CCEP Soft Tissue Techniques 4

Question 1

A CCEP clinician applies transverse friction massage to the bicipital tendon at the intertubercular groove. The patient should be positioned with the arm in:

Accepted Answer

External rotation to expose the tendon in the groove for perpendicular access

Answer

External rotation of the humerus rotates the bicipital groove anteriorly, exposing the biceps tendon for accurate perpendicular cross-fiber contact.

Question 2

Fascial Distortion Model (FDM) identifies which distortion as the most common cause of an inability to fully extend the knee after a medial collateral ligament sprain?

Accepted Answer

Continuum distortion at the transition zone between the ligament and bone

Answer

Continuum distortions occur at osseous-fascial junctions such as ligament-to-bone attachments, and they respond to direct compression at that transition zone.

Question 3

In the treatment of De Quervain's tenosynovitis using soft tissue therapy, which combination is most appropriate for the subacute stage?

Accepted Answer

Longitudinal gliding along the first dorsal compartment tendons with progressive tensioning

Answer

Longitudinal gliding techniques mobilize the APL and EPB tendons within the sheath, reducing adhesions while progressive tensioning restores glide without exacerbating synovitis.

Question 4

The 'barrier concept' in osteopathic myofascial release refers to:

Accepted Answer

The point of first resistance in tissue movement where the clinician waits for release

Answer

In myofascial release, the clinician engages tissue to the 'feather edge' of resistance — the first barrier — and waits for inherent tissue unwinding rather than forcing through.

Question 5

Neural flossing (nerve gliding) for ulnar nerve entrapment at the cubital tunnel is distinguished from nerve tensioning techniques because flossing:

Accepted Answer

Alternately elongates and slackens the nerve to mobilize it without sustained tension

Answer

Nerve flossing alternates elongation at one end with slackening at the other, creating a sliding motion through the tunnel without the cumulative tension of tensioning techniques.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Soft Tissue Techniques 4