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Sunday, December 18, 2022

Answers to Friday's Sports Medicine Quiz

Sports Medicine Quiz: Answers for Sunday 12/18/22

Sports Medicine Quiz
Dr Rich Blake
CSPM at Samuel Merritt University
1.    Strain is to muscles as sprain is to ______Ligaments_____________.
2.    What are 4 general principles of stretching?
·          Should never be painful
·          Slow count to 30 with each step of 5 deep breaths
·          No Jerking (called Ballistic Stretching)
·          Most benefit from Stretching is after you workout or warm up the tissue
3.    What is the mnemonic for treatment of tendon injuries?
 BRISS (Biomechanical factors, Rest or Activity modification, Ice or anti-inflammatory, stretch and strengthen
4.    What are the 3 phases of Injury Rehabilitation?
·         Immobilization Phase 
·          Re-Strengthening Phase
·          Return To Activity Phase
5.    What are 2 types of AROM strengthening exercises?
·           Short Arc AROM
·          Full Range AROM
6.    What are the 3 types of pain that we deal with in sports medicine?
·          Mechanical Pain
·          Inflammatory Pain
·          Neuropathic Pain
7.    What nerve root can give symptoms in the big toe? ____L3L4______
8.    If you are 80% better, what is your activity level? ______Back to All Your Previous Activities_____
9.    What is the most common cause of plantar fasciitis? _____Over Stretch of the Plantar Fascia____
10. Explain “Weakest Link in the Chain” concept for excessive pronation and medial knee pain.
 When we over pronate, the internal rotation of the foot holds the knee internally rotated while the
pelvis and hip are externally rotating. This over pronation affects the weakest link in the lower extremity causing pain up
and down the chain. In the case of medial knee pain this abnormal internal tibial position causes the vastus medialis to be over
stretched, weakening it, and allowing the patella to sublux laterally. The pain can be from the medial compartment of the
patellofemoral joint or just a strain of the medial knee structures.  
11. What are 5 mechanical causes of overuse injuries? 
  • Over Pronation  
  • Over Supination
  • Limb Length Discrepancy
  • Poor Shock Absorption
  • Weak and Tight Muscles   
23. What does a “dancer’s pad” do?
 Off weight the first metatarsal head
24. What are 3 components of an Ideal Running Form?
·          Slight Forward Lean of the Body
·          Foot Strike Just In Front of the Belly Button
·          Smooth Roll Through Foot into Push Off
25. If you have metatarsalgia, would you want a zero drop shoe or a standard motion control shoe? ________Zero Drop______
26. What are the 2 changes in your stride that allow you to run faster?
·          Increased Stride Length
·          Increased Stride Rate
27. Is the Hoka One One shoe line considered a minimalist shoe?  _____No_____
28. What type of heel injury can you imagine in a runner overstriding with heel strike and minimalist shoes? _____Heel Bruising or Plantar Heel Bursitis_____
29. Can walkers achieve the same health benefits with less injuries than a runner? ___Yes, just takes 4 times longer for exercise___
30. How does where a runner strikes the ground influence treatment (compare heel strike to forefoot strike only)?
 The stability of the shoe or orthosis must influence foot strike position the most. Therefore, forefoot strikers need more support in the forefoot of the shoe and orthosis than a rearfoot striker who needs the support further back.
31. A 45 year old with repeated running related stress fractures should have the following tests:
·          Vitamin D Blood Level
·          Bone Density Test

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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.