CES Part 1 (Corrective Exercise Specialist)

What is the recommended number of active movements to include in Step 2 of the myofascial rolling program?

• 4 to 6

• 7 to 10

• 2 to 3

What is one potential limitation to using handheld myofascial rollers?

• Most are constructed of material that is too soft to use on muscles.

• Most require the use of both hands and rolling is limited to the lower extremities.

• Most require the use of one hand and generating sufficient pressure is difficult.

What are the common neurophysiological mechanisms of myofascial rolling that result in decreased pain?

• Roller pressure may modulate pain through stimulation of muscle and cutaneous receptors, afferent central nociceptive pathways (gate theory of pain), and descending antinociceptive pathways (diffuse noxious inhibitory control)

• Roller pressure may create greater myofascial relaxation or “stretch tolerance” through central nervous system (CNS) afferent input from the Golgi tendon reflex, gamma loop modulation, and mechanoreceptors.

• Roller pressure may increase viscosity, decrease pain, increase myofascial restriction, and decrease fluid changes.

A fitness professional observes his client rolling out his lumbar spine with a hard density foam roller. What should he recommend to the client?

• Demonstrate the proper method of rolling on the lumbar spine to help the client avoid injury.

• That rolling the lumbar spine is a contraindication and should be avoided.

• Recommend a soft-density roller for the lumbar spine.

A corrective exercise client is going to use the myofascial roller to inhibit overactive tissues. What is the recommended length of time to hold direct pressure on a target tissue?

• 30 to 60 seconds

• 2 to 5 minutes

• 70 to 90 seconds

What is a common neurophysiological effect that myofascial rolling creates for tissue relaxation?

• Greater myofascial relaxation or “stretch tolerance”

• Decreased blood flow to the myofascia

• Increased myofascial adhesions

Recent research pointed out that potential precautions and contraindications for myofascial rolling have not been thoroughly documented. Therefore, precautions and contraindications have been taken from which of the following?

• Related myofascial therapies

• Myofascial rolling literature specific to the medical profession

• Leading medical textbooks

What process describes the ability of the CNS to interpret sensory information as needed to execute the proper motor response?

• Sensorimotor integration

• Muscle synergy

• Augmented feedback

Performing a walking pattern with or without resistance is an example of activation for which subsystem?

• Deep longitudinal

• Anterior oblique

• Posterior oblique

During a bench press exercise, which muscle synergy is occurring?

• Activation of the pectoralis major as an agonist with the triceps brachii and anterior deltoid assisting synergistically.

• Activation of the triceps brachii as the agonist with pectoralis major and anterior deltoid assisting synergistically.

• Activation of biceps brachii as the agonist with pectoralis major and anterior deltoid assisting synergistically.