ART Upper Extremity Treatment Protocols 2 — Questions and Answers
Question 1: When treating lateral epicondylitis with ART, the practitioner typically applies tension to which structure while moving the elbow from flexion to extension?
- Common flexor tendon
- Common extensor tendon (Correct answer)
- Biceps brachii
- Pronator teres
Correct answer: Common extensor tendon
Lateral epicondylitis involves adhesions in the common extensor tendon, so ART tension is applied there during elbow extension movement.
Question 2: In ART treatment of the rotator cuff, which patient motion is used to treat the supraspinatus during a standard protocol?
- Internal rotation with adduction
- Horizontal abduction to adduction
- Shoulder abduction from 0° to 90° (Correct answer)
- Extension from 90° flexion to neutral
Correct answer: Shoulder abduction from 0° to 90°
Supraspinatus ART protocol uses shoulder abduction from 0° to 90° while the practitioner maintains tension on the muscle belly.
Question 3: Which nerve is most commonly entrapped at the arcade of Frohse, requiring ART intervention in the forearm?
- Median nerve
- Ulnar nerve
- Radial nerve
- Posterior interosseous nerve (Correct answer)
Correct answer: Posterior interosseous nerve
The posterior interosseous nerve (deep branch of the radial nerve) is classically entrapped at the arcade of Frohse within the supinator muscle.
Question 4: During ART treatment of the pronator teres for median nerve entrapment, the patient's forearm is moved from which position to which position?
- Pronation to supination (Correct answer)
- Supination to pronation
- Neutral to full flexion
- Extension to flexion
Correct answer: Pronation to supination
ART for pronator teres entrapment moves the forearm from pronation to supination while tension is maintained on the muscle.
Question 5: In ART, the treatment of De Quervain's tenosynovitis targets which tendons at the radial styloid?
- Extensor carpi radialis longus and brevis
- Abductor pollicis longus and extensor pollicis brevis (Correct answer)
- Flexor carpi radialis and palmaris longus
- Extensor pollicis longus and extensor indicis
Correct answer: Abductor pollicis longus and extensor pollicis brevis
De Quervain's affects the first dorsal compartment containing the abductor pollicis longus and extensor pollicis brevis.
Question 6: When applying ART to the biceps brachii for a proximal lesion, the practitioner contacts the muscle and moves the shoulder into which direction?
- Flexion
- Extension (Correct answer)
- Abduction
- Internal rotation
Correct answer: Extension
Shoulder extension lengthens the biceps brachii proximally, allowing ART to release adhesions near its origin.
Question 7: Which ART technique is most appropriate for cubital tunnel syndrome targeting the ulnar nerve at the medial elbow?
- Nerve tension with elbow flexion to extension (Correct answer)
- Muscle broadening technique of FCU
- Pin and stretch of the anconeus
- Compression of the olecranon bursa
Correct answer: Nerve tension with elbow flexion to extension
ART for cubital tunnel syndrome applies nerve tension while moving the elbow from flexion to extension to mobilize the ulnar nerve.
ART Upper Extremity Treatment Protocols 2
When treating lateral epicondylitis with ART, the practitioner typically applies tension to which structure while moving the elbow from flexion to extension?