CMT Manual Therapy Techniques & Approaches 3

Question 1

In Kaltenborn's approach, what is the resting (loose-packed) position of the glenohumeral joint?

Accepted Answer

70° abduction and 10° horizontal adduction

Answer

The resting position of the glenohumeral joint is approximately 70° abduction and 10° horizontal adduction, where joint congruency is minimal.

Question 2

Which of the following best describes a Grade V manipulation (thrust technique)?

Accepted Answer

High-velocity low-amplitude thrust at the end of range

Answer

Grade V manipulation is a high-velocity low-amplitude (HVLA) thrust delivered at or near the end of the available range to restore joint motion.

Question 3

The concept of 'joint play' as described by Mennell refers to:

Accepted Answer

Passive accessory movement not under voluntary control

Answer

Mennell's joint play describes the passive accessory movements within a joint that cannot be produced by voluntary muscle action.

Question 4

During lumbar spine PA mobilization in prone, which structure is primarily being mobilized when pressure is applied over the spinous process?

Accepted Answer

Zygapophyseal (facet) joints

Answer

Posteroanterior pressure on lumbar spinous processes primarily creates movement at the zygapophyseal joints of that motion segment.

Question 5

Which manual therapy technique is specifically contraindicated in a patient with acute vertebrobasilar artery insufficiency?

Accepted Answer

Cervical HVLA manipulation

Answer

Cervical HVLA manipulation is absolutely contraindicated with vertebrobasilar insufficiency due to risk of vertebral artery dissection and stroke.

(CMT) Certified Manual Therapist Practice Test