ART Lower Extremity Treatment Protocols 3

Question 1

In ART lower extremity protocols, 'nerve entrapment triad' refers to decreased nerve glide combined with which two other findings?

Accepted Answer

Altered sensation and muscle tension

Answer

ART defines the nerve entrapment triad as decreased nerve glide, altered sensation (paresthesia/numbness), and increased muscle tension around the entrapment site.

Question 2

A cyclist with anterior knee pain is found to have adhesions between the vastus intermedius and the femoral shaft. The ART active motion used to release this interface is:

Accepted Answer

Active knee extension from 90 degrees of flexion

Answer

Moving from 90 degrees of knee flexion to full extension causes the quadriceps to slide over the femur, breaking adhesions at the bone–muscle interface.

Question 3

During ART treatment of tarsal tunnel syndrome, the practitioner's thumb contact is placed on the flexor retinaculum while the patient performs which active motion?

Accepted Answer

Toe extension and ankle dorsiflexion

Answer

Active toe extension combined with dorsiflexion tensions the flexor tendons and tibial nerve distally, creating a glide through the tarsal tunnel against the stationary contact.

Question 4

The 'pin-and-stretch' for the medial gastrocnemius head begins with the knee in what position to shorten the muscle before applying the contact?

Accepted Answer

30 degrees of flexion

Answer

Beginning with approximately 30 degrees of knee flexion shortens the gastrocnemius sufficiently to allow firm tissue contact before the active knee extension and ankle dorsiflexion elongates it.

Question 5

When releasing the sural nerve in the posterolateral calf, the patient's active motion moves the ankle into:

Accepted Answer

Dorsiflexion and inversion

Answer

Dorsiflexion with inversion tenses the sural nerve distally, creating movement through the adhesion as the contact holds the nerve entrapped proximally.

(ART) Active Release Technique Practice Test

(ART) Active Release Technique Practice Test

ART Lower Extremity Treatment Protocols 3