CMT Patient Evaluation & Treatment Planning 3

Question 1

When using the International Classification of Functioning (ICF) model in treatment planning, 'participation restrictions' refers to:

Accepted Answer

Problems experienced in involvement in life situations

Answer

Participation restrictions in the ICF model describe problems a person experiences in involvement in life situations, such as inability to return to work or recreational activities.

Question 2

A patient's muscle energy technique (MET) treatment session reveals that the right sacral sulcus is deep, the right inferior lateral angle (ILA) is posterior-inferior, and the lumbosacral spring test is positive. This presentation is consistent with:

Accepted Answer

Right-on-right forward sacral torsion

Answer

A deep right sulcus with a posterior-inferior right ILA and a positive spring test on the sacral base indicates right-on-right forward sacral torsion.

Question 3

Which red flag finding during a patient intake warrants immediate medical referral before initiating manual therapy?

Accepted Answer

Saddle anesthesia with recent bowel/bladder dysfunction

Answer

Saddle anesthesia combined with bowel or bladder dysfunction suggests cauda equina syndrome, a surgical emergency requiring immediate medical referral.

Question 4

A treatment plan goal is measurable if it includes which of the following components?

Accepted Answer

A specific, quantifiable criterion for success with a target date

Answer

Measurable goals must specify a quantifiable criterion (e.g., pain ≤2/10, ROM ≥120°) and include a target date to allow objective tracking of progress.

Question 5

During palpation of lumbar segments, a manual therapist identifies a rigid vertebra with restricted spring and tenderness. The most appropriate initial intervention would be:

Accepted Answer

Grade I oscillation to reduce pain and promote fluid exchange

Answer

Grade I oscillations are appropriate for acutely painful, restricted segments as they work within pain-free range to promote neurophysiological pain inhibition.

(CMT) Certified Manual Therapist Practice Test

(CMT) Certified Manual Therapist Practice Test

CMT Patient Evaluation & Treatment Planning 3