CCEP Adjusting Techniques for Extremities 2 — Questions and Answers
Question 1: Which contact point is used in a long-axis distraction technique for the glenohumeral joint?
- Posterior aspect of the humeral head
- Lateral epicondyle
- Distal humerus with axial traction (Correct answer)
- Coracoid process
Correct answer: Distal humerus with axial traction
Long-axis distraction of the glenohumeral joint applies traction along the shaft, contacting the distal humerus to gap the joint space.
Question 2: When adjusting the proximal tibiofibular joint with an anterior-to-posterior thrust, the patient is best positioned in which way?
- Supine with knee fully extended
- Prone with knee flexed to 90°
- Supine with knee flexed to 90° (Correct answer)
- Side-lying with hip abducted
Correct answer: Supine with knee flexed to 90°
Supine with the knee flexed to 90° relaxes local musculature and positions the fibular head accessibly for an A-to-P thrust.
Question 3: A 'loose-pack' position for the radiocarpal joint places the wrist in which configuration?
- Full extension and radial deviation
- Full flexion and ulnar deviation
- Slight flexion and ulnar deviation (Correct answer)
- Neutral extension and neutral deviation
Correct answer: Slight flexion and ulnar deviation
The loose-pack (resting) position of the radiocarpal joint is slight flexion with ulnar deviation, maximizing joint capsule volume.
Question 4: For a posterior-inferior calcaneal adjustment, the chiropractor's thenar contact is placed on the:
- Sustentaculum tali
- Posterior superior calcaneal tuberosity (Correct answer)
- Peroneal tubercle
- Anterior process of the calcaneus
Correct answer: Posterior superior calcaneal tuberosity
The posterior superior calcaneal tuberosity is the primary contact for a posterior-inferior calcaneal adjustment thrust.
Question 5: During a metatarsophalangeal joint adjustment for a plantar-restricted 1st MTP, the thrust direction is:
- Posterior and inferior
- Dorsal and lateral
- Plantar and medial
- Dorsal with long-axis distraction (Correct answer)
Correct answer: Dorsal with long-axis distraction
A dorsal thrust combined with long-axis distraction restores plantar restriction by gapping the 1st MTP joint and restoring dorsal glide.
Question 6: Which adjustment technique uses a 'figure-4' (FABER) patient position to gap the sacroiliac joint while simultaneously adjusting a restricted hip?
- Lewin-Gaenslen technique (Correct answer)
- Lunge technique
- Belt technique
- Gonstead pelvic side-posture technique
Correct answer: Lewin-Gaenslen technique
The Lewin-Gaenslen technique places the patient in figure-4 (FABER) to stress the SI joint while the hip is moved into extension.
Question 7: In the Thompson Drop technique applied to the knee, which table piece is typically lowered during the thrust?
- Pelvic piece
- Thoracic piece
- Cervical piece
- Leg piece (Correct answer)
Correct answer: Leg piece
The Thompson Drop leg piece drops during knee adjustments to add momentum and reduce the force needed by the practitioner.
CCEP Adjusting Techniques for Extremities 2
Which contact point is used in a long-axis distraction technique for the glenohumeral joint?