NASM Stretching and Flexibility Exam
2026/2027 – Practice Questions &
Complete Review
Integrated Stretching - correct answer-Self-myofascial techniques combined with
assisted and self-stretching techniques.
Fascia - correct answer-Connective tissue that surrounds muscles and bones.
True or False: Stretching can directly influence hydration. - correct answer-True
Regional Interdependence (RI) Model - correct answer-Assessment and
intervention model used by clinicians based on the concept that the site of a
patient's primary complaint or symptoms is affected by dysfunction in remote
musculoskeletal regions.
Neurophysiological System - correct answer-A physiological system dealing with
the functioning of the nervous system.
Somatovisceral System - correct answer-The part of the sensory system that
responds to changes in internal body systems and organs.
,Myofascia - correct answer-The functional combination of both muscle and
connective tissues.
Structural Efficiency - correct answer-The alignment of each segment of the
human movement system, which allows posture to be balanced in relation to a
person's center of gravity.
Fascial System - correct answer-A three-dimensional continuum of soft, collagen-
containing, loose, and dense fibrous connective tissues that permeate the body
providing functional structure and environment.
Functional Efficiency - correct answer-The ability of the neuromuscular system to
recruit correct muscle synergies, at the right time, with the appropriate amount
of force to perform functional tasks with the least amount of energy and stress on
the human movement system (HMS).
Fascial System Model - correct answer-The model of human movement that
considers the interconnectivity and interaction of the fascial system throughout
the body.
Fascial Nets - correct answer-The concept of the myofascial tensional network
that describes the interconnectedness of specific chains of muscle and fascia
located in different parts of the body as they relate to functional movement
patterns.
Super Compensation Hydration Phenomenon - correct answer-The effect on
tissue after tissue has been allowed to rest after stretch or compression; more
fluid rushes back into the tissues than was observed pre-stretch
,Bound Water - correct answer-Water forming in liquid crystalline structured
patterns; Bound water has special molecular properties that enable it to perform
many crucial functions, including providing greater viscosity for the viscoelastic
properties of fasciae. This property greatly enhances the flexibility and elasticity
of the fascial system
Bulk Water - correct answer-Polluted water;
What other factors would be affecting a pronated foot-ankle complex, according
to the RI? - correct answer-A pronated foot-ankle complex is only one part of a
cascading chain of events, resulting in more proximal faulty positions, like with an
internally rotated knee and hip that may anteriorly rotate the pelvis
A truly balanced HMS will have what? - correct answer-Optimal structural and
functional efficiency with proper alignment of the kinetic chain checkpoints: the
feet/ankles, knees, LPHC, shoulders, and head and neck
True or False: The FS model may be thought of as an extension of the strategies
used in the RI model to include all the various types of connective tissues - correct
answer-The FS model may be thought of as an extension of the strategies used in
the RI model to include all the various types of connective tissues
What happens when a mechanical load is released? - correct answer-An influx of
fresh fluids enters to flush out metabolic waste, rehydrate, and bring fresh
nutrients to the area.
Why is it important to have structural efficiency and the alignment of each
component of the human movement system (HMS)? - correct answer-This
enables an individual to maintain their center of gravity over a constantly
changing base of support during all functional movements.
, How does the Fascial System (FS) model add to functional efficiency within the
human movement system (HMS)? - correct answer-It intertwines the nervous
system and muscular system, creating a mechanically sensitive and responsive
communication network.
Which of the following is the first definition of fascia according to the Fascial
Research Society? - correct answer-A fascia is a sheath, a sheet, or any other
dissectible aggregations of connective tissue that forms beneath the skin to
attach, enclose, and separate muscles and other internal organs.
Which of the following factors are improved with the use of the Fascial System
(FS) model? - correct answer-Assessments and programs bodywork, physical
therapy, regenerative medicine, fitness, and stretch therapy.
True or False: It is within the scope of practice for a fitness professional to
diagnose and/or render medical treatment - correct answer-False: Unless the
practitioner is also licensed by their state to diagnose and/or render medical
treatment, the fitness professional is legally prohibited from diagnosing or
treating pain or medical conditions of any kind
What is one of the best ways to both gain a referral network while also promoting
your business? - correct answer-Invite potential referral sources to receive a free
assisted-stretch session to experience the actual techniques and approaches
offered by a fitness professional
Is gaining consent to touch clients during an assisted stretching session
important? - correct answer-Yes, incredibly; formally documenting in writing is
highly recommended; the fitness professional should know when, where, and
how the hands will be placed during each individual technique used;
2026/2027 – Practice Questions &
Complete Review
Integrated Stretching - correct answer-Self-myofascial techniques combined with
assisted and self-stretching techniques.
Fascia - correct answer-Connective tissue that surrounds muscles and bones.
True or False: Stretching can directly influence hydration. - correct answer-True
Regional Interdependence (RI) Model - correct answer-Assessment and
intervention model used by clinicians based on the concept that the site of a
patient's primary complaint or symptoms is affected by dysfunction in remote
musculoskeletal regions.
Neurophysiological System - correct answer-A physiological system dealing with
the functioning of the nervous system.
Somatovisceral System - correct answer-The part of the sensory system that
responds to changes in internal body systems and organs.
,Myofascia - correct answer-The functional combination of both muscle and
connective tissues.
Structural Efficiency - correct answer-The alignment of each segment of the
human movement system, which allows posture to be balanced in relation to a
person's center of gravity.
Fascial System - correct answer-A three-dimensional continuum of soft, collagen-
containing, loose, and dense fibrous connective tissues that permeate the body
providing functional structure and environment.
Functional Efficiency - correct answer-The ability of the neuromuscular system to
recruit correct muscle synergies, at the right time, with the appropriate amount
of force to perform functional tasks with the least amount of energy and stress on
the human movement system (HMS).
Fascial System Model - correct answer-The model of human movement that
considers the interconnectivity and interaction of the fascial system throughout
the body.
Fascial Nets - correct answer-The concept of the myofascial tensional network
that describes the interconnectedness of specific chains of muscle and fascia
located in different parts of the body as they relate to functional movement
patterns.
Super Compensation Hydration Phenomenon - correct answer-The effect on
tissue after tissue has been allowed to rest after stretch or compression; more
fluid rushes back into the tissues than was observed pre-stretch
,Bound Water - correct answer-Water forming in liquid crystalline structured
patterns; Bound water has special molecular properties that enable it to perform
many crucial functions, including providing greater viscosity for the viscoelastic
properties of fasciae. This property greatly enhances the flexibility and elasticity
of the fascial system
Bulk Water - correct answer-Polluted water;
What other factors would be affecting a pronated foot-ankle complex, according
to the RI? - correct answer-A pronated foot-ankle complex is only one part of a
cascading chain of events, resulting in more proximal faulty positions, like with an
internally rotated knee and hip that may anteriorly rotate the pelvis
A truly balanced HMS will have what? - correct answer-Optimal structural and
functional efficiency with proper alignment of the kinetic chain checkpoints: the
feet/ankles, knees, LPHC, shoulders, and head and neck
True or False: The FS model may be thought of as an extension of the strategies
used in the RI model to include all the various types of connective tissues - correct
answer-The FS model may be thought of as an extension of the strategies used in
the RI model to include all the various types of connective tissues
What happens when a mechanical load is released? - correct answer-An influx of
fresh fluids enters to flush out metabolic waste, rehydrate, and bring fresh
nutrients to the area.
Why is it important to have structural efficiency and the alignment of each
component of the human movement system (HMS)? - correct answer-This
enables an individual to maintain their center of gravity over a constantly
changing base of support during all functional movements.
, How does the Fascial System (FS) model add to functional efficiency within the
human movement system (HMS)? - correct answer-It intertwines the nervous
system and muscular system, creating a mechanically sensitive and responsive
communication network.
Which of the following is the first definition of fascia according to the Fascial
Research Society? - correct answer-A fascia is a sheath, a sheet, or any other
dissectible aggregations of connective tissue that forms beneath the skin to
attach, enclose, and separate muscles and other internal organs.
Which of the following factors are improved with the use of the Fascial System
(FS) model? - correct answer-Assessments and programs bodywork, physical
therapy, regenerative medicine, fitness, and stretch therapy.
True or False: It is within the scope of practice for a fitness professional to
diagnose and/or render medical treatment - correct answer-False: Unless the
practitioner is also licensed by their state to diagnose and/or render medical
treatment, the fitness professional is legally prohibited from diagnosing or
treating pain or medical conditions of any kind
What is one of the best ways to both gain a referral network while also promoting
your business? - correct answer-Invite potential referral sources to receive a free
assisted-stretch session to experience the actual techniques and approaches
offered by a fitness professional
Is gaining consent to touch clients during an assisted stretching session
important? - correct answer-Yes, incredibly; formally documenting in writing is
highly recommended; the fitness professional should know when, where, and
how the hands will be placed during each individual technique used;
