Manual Therapy Methods Flashcards

In ART, what is the primary purpose of applying tension proximal to a lesion before introducing movement?

Answer: To create a specific contact point that localizes tension to the adhesion

Applying tension proximal to the lesion creates a precise contact point so that movement-induced elongation is concentrated directly at the adhesion rather than distributed across the entire tissue.

Which ART protocol addresses dysfunction at the interface between a nerve and the surrounding myofascial tissue?

Answer: Nerve entrapment protocol

The nerve entrapment protocol uses specific contact and movement combinations to mobilize neural tissue through adjacent muscular or fascial structures causing compression.

When treating the pectoralis minor with ART, the practitioner typically contacts the muscle and asks the patient to perform which motion?

Answer: Shoulder abduction and external rotation

Moving the shoulder into abduction and external rotation lengthens the pectoralis minor while the practitioner maintains contact, effectively shearing the adhesion.

ART distinguishes itself from static massage because it requires:

Answer: Active or passive motion to create tissue translation under the contact point

The defining feature of ART is that motion—either active by the patient or passive by the clinician—translates tissue beneath the practitioner's fixed contact to break adhesions.

In ART terminology, an 'active' treatment means that:

Answer: The patient moves the affected body part through the treatment motion

In active ART protocols, the patient actively moves the body segment through the prescribed range while the practitioner maintains a fixed contact on the lesion.

Which of the following best explains why ART is effective for cumulative injury cycle (CIC) conditions?

Answer: It breaks down dense fibrotic adhesions that form during the CIC repair process

The CIC produces hypoxic tissue, inflammation, and fibrosis; ART's directed tension disrupts the dense collagen cross-links of these adhesions to restore normal tissue mobility.

When applying ART to the thoracolumbar fascia, the contact hand should move in which direction relative to the patient's movement?

Answer: Opposite to the direction of patient movement to maintain tension on the tissue

The practitioner's contact hand moves opposite to the patient's motion, maintaining a fixed tension point so the tissue translates beneath it as the patient moves away.