Functional Restoration Practice Test

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A patient has a positive posterior force closure test. Which exercise could be performed as part of the program?
Correct Answer:
Half-kneeling lat pull
Explanation:
A positive posterior force closure test signals the need to improve the ability to create and control posteriorly directed compressive forces across the pelvis and spine during loaded tasks. The half-kneeling lat pull is well suited for this because the half-kneeling stance creates a unilateral, unstable base that requires anti-rotation and robust pelvic and trunk stabilization while you perform a pulling lift. This setup trains the body to coordinate the posterior chain (including the latissimus dorsi and surrounding stabilizers) with the hips and pelvis to maintain a neutral spine and stable pelvis under load, directly reinforcing posterior force closure when transferring force through the trunk and pelvis. In contrast, an overhead press tends to emphasize shoulder and spine extension under load with less demand on pelvic stabilization; a seated row offers less challenge to anti-rotation and pelvic control; a hip hinge focuses on the posterior chain's hip-dominant pattern but can risk pelvic instability if not controlled. The half-kneeling lat pull combines resistance with a stabilizing, stance-driven requirement that aligns with improving posterior force closure.

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