Adaptive Yoga Moves Any Body Training Exam

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* 1. What is one of the most important competency goals of an effective adaptive yoga instructor?

Acceptance of the role without trying to fix the student

Clinical knowledge of the disease for each student

Ability to keep to the agenda no matter the needs of the students

None of the above

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* 2. When should an adaptive yoga instructor offer assistance to students? (which statement or statements are most correct?)

Always offer assistance

When the student asks for it and is unable to do the pose alone

Adjustments are necessary to make sure the student knows what is right and wrong

When the studen could benefit from an assist to improve their experience in the pose.

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* 3. How does adaptive yoga relate to medical care?

It replaces medical care

It is a complementary option to traditional medical care

It is medical care

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* 4. How can an adaptive yoga instructor help a student to honor their body?

Tell them to ignore the part of the body that they dislike

Tell them to strive for improvement and then they will like their body more

Focus on sensation and the breath to help the student be in the present moment

All of the above

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* 5. What should you balance with serious intention in the adaptive yoga class?

Fun and playfulness

Sadness

Alignment of your toes

Neither

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* 6. It is important for each student to check with their health practitioner or physician before embarking on a yoga practice so that they can inform them of any precautions or contraindications.

True

False

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* 7. What does neuroplasticity refer to?

A term that describes the inflexibility of the brain so that it cannot be modified

The fact that the brain can change and that it continuously rewires itself to form new neural pathways that adapt to a person’s needs

None of the above

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* 8. What is true about MS?

Lack of vitamin D causes MS

Everyone who is diagnosed with MS eventually uses a wheelchair to ambulate

No two people with MS have the same experience.

All of the above

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* 9. Symptoms of MS (which is most accurate)?

Are always the same

Include fatigue which everyone with MS has

Are variable due to the location of scarring and extent of demyelination

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* 10. The MS Hug is:

Feeling of compression around the chest and ribs as though enclosed in a tight band of pressure

Intense pain running down the back, to legs and arms when the head is moved

Can make it difficult to breathe

A and C

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* 11. What are common treatments of MS?

There are no treatments for MS

Over 18 disease modifying therapies

Ayurveda

Bee Pollen

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* 12. Which is true about Ayurveda?

A diet based on blood type

A sister science to yoga with an emphasis on holistic health and coming into harmony with music

It emphasizes healthy digestion

Ama is a healthy substance in the digestive track

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* 13. What are examples of Ayurvedic practices? (Choose all that apply)

Drink warm water with pepper throughout the day

Eat warm stewed apples for breakfast

Self-massage before a shower

None of the above

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* 14. What is true about Parkinson’s Disease?

It is an acute autoimmune disease

Chronic progressive neurocognitive disease that affects a small area in the belly

Results in a loss of dopamine producing brain cells

Very easy to diagnose with a PET scan

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* 15. What is not one of the primary symptoms of Parkinson’s Disease?

Tremors in hands, arms, legs, and jaw

Bradykinesia

Fast movement of gait

All are symptoms of PD

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* 16. What is an example of movement and sensory symptoms of PD?

Decreased ability to swing arms when walking

Straight posture

Walking on heels

None of the above

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* 17. The Parkinson’s Outcome Project shows that people with PD who start exercise earlier in their disease course for a minimum of 2.5 hours per week experience slowed decline in quality of life compared to those who start later.

True

False

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* 18. What did the Therapeutic Effects of Exercise for people living with PD show?

Meditation is positively associated with executive function and memory

Participants reported taking less medications

Ideally, patients would follow the standard recommendation of 150 minutes per week of moderate exercise or 75 minutes per week of vigorous exercise.

None of the above

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* 19. Neuromuscular conditions impact on the individual include:

Career, hobbies, finances and relationships

Social isolation

Diminished confidence

Severity disease progression, stressors, personality, environment, and lifestyle.

All of the above

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* 20. What does a comparison of MS and Parkinson’s Disease show us?

The symptoms are almost the same

Parkinson’s Disease age of onset is usually younger than MS onset

The prevalence of both conditions in the US is estimated to be the same at 1,000,000

Spasticity and rigidity are the same symptom

None of the above

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* 21. Interoception is:

The same as proprioception

Vision, our inner ear, and ability to know where the body is in space

A sense that gives us information about what is going on inside our bodies such as hunger, fatigue and body temperature

The ability to see inside

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* 22. What contributes to balance concerns for individuals with neuromuscular disorders?

Visual impairment

Increase in proprioception

Increase in sensitivity to and response to bodily sensations

None of the above

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* 23. Students with MS can experience challenges to balance in seated poses such as Mountain Pose in a Chair

True

False

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* 24. How can you make sure that the environment is safe in the adaptive yoga room?

Keep the room dimly lit

Permit shoes on the sticky yoga mat when balance is compromised

Allow socks on the yoga mat

Place the chairs and props in a circle

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* 25. What poses do not promote balance?

Mountain Pose on the Earth

Bridge Pose

Boat Pose

None of the above

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* 26. How can instructors help students with cognitive challenges?

Play “Brain Games”

Practice a flow that is fast with lots of poses

Don’t use music so that the students can concentrate

None of the above

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* 27. What is the appropriate approach to students who experience fatigue?

Practice breathing techniques that relax the nervous system

Teach sun salutations in every class

Combine restorative yoga with a more active practice

Hold poses past the students “edge”

a and c above

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* 28. Spasticity effects more arms than legs in 80% of people with MS

True

False

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* 29. Spasticity frequently experienced by those with MS and rigidity frequently experienced with those who have PD are the same symptom with different names.

True

False

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* 30. Tremors experienced by those with Parkinson’s Disease usually get worse with movement

True

False

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* 31. What are effective approaches to spasms and spasticity and rigidity?

Stretch the muscle until a spasm occurs

Let it go!

Hold the pose for several minutes

None of the above

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* 32. All yoga poses have the potential to be adaptive

True

False

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* 33. What is the most accurate and accessible way to teach adaptive yoga?

Show all of the variations before choosing the best option

Start with the most accessible variation for students in the room. Then present more challenging adaptations.

Let the students create their own variations and show them to others in the class for them to consider.

All of the above

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* 34. What is the safest and best way to determine whether transfers from a chair or standing to the earth, and from the earth to seated and standing should be included in the sequence for the day?

Don’t teach transfers. The students either know how to transfer or they don’t.

Communicate with the student and other instructors in the room to determine whether the best course of action is to transfer for the day or to practice the poses in a chair.

If one student cannot transfer to the earth, then all poses should be taught seated.

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* 35. What is important to focus on in the adaptive yoga room? (choose all that apply)

Focus on what the students can do.

Focus on what they cannot do to reaffirm that they are correct.

Make sure that they know the “right way” to do a pose.

Empower students with safe variations of a pose for any body.

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* 36. What is the optimal temperature for the yoga classroom?

Hot so they work up a sweat

Approximately 70 to 72 degrees Fahrenheit

5 degrees less than it is outside

Don’t ask the student cause they do not know

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* 37. What is not an important Adaptive Yoga Instructor role or quality?

Bring sense of laughter, joy, friendship and community to class

Think mindfully on the spot and in the present moment, while welcoming change in student and class needs

Keeps dogmatic control of the yoga room.

Embrace the of a healer, not fixer

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* 38. What is the role of a co-instructor?

Focus on one-on-one assistance and alignment adjustments

Only help when the lead instructor asks for it

Engage in conversation with other co-instructors during savasana/relaxation pose

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* 39. What are examples of participatory suggestive language to use in the classroom?

I would like you to try something different.

Would you be willing to try something different?

None of the above

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* 40. What is a good way to modify a class based on student needs?

Look around the room and see if students are paying attention

Build a class, or segment of a class, around a student’s question if they don’t’ understand a concept that needs more investigation

Focus on one student’s needs

All of the above

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* 41. How can an instructor help with muscle activation?

Ask the student to visualize activating them

Let the student know when you see an activated muscle

Describe what you see when touching their muscles

All of the above

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* 42. What questions are important to ask in an assessment before a student joins a group class?

Whether the student ambulates with assistance such as a cane, walker or wheelchair

Transportation

Any injures, surgeries, pain, or health challenges

All of the above

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* 43. Why is it important to ask about how a student ambulates during a phone assessment before a group class?

It helps to determine optimal student to teacher ratio for class planning

Safety is a top priority

Knowing whether a student ambulates with a cane, walker or wheelchair is useful because it means the student will definitely need physical assistance during class.

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* 44. What is important to learn about a student when you first meet them?

Stability when ambulating with or without assistance of cane or walker

If they can position their body in alignment

Quality of breath

“A” and “C” above

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* 45. What is important to learn about a student before the first private yoga therapy assessment or group class?

The student’s score on the Expanded Disability Status Scale

Score from Ayurvedic dosha quiz

Doctor’s contact information for consult

None of the above

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* 46. What is the best way for an instructor to show empathy to a student?

Take on student’s stress so they do not have to bare it alone

Resist the temptation to fix their problem

Base you next step based on the student’s expression

None of the above

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* 47. What can you do as an adaptive yoga instructor to exude positive energy in a group class?

Boost confidence by telling the student what you think they want to hear

Fill the room with hope

Complement a student so others will compete to get just as good

Correct the student when they have done something wrong

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* 48. As students enter the room at the beginning of class, observation and listening to students play a large role in how the class is designed for the day and if any previous plans need to be altered.

True

False

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* 49. Choose poses for the class based on:

A well rounded class includes poses that are strengthening, stretching, weight bearing, inverting and restorative.

Moving the spine in different directions, flexion, extension, forward bends, backbends, and twists.

Challenging poses that are in reach for most students in the class

All of the above

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* 50. Holding poses too long can cause spasticity, rigidity or fatigue.

True

False

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* 51. Is it okay for a student to observe another student practice a pose that is not within their ability?

No, it is depressing

Yes, it is okay because they can act as a cheerleader and visualize it in their own body

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* 52. What is another word for mindfulness?

Heartfulness

Awareness

Both above

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* 53. With the application of mindful listening:

Respond, but wait until the student is done talking

Make sure to show your emotions

Interrupt when you have a question

Listen with presence and loving kindness

None of the above

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* 54. For the acronym STOP, which is incorrect?

“S” is for Stop

“T” is for take a breath

“O” is for organize

“P” is for proceed

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* 55. Data suggests that up to 50% of patients with Parkinson’s Disease experience pain.

True

False

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* 56. Regarding pain

Pain, anxiety, and depression are correlated with disability

Pain is worse for those with anxiety and depression

All of the above

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* 57. Techniques that help with chronic pain include:

Breathwork

Mindful movement

Mindful meditation

Body scan

All of the above

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* 58. When teaching students how to cope with pain, which is most accurate?

Ask students to create a diversion away from the pain

Push the pain away

Allow the pain without resisting it

None of the above

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* 59. Which statement is True?

Chanting is the best way to cope with pain.

Yoga and neuroplasticity help one to unlearn chronic stress and transform chronic pain into chronic healing with mind body responses.

Yoga is prescribed as medical treatment and covered by insurance.

Research shows that ten percent of participants in a 8 week MBSR study showed pain reduction.

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* 60. What are mindful techniques to cope with pain?

Body Scan

Mindful movement

Breath of Awareness

All of the above

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* 61. Regarding pelvic floor health:

In seniors of the general population, 50% of females and 25% of males report they suffer from bladder incontinence.

People can have too tight or too loose muscles in the pelvic floor at the same time.

Tight muscles in the pelvic floor can translate to weakness.

All of the above

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* 62. What should you teach your students about the pelvic floor?

Always squeeze your muscles to urinate when on the toilet.

Pull the pelvic floor in and up on the inhale.

Practice the Complete Yoga Breath either lying down or seated with upright posture.

None of the above

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* 63. People often clench their buttocks when they practice Kegels and they need to learn to release and relax the pelvic floor muscles.

True

False

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* 64. Ayurveda is a good substitute for traditional medical care.

True

False

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* 65. Examples of Ayurvedic practices include:

Sip cold ice water throughout the day

Body brushing and self-massage

Swallow sesame or coconut oil after you brush your teeth

None of the above

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* 66. Safety precautions for an adaptive yoga class do not include:

Stagger chair placement

Place a chair near a student who has balance concerns when practicing standing postures

Place the props near a chair out of the way so people do not trip on them

Don’t disrupt the class if there is a safety concern

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* 67. How should an adaptive yoga instructor NOT approach language and communication?

Use words like “widen, make it BIG, or LOUD, especially for those with Parkinson’s Disease

State the formal pose names

Use questions such as “how does it feel”?

Break down pose steps

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* 68. With assistance and adjustments, it is important to :

Ask permission to touch the student

Be present and breathe

Practice Safety First

Ask lots of questions

All of the above

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* 69. How can an adaptive yoga instructor help students with muscle activation?

Describe what you see and feel when touching their muscles.

Help the student understand the difference between squeezing, clenching, and toning.

Demonstrate a pose and break it down into smaller parts.

All of the above

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* 70. Always error on the side of safety for the student and teacher?

True

False

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* 71. Communicate that, if anxiety or fatigue are high, it is best for the student to stay in the chair until they feel more comfortable at a future date.

True

False

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* 72. Examples of proprioception do not include:

Ability to judge distance

Turn in circles with your eyes open

Take your finger to your nose with your eyes closed

Move without looking

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* 73. What is not an example of interoception

Awareness of hunger

Awareness of the need to pee

Awareness of multitasking

Awareness of breath

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* 74. Brain games are helpful for:

Inserting fun into class

Maintaining and improving memory

Maintaining and improving focus

All of the above

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* 75. Always stretch for 15 to 30 seconds.

True

False

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* 76. The Adaptive Yoga Moves Any Body Principle includes all but ?

Prioritize safety

Empower students

Invite visitors

Encourage playfulness

Build community

Integrate mindfulness and neuroplasticity

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* 77. Students can be empowered by all but:

Prioritizing independence over safety in class

Incorporating elements that all students in the room can do without assistance

Teaching that everyone has a strength or attitude to praise

Teaching students to be non judgmental