CMT Manual Therapy Techniques & Approaches 2 — Questions and Answers
Question 1: Which mobilization technique uses oscillatory movements at the end of the available range to increase joint mobility?
- Grade I Maitland mobilization
- Grade IV Maitland mobilization (Correct answer)
- Grade II Maitland mobilization
- Grade III Maitland mobilization
Correct answer: Grade IV Maitland mobilization
Grade IV Maitland mobilizations are small-amplitude oscillations performed at the end of the available range to stretch stiff joints.
Question 2: In Mulligan's Concept, what does the acronym 'SNAG' stand for?
- Sustained Natural Apophyseal Glide (Correct answer)
- Static Neurological Articular Glide
- Sustained Neuromuscular Articular Grade
- Slow Natural Apophyseal Gradient
Correct answer: Sustained Natural Apophyseal Glide
SNAG stands for Sustained Natural Apophyseal Glide, a technique combining joint glide with active movement.
Question 3: When applying a cervical SNAG for rotation restriction, the therapist's thumb applies pressure in which direction?
- Inferior and medial
- Superior and lateral
- Parallel to the facet joint plane (Correct answer)
- Perpendicular to the spinous process
Correct answer: Parallel to the facet joint plane
In cervical SNAGs, the glide is applied parallel to the facet joint plane of the segment being treated.
Question 4: Which soft tissue technique involves applying a constant force to a myofascial restriction until a release is felt?
- Trigger point compression
- Myofascial release (Correct answer)
- Friction massage
- Proprioceptive neuromuscular facilitation
Correct answer: Myofascial release
Myofascial release involves applying sustained pressure into fascial restrictions and waiting for the tissue to release and elongate.
Question 5: The 'spray and stretch' technique is most commonly used to treat which condition?
- Joint hypermobility
- Myofascial trigger points (Correct answer)
- Ligamentous sprains
- Bursitis
Correct answer: Myofascial trigger points
Spray and stretch uses a vapocoolant spray to facilitate muscle relaxation so the muscle can be stretched to deactivate trigger points.
Question 6: In strain-counterstrain technique, the position of ease is typically held for how long?
- 10–20 seconds
- 30–45 seconds
- 90 seconds (Correct answer)
- 3–5 minutes
Correct answer: 90 seconds
Strain-counterstrain requires holding the position of ease for 90 seconds to allow muscle spindle resetting and pain inhibition.
Question 7: Which manual therapy approach is based on the concept of 'dysfunctional movement patterns' and uses hands-on techniques combined with therapeutic exercise?
- Rolfing structural integration
- Proprioceptive neuromuscular facilitation (PNF) (Correct answer)
- Neural mobilization
- Osteopathic manipulation
Correct answer: Proprioceptive neuromuscular facilitation (PNF)
PNF combines diagonal movement patterns with manual resistance to retrain dysfunctional movement and improve neuromuscular coordination.
CMT Manual Therapy Techniques & Approaches 2
Which mobilization technique uses oscillatory movements at the end of the available range to increase joint mobility?