NASM Flexibility & Corrective Exercise 1 — Questions and Answers
Question 1: What is the correct sequence of NASM's Corrective Exercise Continuum?
- Inhibit, Lengthen, Activate, Integrate (Correct answer)
- Lengthen, Activate, Inhibit, Integrate
- Activate, Lengthen, Inhibit, Integrate
- Inhibit, Activate, Lengthen, Integrate
Correct answer: Inhibit, Lengthen, Activate, Integrate
NASM's four-step Corrective Exercise Continuum follows: Inhibit overactive muscles, Lengthen them, Activate underactive muscles, then Integrate into movement.
Question 2: Which flexibility technique uses sustained pressure on a trigger point to decrease neural drive and reduce hypertonicity?
- Self-myofascial release (SMR) (Correct answer)
- Static stretching
- Active isolated stretching
- Dynamic stretching
Correct answer: Self-myofascial release (SMR)
SMR applies direct pressure to a tender point for 30–90 seconds, stimulating the Golgi tendon organ to autogenically inhibit muscle spindle activity.
Question 3: Static stretching is most effective when held for what minimum duration according to NASM guidelines?
- 20–30 seconds (Correct answer)
- 5–10 seconds
- 60–90 seconds
- 10–15 seconds
Correct answer: 20–30 seconds
NASM recommends holding static stretches for a minimum of 20–30 seconds to allow the muscle spindle activity to decrease and lengthen connective tissue.
Question 4: Which type of stretching uses reciprocal inhibition by contracting the antagonist to lengthen the target muscle?
- Active isolated stretching (Correct answer)
- Static stretching
- Self-myofascial release
- Passive stretching
Correct answer: Active isolated stretching
Active isolated stretching contracts the opposing muscle group to activate reciprocal inhibition, which relaxes the target muscle for a deeper stretch.
Question 5: Neuromuscular stretching (PNF) is placed at which phase of NASM's flexibility training spectrum?
- Phase 3 — Integrated flexibility (Correct answer)
- Phase 1 — Corrective flexibility
- Phase 2 — Active flexibility
- Phase 4 — Power flexibility
Correct answer: Phase 3 — Integrated flexibility
PNF/neuromuscular stretching is classified under Phase 3 integrated flexibility, combining contraction and relaxation to maximize ROM in functional positions.
Question 6: Which muscle is most commonly identified as overactive when knee valgus is observed during the OHSA?
- Adductor complex (Correct answer)
- Gluteus medius
- Vastus lateralis
- Tensor fasciae latae only
Correct answer: Adductor complex
The adductor complex is typically overactive when knee valgus occurs, pulling the femur into adduction and internal rotation during squatting.
What is the correct sequence of NASM's Corrective Exercise Continuum?