Final Exam – Upper Body

Touch therapies are quickly becoming…

With today’s accelerating trend toward office automation and information processing are _____ more at risk than the general population to develop persistent myoskeletal pain.

Some toxic by-products that develop from sustained muscle contraction are_______

Pain is always an unpleasant feeling and is conveyed to the brain by ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬__________.

The human body is comprised of ___________

Pain basically results from a series of exchanges involving three major components of the __________________

When we experience acute pain,

The term “chronic pain” is generally used to describe:

In the “Thumb Tack” section of the Levator Scapula Release, why is the client’s arm placed behind his back?

The landmark for the levator release is the _________________ border of scapula

Therapist’s extended thumbs isometrically resist client’s shoulder elevation efforts causing a _______ release at the levator attachment.

In the levator “Finger Technique,” the therapist’s extended fingers glide up the _______ and slide laterally to contact the posterior transverse processes of atlas, axis and C3

In the levator “Fist” technique, therapist’s left hand grasps and depresses client’s right shoulder while his right fist contacts trapezius fascia at _________ scapular border

The therapist’s fist moves tissue ____ to _____ on clients presenting with forward-head postures and medial to lateral on clients presenting with retracted shoulder girdles (military postures).

In the levator “Elbow” technique, the therapist’s hooks and drags trapezius fascia _______ toward spine

In client’s presenting with narrow shoulders, it may be necessary to remove pillow to expose more _______ tissue

In the “Pec Major” receptor stretch, therapist’s ____ hand grasps client’s right elbow and gently pulls posteriorly while right palm pushes scapula ______.

If client experiences discomfort in the ____ glenohumeral joint during this maneuver, discontinue until the glenohumeral myofascia has been adequately lengthened

In the “Pec Minor” stretch, therapist’s left hand maintains contact with client’s elbow, but this time the client is instructed to gently pull elbow toward his _____

Picture the direction of pec minor fibers as they traverse from ______ process to ribs 3 through 5

The goal in the “Latissimus Dorsi” release is to externally rotate humerus to ______

If tissue is fibrotic, apply sustained pressure while client ____ and _____ rotates right arm above head

In the “Windshield Wiper” technique, therapist’s forearm _____ the fascia, and client inhales to a count of five while gently _____ on the therapy table.

As the client exhales and relaxes, therapist’s forearm lengthens posterior latissimus attachment beginning at the ______

In the “Splenius Pocket” technique, make sure your _____ stays against the cervical spinous processes as it moves _______ in the lamina groove.

Try using the _____ of your right hand if thumb “buckles” during this maneuver

In the SCM and Scalenes technique, with head lifted off table, client ______ head allowing therapist’s soft _______ to grip the anterior border of the SCM

The client controls this SCM release by the amount of left rotation he feels is tolerable. The more the client can comfortably left rotate, the greater the _____ receptor release

To release the “anterior scalenes”, the right index and middle fingers gently slide between the _____ and _____SCM attachments to contact anterior scalenes

The client is asked to _____ and gently _____ or right rotate against therapist’s resistance to a count of five, then relax

In the Alternate Anterior Scalene technique, client is instructed to left rotate head to allow therapist’s fingerpads to roll up onto the neck’s _______

If thickness or _____ are palpated, client inhales as therapist holds until a GTO receptor release is felt

In the “Suboccipital” technique, therapist drapes hands around client’s head so that thumb pads point ____ one another.

Be sure to thoroughly work the ____ attachment at the ______ process and the longissimus capitis muscle hidden beneath.

In the “Fourth-Layer Fibrosis” technique, the goal is to assess and dig-out fibrotic 4th layer ______ muscles: multifidi, rotatores, levator costalis and intertransversarii in ______ groove

Client tucks chin and flexes knees into a fetal position. This flexed posture asks all the facet joints to try to _____

In the “Receptor Recoil” technique, therapist positions client in a _____ position to check for facets that will not open and in _____ postures to locate facets that cannot close.

If the knot pushes posteriorly, the therapist maintains a constant ______ pressure while the client continues flexing and relaxing his head

In the “Fiber Activation” technique, therapist begins ______ techniques using soft flat fists to briskly stimulate tone in the dorsal thoracic rib cage from T-12 up to T-3

If the client’s ____ are moving during the treatment, you are creating tone in rhomboid major, lower trapezius, and posterior rotator cuff

In the “Drag Groove” section the goal is to release 4th layer muscles, restore ______ flexibility and _____ to facets stuck open

Go easy with downward pressure on _____ between the shoulder blades. These “dorsal dishes” are facets stuck closed

In the “Energize Erectors” section, the goal is to create tone and reposition overstretched _____ erectors in clients presenting with excessive ______ or scoliosis

Therapist’s extended fingers or soft fists hook _____ erectors at apex of kyphotic curve

In the “Depress Scapula” routine, the goal is to stretch the pecs, reposition scapula, open anterior chest wall, and decompress _____, acromioclavicular and _______ joints

The client is asked to _____ and gently (20% effort) press _____ towards therapy table to a count of five and then relax.

In “Examining the Exams”, standing and gait analysis assessment approaches assist pain management practitioners with this most fundamental of all therapeutic tasks:

Myoskeletal Zone Therapy avoids traditional standing postural shortcomings because client is not required to be upright or ________

In the “Patterning” section, there are ____ transitional areas or zones where the spine must adapt to bony changes in shapes

In Zink’s Common Compensatory Pattern, he discovered that approximately ____ percent of subjects who considered themselves healthy had rotational patterns of left/right/left/right, while the other 20 percent had a fascial preference for the sequence of R/L/R/L

In Myoskeletal Zone Therapy’s “Cervicocranial” assessment, therapist lifts client’s head ____ degrees and begins slowly rotating, searching for fascial restrictions

Therapist makes a mental note of _____ preference… which direction the head turns easiest and then proceeds to cervicothoracic junction test

In the “Cervicothoracic” assessment, if the right shoulder moves easiest towards the table, then the client has a ____ fascial bias and restriction to ____ rotation.

On the Scapular Lift test, therapist alternately lifts each shoulder by pressing his ____ down into the therapy table to test which shoulder lifts more easily

In the “Neck on Thorax” test, therapist notices _____ strain as client rotates in one direction and glides smoothly in the other.

The Goal of the “Thoracolumbar” test is to determine fascial bias (______) at thoracolumbar junction.

In the “Rib Rotation” test, therapist begins rocking the ____ on the ____by alternately pulling each side toward the ceiling.

In the “Texas Twister” test, a ______ is created as the therapist pulls with his right hand while gently bracing with the left.

Most client’s ______ fascia will rotate easiest to the right. This follows Zink’s Common Compensatory Pattern

In the Myoskeletal Zone “Cervicocranial” technique, the therapist can ask client for ____ movements as an enhancer if client pushes too hard

As client exhales, therapist slowly engages new right-rotational restriction barrier and backs off to the ______ zone

In the “Cervicothoracic” technique the therapist meets the first left ______ and asks client to inhale to a count of five while gently attempting to right rotate against resistance

Client exhales and therapist’s hands bring client’s head in to more ____ ____

In the “Thoracolumbar” rib rotation technique; it is helpful to think of the ribcage as a ______

Client is instructed to inhale to the count of five while gently attempting _____ against therapist’s resistance.

In the “Texas Twister” technique, client exhales and therapist stretches the thorax and low back area using _______

A counterforce is created as the therapist ____ with his right hand while gently ____ with the left

In the “Lumbosacral” technique, therapist stands on client’s left, and his left hand grasps under client’s right ______ iliac spine

Client is instructed to inhale to a count of five while attempting to ____ rotate his hips against therapist’s _____

In the “Transverse Diaphragm” segment, the “Cervicocranial” technique goal is to release ______ occipital-atlantal membrane at C-C junction.

With therapist sitting at head of table, he slides flat hands under client’s _____ and _____ fingers to traction occipital fascia

In the Cervicothoracic “velvet glove” technique, the therapist stands at head of table and curls fingers of right hand to contour ______ fascia on client’s right side

In the “Finger Pad” release, therapist’s soft finger pads gently hook and compress fascia _____ while client slowly rotates head side-to-side

The goal of the Thoracolumbar technique is to release the ______ diaphragm through the transabdominal column

Therapist gently extends fingers in the direction of client’s right _____ to release deep transabdominal fascial column.

In the “Pelvic Diaphragm” release at the Lumbosacral junction, therapist properly drapes client so his left leg can be flexed and _____ rotated

Therapist’s hands work together to gently compress and twist the _____ until a release is felt

In the “Sensory Receptor Overview” it is stated that without ______ there would be no nervous system functioning – thus no life as we know it

Protective reflexes serve as the basis for all human movement and dominate in ______. ~ Vladimir Janda, MD

In the “Expanding the Receptor Map” section, it states, “All receptors possess a built-in, fundamental task of changing ____ stimuli into ____ potential”

When a dysfunctional pattern is perceived as normal long after the painful stimulus has been removed, it is referred to as _______, reflex entrainment or spinal learning

In “Receptors and Muscle Spasm”, it states that range-of-motion restrictions result from the formation of adhesive capsular tissue and eventually lead to loss of ____

Prolonged over-stimulation of muscle, ligament, disc, and capsular receptors join forces and suddenly discharge on ____ terminals in the neuronal pool

In the “Microtrauma and Functional Scoliosis” segment, it states that microtrauma is a slow developing, degenerative joint condition caused by ____, underuse or abuse

Severe microtraumatic cases usually manifest from repeated _____ abuse such as holding a telephone with one shoulder, carrying a child with one arm

In the “Dealing with the Hump” segment, it concludes by saying that ____ techniques provide bodyworkers with added therapeutic tools to help clients suffering recurring, mysterious and aggravating pain and posture problems.

In the Dealing with the Hump Conclusion, it states: Once extensibility has been established in the typically ____ tonic muscles, then the therapist focused on tonifying the _____ tissues with fast-paced, spindle – stimulating maneuvers

The goal of the Brugger Test is to assess ______ tension standing and sitting to determine if head/neck pain is emanating from pelvic imbalance

If there is a suboccipital tension reduction while sitting, then part, or all, of the client’s head/neck problem is originating from _____ imbalance.

In the “Motion Restriction from Forward Head Posture” segment, the client closes eyes and turns head left to right and right to left as far as comfortably possible to test for available range of motion of ____ on _______

Ask your client to attempt this test while assuming his normal posture before and after each session to determine if you have improved _____ rotation.

During the day as the clavicle and scapula drop they begin to compress the _____ branch of the brachial plexus.

Reduced range of motion in the forward-head posture exercise demonstrates to clients how faulty alignment reduces _____ range of motion.

In the “Head Raise Test”, if _____ and _____ are healthy and firing in the proper order, the very first movement of the chin will be toward the chest and not toward the ceiling.

If the first movement of the chin is toward the _____, a muscle substitution pattern exists where the SCM, anterior scalenes and suboccipitals are overpowering the deep neck flexors

In the “Chin to Shoulder Rotation” test, we’re checking for imbalances side to side in the levator scapulae, _______, cervical facets, and associated cervicothoracic fasciae

Client is asked to begin rotating his head side-to-side, attempting to touch his ____ to each ____

In the “Myoskeletal Receptor Techniques” section, therapist first mobilizes joint capsules and cranial fascia with a gentle ______ and spreading maneuver.

Therapist slowly begins ____ and ___ adhesive fascial bags, moving inferiorly.

In the “Sidebending” section, therapist’s right thumb acts as a fulcrum to test for available motion in the ______ being tested

Client is asked to inhale and gently left _____ head against therapist’s resistance to a count of five and then relax

In the “Translation” video, therapist’s _____ face inferiorly in lamina groove bracing the spinous process on each side

Therapist begins at C2-C3 joint capsule, translating right to left and left to right, examining for _____ joints

In the “Fascial Bag Release”, a “webbed V” technique is used to gently ____ and ____ cervical fascia moving randomly up and down neck

The goal is to separate fascial bags, release ___ restrictions & decompress discs.

In the “MCR Joint Capsule Roll” (Webbed V video), therapist’s webbed hand acts as a _____, allowing head and neck to gently roll side to side

If a restriction is felt during _____movements, therapist removes hand opposite the side of restriction and places it on the side of client’s face.

In the “Suboccipital Receptor Release”, therapist’s fingers drape along client’s jaw, and his thumbs contact spinous process of ____

Client is asked to gently lift chin toward ceiling to a count of five while therapist’s thumbs and fingers ______ resist.

In the “Ligamentum Nuchae” video, therapist’s thumbs move from ____ ridge up to the _____ protuberance on occiput

Therapist continues with the same procedure used above in the suboccipital technique except thumbs now co-activate hyperactive _______ in a ligament instead of muscle

The goal of the “Ratchet Technique” is to treat acute cervical pain using _____ inhibition.

Client is instructed to inhale and gently turn ____ towards the painful side as therapist’s right hand resists this rotational effort

The goal of the “Occiput-Atlas Flexion Restriction” technique is to increase occipital _______ at right O-A joint, calm MCRs and NOCs

To correct postural Head-Pain condition, therapist’s ____ and _____ rest on therapy table with hands comfortably gripping both sides of client’s head

The goal of the “O-A Extension Restriction” technique is to increase occipital extension and calm mechanoreceptors and ______

Client gently attempts to ____ head on neck to a count of five and then relaxes.

To “Myofascially Balance Atlas/Axis”, therapist flexes client’s neck 45 degrees to ________ lock C2 through C7.

Therapist begins slowly rotating client’s head, visualizing a ____ penetrating straight through the head and neck.

To treat the “Posterior Scalenes”, therapist’s fingers ______ locate posterior scalene and levator scapulae

In the “Middle Scalene” release, therapist’s fingers move _____ and pin the middle scalenes on the lateral border of the SCM

To treat the Anterior Scalenes, therapist’s soft finger pads glide under client’s SCM to contact the anterior scalene attachments on the _______

Therapist’s fingers resist as scalenes contract upon ______ and neck flexion efforts

In the “Longus Capitis” technique, therapist performs same maneuver as anterior scalene release, except soft fingers slowly glide medially on surface of anterior ______

Check ____ position if carotid artery pulse is felt and discontinue if unsure of correct finger position.

In the “Alternate O-A Release”, therapist’s curled ____ grasp and hold right transverse process, pulling slightly cephalad during right sidebending efforts

Therapist rhythmically sidebends client’s head side-to-side, always tugging with curled fingers on the ______ side that the neck is being sidebent.

In the “Right Cervical Extension Restriction” technique, therapist stands on client’s right with left hand on his forehead and opposite fingers hooking C3 ______

Therapist uses fingers as a ______ to scan groove for facets that won’t close (primarily C7 to C4).

The goal of the “Left Cervical Flexion Restriction” technique is mobilization of facet, ligament and deep ______ muscles

Therapist begins a _______ motion of alternating hand strokes with arms extended and weight coming from his/her legs.

In the Finishing Touches segment, what muscles are stretched during the Cross-Armed maneuver?

In the Levator Scapula/Splenius Cervicis Stretch, the therapist removes left hand from client’s shoulder allowing his right arm to form a ______ to comfortably support client’s neck and head.

The goal of the Head-Roll technique is to restore cervical ____ and mobilize joint capsules

In the SCM & Right Upper Trapezius Stretch client exhales and therapist brings client’s head to a new _________ barrier.

The Trunk Stretch_________ the front side of the client’s body.

During the Right Torso Stretch, the therapist may ask for ___________ by asking the client to gently pull his left shoulder back towards the table.