CCSP - Certified Chiropractic Sports Physician Adjunctive Sports Therapies Questions and Answers

Question 1

A CCSP is treating an athlete with chronic Achilles tendinosis using Instrument Assisted Soft Tissue Mobilization (IASTM).
What is the primary intended physiological effect of this therapy for this specific condition?

Accepted Answer

To stimulate a controlled local inflammatory response and fibroblastic proliferation.

Answer

To break down mature, well-organized collagen fibers from a previous injury.

Answer

To increase lymphatic drainage and rapidly reduce acute edema.

Answer

To directly decrease nerve conduction velocity for immediate pain relief.

Question 2

An athlete is in the early post-operative phase following an ACL reconstruction and is exhibiting significant quadriceps inhibition and atrophy. Which form of electrical stimulation is MOST appropriate for addressing muscle re-education and preventing further disuse atrophy?

Accepted Answer

Neuromuscular Electrical Stimulation (NMES)

Answer

Interferential Current (IFC)

Answer

Transcutaneous Electrical Nerve Stimulation (TENS)

Answer

High-Voltage Pulsed Current (HVPC) for edema control

Question 3

Which of the following is considered a primary contraindication for the application of therapeutic cupping?

Accepted Answer

Directly over the antecubital fossa.

Answer

Over an area of dense muscle tissue like the quadriceps.

Answer

On a patient with myofascial trigger points in the upper trapezius.

Answer

On the lumbar paraspinals of a patient with mechanical low back pain.

Question 4

A collegiate swimmer is being treated with Low-Level Laser Therapy (LLLT), also known as photobiomodulation, for supraspinatus tendinopathy. The primary proposed mechanism of action at the cellular level is:

Accepted Answer

Absorption of photons by mitochondria, leading to increased ATP production.

Answer

Deep tissue heating through the conversion of light to thermal energy.

Answer

Inhibition of nociceptors through the gate control theory of pain.

Answer

Acoustic micro-streaming that alters cell membrane permeability.

Question 5

A soccer player presents with patellofemoral pain syndrome, and the clinical exam suggests an overactive Tensor Fasciae Latae (TFL) and underactive Vastus Medialis Oblique (VMO). When applying kinesiology tape based on the theory of 'inhibition,' how should the tape be applied to the TFL?

Accepted Answer

From the insertion of the TFL (at the IT band) towards its origin with a light (15-25%) stretch.

Answer

From the origin of the TFL to its insertion with a 50-75% stretch.

Answer

Circumferentially around the thigh at the level of the TFL with maximal stretch.

Answer

With a 'star' pattern directly over the point of maximum tenderness with no stretch.

Question 6

Which of the following best describes the combined physiological rationale for using an intermittent pneumatic compression (IPC) device with cryotherapy in the acute management of a Grade II lateral ankle sprain?

Accepted Answer

To limit edema formation via external pressure while reducing cellular metabolic demand to limit secondary hypoxic injury.

Answer

To create a cycle of vasodilation and vasoconstriction, known as the 'hunting response,' to increase blood flow.

Answer

To stimulate fibroblastic proliferation and accelerate the formation of scar tissue in the affected ligaments.

Answer

To cause deep tissue analgesia through nerve hyperstimulation while breaking up early hematoma formation.