Rehabilitation Techniques in ATR Manual Therapy Scenario: Chronic Neck Pain Tissues & Physiology Therapeutic Exercise Whatever 200 200 200 200 200 400 400 400 400 400 600 600 600 600 600 800 800 800 800 800 1000 1000 1000 1000 1000 Topic 1: 200 Question: An athletic trainer has determined that an athlete is limited in glenohumeral abduction as a result of capsular restriction. In which direction should the AT mobilize the GH joint? A) Anterior-posterior B) Inferior C) Posterior-anterior D) Superior Answer B) Inferior (Prentice, 1999) Topic 1: 400 Question: To improve flexibility in an athlete, an AT performs the following: He moves the limb into the agonist pattern, the patient is instructed to contract the antagonist muscle isotonically against resistance, the athlete then relaxes and allows the AT to push the limb further into agonist pattern. Which of the following techniques has the AT just performed? A) Contract Relax B) Hold Relax C) Slow Reversal-Hold-Relax D) Ballistic Stretching Answer A) Contract Relax (Prentice, 1999) Topic 1: 600 Question: Before performing joint mobilizations of the glenohumeral joint, an AT must place the GH joint in a loose-packed position. The loose-packed position for the GH joint is best described as_____. A) Full extension and abduction; slight external rotation B) Anatomical position C) 55 degrees of abduction and 30 degrees of horizontal adduction D) 90 degrees of abduction E) 90 degrees of abduction and 90 degrees of horizontal adduction Answer C (Prentice, 1999) Topic 1: 800 Question: Sensitive to changes in muscle length, the Golgi Tendon Organs are also sensitive to changes in what? A) Ligament force B) Joint surface pressure C) Moment arms D) Muscle tension E) Long sitting test Answer D) Muscle tension (Prentice, 1999) Topic 1: 1000 Question: Force is the product of what? A) weight & speed B) power & speed C) mass & velocity D) torque & speed E) acceleration & mass Answer: E (Prentice 1999) Topic 2: 200 Scenario: An AT is treating a 21 year-old college student whose chief complaint is chronic neck pain and headaches of insidious onset. The patient presents with forward head posture with increased cervical lordosis and forward shoulder posture with increased thoracic kyphosis. The AT has determined the patient’s symptoms are the result poor posture when studying for extended periods of time. Question #1: Which muscles should be targeted for strengthening to help correct the patient’s forward shoulder and increased thoracic kyphosis postures? Select all that apply: A) Middle trapezius B) Pectoralis minor C) Rhomboid major rhomboid minor D) Lower trapezius Answer A , C, & D (Prentice, 1999) Topic 2: 400 • Scenario: • An AT is treating a 21 year-old college student whose chief complaint is chronic neck pain and headaches of insidious onset. The patient presents with forward head posture with increased cervical lordosis and forward shoulder posture with increased thoracic kyphosis. The AT has determined the patient’s symptoms are the result poor posture when studying for extended periods of time. • Question #2: Which muscles should the AT focus on lengthening to correct her forward head and increased cervical lordosis postures? Select all that apply: A) Suboccipital extensors B) Triceps brachii C) Obliquus Capitus Inferior D) Upper trapezius • Answer • A&D Topic 2: 600 Scenario: An AT is treating a 21 year-old college student whose chief complaint is chronic neck pain and headaches of insidious onset. The patient presents with forward head posture with increased cervical lordosis and forward shoulder posture with increased thoracic kyphosis. The AT has determined the patient’s symptoms are the result poor posture when studying for extended periods of time. Question #3: Which muscles should be targeted for strengthening to correct her forward head posture? A) Longus colli, longus capitis B) Upper trapezius, Serratus anterior C) Medial Pterygoid, levator scapulae D) Middle trapezius, sternocleidomastoid E) Suboccipital extensors, multifidus spinae Answer A - the two primary ‘deep neck flexors’ (Kendall, McCreary, Provance, 1993) Topic 2: 800 Scenario: An AT is treating a 21 year-old college student whose chief complaint is chronic neck pain and headaches of insidious onset. The patient presents with forward head posture with increased cervical lordosis and forward shoulder posture with increased thoracic kyphosis. The AT has determined the patient’s symptoms are the result poor posture when studying for extended periods of time. Question #4: The AT has decided that mechanical cervical traction is indicated for this patient. The patient is placed isupine. In what position should the cervical spine be placed in the sagittal plane? A) neutral B) 5 degrees of extension C) 10-50 degrees of flexion D) 20-30 degrees of flexion Answer D (Prentice, 1999) Topic 2: 1000 Question Related to Scenario: Ergonomics is defined as______________. A) The scientific study of human work B) The scientific study of how people sit at their desks C) The scientific study of how bad posture affects people doing their jobs D) The scientific study of work hardening Answer A) The scientific study of human work (Prentice, 1999) Topic 3: 200 Question: Type IIa muscles fibers as also know as what? A) Slow-oxidative B) Fast-oxidative glycolytic C) Fast-glycolytic D) Slow-glycolytic Answer B (Prentice, 1999) Topic 3: 400 Question: Which of the following is NOT one of the four major classifications of tissue? A) Epithelial B) Connective C) Trabecular D) Muscle E) Nervous Answer C (Prentice, 1999) Topic 3: 600 Question: This law states that the nerve supplying a joint also supplies both the muscles that move the joint and the skin covering the articular insertion of those muscles. A) Coulomb’s law B) Hilton’s law C) Joule’s law D) Law of Grotthus-Draper Answer B (Prentice, 1999) Topic 3: 800 Question: Which of the following is not an adaption as a result of cardiorespiratory training? A) Increased functional capacity in the lungs B) Unchanged cardiac output C) Increased stroke volume D) Decreased capillarization Answer D (Prentice, 1999) Topic 3: 1000 Question: Afferent neural pathways____. Choose all that apply: A) Are sensory pathways B) Enter the spinal cord through the dorsal root C) Play a role in kinesthesia D) Are part of the central nervous system E) Carry both somatic and visceral sensory fibers Answer A, C, E (Prentice 1999) Topic 4: 200 Question: A basketball player suffers a grade II inversion ankle sprain. Of the following, which is the MOST appropriate progression of rehabilitation exercises? A) Isometrics, ROM, resistance tubing, cutting, and running B) Isometrics, ROM, resistance tubing, running and cutting C) ROM, resistance tubing, isometrics, cutting, and running D) ROM, isometrics, resistance tubing, running, and cutting E) ROM, isokinetics, resistance tubing, cutting, and running Answer D (Prentice, 1999) Topic 4: 400 Question: Commonly a patient with a classic (most common) posterior-lateral lumbar herniated nucleus pulposus will have which directional preference that should be considered when creating a therapeutic exercise plan? A) Extension B) Flexion C) lateral flexion to both sides D) forward flexion + rotation to opposite side Answer A (Prentice, 1999) Topic 4: 600 Question: Commonly a patient with lumbar intervertebral foraminal stenosis will have which directional preference that should be considered when creating a therapeutic exercise plan? A) Extension B) Flexion C) lateral flexion to both sides D) forward flexion + rotation to opposite side Answer B (Prentice, 1999) Topic 4: 800 Question: An AT is managing a 20yo football player who sustained a concussion. Once symptom free, the athlete is reassessed to establish that cognition and postural stability have returned to normal by comparison with preinjury baselines test results. The return to play decision should be made after an incremental increase in activity with an initial cardiovascular challenge, followed by what type of activities? Select all that apply: A) Activities that cause the head to bounce and jar excessively B) Activities that cause the athlete to reach 100% of their maximum heart rate C) Activities that are sport-specific D) Activities that do not place the athlete at risk for concussion Answer C & D (NATA Position Statement: Management of Sport-Related Concussion) Topic 4: 1000 Question: You are rehabilitating an athlete with chronic lateral epicondylalgia. Which is the primary muscle involved with this pathology? A) extensor carpi radialis brevis B) extensor carpi radialis longus C) extensor digitorum longus D) extensor carpi ulnaris Answer A (Prentice, 1999) Topic 5: 200 Question: Cardiac output is equal to what? A) Heart rate x blood pressure B) Stroke volume x tidal volume C) Heart rate x stroke volume D) Peripheral resistance x stroke volume Answer C (Prentice, 1999) Topic 5: 400 Question: As the foot becomes weightbearing at heel strike, creating a closed kinetic chain, the subtalar joint moves into a _________ position. A) Supinated B) Dorsiflexed C) Plantarflexed D) Pronated E) Inverted Answer D (Hamill, Knutzen, 2009) Topic 5: 600 Question: After a partial meniscectomy, an athlete should ambulate on crutches for how many days? A) 7-14 B) 6-10 C) 14-21 D) 1-3 Answer D (Prentice, 1999) Topic 5: 800 Question: After a meniscal repair, an athlete should be placed in a rehabilitative brace locked in what position for 2 weeks? A) Full extension B) 90 degrees of flexion C) 30 degrees of flexion D) 5 degrees of flexion Answer A (Prentice, 1999) Topic 5: 1000 Question: All of the following would be appropriate in managing a patient with chronic plantar facia pain EXCEPT: A) Talocrural anterior-posterior glide joint mobilization with the patient in a long-seated position B) Stretching of the triceps surae C) Immobilizing the patient in a plantar flexed and inverted position when sleeping D) Cryotherapy E) Thermotherapy Answer C (Prentice, 1999) Rehab. (cont) & Pharmacology Whatever (continued) Pharmacology Principles Medications Adverse Scenario Effects Pharmacy/ Drug Concepts 200 200 200 200 200 400 400 400 400 400 600 600 600 600 600 800 800 800 800 800 1000 1000 1000 1000 1000 Topic 1: 200 Question: Which of the following medical abbreviations means ‘three times per day’ ? A) TID B) ad lib C) BID D) PRN E) QOD Answer A Topic 1: 400 Question: Which of the following is the correct sensation progression experienced with cryotherapy? A) cold, aching, burning, numbness B) cold, ouch that sucks, burning, kill me C) cold, burning, aching, numbness D) cold, itching, burning, numbness Answer C (Prentice, 1999) Topic 1: 600 Question: Which of the following is not a type of tissue loading? A) compression B) tension C) shearing D) gliding E) bending F) torsion Answer D (Prentice, 1999) Topic 1: 800 Question: Haglund’s deformity is commonly known as what? A) Sever’s Disease B) Achilles tenosynovitis C) Pump bump D) Forefoot valgus Answer C (Prentice, 1999) Topic 1: 1000 Question:The lateral boarder of the femoral triangle is what anatomical structure? A) Sartorius B) tensor fascia latae C) inguinal ligament D) adductor magnus E) femoral vein Answer A (Prentice, 1999) Topic 2: 200 A. B. C. D. E. Question: The term most related to a drug’s absorption, distribution, metabolism, and excretion is called: Pharmacology Pharmacodynamics Pharmacokinetics Pharmacotherapeutics Pharmacomedicatics Answer: C. Pharmacokinetics (Long and Hale, 2010) Topic 2: 400 A. B. C. D. Question: ADME stands for: Admission, distinction, metabolism, and evaporation Apocrine, distraction, measured, and exercitation Absorption, distribution, metabolism, and elimination Administration, deoxygenation, menochemical, and extraction Answer: C. Absorption, distribution, metabolism, and elimination (Ost, Manfre, and Lew, 2009) Topic 2: 600 Question: Which drug interaction occurs when one medication prolongs the effect of another? A. Synergism B. Potentiation C. Antagonism D. Agonistic E. Tetrogenic Answer B. Potentiation (Long and Hale, 2010) Topic 2: 800 Question: A drug that is used to increase the effect of another, such as aspirin when used in combination with codeine, is known as what? A. Synergistic B. Cumulative C. Paradoxical D. Potentiating E. Titrating Answer A. Synergistic (Long and Hale, 2010) Topic 2: 1000 A. B. C. D. E. Question: An athlete is identifying with tinnitus secondary to drug usage. What is the cause of these symptoms? Anaphylaxis Hypersensitivity Ototoxicity Idiosyncrasy Ophthalmicity Answer: C. Ototoxicity (Long and Hale, 2010) Topic 3: 200 A. B. C. D. E. F. G. H. I. J. K. Question: Antibiotic (Amoxicillin, Tetracycline, Clarithromycin) Anti-inflammatory (NSAIDS, Aspirin) Laxatives (Metamucil, Dulcolax, Milk of Magnesia) Anti-diarrheal (Lomotil, Pepto-Bisol, Kapectolin, Imodium) Antacids (Maalox, Tums, Mylanta) Stool softeners (Colace, Fleet, Mineral oil) H2-receptor antagonist (Tagamet, Pepcid, Zantac) Proton pump inhibitors (Nexium, Prevacid, Prilosec, Protonix) Topical anesthetics (Benzocaine, Tetracaine) Corticosteroids (Hydrocortizone 1%) Protectants (Cocoa butter, Lanolin, Petrolatum) Question #1: A 27-year old female complains of diarrhea that is alternating with bouts of constipation and abdominal pain. She is afrebrile. She has recently been diagnosed with irritable bowel syndrome (IBS). Select all the appropriate pharmacological agents used to treat this condition from the set above. Answer: D, C, F ((Ost, Manfre, and Lew, 2009) Topic 3: 400 A. B. C. D. E. F. G. H. I. J. K. Question: Antibiotic (Amoxicillin, Tetracycline, Clarithromycin) Anti-inflammatory (NSAIDS, Aspirin) Laxatives (Metamucil, Dulcolax, Milk of Magnesia) Anti-diarrheal (Lomotil, Pepto-Bisol, Kapectolin, Imodium) Antacids (Maalox, Tums, Mylanta) Stool softeners (Colace, Fleet, Mineral oil) H2-receptor antagonist (Tagamet, Pepcid, Zantac) Proton pump inhibitors (Nexium, Prevacid, Prilosec, Protonix) Topical anesthetics (Benzocaine, Tetracaine) Corticosteroids (Hydrocortizone 1%) Protectants (Cocoa butter, Lanolin, Petrolatum) Question #2: A 40-year-old male reports symptoms of dyspepsia, gastric regurgitation, feelings of abdominal distention, and “burning” epigastric pain that is brought on after eating spicy or fatty food. He has been diagnosed with gastroesophageal reflux disease (GERD). Select all the appropriate pharmacological agents used to treat this condition from the set above. Answer: G, H, E ((Ost, Manfre, and Lew, 2009) Topic 3: 600 A. B. C. D. E. F. G. H. I. J. K. L. Question: Antibiotic (Amoxicillin, Tetracycline, Clarithromycin) Anti-inflammatory (NSAIDS, Aspirin) Laxatives (Metamucil, Dulcolax, Milk of Magnesia) Anti-diarrheal (Lomotil, Pepto-Bisol, Kapectolin, Imodium) Antacids (Maalox, Tums, Mylanta) Stool softeners (Colace, Fleet, Mineral oil) H2-receptor antagonist (Tagamet, Pepcid, Zantac) Proton pump inhibitors (Nexium, Prevacid, Prilosec, Protonix) Topical anesthetics (Benzocaine, Tetracaine) Corticosteroids (Hydrocortizone 1%) Protectants (Cocoa butter, Lanolin, Petrolatum) Question #3: A 45-year-old male reports symptoms of a rhythmic, gnawing, cramping pain over the midline of the epigastrium near the xiphoid that occurs between meals. The pain occurs every few weeks. He has been recently diagnosed with peptic ulcer disease (PUD). Select all the appropriate pharmacological agents used to treat this condition from the set above. Answer: A, G, H, E ((Ost, Manfre, and Lew, 2009) Topic 3: 800 A. B. C. D. E. F. G. H. I. J. K. Question: Antibiotic (Amoxicillin, Tetracycline, Clarithromycin) Anti-inflammatory (NSAIDS, Aspirin) Laxatives (Metamucil, Dulcolax, Milk of Magnesia) Anti-diarrheal (Lomotil, Pepto-Bisol, Kapectolin, Imodium) Antacids (Maalox, Tums, Mylanta) Stool softeners (Colace, Fleet, Mineral oil) H2-receptor antagonist (Tagamet, Pepcid, Zantac) Proton pump inhibitors (Nexium, Prevacid, Prilosec, Protonix) Topical anesthetics (Benzocaine, Tetracaine) Corticosteroids (Hydrocortizone 1%) Protectants (Cocoa butter, Lanolin, Petrolatum) Question #4: A 53-year old male complains of itching, burning, and pain at the anal opening and has a mild amount of bleeding if he strains during a bowel movement. He has been diagnosed with hemorrhoids. Select all the appropriate pharmacological agents used to treat this condition from the set above. Answer: J, I, K, F, C (Ost, Manfre, and Lew, 2009) Topic 3: 1000 A. B. C. D. E. F. G. H. I. J. K. L. Question: Antibiotic (Amoxicillin, Tetracycline, Clarithromycin) Anti-inflammatory (NSAIDS, Aspirin) Laxatives (Metamucil, Dulcolax, Milk of Magnesia) Anti-diarrheal (Lomotil, Pepto-Bisol, Kapectolin, Imodium) Antacids (Maalox, Tums, Mylanta) Stool softeners (Colace, Fleet, Mineral oil) H2-receptor antagonist (Tagamet, Pepcid, Zantac) Proton pump inhibitors (Nexium, Prevacid, Prilosec, Protonix) Topical anesthetics (Benzocaine, Tetracaine) Corticosteroids (Hydrocortizone 1%) Protectants (Cocoa butter, Lanolin, Petrolatum) Xanthine Oxidase Inhibitors (Aloprim, Lopurin, Zyloprim) Question: #5: A 40- year old male reports symptoms of intense joint pain, lingering discomfort, inflammation and redness. He has been diagnosed with a severe case of Gout. Sleect all the appropriate pharmacological agents used to treat this condition from the set above. Answer: B, J, L(Ost, Manfre, and Lew, 2009) Topic 4: 200 A. B. C. D. E. Question: All of the following are possible side effects of oral contraceptives except: Nausea and vomiting Shortness of breath Fluid retention Amenorrhea Feeling “sluggish” Answer: B. Shortness of breath (Ost, Manfre, and Lew, 2009) Topic 4: 400 A. B. C. D. E. Question: Your athlete is on a medication for a Staphylococcus aureus infection. Which of the following adverse reactions might you expect with antibiotic treatment? Palpitations Abdominal cramping Dry mouth Headache All of the above Answer B. Abdominal cramping (Long and Hale, 2010) Topic 4: 600 A. B. C. D. E. Question: Frequently abused drugs include stimulants such as amphetamines (speed), cocaine (coke or crack), and depressants (alcohol or downers). An athlete who has overdosed on a stimulant would manifest all of the following signs except: Agitation Decreased reaction time Rapid pulse and respirations Convulsions Arrythmias Answer B. Decreased Reaction Time (Ost, Manfre, and Lew, 2009) Topic 4: 800 A. B. C. D. E. Question: Which of the following is not an adverse effect associated with the abuse of human growth hormone? Laryngeal thickening Hypercalciuria Hypertrophic neuropathy Mandibular growth Diarrhea Answer E. Diarrhea (Long and Hale, 2010) Topic 4: 1000 A. B. C. D. E. Question: Beta-blockers inhibit the action of catecholamines and decrease cardiac output. In which of the following sports would the effects of beta-blockers potentially enhance performance? Swimming Long-distance running Archery Baseball All of the above Answer C. Archery (Ost, Manfre, and Lew, 2009) Topic 5: 200 A. B. C. D. E. Question: Which of the following medications is not an antihistamine? Dimetapp Ultram Benadryl Claritin Tavist D Answer B. Ultram (Long and Hale, 2010) Topic 5: 400 A. B. C. D. E. Question: All of the following medications may be used with phonophoresis during the acute phase of treatment except: Dexamethasone Hydrocortisone 1% Lidocaine Naproxen Hydrocortisone 10% Answer D. Naproxen (Ost, Manfre, and Lew, 2009) Topic 5: 600 A. B. C. D. E. Question: Which of the following medications is not a medication that could predispose an athlete to heat illness? Decongestants Anti-histimines Diuretics NSAIDS Beta-adrenergic blockers Answer D. NSAIDS (Long and Hale, 2010) Topic 5: 800 Question: One of your athletes has been diagnosed with psoriasis. The signs and symptoms of this condition include plaques of red, inflamed skin, often covered with loose, silver-colored scales. The scales are itchy and painful and sometimes crack and bleed. All of the following medications are appropriate for treatment of this condition except: A. Aristocort B. Kenalog C. Topicort D. Betadine E. A and B Answer D. Betadine ((Ost, Manfre, and Lew, 2009) Topic 5: 1000 A. B. C. D. E. Question: What book defines official U.S. standards for making drugs? The Pharmacological Basis of Therapeutics USP/NF United States Pharmacopeia/National Formulary Drug Facts and Comparisons American Society of Health-System Pharmacists Drug Handbook Physicians’ Desk Reference Answer B. USP/NF United States Pharmacopeia/National Formulary (Long and Hale, 2010) Pharmacology Pharmacology Medications 200 200 400 400 600 600 800 800 1000 1000 Topic 1: 200 A. B. C. D. E. Question: Which of the following medications is not a medication that could predispose an athlete to heat illness? Decongestants Antihistimines Diuretics NSAIDS Beta-adrenergic blockers Answer D. NSAIDS (Long and Hale, 2010) Topic 1: 400 A. B. C. D. E. Question: When counseling an athlete about the proper way to self-administer a medication, it is important that the athletic trainer make the athlete aware of what two factors? Any side effects and, in detail, how the drug works on the body If the drug may be addictive and how long the effects will last If the drug may cause depression and, in detail, how the drug works on the body When to take the medication and what foods/drugs not to mix with it B and C Answer D. When to take the medication and what foods/drugs not to mix with it (Long and Hale, 2010) Topic 1: 600 Question: Ibuprofen is a generic name for all but which of the following? I. Tylenol II. Advil III. Nuprin IV. Motrin V. Aspirin A. B. C. D. E. II and III II, III, and IV I and V IV and V I, II, and III Answer B. II, III, and IV ((Ost, Manfre, and Lew, 2009) Topic 1: 800 A. B. C. D. E. Question: An athlete has been taking a medication, but it is producing gastric upset. What are the recommendations for the athlete to take to reduce this symptom? Take before bed Take on empty stomach Take with a glass of clear liquid Take with food Take with an antacid Answer D. Take with food (Long and Hale, 2010) Topic 1: 1000 Question: Your athlete is on a medication for a Staphylococcus aureus infection. Which of the following adverse reactions might you expect with antibiotic treatment? A. Palpitations B. Abdominal cramping C. Dry mouth D. Headache E. All of the above Answer B. Abdominal cramping ((Ost, Manfre, and Lew, 2009) Topic 2: 200 A. B. C. D. E. Question: Which of the following drugs must the athletic trainer determine the athlete is not allergic to prior to administering a NSAID? Famotidine Acetaminophen Sulfa Sudafed Aspirin Answer E. Aspirin (Long and Hale, 2010) Topic 2: 400 A. B. C. D. E. Question: What is the maximum safe dosage of Tylenol in a day? 2,400 mg 3,000 mg 3,200 mg 4,000 mg 4,800 mg Answer D. 4,000 mg (Long and Hale, 2010) Topic 2: 600 A. B. C. D. E. Question: What policy exists with the NCAA regarding nutritional supplements? Athletic trainer is responsible for checking into all medications Medical release can assure safe participation Athlete is held responsible for whatever he or she ingests Athletes should never use prescribed nutriceuticals Moderate amounts of nutriceuticals are allowable without penalty Answer C. Athlete is held responsible for whatever he or she ingests. ((Ost, Manfre and Lew, 2009) Topic 2: 800 A. B. C. D. E. Question: Which of the following is the proper protocol for administering Tylenol to an adult athlete (assuming the athlete is not allergic to acetaminophen)? Initial dose: two tablets, 200 mg each, repeat every 6 to 8 hours, PRN Initial dose: two tablets, 225 mg each, repeat every 4 to 6 hours, PRN Initial dose: two tablets, 325 mg each, repeat every 4 to 6 hours, PRN Initial dose: two tablets, 12.5 mg each, repeat every 6 hours, PRN Initial dose three tablets, 200 mg each, repeat every 8 to 12 hours, PRN Answer C. Initial dose: two tablets, 325 mg each, repeat every 4 to 6 hours, PRN ((Ost, Manfre and Lew, 2009) Topic 2: 1000 A. B. C. D. Question: An athlete is presenting with drowsiness, headache, a bladder infection, nausea, and liver toxicity. He is most likely presenting with the adverse reactions for which of the following? NSAIDS MAOI (Monoamine oxidase inhibitor) Nutraceutical SSRI (Selective serotonin inhibitor) Answer A. NSAIDS (Ost, Manfre and Lew, 2009) References Guskiewicz, K.M., Bruce, S.L., Cantu, R.C., Ferrara, M.S., Kelly, J.P., McCrae, M., Putukain, M., Valowich McLeaod, T.C., (2004). National Athletic Trainer’s Association Position Statement: Management of Sport-Relation Concussion. Journal of Athletic Training, 39(3), 280-297. Hamill, J., Knutzen, K.M., (2009). Biomechanical Basis of Human Movement. Baltimore, MD: Lippincott Williams & Wilkins. Kendall, P. F., McCreary, K. E., Provance, G. P. (1993). Muscles Testing and Function, Ed. 4. Philadelphia, PA: Lippincott Williams & Wilkins. Prentice, W.E., (1999). Rehabilitation Techniques in Sports Medicine, Third Edition. New York, NY: McGraw-Hill. References cont. Ost, L.A., Manfre, K., and Lew, K. (2009). Athletic Training Exam Review. A Student Guide To Success. 4th ed. Long, B.H. and Hale IV, C.W. (2010) Athletic Training Exam Review.