MANUAL THERAPY TECHNIQUES FOR THE SHOULDER - QUIZ QUESTIONS 1. Which ligament has 3 parts and tightens as the shoulder moves further into abduction? a. Transverse humeral b. Coracoacromial c. Middle Glenohumeral d. Inferior Glenohumeral 2. Which ligament plays a big role in impingement syndrome? a. Costoclavicular b. Coracoclavicular c. Coracoacromial d. Coracohumeral 3. What two muscles form a force couple to upwardly rotate the scapula? a. Trapezius and rhomboids b. Upper trapezius and lower trapezius c. Pectoral minor and levator scapula d. Serratus anterior and pectoral minor 4. Which muscle can compress the brachial plexus? a. Subclavius b. Pectoral minor c. Long head of the biceps d. Anterior deltoid 5. What is the only contraindication for Strain Counterstrain? a. Acute inflammatory condition b. Chronic inflammatory condition c. Pregnancy d. (+) Vertebral artery test 6. All of the following describe a Strain Counterstrain tender point EXCEPT? a. Manifestation of somatic dysfunction b. At least 4x as tender as normal tissue c. Synonymous with trigger point d. Approximately 1 cm in diameter 7. Strain Counterstrain was developed by Lawrence Jones, D.O. based who’s work? a. Sherrington b. Korr c. Travell d. Schmidt 8. Strain Counterstrain is altering the aberrant tension in what structure/mechanism? a. Gamma bias of muscle spindle b. Dorsal root ganglion c. Sympathetic chain d. Deep tendon reflex 9. There are how many Strain Counterstrain tender points? a. 50 b. 100 c. 150 d. Over 200 10. Which rotator cuff muscle attaches to the lesser tuberosity? a. Suprapinatus b. Infraspinatus c. Subscapularis d. None attach to the lesser tuberosity 11. How long should you hold the Strain Counterstrain treatment position? a. 90 seconds b. 60 seconds c. 30 seconds d. Until there is a decrease in tenderness 12. If you have multiple tender points in a row, which do you treat first? a. It does not matter b. The most proximal c. The most distal d. The middle one 13. In which soft tissue technique does the patient move the joint that the muscle being treated moves? a. Parallel stroking b. Cross-friction c. Active release d. Functional mobilization 14. In which soft tissue technique does the patient move a joint distal to the muscle being treated? a. Parallel stroking b. Cross-friction c. Active release d. Functional mobilization 15. Primarily, when do you perform soft tissue mobilization? a. Before performing therapeutic exercise b. After performing therapeutic exercise c. It does not matter d. At the end of the treatment session