CCEP Lower Extremity Treatment 2

Question 1

Which manipulation technique is most appropriate for a hypomobile subtalar joint with calcaneal varus positioning?

Accepted Answer

High-velocity low-amplitude thrust into eversion

Answer

A calcaneal varus with subtalar hypomobility responds best to an HVLA thrust directed into eversion to restore pronation motion.

Question 2

A patient presents with pain at the posterior heel worsening with the first steps in the morning. The most likely diagnosis is:

Accepted Answer

Plantar fasciitis

Answer

Morning post-static dyskinesia (pain with first steps after rest) is the hallmark presentation of plantar fasciitis.

Question 3

The Windlass mechanism directly loads which structure during toe extension?

Accepted Answer

Plantar fascia

Answer

Dorsiflexion of the toes winds the plantar fascia around the metatarsal heads, tensioning it and raising the medial longitudinal arch.

Question 4

Which Grade of mobilization (Maitland) is most appropriate for an acutely painful ankle joint where motion is limited by pain before resistance?

Accepted Answer

Grade I

Answer

Grade I (small amplitude at the beginning of range) is used for acute, pain-dominant presentations to avoid provocating guarding.

Question 5

During gait analysis, excessive pronation through midstance is best addressed initially by:

Accepted Answer

Strengthening hip abductors and foot intrinsics

Answer

Hip abductor weakness allows femoral internal rotation that drives subtalar pronation; foot intrinsic strengthening restores dynamic arch support.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test