Special Populations & Injury Prevention Flashcards

Which overuse injury is most associated with excessive tibial internal rotation during the stance phase of running?

Answer: Medial tibial stress syndrome (shin splints)

Excessive tibial internal rotation increases tensile stress on the posteromedial tibial periosteum and deep compartment muscles, causing medial tibial stress syndrome.

A collegiate swimmer with shoulder pain during the pull-through phase most likely has weakness in which muscle group that a CSCS should prioritize?

Answer: Serratus anterior and lower trapezius

Serratus anterior and lower trapezius weakness impairs scapular upward rotation, causing impingement of rotator cuff structures during the swimming pull-through.

When training clients with rheumatoid arthritis, which general guideline should the CSCS follow regarding flare-up periods?

Answer: Reduce or eliminate exercise involving inflamed joints and focus on range-of-motion only

During active flares, exercising through inflamed joints worsens joint damage; the focus should shift to gentle ROM to maintain mobility without exacerbating inflammation.

The functional movement screen (FMS) is best used by a CSCS to:

Answer: Identify movement pattern asymmetries and dysfunctions as starting points for corrective exercise

The FMS identifies asymmetrical or dysfunctional fundamental movement patterns that may elevate injury risk, serving as a baseline for corrective programming.

A teenage distance runner develops a stress fracture in the second metatarsal. Beyond biomechanics, the CSCS should flag which underlying systemic risk factor for the medical team?

Answer: Low energy availability potentially contributing to reduced bone density (component of RED-S)

Stress fractures in young female runners are a hallmark sign of the Female Athlete Triad/RED-S, where low energy availability reduces bone mineral density.

For an athlete rehabilitating a grade II lateral ankle sprain, which training intervention should be introduced earliest in the recovery timeline?

Answer: Proprioceptive and balance training on the injured limb

Proprioceptive training restores neuromuscular ankle control lost after ligament injury and can begin as soon as weight-bearing is pain-free.

When a CSCS programs resistance training for a client with chronic low back pain (non-acute), which approach has the strongest evidence for long-term pain reduction?

Answer: Progressive core stabilization and general resistance training with pain monitoring

Progressive resistance training including core stabilization has the strongest evidence for reducing chronic low back pain by improving muscular support and movement control.