Posture Pain Performance Exam

What systems move and support us:

In Myoskeletal therapy, the client is required to take an active role in his recuperation as better __________ systematically replace dysfunctional strain patterns

To obtain maximum therapy results, the therapist should:

Some therapists view treatment from a _______ rather than a “preventive perspective”.

As the legendary neurologist and physiotherapist _________ once said: “Chase the pain and forever be lost!”

All _________muscles of the body tend to develop predictable strain patterns before the development of pain

The MAT goal is to_____

Make it a natural progression to palpate and treat _______ structures as you move through the deep _______

Which of the following is not a “Technique Tip”:

In the early development of quadrupeds and bipeds, the sacral vertebrae fuse into one bone in order to provide:

Modern man will continue to be plagued with back problems because of the inherent design of the human spine and because

As humans bend forward into flexion, the disc material pushes posteriorly into the:

The tight line runs through the_____ and ______

Typical muscle imbalances of the lower crossed syndrome are:

Clients develop muscle imbalance patterns from tension, trauma and:

The second goal of Myoskeletal therapy is to:

The 5-minute assessment helps establish a baseline where the therapist can systematically record things such as ART: asymmetry, restriction of motion, and:

1. The condensed MAT gait assessment seeks to make the routine more efficient by observing for________

In the 5-Minute Posturofunctional Assessment, what questions might the therapist ask himself as the client enters the office or clinic?

Anatomic short legs can be attributed to certain conditions such as:

Measuring leg length in the supine position alerts the Myoskeletal therapist to:

By placing each thumb under the medial malleoli and bringing the client’s ankles together, the therapist is able to determine:

With the client supine, therapist places each thumb below the surface of client’s ______and gently pushes anteriorly and superiorly

During the ASIS test, if the right ilium is anteriorly rotated in relationship to the left:

As the therapist’s left hand depresses the client’s right ilium in a posterior direction, his right hand applies a counterforce by pulling on the _________ ilium

If the right ASIS is anterior, that ilium will be restricted in ________ rotation:

Several _________tests have been successfully employed in the MAT method to assist in testing specific firing order patterns.

One of the primary goals of the MAT method is to ________ to reduce noxious input to the central nervous system.

The Law of Reciprocal Innervation states that:

The ideal firing order sequence in hip hyperextension is

The assisted straight leg raise test produces hamstring stretch which forces the muscle _______ to fire

The straight leg raise test can also be used to alert the manual therapist to the possibility of _________ root impingement

The assisted straight leg raise test in the supine position produces stretch in the hamstring muscles, forcing the ________ to fire

The straight leg raise test can also be used to alert the manual therapist to the possibility of ______nerve root impingement

The goal is to release the hamstrings on the _______ rotated innominate side

The hamstrings are usually ______ contracted compared to the concentrically contracted quadriceps.

Tension by the piriformis on the SI joint capsule during forward bending allows it to:

When piriformis syndrome is suspected, the best course of action is to apply direct pressure at the piriformis _________to ease the contracture and protective guarding.

The piriformis test measures the relative flexibility of the hip’s _________

Femoral nerve entrapment or________ pathology is possible in some individuals.

In the piriformis release technique, therapist places his left hand on client’s right _______ to brace as his right hand adducts her knee to barrier.

By flexing the _________, therapist is able to push the client’s leg toward her left shoulder to barrier

Therapist repeats this _______ technique 3 to 5 times and repeats on opposite side.

Therapist’s soft right forearm contacts the piriformis attachment at the ________

Discontinue or ________the forearm if the client experiences any local or referred pain

There are five muscles that comprise the adductor group: pectineus, adductor brevis, adductor longus, ______ and adductor magnus

Four of the adductor muscles medially rotate the hip, while the _______ assists the rectus femoris and psoas in hip flexion

Therapists must work with the ____________ to allow a release in the spasm that is protectively guarding the area

. If a hard end-feel is reached during the adductor test the brain may be splinting the area in fear of possible ___________.

Therapist’s left hand stabilizes her left ASIS, while his right hand slowly _______client’s knee to barrier

Using a ________ between his two hands, the therapist abducts client’s leg to new restrictive barrier

Dysfunction in one of the _________ may lead to instability in the entire structure including the pubic symphysis

To relieve the hip and groin pain, it is absolutely critical that therapists begin treatment by first creating ________ balance in muscles of the lower extremity

With client’s legs and hips flexed and feet flat on the table, client spreads knees so the therapist can place his _______between knees

To aid in the release, the client can perform a slow _______ maneuver while holding the compression against therapist’s resistance

. Because of its attachments to the _________ and upper border of the patella, chronic hypertonia in this powerful muscle leads to distortions in the lumbopelvis

The one primary reason so many people present with muscle imbalances such as the lower crossed syndrome stems from the lost art of _______

Unilateral contraction of the rectus femoris and psoas muscles results in:

Therapist’s left hand braces at the PSIS and provides a firm counterforce as the client’s leg is brought up to the first ________ restrictive barrier

Therapist’s forearm slowly begins moving ________toward client’s ASIS releasing rectus hypertonia and dehydrated tissue

Therapist repeats maneuver on opposite side but concentrates more on the _________ rotated side

To treat the posteriorly rotated innominate, therapist applies a counterforce, which recruits the rectus femoris to help drag the _________rotated ilium inferiorly

To treat the anteriorly rotated innominate, the client is asked to gently push her _______against therapist’s resistance for a count of 5 and relax

Often hypertonic psoas muscles are the direct result of:

Therapist’s left hand applies a __________to the client’s hip, as his right hand brings client’s leg up to barrier

Therapist produces a slow _______ 20-second psoas stretch and records available ROM

During forward bending of the spine, ___________ is necessary to self-lock the pelvis:

If the joint surfaces of the sacrum fit in the pelvis so firmly that no extra lateral forces are needed to maintain support, this model would be called:

Many clinicians believe that the accessory ligaments, which include the ___________, sacrospinous, and iliolumbar, are equally potent producers of pain and pathology.

The sacrotuberous and the _________are labeled as “accessory” because they do not directly bind down the three pelvic bones

As a general rule, when people age, their ligaments become _____ and ______, and some ligaments, like the iliolumbar, ossify.

Had this ligament been hyperextended over time through tension, poor posture, or trauma, _________ signals would send warning signals to the brain

With age, ligaments become thicker and tighter, and some ligaments, like the iliolumbar, _____

Therapist’s fingers or thumbs contact the iliolumbar ligaments as they attach to the transverse processes of ______

The client can perform slow ______ to enhance the ligament release

Therapist stands on client’s ____and hooks ____ sacrotuberous ligament with right thumb and holds until release is felt.

Always describe the technique to your client and ask ______, and always work through a sheet or underwear

The goal is to release the long dorsal sacroiliac ligament, while encouraging anterior _______ rotation

If client’s left _____ is posterior, therapist lifts client’s left leg and places his right knee under client’s thigh

Unilateral contraction of the QL muscle _____ the hip, _____ and helps extend the spine

The quadratus and other muscles that comprise the _______triangle should be considered the main event when it comes to low back pain prevention

The therapist uses the _______ to contact the QL attachment at the crest of the ilium

In the quadratus lumborum release, the therapist may ask the client to:

The goal in these three routines is to ________

To increase gluteal activation during the spindle-stim routine, the therapist places ________.

. In the hamstring routine, the therapist works his fist along the ______ while bracing the hamstrings with his left hand.

Using a counterforce, therapist _____, right rotates and _____ sidebends client’s torso to first restrictive barrier

In the muscle energy technique for stretching the erectors, the client is asked to gently

The goal is to_____ erectors; _______ ribs and align the spine

This body position is called a right lateral _____ position

Biomechanically, the ______ and the_____ lumbar vertebra should rotate and sidebend opposite each other in the normal walking cycle

This technique can be performed using with two hands acting as counterforces, or with one on top of the other, holding the sacrum and resisting on _______

The goal is to mobilize the sacral base, and to disengage it from the ______ vertebra

When performing the sacral base technique it is important to:

The goal is to assess and release dysfunctional lumbar facets stuck in _______

Working with the client’s breathing, the therapist gently compresses the tissue over the joint on_______ and resists movement on ________

Client assumes a sphinx position and the therapist’s _____, fingers or ______ traverse inferiorly down the lamina groove searching for adhesive or spasmed tissue.

To enhance the ____ release, the client may perform slow _____ tilts

In the presence of agonist – antagonist balance, some muscle groups weaken and others become tight and lose their _______

As chemoreceptors and mechanoreceptors flood the neuronal pool, danger-signaling _______ are stimulated and the messages are fast-tracked to the brain.

Forward head postures that accompany the ________ may result from poor sleeping habits, driving stress, text-neck, whiplash, and faulty breathing patterns

Janda determined that a tight, shortened muscle can inhibit its opposing muscle, i.e., tight _____ muscles may reciprocally weaken the _________

Client places right hand behind his neck with ______ pointing toward the ceiling

This ________ stretch is repeated three times the therapist repeats on opposite side

The role of the pectoralis minor is to depress______, and tilt the scapula anteriorly

Paradoxical or ______breathing makes the pec minor work continuously in a role that it is not designed to do.

Therapist’s fingers or thumbs gently glide inside the ________ border (armpit) and along the anterior surface of the third, fourth, and fifth ribs until pectoralis minor attachments are palpated

Client repeats this ________ movement several times with therapist attempting to create space to allow room for the brachial plexus to glide freely

In the fist technique, therapist’s left hand grasps and depresses client’s right shoulder, while his right fist contacts _________ border of client’s scapula

In the elbow technique, if the therapist discovers an area of stubborn ________ his elbow works the tissue in all directions

Unlike the erectors and spinalis muscles of the back, which run parallel to the spine, the splenius muscles travel headward in an _______ direction

The therapist must have a very clear picture of the origins and insertions of these muscles, so that his thumb can slip into the lamina groove and into the “__________”

Where is the landmark for this technique?

If the client reports ______ pain, therapist repositions thumb and repeats the process pain-free

Therapist’s right hand grasps the client’s right shoulder and pulls his shoulder and clavicle ________

Therapist carefully works the _______ attachments distally and medially

The latissimus has the functional capacity not only to move the arm, but because of its wide origin, also to sidebend, rotate, and help ______ the spine

Because of its origin on the ______ processes of the lower six thoracic vertebrae and bottom four ribs, dysfunction in this massive structure always negatively affects spinal and rib biomechanics

The goal of this technique is to lengthen the lats to help _______rotate humerus

As the client exhales and relaxes, the therapist’s left forearm hooks the lat fascia and slowly sweeps _______ to the triceps

This complex lower extremity muscle connects the shoulder girdle to the _____

The thoracolumbar fascia and ______ act to stabilize the facet joints during loading and unloading of the lumbar spine

In this technique, force should be sufficient to create a mild _______ skin response

Sustained isometric suboccipital muscle contraction can cause compression and, in time, damage to the __________ articular cartilage condyles

Therapists should remember that _____percent of all head rotation comes from the atlas-axis (A-A) joint

The landmark for this technique is the trapezius, splenius capitis, and suboccipitals attachments at the _______bone

After releasing the attachments at the O-A joint, the therapist moves inferiorly one inch to contact the attachments at the _______

Since there is no intervertebral disc between atlas and axis, the joint’s _______ are asked to bear most of the heads weight

Muscle energy techniques use active client assistance to contract a muscle or muscles against the therapist’s ________ with a goal of mobilizing a specific joint and its accompanying soft tissues.

The therapist’s hands are placed on each side of client’s head, and neck is flexed _____ degrees.

The biggest mistake therapist make during this A-A technique is that they allow the head to drop as they are ______ .

The bones of the body have a rich blood supply with crystals of _________ deposited in them for strength and stability

As hyperexcited joint and ligament _______ begin to calm, sensory input to the brain improves resulting in more functional motor output

As the spine goes into flexion, the ______facet joint should glide forward and open on its inferior neighbor.

In the facet opening technique, the therapist’s thumbs move in unison in one-inch increments from _______ cleaning the attachments in the groove

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

Pad of therapist’s thumb rests against the body of the ______ processes and proceeds down the lamina groove working as a fulcrum

The Facet Closing goal is to release deep groove muscles ________ that are restraining joint closure

To enhance the release, the client is asked to slowly _____ and ______ his head from the face cradle

The client is asked to inhale and upon exhalation, therapist brings the neck up to its new______ barrier

The therapist’s right arm forms a ____ to comfortably support client’s neck and head

Therapist’s right hand creates a stretch in client’s left _______ by bracing client’s left shoulder against therapy table

The goal of the Head Roll is to restore cervical range of motion and mobilize _____

In the cervical spine, sidebending and rotation couple to the same side, which is ______ or Type 2 coupling.

Therapist’s left hand braces client’s shoulder against the therapy table while his right hand____ rotates and _____ sidebends client’s head to first restrictive barrier.

Do not allow the head to turn back to the right as you lift. Do not ____ on the neck.

This is a gentle stretch that helps release _______ 4th layer spinal groove muscles.

The goal of this Cross-Arm Shoulder technique is to depress the _______ to relieve Upper Crossed Syndrome

The goal of this technique is to decompress and restore ______ curve

The therapist pulls with the right arm to stretch the lateral and _______ neck muscles

The goal of the neck distraction technique is to _____ the cervical spine

Therapist applies a bilateral tug, starting gently and feeling for ________