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Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises True / False Questions 1. The body's system of levers and muscles works synergistically to produce smooth, powerful movement. True False 2. A concentric contraction is a lengthening contraction of the muscles against gravity or resistance. True False 3. Traditional kinesiology is the study of the science of muscle movement, which involves biomechanics, prescribed exercise, and anatomy. True False 4. Stretching the rectus abdominis and obliques, or the core of the body, has many benefits. True False 5. The reverse trunk flexion exercise strengthens the obliques. True False 6. Flexing the legs during a crunch helps better isolate the low-back musculature; moreover, less pressure is applied to the lumbar disks from the hamstrings. True False 7. The importance of hamstring flexibility in sports and daily movement cannot be overstated. True False 21-1 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises 8. In recent years, an increasing number of medical and allied health professionals have stopped emphasizing the development of muscle groups through resistance-training and circuit-training activities. True False 9. As the body ages, muscle mass decreases, a condition called sarcopenia. True False 10. The law of acceleration is as follows: A change in the acceleration of a body occurs in the same direction as the force that caused it. True False Multiple Choice Questions 11. Hyperextension of the spine should be performed on a daily basis to help "open" the anterior A. core of the body. B. part of the spine. C. diaphragm. D. plural cavity. 12. This exercise should never be performed with extended legs. A. Lumbar extension B. Leg flexion C. Leg lifts D. Sit ups 21-2 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises 13. This exercise targets many of the hip and knee muscles. A. Knee extension B. Physio-Ball Wall Squats C. Calf raises D. Leg adduction 14. The type of contraction of a muscle is determined by whether the muscle is __________ during the movement. A. relaxed or contracted B. lengthening or shortening C. controlled or stabilized D. relaxed or static 15. The quadriceps muscle group contracts how when the body slowly lowers in a weightbearing movement through lower-extremity action? A. Eccentrically B. Concentrically C. Isometrically D. Isotonically 16. The body's system of levers and muscles works __________ to produce smooth, powerful movement. A. apart B. synergistically C. kinetically D. concentrically 17. Low back pain can be helped by strengthening the A. erector spinae. B. quadratus lumborum. C. abdominals. D. core. 21-3 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises 18. While regular crunches (sit-ups) work the rectus abdominus, this reverse crunch is a way to isolate more fibers of A. external oblique. B. transverse abdominus. C. rectus abdominus. D. psoas. 19. What acts on joints and muscles that cause contractions to occur? A. Dynamic force B. Gravity C. Vector force D. Contracting force 20. Increasing muscle mass helps what condition? A. Sarcopenia B. Bursitis C. Carpal tunnel D. D.Obesity Fill in the Blank Questions 21. The body's system of ____________ works synergistically to produce smooth, powerful movement. ________________________________________ 22. The ______ is a powerful thigh muscle that has a direct relationship to the knee and patella. ________________________________________ 21-4 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises 23. As the body ages, muscle mass decreases, a condition called _________. ________________________________________ 24. Dysfunctional gait directly affects ____________. ________________________________________ 25. ________________ that condition areas and isolate the muscle groups can help individuals maintain natural movement, abate injury, and enjoy a better quality of life. ________________________________________ 26. Generally, _______________________________ consist of 10 repetitions and 2 to 3 sets. ________________________________________ 27. A contraindication of lumbar extension is _________. ________________________________________ 28. Physio ball squats strengthen mainly the _________ muscles. ________________________________________ 29. The trunk stabilization exercise is ideal for _______ shoulder and hip areas. ________________________________________ 30. Straight-leg hip hyperextension strengthens the often weak _________ hamstring. ________________________________________ 21-5 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises 31. Stretching the rectus femorus helps lengthen the belly of the muscle and can help correct ___________ disease. ________________________________________ 32. The ________ contraction of a muscle helps muscle hypertrophy. ________________________________________ 33. An imbalance between the posterior spine and _______ muscles could lead to injury. ________________________________________ 34. The _________ functions as a decelerator to knee joint flexion in weight-bearing movements by contracting eccentrically to prevent too rapid downward movement. ________________________________________ 35. Despite common myths, ___________ does not ensure sufficient development of muscle groups. ________________________________________ 36. Therapists should stay within their scope of practice when recommending ___________. ________________________________________ 37. When performing therapeutic exercises, it is important to _________ during the work phase. ________________________________________ 38. When lifting a weight, for the most benefit the movement should always be __________. ________________________________________ 21-6 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises 39. The abdominal muscles can become ________ from overuse as postural muscles. ________________________________________ 40. In the straight leg hamstring stretch, the __________ do the lifting work, not the rope. ________________________________________ 41. The Active Isolated Stretching method recommends a(n) ______ second stretch hold. ________________________________________ 42. Because it also contributes to hip flexion, the _________ can help skew the pelvis and make gait dysfunctional. ________________________________________ 43. During the rectus femorus stretch, contracting the abdominals throughout this movement prevents __________. ________________________________________ 44. For some individuals with arthritis or other issues, the stretch and strengthening movements should be __________ for comfort. ________________________________________ 45. Someone with herniated disks can utilize the ________ muscles to help protect the spine. ________________________________________ 46. For the straight leg hip hyperextension exercise, one can use _______ to help challenge the muscles. ________________________________________ 21-7 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises 47. Because these muscles are in close proximity to this nerve, stretching the hamstring group can help ________ issues. ________________________________________ 48. A solid treatment always includes treating both ___________ groups. ________________________________________ 49. A specific point to stretching and strengthening exercises is that ________ be employed to the joints during the movements. ________________________________________ 50. As the quadriceps contracts, the __________ allow the movement by lengthening. ________________________________________ 21-8 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises Key True / False Questions 1. The body's system of levers and muscles works synergistically to produce smooth, powerful movement. TRUE Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 21-1 2. A concentric contraction is a lengthening contraction of the muscles against gravity or resistance. FALSE A concentric contraction is a shortening contraction of the muscles against gravity or resistance. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 21-1 3. Traditional kinesiology is the study of the science of muscle movement, which involves biomechanics, prescribed exercise, and anatomy. TRUE Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 21-1 4. Stretching the rectus abdominis and obliques, or the core of the body, has many benefits. TRUE Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 21-1 21-9 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises Key 5. The reverse trunk flexion exercise strengthens the obliques. FALSE This exercise strengthens the lower abdominals. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-3 6. Flexing the legs during a crunch helps better isolate the low-back musculature; moreover, less pressure is applied to the lumbar disks from the hamstrings. TRUE Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 21-3 Learning Outcome: 21-6 7. The importance of hamstring flexibility in sports and daily movement cannot be overstated. TRUE Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-3 Learning Outcome: 21-7 8. In recent years, an increasing number of medical and allied health professionals have stopped emphasizing the development of muscle groups through resistance-training and circuit-training activities. FALSE Athletes and non-athletes, both male and female, require overall muscular development. Bloom's: Comprehension Bloom's: Knowledge Difficulty: Easy Learning Outcome: 21-7 21-10 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises Key 9. As the body ages, muscle mass decreases, a condition called sarcopenia. TRUE Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-1 10. The law of acceleration is as follows: A change in the acceleration of a body occurs in the same direction as the force that caused it. TRUE Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-1 Learning Outcome: 21-4 Multiple Choice Questions 11. Hyperextension of the spine should be performed on a daily basis to help "open" the anterior A. core of the body. B. part of the spine. C. diaphragm. D. plural cavity. This movement also stretches the rectus abdominus. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 21-3 21-11 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises Key 12. This exercise should never be performed with extended legs. A. Lumbar extension B. Leg flexion C. Leg lifts D. Sit ups Flexing the legs during this exercise helps better isolate the low-back musculature; moreover, less pressure is applied to the lumbar disks from the hamstrings. Bloom's: Application Bloom's: Knowledge Learning Outcome: 21-3 Learning Outcome: 21-6 13. This exercise targets many of the hip and knee muscles. A. Knee extension B. Physio-Ball Wall Squats C. Calf raises D. Leg adduction This exercise is safe because it utilizes a physio ball for support. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-3 21-12 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises Key 14. The type of contraction of a muscle is determined by whether the muscle is __________ during the movement. A. relaxed or contracted B. lengthening or shortening C. controlled or stabilized D. relaxed or static However, muscles may shorten or lengthen in the absence of a contraction through passive movement caused by other contracting muscles, momentum, gravity, or external forces such as manual assistance and exercise machines. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 21-1 15. The quadriceps muscle group contracts how when the body slowly lowers in a weightbearing movement through lower-extremity action? A. Eccentrically B. Concentrically C. Isometrically D. Isotonically The quadriceps functions as a decelerator to knee joint flexion in weight-bearing movements by contracting eccentrically to prevent too rapid downward movement. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-1 Learning Outcome: 21-3 Learning Outcome: 21-7 21-13 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises Key 16. The body's system of levers and muscles works __________ to produce smooth, powerful movement. A. apart B. synergistically C. kinetically D. concentrically When movement is compromised by shortened and weak muscle tissue, pain usually results, thereby setting off a snowball of mechanical disadvantages. Bloom's: Knowledge Difficulty: Easy Learning Outcome: 21-1 Learning Outcome: 21-2 17. Low back pain can be helped by strengthening the A. erector spinae. B. quadratus lumborum. C. abdominals. D. core. A solid program that stretches and strengthens the lower lumbar spine and anterior spine is most beneficial. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 21-3 Learning Outcome: 21-4 21-14 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises Key 18. While regular crunches (sit-ups) work the rectus abdominus, this reverse crunch is a way to isolate more fibers of A. external oblique. B. transverse abdominus. C. rectus abdominus. D. psoas. Because the trunk is flexed lifting the knees and not the torso, the abdominals are forced to work dynamically, especially on the eccentric (down) phase of this movement. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-3 19. What acts on joints and muscles that cause contractions to occur? A. Dynamic force B. Gravity C. Vector force D. Contracting force Contraction against gravity is evident in the lower extremities when the body moves into a vertical position, such as when rising from sleeping. Bloom's: Knowledge Difficulty: Easy Learning Outcome: 21-1 21-15 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises Key 20. Increasing muscle mass helps what condition? A. Sarcopenia B. Bursitis C. Carpal tunnel D. D.Obesity Through increasing muscle mass, the body burns more calories and is less likely to gain excessive fat. Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 21-7 Fill in the Blank Questions 21. The body's system of ____________ works synergistically to produce smooth, powerful movement. levers and muscles Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 21-1 22. The ______ is a powerful thigh muscle that has a direct relationship to the knee and patella. rectus femoris Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 21-3 21-16 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises Key 23. As the body ages, muscle mass decreases, a condition called _________. sarcopenia Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 21-7 24. Dysfunctional gait directly affects ____________. upper-body movement Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-7 25. ________________ that condition areas and isolate the muscle groups can help individuals maintain natural movement, abate injury, and enjoy a better quality of life. Specific stretching and resistance exercises Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-3 26. Generally, _______________________________ consist of 10 repetitions and 2 to 3 sets. clinical flexibility and therapeutic exercises Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 21-3 21-17 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises Key 27. A contraindication of lumbar extension is _________. herniated disks Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-3 Learning Outcome: 21-6 28. Physio ball squats strengthen mainly the _________ muscles. quadriceps and gluteus maximus Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-3 Learning Outcome: 21-7 29. The trunk stabilization exercise is ideal for _______ shoulder and hip areas. bilateral Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-3 Learning Outcome: 21-7 30. Straight-leg hip hyperextension strengthens the often weak _________ hamstring. proximal Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-3 Learning Outcome: 21-7 21-18 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises Key 31. Stretching the rectus femorus helps lengthen the belly of the muscle and can help correct ___________ disease. Osgood-Schlatter Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 21-3 32. The ________ contraction of a muscle helps muscle hypertrophy. eccentric Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-1 Learning Outcome: 21-3 33. An imbalance between the posterior spine and _______ muscles could lead to injury. abdominal Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-3 34. The _________ functions as a decelerator to knee joint flexion in weight-bearing movements by contracting eccentrically to prevent too rapid downward movement. quadriceps Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-3 Learning Outcome: 21-7 21-19 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises Key 35. Despite common myths, ___________ does not ensure sufficient development of muscle groups. sports participation Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 21-3 Learning Outcome: 21-6 Learning Outcome: 21-7 36. Therapists should stay within their scope of practice when recommending ___________. prescribed exercises Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 21-3 37. When performing therapeutic exercises, it is important to _________ during the work phase. exhale Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 21-3 38. When lifting a weight, for the most benefit the movement should always be __________. slow and controlled Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-3 Learning Outcome: 21-7 21-20 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises Key 39. The abdominal muscles can become ________ from overuse as postural muscles. shortened Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-3 Learning Outcome: 21-4 40. In the straight leg hamstring stretch, the __________ do the lifting work, not the rope. quadriceps Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 21-3 41. The Active Isolated Stretching method recommends a(n) ______ second stretch hold. 2 Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 21-3 42. Because it also contributes to hip flexion, the _________ can help skew the pelvis and make gait dysfunctional. rectus femoris Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 21-3 Learning Outcome: 21-4 21-21 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises Key 43. During the rectus femorus stretch, contracting the abdominals throughout this movement prevents __________. hip rotation Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 21-3 44. For some individuals with arthritis or other issues, the stretch and strengthening movements should be __________ for comfort. adjusted Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-3 Learning Outcome: 21-4 Learning Outcome: 21-6 45. Someone with herniated disks can utilize the ________ muscles to help protect the spine. abdominals Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-3 Learning Outcome: 21-4 46. For the straight leg hip hyperextension exercise, one can use _______ to help challenge the muscles. ankle weights Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-3 Learning Outcome: 21-7 21-22 Chapter 021 Muscular Analysis of the Trunk and Lower-Extremity Exercises Key 47. Because these muscles are in close proximity to this nerve, stretching the hamstring group can help ________ issues. sciatic Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 21-3 Learning Outcome: 21-4 48. A solid treatment always includes treating both ___________ groups. anterior and posterior muscle Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 21-3 Learning Outcome: 21-7 49. A specific point to stretching and strengthening exercises is that ________ be employed to the joints during the movements. full range of motion (ROM) Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 21-3 Learning Outcome: 21-7 50. As the quadriceps contracts, the __________ allow the movement by lengthening. hamstrings Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 21-1 Learning Outcome: 21-3 Learning Outcome: 21-6 21-23