CCEP Joint Mobilization 3 — Questions and Answers
Question 1: In Kaltenborn's joint mobilization system, which grade involves taking up the slack to the point of tissue resistance before applying force?
- Grade I
- Grade II (Correct answer)
- Grade III
- Grade IV
Correct answer: Grade II
Kaltenborn Grade II mobilization takes up the slack to the point of tissue resistance, neutralizing the joint's resting laxity.
Question 2: Which plane of motion is restored by applying a lateral distraction mobilization to the first carpometacarpal (CMC) joint?
- Flexion and extension
- Abduction and adduction (Correct answer)
- Opposition
- Circumduction
Correct answer: Abduction and adduction
Lateral distraction at the first CMC joint primarily restores abduction and adduction mobility.
Question 3: When mobilizing the subtalar joint to improve calcaneal eversion, the calcaneus is glided in which direction relative to the talus?
- Medially
- Laterally (Correct answer)
- Anteriorly
- Posteriorly
Correct answer: Laterally
A lateral glide of the calcaneus relative to the talus is used to restore calcaneal eversion at the subtalar joint.
Question 4: Which accessory movement at the acromioclavicular joint is used to restore restricted horizontal adduction of the shoulder?
- Inferior glide of the clavicle
- Anterior glide of the clavicle
- Posterior glide of the clavicle (Correct answer)
- Superior glide of the clavicle
Correct answer: Posterior glide of the clavicle
A posterior glide of the clavicle at the acromioclavicular joint helps restore restricted horizontal adduction.
Question 5: The 'open-packed' (resting) position of the knee joint is best described as:
- Full extension with slight external tibial rotation
- 25–30 degrees of flexion with slight external tibial rotation (Correct answer)
- 90 degrees of flexion
- Full flexion
Correct answer: 25–30 degrees of flexion with slight external tibial rotation
The resting (open-packed) position of the knee is approximately 25–30 degrees of flexion with slight external tibial rotation, where the joint has maximum laxity.
Question 6: Which technique uses a sustained longitudinal distraction force to reduce compressive joint pain before glide mobilizations?
- Oscillatory mobilization
- Joint distraction (Correct answer)
- Muscle energy technique
- Active release technique
Correct answer: Joint distraction
Joint distraction uses a sustained longitudinal force to decompress the joint surfaces, relieving compressive pain prior to glide techniques.
Question 7: A CCEP practitioner identifies restricted shoulder abduction beyond 90°. Which glenohumeral accessory movement is most likely limited?
- Anterior glide
- Inferior glide (Correct answer)
- Posterior glide
- Superior glide
Correct answer: Inferior glide
Inferior glide of the humeral head is required for full glenohumeral abduction beyond 90°; its restriction limits this motion.
In Kaltenborn's joint mobilization system, which grade involves taking up the slack to the point of tissue resistance before applying force?