Unit 3

Question 1

Define E-stim, biofeedback, BFR, and vibration therapy. List general indications, contra-indications, and precautions

Answer 1

Question 2

What are the benefits of NMES? Russian stimulation directions?

Answer 2

Question 3

List common problems that can benefit from BFR

Answer 3

Question 4

Explain ACSM’s guideline

Answer 4

Question 5

Explain APTA’s guidelines

Answer 5

Question 6

What are the APTA guidelines for exercise prescription for upper & lower body major muscle groups in a pt with stable NYHA class II-III HFrEF?

Answer 6

Question 7

Define BFR

Answer 7

Question 8

What are the types of BFR?

Answer 8

Question 9

Explain the mechanisms of muscle hypertrophy

Answer 9

Question 10

What are the benefits of BFR training?

Answer 10

Question 11

BFR summary 1

Answer 11

Question 12

hypoalgesic effect study 1

Answer 12

Question 13

hypoalgesic effect study 2

Answer 13

Question 14

What do you expect changed in bone mass?

Answer 14

Question 15

What do you expect changed in aerobic capacity?

Answer 15

Question 16

What neurological effects do you expect?

Answer 16

Question 17

What are the indications for BFR?

Answer 17

Question 18

What are the precautions and contraindications for BFR?

Answer 18

Question 19

What are side effects of BFR? How does it affect hemodynamics?

Answer 19

Question 20

What are the resistance exercise (with BFR) prescription guidelines?

Answer 20

Question 21

What are the aerobic exercise (with BFR) prescription guidelines?

Answer 21

Question 22

What are the passive exercise (with BFR) prescription guidelines?

Answer 22

Question 23

BFR summary 1

Answer 23

Question 24

Pt case and exam findings: A 21 year old female collegiate athlete has been referred to physical therapy with persistent right knee pain s/p knee arthroscopy that included anterior interval fibrosis and scar release of Hoffa’s fat pad 2 months ago. She participated in post operative rehab that included progressive knee AROM exercises with targeted quadriceps and hamstring strengthening exercises for 6 weeks.
Despite the targeted training, she continues to experience visible quad atrophy, quad weakness, gait deficits, and the inability to successfully return to running.
* Goal: regain strength in the right knee and return to running.

Answer 24

Blood flow restriction training of quadriceps
* Resistance set at 30% 1RM
* Completed 4 sets of repetitions to failure with 30 second rests
* Utilized during the following 3 exercises:
* Seated knee extension against cable
* Seated leg press
* Reverse leg press

Question 25

Pt case and exam findings: A 24 year old patient has been referred to physical therapy with complaints of sharp left sided midscapular/shoulder blade pain after lifting a heavy water bottle to replace at the water station at work. He works as an airport ground staff at Hobby airport. He shares that he felt the pain immediately upon lifting the water bottle. Initially the pain was sharp, reported at 7 to 8/10. The pain has decreased some since the initial incident and is currently 5/10. He has not identified much that helps the shoulder pain. He reports trouble sleeping on the shoulder since the incident. He has been avoiding all weightlifting and yardwork activities and he does not feel that he is capable of completing his regular work activities, which require occasional lifting of 20 to 40 pounds. Goal: to get rid of the shoulder pain and return to working out at the local gym 3 days/week.

Answer 25

Additional findings: * When instructing the patient to perform prone 'T' exercise it was noted that the posterior scapular musculature was asymmetrical, with the left LT appearing to be narrower and flatter than compared to the right side. * The PT utilized MSKUS to identify the LE was thinner on the left in SAX view at the level of the T5 SP and appeared to be absent at the level of the T10 SP.

Question 26

Answer 26

A, A

Question 27

Answer 27

D, D

Question 28

Answer 28

C, B

Question 28

Answer 28

B, D

Question 29

Answer 29

D, D

Question 30

Answer 30

D, C

Question 31

Answer 31

C, B

Question 32

Answer 32

C, D

Question 33

Answer 33

A, C

Question 34

Answer 34

A, D