Soft Tissue Techniques Flashcards
7 cards from real CCEP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Soft Tissue Techniques flashcards as text
A CCEP clinician applies transverse friction massage to the bicipital tendon at the intertubercular groove. The patient should be positioned with the arm in:
Answer: External rotation to expose the tendon in the groove for perpendicular access
External rotation of the humerus rotates the bicipital groove anteriorly, exposing the biceps tendon for accurate perpendicular cross-fiber contact.
Fascial Distortion Model (FDM) identifies which distortion as the most common cause of an inability to fully extend the knee after a medial collateral ligament sprain?
Answer: Continuum distortion at the transition zone between the ligament and bone
Continuum distortions occur at osseous-fascial junctions such as ligament-to-bone attachments, and they respond to direct compression at that transition zone.
In the treatment of De Quervain's tenosynovitis using soft tissue therapy, which combination is most appropriate for the subacute stage?
Answer: Longitudinal gliding along the first dorsal compartment tendons with progressive tensioning
Longitudinal gliding techniques mobilize the APL and EPB tendons within the sheath, reducing adhesions while progressive tensioning restores glide without exacerbating synovitis.
The 'barrier concept' in osteopathic myofascial release refers to:
Answer: The point of first resistance in tissue movement where the clinician waits for release
In myofascial release, the clinician engages tissue to the 'feather edge' of resistance — the first barrier — and waits for inherent tissue unwinding rather than forcing through.
Neural flossing (nerve gliding) for ulnar nerve entrapment at the cubital tunnel is distinguished from nerve tensioning techniques because flossing:
Answer: Alternately elongates and slackens the nerve to mobilize it without sustained tension
Nerve flossing alternates elongation at one end with slackening at the other, creating a sliding motion through the tunnel without the cumulative tension of tensioning techniques.
Rocabado's 6x6 program for TMJ dysfunction is relevant to extremity practitioners primarily because TMJ pathology commonly co-presents with dysfunction in which structure?
Answer: Upper cervical spine and suboccipital musculature affecting posture and upper extremity tension
TMJ dysfunction is biomechanically linked to upper cervical dysfunction and suboccipital hypertonicity, which in turn affect head posture and upper extremity neurovascular tension.
A patient presents with lateral knee pain and a positive Ober's test. Which soft tissue intervention specifically targets the primary pathological tissue?
Answer: Myofascial release and IASTM to the tensor fasciae latae and proximal IT band
A positive Ober's test indicates IT band/TFL tightness; treating the TFL proximally and the IT band addresses the root cause of lateral tension rather than the distal symptomatic site.