CCEP Soft Tissue Techniques 3

Question 1

Strain-counterstrain (positional release) therapy for a tender point in the anterior talofibular ligament region requires positioning the ankle in:

Accepted Answer

Plantarflexion and slight inversion to shorten the involved tissue

Answer

Counterstrain positions the tissue in its shortened position (plantarflexion and inversion for the ATFL) to reduce mechanoreceptor firing and release the tender point.

Question 2

Which soft tissue approach is most evidence-supported for treating lateral epicondylalgia (tennis elbow) in a subacute presentation?

Accepted Answer

Eccentric exercise combined with deep transverse friction massage to the ECRB

Answer

Eccentric loading combined with deep transverse friction to the ECRB targets the degenerative tendinopathy pathology and stimulates collagen remodeling.

Question 3

Proprioceptive Neuromuscular Facilitation (PNF) Contract-Relax technique for hip flexor tightness affecting gait works primarily through:

Accepted Answer

Autogenic inhibition via Golgi tendon organ activation during isometric contraction

Answer

The isometric contraction in Contract-Relax activates Golgi tendon organs, which reflexively inhibit the same muscle via Ib afferents, allowing greater subsequent lengthening.

Question 4

During IASTM treatment of the wrist flexor tendons, the clinician notices petechiae forming under the skin. The correct interpretation is:

Accepted Answer

A normal tissue response indicating microtrauma-stimulated healing is occurring

Answer

Petechiae during IASTM represent expected microtrauma to hypovascular tissue, triggering a local inflammatory healing cascade that is part of the intended therapeutic mechanism.

Question 5

The myofascial technique known as 'skin rolling' is most useful for assessing and treating which condition?

Accepted Answer

Superficial fascial restrictions and cutaneous hypersensitivity zones

Answer

Skin rolling lifts and rolls the superficial fascia and dermis, revealing restrictions and treating cutaneous hypersensitivity zones that accompany somatic dysfunction.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Soft Tissue Techniques 3