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SFMA: Cervical, UEP1, and UEP2 Analysis; SFMA Tx Approaches

Total questions: 20

Worksheet time: 3600secs

Name
Class
Date
1.

During your cervical flexion breakout you discover your patient has an Active Cervical Spine SMCD. Which of the following is likely the reason for the SMCD?

a)

Short cervical extensors

b)

Long/weak intrinsic neck flexors

c)

Long cervical extensors

d)

Short/weak intrinsic neck flexors

2.

Select all that apply: If you are suspecting a MD, which of the following is/are true?

a)

Joint play should be assessed.

b)

AROM/PROM are both limited.

c)

Joint mobilizations may be an appropriate intervention.

d)

Weak musculature could be a reason for the mobility dysfunction.

3.

Your patient presents with a downwardly rotated scapula on his RIGHT side. Which of the following could be the cause of this?

a)

A long contralateral upper trap.

b)

A shortened ipsilateral levator scapula and rhomboids.

c)

A weak ipsilateral deltoid and supraspinatus.

d)

A weak RIGHT subscapularis.

4.

During UEP1, the patient demonstrates a right shoulder IR MD. Which of the following is the best reason for this impairment?

a)

Short internal rotators of the shoulder

b)

Short external rotators of the shoulder

c)

Long internal rotators of the shoulder

d)

Long external rotators of the shoulder

5.

Weakness or long serratus anterior musculature could likely present as which of the following at rest during a postural assessment? SELECT ALL THAT APPLY

a)

Downwardly rotated scapula

b)

Depressed scapula

c)

Winging scapula or tilted scapula

d)

Adducted scapula

6.

True/False: Joint mobilizations will have a quicker impact on a mobility dysfunction vs. stretching.

a)

True

b)

False

7.

All medial rotators of the shoulder may potentially be short if a patient is having difficulties flexing their shoulder beyond 90 degrees. Which of the following is the BEST reason for this potential impairment?

a)

All medial rotators also extend the shoulder.

b)

All medial rotators need to lengthen during shoulder flexion.

c)

All medial rotators need to shorten during shoulder flexion.

d)

Medial rotators have no effect of shoulder flexion if they are short.

8.

True/False: Top tier assessment, breakouts, and analyses get you to the CAUSE of the dysfunction.

a)

True

b)

False

9.

Treatment for an Elbow Flexion MD may include all of the following EXCEPT:

a)

Stretching of the triceps brachii

b)

Humeroradial ventral glides

c)

Strengthening of the anconeus

d)

Strengthening of the pronator teres

10.

True or False: A performance test is a better measure of learning vs. a retention test.

a)

True

b)

False

11.

Which practice style do you think will lead to the most-beneficial long-term outcomes for treating a patient with an SMCD?

a)

Blocked Practice

b)

Random Practice

c)

Whole-Part-Whole Practice

d)

Part-Whole-Part Practice

12.

Please rank the following postural progressions (1-5) from least (1) to most challenging (5).

Standing, tall kneeling, 1/2 kneeling, rolling, quadruped.

a)

5, 4, 3, 1, 2

b)

5, 3, 4, 1, 2

c)

1, 2, 3, 5, 4

d)

1, 3, 2, 5, 4

13.

Which of the following levels of function on the functional continuum is one in which your patient is functional, but not automatic?

a)

Subconscious function

b)

Conscious function

c)

Conscious dysfunction

d)

Subconscious dysfunction

14.

Using the 4x4 Matrix choose the following picture(s) that demonstrate a suspended position.

a)

b)

c)

d)

15.

SELECT ALL THAT APPLY: Which of the following condition(s) can cause an anteriorly tilted scapula?

a)

Tight pec minor

b)

Tight short head of the biceps

c)

Weak lower trap

d)

Weak teres major

16.

The 3 R's for SFMA treatment are:

a)

Rest, Relax, Rejuvenate

b)

Rest, Reload, Revive

c)

Reset, Reinforce, Reload

d)

Reset, Rest, Reload

17.

According to SFMA, which of the following top-tier categories will you break out LAST?

a)

UE Pattern 2: Functional Painful

b)

Cervical rotation: Functional Painful

c)

UE Pattern 1: Dysfunctional Painful

d)

SLS: Dysfunctional Nonpainful

e)

Need more information

18.

Following the SFMA top tier assessment, your client was identified as having a dysfunctional nonpainful multi-segmental extension:

Prone press up = 3.5 inches

Active lumbar lock = 40 degrees bil; Passive lumbar lock 45 degrees bil

Active/Passive POE extension/rotation = 20 degrees bil

Active shoulder flexion = 170

Passive shoulder flexion = 180

FABER = (+) bil

Stabilized FABER = (+) bil: no change

Modified Thomas test = (-) bil

Active/Passive hip extension = 0 degrees

(a)  

19.

SELECT ALL THAT APPLY: If a patient presenting with an SMCD is unable to complete a task with feedback:

a)

You may have missed a mobility dysfunction.

b)

The task may be too challenging for the patient.

c)

You need to add load/capacity.

d)

You need to move them into a more advanced position such as standing.

20.

True/False: A SMCD is only due to a muscle weakness.

a)

True

b)

False