to stretch an area in pain. Why is this true?
Both are incorrect
Both are correct
Tendons that go high rates of stretching may be susceptible to inflammation
May limit proprioceptive input from muscles, decreasing coordination
76
Manual application of pressure and strokes in dysfunctional tissue utilizes physiological responses involving:
Proprioceptors
Neuromuscular receptors
Interneuro receptors
Mechanoreceptors
77
____ in ____ adults in the US have/had chronic pain at some point in their life.
1 in 5
1 in 6
1 in 7
1 in 3
1 in 4
1 in 2
78
Jessica hurt her ankle yesterday while practicing her hoola hoop skills. She complains of sharp, dull pain. She is:
Experiencing acute pain
Experiencing scleratomal pain
Experiencing chronic pain
Experiencing hoola pain
79
Proprioception is a delicately balanced orchenstration of the contraction and relaxation of many muscles.
False
True
80
High resistance training can increase 1 rep max strength by _______%.
20-30%
40-50%
85-95%
10-20%
50-60%
30-40%
81
Almost everyone experiences acute pain at some point in their lifetime.
True
False
82
The anterior talofibular ligament is the most commonly injured ligament in the foot.
True
False
83
A muscular contraction against resistance or external force that lengthens, and slowly decelerates the muscle.
Concentric
Isometric
Eccentric
Asymetric
84
Collagen is: flexible fibrous protein with high tensile strength.
True
False
85
Quickly raising of an arm, preceded by an engagement of the transverse abdominis and multifidus is an example of what?
Proprioception
Kinesthesia
86
The posterior sling consists of all the following muscles except:
Gluteus medius
Gluteus minimus
Piriformis
Gluteus maximus
87
Central Sensitization: Hypersensitivity to pain that is being relayed within the peripheral nervous system (PNS).
False
True
88
The fascial system permeates the body and enables all body systems to operate in a seperate manner.
True
False
89
Muscles, nerves, blood vessels, and CT develop adhesions within and between them as a result of injuries including:
Acute (sudden injury)
Pressure (due to poor posture)
Cumulative (due to poor posture)
Cumulative (chronic injury)
Acute (due to poor posture)
Pressure (sudden injury)
90
Trigger points persist LONGER than muscle spasms
False
True
91
Alexandra has had knee pain for about 2 months. She explains that it feels sharp, and is worse in the morning. She is:
Experiencing tendinitis
Experiencing general adaptation syndrome (GAS)
Experiencing central sensitization
Experiencing tendinosis
92
Active Release Technique (ART): Which of the following are techniques of ART?
Shorten the tissue being treated (actively)
Shorten the tissue being treated (passively)
Elongate the tissue being treated (passively)
Apply pressure along the grain of the muscle fibers
Elongate the tissue being treated (actively)
Apply distraction along the grain of the muscle fibers
93
Which of the following is TRUE about high resistance strength training?
Training 3x/week for 12 weeks has shown to increase 1 rep max strength
Consists of concentric and isometric muscle activations
Consists of concentric and eccentric muscle activations
Most primary strength gains are nervous system adaptations
Imagery training increases strength
Training 3x/week for 6 weeks has shown to increase 1 rep max strength
94
Deep tissue massage can improve proprioception and peripheral motor coordination.
True
False
95
Luiz is always complaining about his knee pain. He doesn't remember when it started, but the pain comes and goes. He is:
Experiencing chronic pain
Experiencing acute pain
Experiencing scleratomal pain
Experiencing dermatomal pain
96
Ryan rolled his ankle while chasing a deer in the woods. He complains of pain, swelling, & mild instability. He is:
Experiencing a grade IV sprain
Experiencing a grade I sprain
Experiencing a grade II sprain
Experiencing a grade III sprain
97
When a muscle eccentrically contracts, golgi tendon organs can relfexively relax the involved muscle to prevent injury.
False
True
98
Neuromuscular techniques can "Reboot the CNS"
False
True
99
Scleratomal pain is often described as "elusive"
True
False
100
Which of the following is TRUE about fascial tightness?
Associated with contractile tissue
Stiffness
Decreased extensibility
Pain generator
Spasm/Trigger points
Loss of flexibility