Question

chapter 18—therapeutic exercise for rehabilitation
true/false

1. compliance means staying with a program of rehabilitation.
2. it is not important whether a patient is comfortable during rehabilitation, only that the rehabilitation is successful.
3. hyperextended knees can be caused by overdeveloped hamstrings or quadriceps muscles.
4. the body’s muscles and joints work best when the body’s parts are properly aligned.
5. in a rehabilitation plan, repair must take place before inflammation is controlled.
6. therapeutic goals are determined by the individual’s level of activity prior to illness or injury.
7. strength and conditioning specialists frequently can become involved in the final phase of rehabilitation.
8. in phase iii, exercise modalities are used more than therapeutic modalities.
9. patients who believe they will get better are more likely to work hard to make it happen than patients who do not have this confidence.
10. phase i strengthening is isotonic.
11. remodeling is done in phase iii.
12. for phase i, the therapeutic modalities used generally will be ones that decrease blood flow.
13. the purpose of phase ii in rehabilitation is to control inflammation.
14. in phase ii, the functional use of the injured area is increased, whether or not pain and swelling have been reduced.
15. comfort is a key issue in creating an optimal therapeutic environment.

multiple choice

Explanation:

1. Compliance in rehab means following the program, so this is correct.
2. Patient comfort is critical for adherence and recovery, so this is incorrect.
3. Imbalanced muscle strength (overdeveloped quads/hamstrings) can cause hyperextended knees, so this is correct.
4. Proper alignment optimizes muscle and joint function, so this is correct.
5. Repair cannot progress effectively until inflammation is controlled, so this is correct.
6. Therapeutic goals are set based on pre-injury/illness function, so this is correct.
7. Strength/conditioning specialists are involved throughout rehab, not just the final phase, so this is incorrect.
8. Phase III focuses on functional exercise, not modalities, so this is incorrect.
9. Patient self-efficacy correlates with effort in rehab, so this is correct.
10. Phase I uses isometric (not isotonic) strengthening to avoid stressing healing tissues, so this is incorrect.
11. Phase III is focused on return to function; remodeling occurs in earlier phases, so this is incorrect.
12. Phase I modalities aim to increase blood flow (not decrease) to support healing, so this is incorrect.
13. Phase II focuses on restoring range of motion and function, not inflammation control (which is Phase I), so this is incorrect.
14. Phase II gradually increases functional use only as pain/swelling reduce, so this is incorrect.
15. Comfort encourages patient adherence and supports healing, so this is correct.

Answer:

1. TRUE
2. FALSE
3. TRUE
4. TRUE
5. TRUE
6. TRUE
7. FALSE
8. FALSE
9. TRUE
10. FALSE
11. FALSE
12. FALSE
13. FALSE
14. FALSE
15. TRUE