CCEP Adjusting Techniques for Extremities 4

Question 1

For the acromioclavicular joint, a superior-to-inferior adjustment thrust targets which specific listing?

Accepted Answer

Superior clavicle (high AC)

Answer

A superior clavicle listing (high AC) is adjusted with a superior-to-inferior thrust on the distal clavicle to restore inferior glide.

Question 2

During a subtalar joint adjustment for eversion restriction, the patient is prone and the foot is positioned in:

Accepted Answer

Slight plantar flexion and inversion

Answer

Slight plantar flexion with inversion pre-tensions the subtalar joint capsule and opens the medial joint space for a lateral-to-medial thrust.

Question 3

Which maneuver differentiates a glenohumeral posterior capsule restriction from a rotator cuff tear before adjustment?

Accepted Answer

Drop arm test

Answer

The drop arm test specifically screens for rotator cuff (supraspinatus) tear, which is an absolute contraindication to high-velocity glenohumeral adjustment.

Question 4

When using the 'knife-edge' (pisiform) contact for a cuboid adjustment, the thrust is directed:

Accepted Answer

Inferior to superior (dorsal)

Answer

The cuboid whip/notch technique uses an inferior-to-superior (dorsal) thrust through the plantar surface of the cuboid to correct a plantar-flexed cuboid.

Question 5

Which prerequisite assessment finding specifically justifies adjusting the proximal radioulnar joint rather than the elbow as a whole?

Accepted Answer

Isolated restriction of pronation or supination with normal flexion/extension

Answer

Isolated pronation or supination restriction with intact flexion/extension implicates the proximal or distal radioulnar joint specifically, not the hinge mechanism.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Adjusting Techniques for Extremities 4