STI II – Practical Questions Perfectly Solved And Rated 100% Correct!!

You have a patient with forward head posture. What are 3 techniques that you could use to address this impairment? - bilateral upper thoracic release - elongation of paravertebral muscles - axial flexion of c/s - mobilization of OA - SCM muscle play - cervical spine laminar release - upper trap release - levator scap release You have a patient with forward shoulder posture. What are 2 techniques you could use to help with this? - diaphragm release - subscapularis techniques (2) - pec minor manipulation - pec major muscle play - lateral elongation of upper thoracic/pecs/fascia - rib splaying You have a patient with tight internal rotators and limited ER of the shoulder. What are 2 techniques that you could use to address the soft tissue restrictions that could limit ER? - subscapularis techniques (2) - pec major muscle play - pec minor manipulation (not the best choice tho) You have a patient with limited internal rotation of the hip and tightness in the soft tissue of the lateral hip. What are 2 techniques you could use to address this? - greater trochanter rocking - piriformis techniques (3) - ITB/paratrochanteric manipulation You have a patient with SIJ dysfunction and tightness in the piriformis as well as along the sacral border. What are 2 techniques you could use to address this impairment? - sacral release techniques (3) - piriformis techniques (3) You have a patient that has recently been immobilized in a boot. This boot is now removed, but the patient demonstrates a significant loss of DF and inversion ROM d/t tightness in the gastroc, soleus, peroneals, and posterior connective tissue. What are 2 techniques that you could use to address this issue? - lateral fascial distraction of the tibia - lateral elongation of peroneal tissue - cross friction of the gastroc/soleus MTJ - gastroc muscle play The patient presents 6 weeks s/p proximal HS strain with tendinopathy and tight HS. What are 2 techniques you could use to address the tendon, as well as prepare the muscle for stretching? - hamstring muscle play - myofascial manipulation of the HS (3) The patient presents with limited shoulder elevation. What are 2 techniques that could potentially help with this impairment? - unilateral P/A articulation of first rib - first rib/shoulder depression rocking technique - anterior fascial elongation of superficial fascia The patient presents with limited side bending. What are 2 techniques that could potentially help with a SB limitation? - iliac crest release - power grip - QL non-aggressive techniques (3) - QL aggressive techniques (3) The patient presents with limited forward bending of the lumbar spine. What are 2 techniques that could help improve FWB? - elbow-forearm technique/medial-lateral elongation - laminar release techniques (3) - iliac crest release - power grip The patient presents with limited hip extension. What are 2 techniques that could lead to improvement in hip extension? - psoas release - iliacus release - iliac crest release - hip extension or bony clearing prone - superficial elongation of caudal trunk The patient presents with limited mobility of the skin and superficial fascia of the lumbar spine limiting FWB and posterior pelvic tilting. What is 1 technique to address this impairment? - elbow-forearm technique/medial-lateral elongation - superficial long axis distraction of connective tissue of the spine - long axis laminar release - laminar release (3) - iliac crest release - power grip The patient has been in a sling for 6 weeks and demonstrates limited scapular mobility. What is 1 technique you could use to address tight soft tissues around the scapula prior to performing scapular mobs? - scapular framing (3) - lateral elongation of upper thoracic/pecs/fascia - thoracic rotation laminar release The patient presents with limited thoracic rotation and hypomobile ribs 1, 2, 3. What are 2 techniques to address these impairments? - thoracic rotation laminar release - bilateral upper thoracic release - long axis laminar release - rib splaying/rib spaces 1-3 - unilateral P/A articulation of first rib What technique could you use for a patient with carpal tunnel syndrome? palmar stretch and retinacular stretch What techniques could you use for a patient with medial epicondylalgia? - muscle splay of forearm - transverse muscle bending of forearm What muscle(s) attach to the first rib? - anterior scalene - middle scalene - subclavius - intercostals - serratus anterior What is a contraindication for the psoas release technique? endometriosis What technique could you use for a patient with plantar fasciitis? plantar fascial manipulation What technique could you use for a patient who has chronic ankle sprains? lateral elongation of peroneal tissue What muscles attach to the greater trochanter? - piriformis - superior gemellus - inferior gemellus - obturator internus - obturator externus - glute min - glute med - vastus lateralis What is a muscle play? oscillatory movement to create a bend in the muscle to improve mobility, usually targets muscles with a fascial sheath Which techniques should not be used on patients with herniated discs? - superficial long axis distraction of connective tissue of the spine - long axis laminar release - laminar release techniques in sidelying, quadruped, and seated Which techniques should not be used on patients with spinal stenosis or spondy? - iliac crest release techniques - sacral release techniques *these techniques would be good for pts with disc herniations What are your instructions for the patient while you are performing the laminar release technique with the patient in quadruped position? "put head down, arch back up, and sit back" What are your instructions for the patient while you are performing the laminar release technique with the patient in seated position? "put head down, shoulders forward, reach for the floor" Which laminar release technique (pt position) should you use if your patient is much larger than you? laminar release with patient seated What is the origin and insertion for the piriformis muscle? O: anterior sacrum (S2-S4) I: greater trochanter (superior/medial aspect) What is the origin and insertion for the glute max muscle? O: external surface of the posterior aspect of the iliac crest, posterior surface of the sacrum and coccyx, and sacrotuberous ligament I: ITB and tuberosity of femur What is the pain referral pattern of a trigger point in the piriformis? into the butt and down posterior leg What is the pain referral pattern of a trigger point in the glute max? all over the butt Which sacral release technique is the most aggressive? sacral release - bilateral thumbs and fingers What are the 3 different iliac crest release techniques? - bony clearing prone - power grip prone - hip extension What are the 3 different sacral release techniques? - chisel grip - bilateral thumbs and fingers - dummy thumb along sacral border What are the 3 different piriformis techniques? - compress and hold - elbow direct pressure - first 2 PIP's How do you find/palpate the piriformis? - find/palpate PSIS and greater trochanter - imagine a line from the PSIS to greater trochanter - from the halfway point of the line, move slightly inferior Which piriformis technique is the most aggressive? piriformis technique - first two PIP's How could you make the piriformis technique - elbow direct pressure more aggressive? passively IR and ER the hip (IR > ER) What is the difference between aggressive and non-aggressive QL techniques and why? non-aggressive - pt's legs are on the table aggressive - pt's legs are off the table when legs are off the table, QL is lengthened What are the 3 non-aggressive QL techniques? - medial-lateral pull away - sidebending elongation stretch/sidebend and strum - quadratus lateral erector spinae release What are the 3 aggressive QL techniques? - sidebending elongation quadratus stretch - superficial fascial elongation arm first - rotation from above first