LH12 UNIVERSITY OF BOLTON SCHOOL OF SPORT AND BIOMEDICAL SCIENCES BSC (HONS) SPORT REHABILITATION SEMESTER TWO EXAMINATION 2015/2016 INJURY PREVENTION & FUNCTIONAL REHABILITATION MODULE NO. SRB 5006 Date: Monday 16 May 2016 Time: 2.00 pm 4.00 pm INSTRUCTIONS TO CANDIDATES: There are TWO sections on this paper: Section A (25 Questions) and Section B (5 Questions) Section A- Multiple Choice- Answer ALL questions Section B- Answer THREE questions only There are 100 marks on this paper
Page 2 of 7 Section A Multiple Choice Answer ALL questions. Select the best answer for each question. 1. Which is NOT a feature within the Stress Strain Curve: a. Elastic Region b. Adaptive Region c. Plastic Region d. Microfailure Zone 2. Which is NOT a result of inactivity in relation to tendons and ligaments a. Weakened attachments of ligaments to bone b. Disorganisation of collagen fibres c. Increased collagen turnover in tendons d. Sensory feedback of ligament stress and tendon tissue is delayed 3. Which is NOT a primary goal in the management of the injured athlete in the acute (inflammatory) phase of injury? a. Controlling swelling b. Applying rest to the injured area c. Applying activity to the injured area d. Applying active mobility as permitted by available range of movement 4. During the remodeling phase we should look to improve: a. Functional performance b. Plyometric power c. Kinaesthetic awareness d. Speed 5. Muscle imbalances occur between stabilisers and mobilisers. Primary stabilisers: a. Tend to weaken and lengthen b. Are fast twitch c. Are recruited during low threshold activation d. Are bi-articular
Page 3 of 7 6. When observing scapula-humeral rhythm, which muscle is least active during a good controlled movement: a. Serratus anterior b. Teres Minor c. Pectorals Minor d. Levator Scapula 7. When observing a patient performing the screening test Bilateral Wall press what is the test specifically looking at? a. Recruitment of lat dorsi b. Stability of rotator cuff c. Recruitment of serratus anterior d. Recruitment of upper fibres traps 8. When muscle imbalance occurs: a. Inner range holding ability of the stabiliser increases b. Inner range holding ability of the stabiliser decreases c. Inner range holding ability of the mobiliser decreases d. The mobiliser becomes lengthened 9. An injured middle distance runner (1500m) suffering from a badly bruised heel early in the athletics season can maintain specific fitness most successfully through: a. Low intensity continuous cycling, rowing, and swimming combined with heavy resistance training b. High intensity interval sessions of water running combined with functional power orientated resistance training c. A plyometric training programme involving depth jumps, bounding and hopping d. Medium intensity, medium duration cycling, rowing or swimming 10. Which of these is a risk factor in relation to adductor pathology: a. Adequate pelvic and spinal control b. Reasonable ability to load transfer from legs and torso to the pelvis c. Reduced eccentric adductor strength d. Reduced eccentric quad strength
Page 4 of 7 11. Which of these is NOT true during Altered Muscle Roles a. Temporary increase in performance b. Fatigue of mobilisers c. Dominance of fast twitch fibres in mobilisers is altered d. Stability during movement is compromise 12. Which of the following is a stabiliser muscle? a. Rectus Femoris b. Rectus Abdominus c. Gastrocnemius d. Multifidus 13. A quality that cannot be improved whist in a state of fatigue is: a. Flexibility b. Maximal strength c. Local muscle endurance d. Aerobic capacity 14. Which would be the most appropriate and safe progression of difficulty from the following exercise progressions? a. Body weight squats to depth jumps to lunges b. Press up claps to seated chest press to a side plank c. Bilateral leg raises to a side plank to crunches d. Body weight lunges to jump squats to depth jumps 15. Which of these is NOT true of the Feed Forward mechanism a. Prior experience is vital b. Dependant on reflex pathways c. Is used to pre-programme muscle activation pathways d. Has a shorter conduction delay than the Feedback mechanism 16. Re-establishing NM control requires all of the following EXCEPT: a. Feed forward motor control b. Co-contraction of agonist and antagonist muscle groups c. Decreased rate of force development d. Proprioception and kinaesthesia
Page 5 of 7 17. The treatment of overtraining consists of all of the following EXCEPT: a. Reduced training b. A break from training c. Counseling d. Correcting nutrition 18. Which of the following is NOT present within the functional instability continuous injury cycle? a. Dynamic instability b. Afferent damage c. Functional instability d. Efferent damage 19. Which of the following is NOT a property of skeletal muscle? a. Contractile Elastic Component b. Series Elastic Component c. Parallel Elastic Component d. Contractile Component 20. An efferent motor response directly influences all of the following EXCEPT: a. Muscle tone b. Reflex joint stabilisation c. Motor execution programmes d. Joint elasticity 21. When looking to target functional movements, the rehabilitator should include exercises that: a. Involves synergists b. Involves stabilisers c. Involves one plane of movement d. Involves specific characteristics of the sport
Page 6 of 7 22. Core stability and co-ordination is most emphasized during: a. Side Plank on a bosu b. Single leg Balancing on an airex pad with eyes closed c. Crunches on a stability ball d. Performing a single arm dumbbell shoulder press in single leg standing 23. Periodisation is a structured, sequential development of training regimes organised into cycles, phases or blocks of time. Which of the following is NOT a training phase? a. Performance Phase b. Overload Phase c. Preparation phase d. Recuperation Phase 24. The consequences of poor training planning, or out of pattern activities can result in all of the following, EXCEPT: a. CNS fatigue b. Peaking and tapering c. Metabolic fatigue d. DOMS 25. All of the following are elements for reactive neuromuscular training, EXCEPT: a. Successfully achieved for a number of repetitions b. Integrates all elements of motor control c. Quantity over quality d. Unpredictable in nature SECTION A TOTAL MARKS 25
Page 7 of 7 Section B Answer 3 of the following questions 1. Explain your understanding of the term plyometrics. Then devise a 6 stationed circuit for a rugby league team. Provide justification for your chosen exercises and the methodology of your circuit? 2. An elite football player has sustained a grade 2 Biceps Femoris strain. Showing logical progression principles provide 2 exercises in the early rehabilitation stage and show a progression of each through the middle and end stages of rehabilitation. Specify at which week or day each exercise would commence within the chosen stage after you have clarified a time scale for the injury. 3. A patient has been referred to your clinic. He is a 28 year old roofer and has had a gradual onset of lower back pain for the last 3 months. Describe and justify the use of appropriate screening tests you would use with the patient and what you would expect to see. 4. An elite 25 year old swimmer has an ear infection and is advised to avoid the water for a period of 8 weeks. All other activities are allowed. A major competition is due in 20 weeks where she plans to swim 100m breast stroke. Appropriately periodise the preparation necessary to allow her to compete at her best. 5. Your patient is a 26 year old wrestler, who is recovering from a partial tear of the Acromioclavicular ligament. Describe and justify a rehabilitation programme covering the FOUR stages of proprioception training. Your justification should utilize the sensory motor physiological concepts. ALL QUESTIONS CARRY 25 MARKS SECTION B TOTAL MARKS 75 TOTAL MARKS FOR EXAMINATION 100 END OF QUESTIONS