CCEP Soft Tissue Techniques 5

Question 1

When treating adhesive capsulitis of the glenohumeral joint with soft tissue techniques, the clinician should prioritize which capsular region first due to its greatest contribution to loss of external rotation?

Accepted Answer

Posterior capsule and posterior band of the inferior glenohumeral ligament

Answer

The posterior capsule and posterior IGHL are the primary restrictors of external rotation in adhesive capsulitis and must be addressed to restore this motion.

Question 2

Spray and stretch technique for quadratus lumborum trigger points uses a vapocoolant spray directed in which pattern?

Accepted Answer

In parallel sweeps from the lower ribs downward to the iliac crest while passively laterally flexing away

Answer

The spray is applied in parallel unidirectional sweeps from the superior to inferior QL attachment (rib to iliac crest) while the clinician simultaneously introduces lateral flexion stretch.

Question 3

Soft tissue treatment for cuboid syndrome following an inversion ankle sprain is most effective when combined with which manipulation?

Accepted Answer

Cuboid whip or cuboid notch manipulation to restore its position under the peroneus longus groove

Answer

The cuboid whip manipulation directly addresses the plantar subluxation of the cuboid that disrupts the peroneus longus groove, while soft tissue work releases the surrounding retinacular tension.

Question 4

The concept of 'tissue memory' or 'somatic memory' in myofascial release theory suggests that stored trauma patterns can be addressed through:

Accepted Answer

Sustained gentle pressure that allows the tissue to unwind spontaneously through inherent motility

Answer

Indirect myofascial release uses gentle sustained pressure to allow spontaneous tissue unwinding, theoretically releasing stored mechano-emotional patterns without forcing correction.

Question 5

Cupping therapy applied to the posterior thigh for hamstring flexibility creates its therapeutic effect primarily through:

Accepted Answer

Negative pressure that lifts and decompresses superficial and deep fascia layers

Answer

Cupping creates negative pressure (suction) that lifts tissue layers, decompresses fascial planes, and separates inter-tissue adhesions in a way that compression-based techniques cannot.

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

(CCEP) Certified Chiropractic Extremity Practitioner Practice Test

CCEP Soft Tissue Techniques 5