Manual Therapy MCQs Quiz

The talocrural joint refers to the joint between the talus bone of the foot and the tibia and fibula bones of the leg. When the joint is close-packed, it means that it is in its most stable and congruent position. In the case of the talocrural joint, this position is dorsiflexion, which is the movement of bringing the top of the foot towards the shin. Therefore, the statement that the talocrural joint is close-packed in dorsiflexion is true.

Passive (arc) stretching refers to a stretching technique where the joint is moved through its full range of motion without any additional force or resistance. In the absence of a slide, which refers to the movement of one bone over another, passive stretching can cause excessive joint compression. This means that the joint experiences increased pressure in the same direction as the rolling bone. Therefore, the statement "Passive (arc) stretching in the absence of a slide causes excessive joint compression in the same direction as that of the rolling bone" is true.

If a client is unable to extend their big toe at the MTP joint, mobilizing the base of the proximal phalanx dorsally would be important. This is because dorsiflexion of the proximal phalanx allows for extension of the big toe. By mobilizing the base of the proximal phalanx dorsally, it helps to restore the range of motion and functionality of the big toe. Therefore, the statement is true.

The medial cuneiform is a bone in the foot that forms part of the tarsal bones. It is located on the inner side of the foot, towards the big toe. The articulation refers to the joint or connection between two bones. In this case, the medial cuneiform articulates with the second metatarsal, which is the bone that connects to the second toe. This means that there is a joint between the medial cuneiform and the second metatarsal bone, allowing for movement and support in the foot. Therefore, the statement "The medial cuneiform articulates with the second metatarsal" is true.

Grade 3 traction will increase inert tissue elongation and improve range of motion. This means that it will help to stretch and lengthen the muscles and tissues, which can help to reduce pain and improve flexibility and movement in the affected area.

Ventral glide of the femur at the coxofemoral joint refers to a movement that brings the front part of the thigh bone forward and downward. This movement helps to improve external rotation, which is the ability to rotate the leg outward. By gliding the femur ventrally at the hip joint, it allows for more freedom of movement and range of motion in external rotation. Therefore, the statement is true.

When a person is non-weight bearing, dorsiflexion of the talocrural joint causes the talus bone to move forward and slide backward on the lower leg. This movement is due to the absence of the body's weight on the joint, allowing for more mobility. Therefore, the statement is true.

High-grade joint mobilization techniques are most appropriate for the condition of loss of accessory joint movement due to capsular restriction. Capsular restriction refers to the tightening or stiffening of the joint capsule, which can limit the normal range of motion and cause loss of accessory joint movement. High-grade joint mobilization techniques involve applying a high amount of force to the joint to restore its normal mobility and reduce the restriction. This technique would be effective in addressing the specific issue of loss of accessory joint movement due to capsular restriction.

The client's difficulty in everting their foot suggests a problem with the mobility of the joints involved in foot eversion. Eversion is the movement of the foot away from the midline of the body, and it involves the subtalar, calcaneocuboid, and talonavicular joints. Therefore, to determine the cause of the client's difficulty, it is important to assess the mobility of all of these joints.

Grade 3 sustained glide would be considered the most precise stretching technique. This is because a sustained glide involves a slow and controlled movement, allowing for a more targeted and precise stretch. Grade 3 indicates that the therapist is providing moderate resistance, which can help to further enhance the precision of the stretch. In contrast, oscillatory glides involve a back-and-forth movement, which may not be as precise as a sustained glide. Additionally, a higher grade (such as grade 4) may involve more force and less precision.

The explanation for the given answer, False, is that according to Kaltenborn, the protocol for joint mobilization treatment should not begin with grade 2 sustained translatoric glide.

When treating pes planus, it is important to include the mobilization technique of adducting the forefoot by rotating the metatarsals toward inversion. This technique helps to correct the alignment and position of the foot, specifically the forefoot, which is often involved in pes planus. By rotating the metatarsals towards inversion, the foot is brought into a more neutral position, which can help alleviate symptoms and improve function. This mobilization technique is commonly used in the management of pes planus to address the underlying biomechanical issues associated with this condition.

Traction is not always applied parallel to the treatment plane. Traction can be applied in various directions depending on the specific condition being treated and the goals of the treatment. It can be applied perpendicular, oblique, or at an angle to the treatment plane. Therefore, the statement is false.

The fibula should not glide superiorly with ankle joint plantarflexion. The fibula is a non-weight bearing bone located on the lateral side of the lower leg, and its main function is to provide stability to the leg muscles. During ankle joint plantarflexion, the tibia and talus bones move together while the fibula remains relatively stable. Therefore, the statement is false.

The correct answer is A & B. The fibula and medial cuneiform bones do not articulate with the cuboid bone. The fibula is a long bone located on the outside of the lower leg, while the medial cuneiform is one of the tarsal bones in the foot. The cuboid bone, on the other hand, is a tarsal bone that articulates with the calcaneus (heel bone) and other bones in the foot. Therefore, the fibula and medial cuneiform do not have a direct connection or articulation with the cuboid bone.

The hip joint is not close-packed in the position of extension. Close-packed position refers to the joint position where the ligaments and other supporting structures are maximally tense, providing the most stability to the joint. In the case of the hip joint, the close-packed position is in flexion, not extension. Therefore, the given statement is false.

Knee extension can be improved by gliding the tibia posteriorly on the femur using Grade 2 translatoric glide, not anteriorly. Therefore, the given statement is false.

Gliding the talus posteriorly in the mortise would actually decrease the range of motion in this case. Restricted talocrural joint plantarflexion means limited ability to point the foot downwards. Gliding the talus posteriorly would further restrict this motion, as it moves the talus backwards in the ankle joint. To improve range of motion, the talus should be glided anteriorly in the mortise, which would help increase plantarflexion. Therefore, the correct answer is False.

Applying traction through the long axis of the femur shaft will not result in distraction at the hip joint. Traction is a pulling force that is applied to a body part to realign or stabilize it. In this case, applying traction through the femur shaft will primarily affect the femur bone itself and not the hip joint. Distraction at the hip joint would require a different type of force or manipulation. Therefore, the statement is false.

Roll refers to the movement of one joint surface on another joint surface. When a roll occurs, it causes the bone to swing or move in a particular direction. This swinging motion is always in the opposite direction of the swing of the moving bone. Additionally, during the roll, new points on one surface make contact with the same point on the opposing surface, ensuring maximal congruency between the joint surfaces. Therefore, the correct answer is that roll results in the swing of the bone.

The statement suggests that small amplitude, high velocity oscillatory movements can be used to stimulate mechanoreceptors and inhibit the transmission of nociceptive stimuli in cases of pain, muscle guarding, and spasm. However, this statement is false. Small amplitude, high velocity oscillatory movements are not typically used to inhibit the transmission of nociceptive stimuli. Instead, other techniques such as manual therapy, medication, or physical therapy exercises are commonly employed to address pain, muscle guarding, and spasm.

Joint mobilization techniques can be applied to hypermobile joints, as they can help stabilize and strengthen the joint. However, caution should be exercised to avoid excessive or aggressive mobilization that may further destabilize the joint. Therefore, the correct answer is False.

Lateral rotation of the leg can be a treatment for restricted extension of the knee joint. This movement helps to increase the range of motion and flexibility in the knee by externally rotating the leg. By rotating the leg laterally, it can help to relieve any tightness or restrictions in the joint, allowing for improved extension. This treatment technique can be beneficial for individuals experiencing limited knee extension due to muscle imbalances, joint stiffness, or previous injuries.