TTN-exam-excel-learndash-do-not-use

It has not been shown that lumbar nerve root compression necessarily causes _________ or neurologic dysfunction

Neural compression of the ___________ is suitably called neurogenic thoracic outlet syndrome (NTOS)

Many NTOS studies recommend postural corrections, including muscle ___________ and lengthening for double crush complaints

In clients with a drooping clavicle, the underlying ___________ muscle can reduce the costoclavicular canal size and compress the brachial plexus against the first rib.

Repetitive movements of the arms above the head, common among tennis enthusiasts, may cause friction and overstretch the nerve plexus under the _____________ at the coracoid.

In “Technique Tips” we emphasize that _____ is a perception of the brain, and your goal is to make the brain happy.

Work at the client’s _________ barrier but don’t bulldoze the barrier.

Use _________ such as arm movement, deep breathing and other movement cues to restore better function.

In the Crossed Armed Stretch, I bring the client’s neck to the first flexion barrier and straighten my legs while pressing down on her __________.

In order for the scalene nerve stretch to be effective, my right hand _______rotates and _______sidebends client’s neck to first restrictive barrier.

The therapist rolls client’s head in a _________circular motion

Running from transverse process to transverse process, the ____________ are the first muscular structures that can compress the nerve roots as they leave the cervical spine

The intertransversarii do not compress the nerve trunk, but rather the ___________

To stretch the intertransversarii on the right, the client’s head must be rotated to the_________

After performing this technique, slowly bring the client’s head back to neutral and __________the neck

The chin-jutting technique not only helps mobilize fixated nerve roots, but also works to restore_____________

If performed properly, the client’s chin should jut toward the ________

In the sidebending nerve mobilization technique, the therapist’s left thumb braces against the body of the spinous process as he steps to his _______ foot.

The goal is to sidebend the client’s neck using the _______ as a fulcrum

By bracing C-5 with the right thumb during right sidebending, the therapist can determine if ____ is moving properly on _______.

In the translation/undulation routine, the therapist’s left thumb braces against the body of the spinous process as he steps to his _______ foot.

Therapists must be careful when working between the anterior and middle scalene muscles to prevent irritation of the _______ and ________

The therapist can also use soft _________ instead of thumbs to access the middle scalene muscle.

To open the costoclavicular canal for the brachial plexus to glide through, the therapist’s fingers scrub the subclavius muscle with fingers positioned _______ the clavicle.Â

Subclavius muscle originates at the __________ joint and inserts on the scapula

In the video, I show an alternate subclavius stretch with the client sidelying and her arm abducted at _______degrees

To stretch the scalenes from below, the therapist must use the________ as a lever.

The anterior scalene originates on the cervical spine and attaches to the ______rib

Pectoralis minor originates at the _______ and inserts on ribs 3 through 5

To create space under pec minor, therapist’s elbows hook the pec fascia and move the tissue __________

If the client experiences tingling numbness or pain during the pec minor techniques, you may be putting pressure on the underlying ___________

The elbow is often referred to as a ______joint, but is actually much more complex

When performing elbow mobilization, if the client can’t completely turn her palm down, she may have a ___________restriction.

When testing for a supination restriction, therapist ________ client’s forearm to first restrictive barrier and asks client to gently pronate against his resistance.

To treat an elbow__________ restriction, therapist must use a counterforce so that his right hand braces above her elbow allowing his left hand to bring client’s elbow to first restrictive barrier.

When testing for elbow extension, it is often helpful to _________ the client’s wrist and fingers.

When performing the radial nerve soft tissue prep techniques, the therapist begins _________ and works _______.

To release radial nerve entrapments in the ________ muscle, the therapist uses the sling and resist (S

Radial nerve irritation at the elbow often imitates _________.

The radial nerve has two branches at the elbow. One runs under the ________________.

The very important first step when setting up for the radial mobilization routine is for the therapist to brace the client’s _______ with his leg

To traction the radial nerve distally, the client’s head is in neutral and the therapist fully extends her elbow, internally rotates her arm and _______ her wrist.

The ulnar nerve runs through the armpit, through the __________muscles, and down the arm.

The ulnar nerve soft tissue prep begins with _________ armpit work.

To stretch the ulnar nerve, the therapist flexes and abducts client’s left elbow with wrist radially deviated and extended. The fingers are also extended, particularly the ______digit.

Ulnar nerve irritation at the elbow often imitates ________.

The ulnar nerve runs under the _________muscle at the elbow

In the median nerve soft tissue prep, a counterforce is produced as the therapist internally rotates client’s arm while resisting with his right hand on her ______muscle

The median nerve exits the neck from _______

The median nerve traverses through the _________ muscles

To mobilize the median nerve, the therapist’s right forearm rests on the table ______the client’s shoulder to prevent scapular rotation

To stretch the median nerve, the client left rotates and sidebends her neck while therapist extends and ________ rotates her arm, wrist and fingers

One branch of the median nerve can become entrapped under the _________muscle

The radial nerve home retraining exercise is called the _________

The radial nerve exercise requires that the client keep the shoulder ________ to enhance the stretch

The key to getting a good radial nerve stretch is to have the elbow _________ and __________rotated

To enhance the ulnar nerve stretch, the client should slowly sidebend ________ the painful side.

In the median nerve stretch, Amanda’s arm is abducted and her shoulder ______ rotated to stabilize

If the client has carpal tunnel syndrome, she will feel the stretch on the palmar surface of the ________, ___________ and __________

In the shotgun technique, the arm is abducted to _____degrees; client’s extended fingers contact the wall

To mobilize the median nerve, the therapist’s right forearm rests on the table ______the client’s shoulder to prevent scapular rotation

To create space in the lumbar spine for the nerve roots, the therapist searches for protective muscle guarding and releases any ________

Therapist begins rocking back and forth, pushing and pulling on lumbar fascia assessing for ________

In the Iliolumbar ligament routine, the therapist uses the ________ maneuver to access the fibrotic ligaments

A jolting action helps drive the extended fingers down to_______ to scrub the fibrotic ligaments

In this Iliolumbar ligament routine, the fingers and forearms must stay______

In the Freeing the Lumbars technique, the therapist’s left hand braces the _______, and his right palm contacts the _______

Work each sacrospinous ligament for ______ and reassess for improved ligament mobility

To put the piriformis muscle on a stretch, the therapist pulls on her ankle which ________her femur

Therapist hooks the tissue along the sacrum and drags it _______and ________ while externally and internally rotating client’s leg

The goal of the Iliosacral alignment technique is to restore _______ alignment and level the ______

With both elbows extended, therapist (spelling in manual) pulls with his ______palm and resists with his ________to improve nerve mobility at the Iliosacral joint

This Iliosacral alignment technique is used to correct a an ____________ rotated ilium

The Jelly-Roll is used to mobilize fibrotic _______ muscles and _______

Therapist rolls the client into trunk______ allowing his opposite hand to come under and grasp client’s sacrum or lumbar vertebrae

Discontinue this technique if the client reports ______pain during trunk flexion

Slowly rock for _____minutes and reassess for improved lumbar mobility

In the sciatic nerve mobilization routine, the client is left sidelying with _____ and _____flexed

To traction the sciatic nerve, the client tucks chin as therapist introduces knee_______ and foot________ to barrier

To floss proximally, client __________ as therapist slowly flexes her knee

Repeat this pain-free technique _____ times and reassess for reduced sciatic nerve pain

In the straight leg raise for sciatica, therapist’s left hand crosses on_______ of client’s thigh above the______ and extends her hip to allow his right hand to come under and grasp her left footÂ

The therapist rests clients extended leg on his shoulder while his right hand _______ client’s ankle

To traction the sciatic nerve, the client is asked to _____ to painful barrier

Repeat this pain-free nerve flossing techniques ______ times and reassess

Because of the location, the superficial branches of the peroneal nerve can imitate _______

The tibial nerve is about ______as big as the peroneal nerve

Because of its location, the tibial nerve often imitates _____

Because branches also run in the posterior calf, tibial nerve entrapment can also imitate ______

To mobilize smaller sciatic nerve branches such as the _______, superior and inferior gluteal nerves, therapist adds internal and external femoral rotation

The femoral nerve exits the lumbar spine at _______

In the femoral nerve mobilization technique, the client assume a _______position of the table

In this technique, it is imperative that the client pulls her ________ knee up toward her _______

Therapist’s _____ hand grasps client’s right _________and his right grasps her knee

It is important the therapist steps behind client’s ____ as it is brought into _____

With his right hand on her knee and his left securing her ankle, he can create _____ flexion or ____extension

Therapist extends client’s hip to painful femoral nerve barrier and backs off to the ______

The client tucks her chin to _____ the femoral nerve

In ______ clients, the therapist removes his left hand from ankle and places it on client’s____

The obturator nerve exits the lumbar spine from ______

If possible, therapist places client’s foot in his _______ for additional control

To isolate the obturator nerve, therapist hip flexes, internally _________, and _______client’s leg to barrier

In the seated slump test, client begins by _____her head and neck to see if it elicits pain

The therapist can increase traction on the dural membrane by having the client slump through her _______

If extending the knee causes pain, the client brings the head back to neutral. If the client is still unable to extend the knee due to pain, the test is considered _______

If extending the knee doesn’t elicit pain, ask the client to ________ the ankle

In the straight leg raise test, the client uses a rope or _______ strap around the arch of foot to help extend the leg

In the peroneal stretch, the client supinates and _____ her ankle to isolate the nerve

In the tibial nerve stretch, the setup is the same as the peroneal except the client _____ and _____ her ankle to isolate the nerve

The key factor in performing the femoral nerve stretch correctly is for the client to maintain her_____ level as she leans forward

To stretch the obturator nerve, the client brings her affected leg into ______ to painful barrier