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Rehabilitation Sciences is an interdisciplinary field that explores the principles, methods, and strategies used to restore, maintain, and promote optimal physical, psychological, and social functioning in individuals affected by injury, illness, or disability. This course introduces students to foundational concepts of human anatomy, physiology, and movement, as well as the assessment and intervention techniques employed by professionals such as physical therapists, occupational therapists, and speech-language pathologists. Emphasis is placed on evidence-based practice, patient-centered care, and the social determinants of health as they relate to rehabilitation across the lifespan, preparing students for advanced study or careers in healthcare and human services.
Recommended Textbook
Joint Structure and Function 5th Edition by Pamela K. Levangie
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Sample Questions
Q1) Which of the following statements describes the relationship between joint reaction forces and the translational/rotatory component forces?
A) The contact force and translation component force run parallel to each other.
B) The contact force and rotatory component force run parallel to each other.
C) The shear force and translation component force run parallel to each other.
Answer: A
Q2) A student is carrying all his books for his Fall semester courses (first year)in his right arm.What does the additional weight do to the combined center of gravity (CoG)of body and books? How will his body most likely respond to this change?
Answer: The center of gravity (for body and books)will be higher and to the right of S2.Because this new location of the CoG would bring the line of gravity (LoG)to the right side of his base of support,he will lean to the left to bring the LoG back to the middle of the base of support (most stable place).The shift in the CoG is unavoidable.The shift of the LoG is an automatic adaptation but under some volitional control.
Q3) Is naming the plane of motion considered part of kinetics or kinematics? Why?
Answer: Kinematics.It is purely a description of motion without regard to the forces causing it.
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Q1) Define the motions of spin,slide,and roll as they relate to intra-articular joint motions? Which is most common within a joint?
Answer: Spin is rotation about a fixed axis.Slide is a pure translatory or linear movement of one surface upon another,and roll would be rolling of one surface upon another (as in a rocking chair).Generally,intra-articular surfaces slide and roll upon one another in an attempt to produce as close to a pure spin as possible.This is rarely,if ever,achieved.
Q2) To increase a patient's wrist extension range of motion by using an accessory motion gliding technique,the therapist would want to perform a(n)____________________.
A) posterior glide of the carpals on the radius
B) anterior glide of the carpals on the radius
C) anterior glide of the radius on the carpals
Answer: B
Q3) Define stress and strain.
Answer: Stress is the force applied to a tissue per unit area.Strain is the deformation that occurs in a tissue in response to an applied stress and is expressed as the change in shape (length,width)over its original shape (length or width).Stresses and strains may be tensile,compressive,shear,or torsional.
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Q1) When the body segments act in a closed kinematic chain,are muscles most commonly acting in normal or reverse action?
Answer: Reverse action.This is when the proximal,rather than the distal,segment tends to be moved.This will generally only happen when the lighter distal segment has been fixed on or by something.When one grips a chinning bar,the distal forearms are fixed.A strong contraction of the elbow flexors will pull the proximal humerus (and the connected body)upwards.Even though reverse action can occur other than in a closed chain (e.g.,chin-up example),fixing the distal segment frequently results in a closed chain because weight-bearing is a common source of fixation.The phenomena of closed kinematic chain and reverse action,although frequently associated,may also be independent of each other.
Q2) The function of a Sharpey fiber is to:
A) Attach the periosteum to the bone
B) Attach ligaments to capsules
C) Attach muscle to tendon
D) Attach tendon to bone
Answer: D
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Q1) Which of the following is true with regard to the structure of the anulus fibrosis of the normal intervertebral disc?
A) Annular lamina are oriented 60° to the horizontal plane of the intervertebral disc.
B) It resists tensile forces in all directions.
C) The water and proteoglycans content of the anulus is greater than the collagen content.
D) Anulus is vascular in the adult.
Q2) Which of the following muscles flexes the mid/lower cervical spine and extends the upper cervical spine?
A) Sternocleidomastoid muscles
B) Anterior scalene muscles
C) Rectus capitus muscles
D) Oblique capitus muscles
Q3) The (R)alar ligament limits ________________of C1 on C2.
A) (R)rotation
B) (L)rotation
C) Extension
D) Both (R)and (L)lateral flexion
Q4) What is the function of lumbopelvic rhythm? To what is this analogous?
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Q1) Which muscle originates on the transverse process of the vertebrae and inserts on the rib below?
A) Serratus posterior
B) Levator costarum
C) Internal intercostal
D) External intercostals
Q2) Describe the ligamentous support system for the costotransverse (CT)joint.
Q3) Which of the following statements correctly describes the articulation of the head of the fifth rib with the thoracic spine?
A) The superior facet of the fifth rib articulates with the vertebral body of its own level (T5); the inferior facet articulates with the vertebral body below (T6).
B) The fifth rib has a single facet and only articulates with the vertebral body of its own level (T5).
C) The superior facet articulates with the vertebral body above (T4); the inferior facet of the fifth rib articulates with the vertebral body of its own level (T5).
D) The fifth rib articulates with the vertebral body and transverse process of the vertebrae of its own level.
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Q1) Which of the following is true concerning the structure of the temporomandibular joint (TMJ)?
A) The lower joint is formed by the articulation of the articular eminence of the mandible with the superior surface of the disc.
B) The upper joint is formed by the articulation of the anterior surface of the condyle with the posterior surface of the disc.
C) The lower joint is formed by the superior surface of the disc and the posterior surface of the condyle.
D) The upper joint is formed by the articulation of the articular eminence of the temporal bone and the superior surface of the disc.
Q2) Biting down on the left side of the mouth promotes unloading of the right temporomandibular joint (TMJ).
A)True
B)False
Q3) Describe the attachments of the articular disc of the temporomandibular joint (TMJ).
Q4) What is the relationship of the temporomandibular joint (TMJ)with the cervical spine?
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Q1) What accounts for the static stability of the glenohumeral (GH)joint when the arm is at the side? What happens if you excessively load the hanging (dependent)limb?
Q2) Which of the following best describes the structure of the glenohumeral (GH)joint?
A) The joint surfaces of the GH joint are naturally congruent and stable.
B) The glenoid labrum enhances the depth of the glenoid fossa.
C) The glenoid fossa,by itself,is three times larger than the humeral with which it articulates.
D) The glenoid labrum is a thin hyaline cartilage structure.
Q3) Elevation of the clavicle at the sternoclavicular joint involves osteokinematic motion of the clavicle in the ________________direction and arthrokinematic motion of the joint surface in the ________________direction.
A) inferior,superior
B) inferior,inferior
C) superior,inferior
D) superior,superior
Q4) How would range and strength of abduction of the upper extremity be affected if there were a rupture of the coracoclavicular ligament?
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Q1) If there is no angulation between the long axis of the humerus and the long axis of the forearm,what condition exists?
Q2) A football offensive lineman takes his three-point stance.The base of support (BOS)includes 1 upper extremity (hand placed on ground)and both lower extremities with his right elbow in 30° of flexion.Which of the following would best resist a valgus stress applied to the humeroulnar joint by an opposing player?
A) Lateral collateral ligament
B) Anterior medial collateral ligament
C) Lateral ulnar collateral ligament
D) Posterior medial collateral ligament
Q3) Which of the following elbow flexors produces the greatest amount of compression in the elbow joint and therefore is a stabilizer of the elbow?
A) Biceps brachii
B) Pronator teres
C) Brachioradialis
D) Brachialis
Q4) Where would you position the elbow joint to optimize the biomechanical effects of both the brachialis and the biceps brachii?
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Q1) Which of the following best represents the closed pack position of the wrist?
A) 15° wrist flexion
B) 10° wrist extension
C) Full wrist flexion
D) Full wrist extension
Q2) Which of the following carpal bones shows the greatest amount of motion during wrist flexion/extension?
A) Scaphoid
B) Lunate
C) Triquitrum
D) Pisaform
Q3) At what points in the range do each of the following joint motions begin and end as the wrist moves from flexion to extension: (a)radiocarpal motion,(b)midcarpal motion,or (c)distal carpal row/scaphoid on lunate/triquetrum.
Q4) Describe the joint capsule of the midcarpal joint.
Q5) Describe the radiocarpal joint,including its articular surfaces,its general range of motion,and the direction of intra-articular movement.
Q6) Why is it hypothesized that the ECU is active during wrist flexion?
Q7) What metacarpophalangeal (MCP)joint position is most prone to injury and why?
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Q1) A person bends forward at the hips to tie his shoes.The acetabulum on the (R)side glides ________________on the head of the femur to allow this to happen.
A) posteriorly and inferiorly
B) anteriorly and inferiorly
C) posteriorly and superiorly
D) anteriorly and superiorly
Q2) The following two-joint muscle at the hip originates at the anterior inferior iliac spine (AIIS)and can contribute to both hip flexion and knee extension,dependent on joint position:
A) Sartorius
B) Rectus femoris
C) Vastus lateralis
D) Psoas major
Q3) Describe the ligaments of the hip joint.How does the capsule of the joint contribute to joint stability?
Q4) What is the role of the ligamentum teres at the hip joint?
Q5) Why are fractures across the femoral neck common,especially among elderly women? How does the blood supply of the femoral head play a role in the critical nature of the injury?
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Q1) Describe the patellofemoral articulation,including the number and shape of the surfaces.
Q2) Which of the following describes the movement of the menisci during closed kinetic chain medial rotation of the tibiofemoral joint?
A) Medial meniscus moves posteriorly; lateral meniscus moves anteriorly.
B) Medial meniscus moves anteriorly; lateral meniscus moves posteriorly.
C) Medial meniscus moves superiorly; lateral meniscus moves posteriorly.
D) Medial meniscus moves anteriorly; lateral meniscus moves superiorly.
Q3) An increased valgus position (genu valgus)of the knee will cause increased compressive forces on the ________________side of the tibiofemoral joint and place tensile forces on the ________________ligament.
A) medial,medial collateral
B) medial,lateral collateral
C) lateral,medial collateral
D) lateral,lateral collateral
Q4) What are the dynamic stabilizers of the knee,and in what plane do they contribute to stability?
Q5) Which facet(s)of the patella are subject to the earliest degenerative changes under normal conditions? Why?
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Q1) What is the close-packed position for the subtalar joint? Which motion of the tibia will lock the subtalar joint?
Q2) Your patient injured his ankle when landing with his foot and ankle in an inverted and plantarflexed position.A ligament that limits these motions is torn.Which of the following ligaments would most likely be torn with this type of injury?
A) Posterior talofibular ligament
B) Anterior talofibular ligament
C) Superior fibers of the deltoid ligament
D) Plantar calcaneonavicular ligament
Q3) During closed chain pronation,____________________.
A) the lower limb medially rotates,creating a flexion moment at the knee
B) the lower limb laterally rotates,creating a flexion moment at the knee
C) the lower limb medially rotates,creating an extension moment at the knee
D) the lower limb laterally rotates,creating an extension moment at the knee
Q4) Identify the proximal and distal articular surfaces that compose the ankle (talocrural)joint.What is the joint classification?
Q5) Describe the superior and inferior tibiofibular joints,including classification and their composite function.
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