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TI Principles Exam Review
TI Principles Exam Review
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1
What does the Y Balance Test primarily assess in sports medicine?
Lower limb strength and power
Pain patterns during movement
Cardiovascular endurance
Core stability and dynamic balance
2
Which of the following is a contraindication for applying deep transverse friction massage?
Reduced range of motion due to muscle adhesion.
Chronic muscle tightness.
Presence of acute inflammation.
Post-surgical scar tissue.
3
Why is the concept of neuromuscular efficiency critical in the context of strengthening exercises during rehabilitation?
It dictates the recovery time needed between sets of therapeutic exercises.
Determines the amount of weight that can be lifted in isometric exercises.
Influences the rate that motor units are activated, enhancing coordination.
It restricts the ROM, ensuring joint stability during high-load exercises.
4
What is the primary purpose of using Effleurage in massage therapy?
To mobilize scar tissue
To promote venous and lymphatic drainage
To stretch deep muscle tissue
To stimulate sensory nerves
5
Which waveform is most associated with using Transcutaneous Electrical Nerve Stimulation (TENS) for pain modulation?
Triangular pulsatile waveform
Rectangular biphasic waveform
Sinusoidal alternating current
Monophasic current
6
Which grade is typically used to treat joint stiffness and involves large-amplitude movement that reaches the end of ROM
Grade III
Grade I
Grade II
Grade IV
7
Which modality combines massage and water immersion, and is commonly used for reducing swelling, muscle spasm, and pain?
Hydrocollator Packs
Whirlpool Therapy
Fluidotherapy
Paraffin Bath
8
Which phase of healing for an ACL tear typically lasts the longest?
Maturation Phase
Proliferative Phase
Inflammatory Phase
Remodeling Phase
9
Which of the following is a primary benefit of heat therapy?
Reduced tissue elasticity
Increased joint stiffness
Increased collagen extensibility
Decreased blood flow
10
Which massage technique involves lifting, squeezing, and kneading muscle tissue?
Friction
Petrissage
Tapotement
Effleurage
11
What is the role of omega-3 fatty acids in athletic recovery?
Reducing inflammation
Muscle growth
Increasing flexibility
Enhancing endurance
12
In the early phase of shoulder rehabilitation following a rotator cuff tear, which activity should be avoided?
Gentle stretching
Passive range of motion exercises
Strengthening scapular stabilizers
Overhead lifting
13
What is the primary focus during the inflammatory phase of an ACL tear rehabilitation?
Controlled weight-bearing
Neuromuscular training
Protecting the graft and gentle ROM
Progressive loading
14
What is a key difference between Positional Release Therapy (PRT) and Strain/Counterstrain?
Strain/Counterstrain uses tools for soft tissue manipulation.
PRT involves active movement of the patient.
Strain/Counterstrain targets only muscular trigger points.
PRT uses facilitating force to enhance the effect of positioning.
15
During which phase of healing is therapeutic intervention primarily focused on reducing inflammation?
Inflammatory Phase
Maturation Phase
Remodeling Phase
Proliferative Phase
16
In a patient with diabetes who has an ankle sprain, what is the primary concern that might slow the healing process?
Muscle atrophy
Neuropathy
Hypertension
Referred pain
17
Which of the following temperatures should not be exceeded during close contact heat therapy to avoid tissue damage?
100°F
86°F
113°F
116.6°F
18
When using ultrasound for deep tissue heating, which parameters are most appropriate for optimal therapeutic effect?
Frequency: 1 MHz, Intensity: 1.5 W/cm², Continuous mode
Frequency: 1 MHz, Intensity: 0.8 W/cm², Pulsed mode
Frequency: 3 MHz, Intensity: 0.5 W/cm², Pulsed mode
Frequency: 3 MHz, Intensity: 2.5 W/cm², Continuous mode
19
Which ingredient in muscle creams provides a warming effect to reduce pain?
Menthol
Methyl Salicylate
Capsaicin
Hydrocortisone
20
Which grade of joint mobilization involves a small-amplitude glide performed at the beginning of the range of motion?
Grade III
Grade II
Grade IV
Grade I
21
What is the primary purpose of flexibility exercises in a rehabilitation program?
To strengthen bones
To prevent injury and enhance performance
To increase muscle mass
To improve joint stability
22
What is the recommended % of occlusion pressure when applying Blood Flow Restriction (BFR) training to the lower limbs?
50-80%
40-50%
90-100%
20-30%
23
What is the most appropriate pain assessment tool when evaluating a patient's neuropathic pain?
McGill Pain Questionnaire
Visual Analog Scale (VAS)
Numeric Rating Scale (NRS)
PainDETECT Questionnaire
24
What is the key mechanism behind Percussive Massage?
Application of sustained pressure on trigger points
Stretching of superficial tissue
Rapid, repetitive strokes to penetrate deep muscle tissues
Use of small, circular motions to stimulate nerves
25
What is the primary concern when rehabilitating a patient with a labral tear in the hip joint during early phases?
Engaging in high-impact activities to build strength
Increasing range of motion through aggressive stretching
Protecting the labrum from excessive shear forces
Strengthening of hip flexors
26
What is the primary goal during the early rehabilitation phase following an Achilles tendon rupture?
Engage in high-impact exercises
Gradually reintroduce weight-bearing activities
Maximize range of motion
Focus on proprioception training
27
Which of the following best describes the mechanism by which therapeutic ultrasound promotes tissue healing?
Uses low-frequency sound waves to increase collagen stiffness
Decreases tissue temp and promotes vasoconstriction to reduce inflammation
Increases tissue temp and enhances cellular permeability
Directly stimulates nerve conduction velocity, reducing pain perception
28
Which principle is essential for muscle adaptation during strength training?
Frequency
Overload
Consistency
Duration
29
What is a key consideration when performing Tapotement techniques like Hacking?
Avoid applying too much oil
Ensure the room is warm
Use light strokes to prevent irritation
Avoid vigorous application over sensitive areas like the kidneys
30
Which energy system is primarily used for endurance activities?
Glycolytic system
Anaerobic system
ATP-PCr system
Aerobic system
31
What is the benefit of isokinetic exercises in advanced rehab?
Improves cardiovascular fitness
Reduces need for neuromuscular control
Enhances passive ROM
Provides controlled resistance at constant speed
32
Which of the following conditions would most likely contraindicate using heat therapy in a therapeutic intervention?
Diabetes
Cardiovascular disease
Hypertension
Sensory deficits
33
How does biomechanical analysis contribute to the design of sport-specific rehabilitation protocols?
By calculating caloric expenditure during activity
By determining the psychological readiness of an athlete to return to play
pinpointing movement inefficiencies that may lead to injury
By identifying nutritional deficiencies that affect performance
34
What is the primary mechanism by which heat relieves muscle guarding?
Lowering pH levels
Decreasing blood flow
Increasing blood flow to the injured area
Increasing muscle contraction
35
Which progression is recommended for a patient recovering from an Achilles tendon rupture?
Start with light jogging, then progress to sprinting
Start with full weight-bearing, then progress to resistance exercises
Begin with plyometrics, then introduce stretching
Begin with non-weight-bearing exercises, progressing to full weight-bearing
36
Which pharmacological agent is often used for chronic pain and mood disorders during rehabilitation?
Menthol
Lidocaine
Acetic Acid
Amitriptyline
37
When implementing cryotherapy in a post-operative rehabilitation plan, what considerations must be made?
Focusing solely on cryotherapy without combining it with other modalities
Using cryotherapy to completely eliminate the inflammatory response
Applying cryotherapy immediately before exercise to enhance performance
Timing and duration of cryotherapy to prevent excessive vasoconstriction
38
Which phase of healing is characterized by the formation of granulation tissue?
Inflammatory Phase
Maturation Phase
Remodeling Phase
Proliferative Phase
39
During the acute phase of concussion recovery, what is the primary focus?
Neuromuscular training
Cognitive rest and symptom monitoring
Progressive loading
Immediate return to activities
40
Which exercise protocol is commonly used in BFR training?
50 reps, 2 sets
20-10-5 reps, 3 sets
30-15-15-15 reps, 4 sets
12-10-8 reps, 3 sets
41
Which of the following is a common medication used in iontophoresis for its anti-inflammatory effects?
Dexamethasone Sodium Phosphate
Methyl Salicylate
Capsaicin
Hydrocortisone
42
What is the primary therapeutic mechanism of shockwave therapy (ESWT) in the treatment of chronic tendinopathy?
Increasing tissue temperature to enhance collagen elasticity.
Inducing microtrauma to stimulate a healing response in tendinous tissue.
Promoting vasoconstriction to reduce local inflammation.
Directly inhibiting nerve conduction to reduce pain perception.
43
What tool is commonly used to quantify pain intensity on a 0-10 scale?
Visual Analog Scale (VAS)
McGill Pain Questionnaire
Functional Movement Screen (FMS)
PainDETECT Questionnaire
44
Which type of pain reliever is associated with a high risk of dependency?
Topical Analgesics
Antidepressants
Opioids
Non-Opioid Analgesics
45
How might neuropathic pain present in a patient undergoing therapeutic intervention, and what is a good intervention?
Presents as a dull ache; intervention includes deep tissue massage
Presents as sharp, localized pain; intervention includes rest/ice therapy
Presents as burning or tingling; nerve gliding exercises and monitoring
Presents as a dull ache; addressing the root cause and monitoring
46
What is the mechanistic rationale for including collagen supplementation in a tendon rehabilitation protocol?
Enhances the inflammatory response, accelerating healing
Provides necessary amino acids to enhance integrity of healing tendons
Increases bone mineral density, which indirectly benefits tendon health
Directly stimulates muscle protein synthesis
47
Which treatment is emphasized for lateral epicondylitis (tennis elbow)?
Eccentric strengthening
Open-chain resistance exercises
Dynamic stretching
Plyometric exercises
48
Which of the following is commonly used in phonophoresis for its anti-inflammatory effects?
Menthol
Lidocaine
Dexamethasone
Acetic Acid
49
Which grade uses small-amplitude, quick thrusts at the end of the range of motion, often accompanied by a popping sound?
Grade V Mobilization
Muscle Energy Technique
Strain/Counterstrain
Grade I Joint Mobilization
50
Which functional assessment is most appropriate for evaluating lower limb strength, power, and symmetry?
Single-Leg Hop Test
Y Balance Test
Plank Test
Functional Movement Screen (FMS)
51
In cryotherapy, which physiological response occurs within the first 20 minutes at temps of 50°F (10°C) or lower?
Increased collagen elasticity
Vasodilation
Vasoconstriction
Increased metabolic rate
52
Which of the following best describes the primary goal of Strain/Counterstrain technique?
To passively position the body to reduce tension in tender points.
To mobilize joints by applying high-velocity thrusts.
To stretch the muscle until the pain is eliminated.
To apply direct pressure to the trigger point until it releases.
53
How does the timing of NSAID administration impact the effectiveness of exercise-induced muscle adaptation?
Delaying allows the natural inflam. response to facilitate muscle repair
Timing has no significant impact on muscle adaptation
Early administration post-exercise enhances protein synthesis
Administering before exercise prevents muscle fatigue
54
When would the phosphagen (ATP-PC) system be the primary energy source?
Swimming
Marathon training
Powerlifting
Long-distance running
55
Which of the following is a common cause of limited flexibility?
Adequate warm-up before exercise
High levels of physical activity
Proper hydration
Shortened muscles or tendons
56
What is the main purpose of the Functional Movement Screen (FMS)?
To identify movement patterns predictive of injury risk
To assess cardiovascular endurance
To measure flexibility and joint mobility
To evaluate pain intensity
57
Which of the following is a primary indication for using low-level laser therapy (LLLT) in therapeutic interventions?
Accelerating wound healing and reducing inflammation.
Enhancing aerobic capacity through mitochondrial stimulation.
Increasing muscle strength and endurance.
Promoting vasoconstriction to control bleeding.
58
Which therapeutic intervention theory supports the use of aerobic exercise to naturally manage pain?
Endorphin Release Theory
SAID Principle
Gate Control Theory
Stress-Relaxation Theory
59
What role does the viscoelastic property of muscles play in determining the effectiveness of a stretch?
It allows muscles to maintain their shortened state after stretching.
It enables muscles to extend and adapt to new lengths gradually over time.
It limits the capacity of muscles to respond to dynamic stretching.
It contributes to the rapid recoil of muscles post-stretch, reducing risk.
60
According to the Gate Control Theory, how is pain blocked in the nervous system?
By closing the "gate" through the activation of larger A-beta fibers
By stimulating the release of endorphins
By activating small C fibers that carry pain signals
By directly inhibiting nerve transmission at the injury site
61
Which type of Range of Motion (ROM) exercise involves movement caused by an external force?
Functional ROM (FROM)
Active-Assisted ROM (AAROM)
Passive ROM (PROM)
Active ROM (AROM)
62
In managing chronic pain, which of the following therapeutic interventions is most likely to be incorporated?
Ice therapy and rest
High-intensity resistance training
Immediate return to sport-specific drills
Cognitive Behavioral Therapy (CBT)
63
Which medication is commonly used in managing severe inflammation in athletes?
Beta-blockers
Corticosteroids
Analgesics
NSAIDs
64
Which of the following statements best describes the relationship between Passive ROM (PROM) and Active ROM (AROM)?
PROM is usally greater than AROM due to the absence of muscle contraction.
AROM is greater than PROM due to the muscle's ability to extend beyond PROM
PROM is less than AROM because it involves external force.
PROM and AROM are typically equal since both rely on the same structures.
65
What is the primary rehabilitation focus for an UCL tear in the elbow?
Eccentric strengthening
Avoiding valgus stress early on
Immediate return to throwing
Dynamic stretching
66
Which of the following pharmacological agents is most commonly used in phonophoresis to treat inflammation?
Lidocaine
Menthol
Acetic Acid
Hydrocortisone
67
What does the SAID Principle stand for, and how is it applied in rehabilitation?
Standardized Adaptations to Injury Development; set protocol for njuries
Stress Adaptation in Injury Dynamics; progressive overload techniques
Specific Adaptations to Imposed Demands; tailoring to mimic activity
Specific Adjustments to Injury Demands; modifying based on injury severity
68
In the context of therapeutic intervention, why might a patient with diabetes require modified loading protocols?
Due to decreased muscle strength
Due to compromised cardiovascular endurance
Due to slower wound healing and increased risk of unnoticed injuries
Due to impaired respiratory function