question

What is the magic that Mr. Calvert talks about in his "Is Magic Part of the Skill" forward?

answer

Human touch

question

Health touch is human contact at its ___ and it delivers love and love is what heals.

answer

Best

question

As reported in the Preface, most job-related injuries in America today result from?

answer

Muscle/joint pain and overuse syndromes

question

To produce energy, the preferred fuel for extrinsic muscles is ___.

answer

Glucose

question

Muscle spasm or guarding are terms used to describe the body's reaction to the threat of actual or perceived_____.

answer

Tissue injury

question

Because calcium reacts with ATP to produce muscle contraction, tissue lengthening must soon be undertaken to prevent spasmodic muscles from releasing chemicals called?

answer

Leukotrines

question

The Myoskeletal Method utilizes the fascia's sensory receptor system to produce plastic deformation (creep) to help?

answer

Lengthen and strengthen muscles, ligaments, fasciae and joint capsules than control, support and restrain spinal motion.

question

Some manual therapists voice concern that third-party pay from insurance companies may propel the development of?

answer

"fly by night" bodywork schools searching for ways to "work the system".

question

Nikolai Bogduk's famous quote, "In God we trust; all others...bring data" may prove unnecessary if somatic therapist can offer subjective evidence showing that we are helping people in pain.

answer

True

question

In the Introduction chapter, pain is described as more than a sensation, or the physical awareness of pain; it also includes?

answer

Perception, the subjective interpretation of the discomfort

question

Researchers have shown that compression of a nerve root does not necessarily produce ____.

answer

pain

question

When asked what he considered to be a primary cause of most bodily pain and dysfunction _____ quickly responded, "lack of a variety of movement patterns."

answer

Moshe Feldenkrais

question

Defeatist attitudes are signs the client may?

answer

Not really want to improve the situation

question

Nociceptors are concentrated in areas more prone to injury such as?

answer

Fingers and toes

question

The thalamus interprets pain signals and quickly forwards them to the?

answer

Frontal Cortex, Somatosensory Cortex, and Limbic System Cortex

question

___ often results from tissue damage such as a burn or broken bone. Usually goes away after injury heals.

answer

Acute pain

question

___ will persist after injury heals, it can be associated with persistent and degenerative disease and longer term pain from unidentifiable causes.

answer

Chronic pain

question

Nerve root lesions can perpetuate pain even though the root itself is considered an ___ structure.

answer

insensitive

question

In Chapter 1, the following statement is made, "What are a few things therapists must look for during an evaluation?" list.

answer

Holding patterns during gait, Asymmetrical anatomic landmarks, Presence of upper/lower corssed syndromes, Abnormal front to back and side to side curvatures, Aberrant firing order pattern, Arthritic hands, Pronated/supinated feet, Excessive or unusual wear patterns on the soles of the shoes and Emotional state

question

Pain must be appreciated for helping us?

answer

Allows us to avoid dangerous situations, Helps to prevent further tissue damage, andPromotes the healing process.

question

As opposed to the relaxation massage model, pain management history taking continues throughout____.

answer

each therapy session

question

The sympathetic nervous system consumes the greatest amount of body energy, uses more oxygen, and produces the most waste by-products; therefore it should be considered the ___ system of the body.

answer

fundamental underlying

question

In the "Naughty9' most common palpation errors, which two of the following do you personally consider to be therapeutically most counterproductive?

answer

Unsatisfactory therapist concentration/intent and Improper application of extended finger and fist techniques.

question

Speed is the enemy of depth just as lack of enthusiasm for learning is the enemy of___.

answer

passion

question

Resist the temptation to mentally 'box' the client's complaint in to a "fix-it" formula that excludes?

answer

The body as the primary healer

question

What is the technique called that uses bones as levers to release deep spinal muscles that restrict normal joint flexibility?

answer

Articular Stretching Technique-AST

question

___is a direct soft tissue intervention using voluntary contraction of the Client's muscles.

answer

AST

question

When the brain senses bony instability or tissue damage in-and-around the spine, "splinting" occurs and causes what with the muscles?

answer

By 'splinting' the area w/spasm, the hyper contracted (shortened muscles effectively reduce painful joint movements.

question

What does Dalton mean by the term "calling in the subs"?

answer

When the weak spinal groove muscles (rotatores, mulitfidus, and intertransversarrii, ect) are weak the middle layer core support system is designed for stabilization to allows the extrinsic muscles and fascia to 'sub in' to carry out movements of daily life. It can alter firing order to activation patterns

question

McGill says when lumbar facet joint become displaced and fixated during a lifting incident how long do you have before multifidus muscles begin to atrophy? ___.

answer

24 hours

question

What cause the thickened ropey feel of the of the erector spinae muscle on the ipsilateral side of the vertebrae?

answer

Spasms

question

What causes reduced flexibility of the lumbar spine? And what can help increase flexibility in the lumbar spine?

answer

Long-term joint fixations are a primary cause of reduce flexibility. Myoskeletal mobilization therapy can help increase flexibility.

question

The Dirty Dozen chapter asks, "As posture improves, many long-standing aches and pains disappear without the therapist ever having to know exactly which _______ _________ were the actual pain-generators" ____

answer

Soft tissues

question

Compensations from exaggerated lordotic posture reverberate up the spine causing?

answer

Shoulders to roll forward on the ribcage, Neck forward on the thorax and Head to hyper extend on the neck

question

Janda's upper crossed "tight line" traverses through which muscles?

answer

Levator scapula, upper trapezius, and pectorals

question

Creating tone in the weak abdominals flattens ________ ________.

answer

Lumbar lordosis

question

The most common error made in performing Postural exercises for Upper and Lower Crossed Syndromes is?

answer

Bringing the shoulders back behind the hips

question

Chapter 3 asks the question, "Muscle imbalance occurs when there is an alteration in _________-________ relationship surrounding a given joint."

answer

Length tension

question

An excellent example of reciprocal inhibition occurs in Janda's upper crossed syndrome as the tight pectorals reciprocally weaken?

answer

the rhomboids muscles

question

What term is defined as "acting together enhancing the effect of another force?"

answer

Synergistic

question

In the neck flexion test, the firing order pattern should be?

answer

Longus capitis, longus colli, anterior scalenes, and SCMs

question

The medical community successfully treats "wallet-sciatica" by?

answer

Walletectomy

question

The Myoskeletal approach emphasizes that injury involving muscle-pulls, joint trauma, and decompensation (structural break-down) has roots in predictable muscle ______________ ___________.

answer

Muscular imbalances

question

Factors that can affect joint function and determine the degree of flexibility discussed in Chapter 4 include?

answer

Amount and duration of applied force, Tissue temperature, Number of mechanoreceptors present in the tissues under stretch.

question

What is the basic barrier concept?

answer

Taking the slack out until you feel the resistance or barrier reached.

question

___ stretch refers to temporary elongation

answer

Elastic

question

___ stretch describes permanent changes

answer

Plastic

question

Why does flexibility decrease with age?

answer

As ligaments and joint capsules thicken. Joints and tissue stiffen as mechanoreceptor s activity diminishes with age

question

What is another name for contract-relax method of stretching?

answer

PNF, Strain/Counter-strain, Post-isometric relaxation.

question

What is the inverse-reflex and what causes it?

answer

A stretch reflex invoked when muscles are elongated and Inverse reflex responds to both muscle stretching and muscle contracting.

question

What causes the muscle to re-set its length and elongate through the process of post isometric relaxation?

answer

Golgi tendon organs

question

Improving ROM and flexibility is one of today's fastest growing

answer

manual therapy

question

In cases of tendon injury, it is best to?

answer

Move/mobilize

question

_______________ contraction involves a muscle shortening while actively delivering energy, doing positive work, and acting as an engine.

answer

Concentric

question

Many sports injuries are caused from forceful ____________ exercises that damage muscle fiber membranes.

answer

Eccentric

question

Two of Aaron Mattes' listings for "Purpose of Stretching" are

answer

Increase and maintain complete range of motion of the joint. Help provide greater potentials of physical and athletic skills

question

Moise Feldenkrais beautifully summarized the psychological ramifications of flexion-dominance. People go into flexion in search of?

answer

"People go into flexion for emotional security. They curl up for protection. Immature behavior, negative emotions demand flexion... and are expressed through flexion."

question

Clinical evidence supports the fact that prolonged sitting neurological shortens the body's_________.

answer

Hip flexors, particularly the iliopsoas, while the antagonist gluteus maximi become reciprocally inhibited and weak

question

In a perfectly functioning body, the transversus abdominis muscle should be the first to fire in all __________ and _____________ body motions.

answer

upper and lower body motions

question

The transversus abdominis and lumbar multifidus are deep support muscles designed to stabilize the torso so other muscles can undertake maneuvers without compromising the stability of the

answer

Lumbar spine

question

Depression is derived from the Latin word "deprimere" which means?

answer

To press down

question

Does the human brain have the ability to generate __________ in the absence of noxious input.

answer

Pain

question

In the Simplifying Sensitization chapter, Hamilton Hall stated, "There is no simple cure because there is usually not a ___________-_______ precipitating trigger associated with many forms of musculoskeletal pain."

answer

Clear cut

question

A perfect example of the workings of sensitization can be found in the sometimes mysterious condition called?

answer

Phantom limb pain

question

American College of Rheumatology comprised a list of ____ checkpoints (tender point) for fibromyalgia pain sites

answer

16 to 18

question

Pain management therapists should be ____ when assessing, speculating and particularly labeling perceived causes contributing to a client's neck and back pain.

answer

Cautious

question

In the athletic population, short leg syndromes and short hip flexors causes pelvic tilting that dramatically reduces __________ ___________ ____________.

answer

Speed, strength, coordination, and endurance

question

The "Feet-shufflers" structural dilemma is primarily caused by tight, short?

answer

hip capsule adhesions

question

In the Myoskeletal Approach, the treatment sequence should follows?

answer

Release soft tissue and lengthen, Compress/distract, Tonify with fast-paced spindle-stimulating maneuvers.

question

Chapter12 asks this question, "A common interference to the body's nervous system is"?

answer

The 24 moving bones of the spinal column

question

For the body to sail smoothly through life, it must have the ability to?

answer

Repair, regulate and protect itself.

question

When the body's capacity to resist stress is overwhelmed, tonic muscles become?

answer

Irritable, tight, and often shortened; and through reciprocal innervation, their antagonists become weak and inhibited

question

Prolonged postural stress leads to predict able functional changes such as a loss of?

answer

Flexibility, shallow breathing patterns, chronic fatigue and digestive or hormonal disorders

question

In the Exploring Perfect Posture chapter, perfect posture is describes as?

answer

Body mass is evenly distributed and balance is evenly maintained during standing and locomotion

question

When the normal functioning of any part of the somatic system becomes over- stressed, a vicious cycle of pain and dysfunction ensues leading to ______________.

answer

Decompensation

question

During locomotion, the myofascial systems' antigravity springing mechanism ______________ and ______________ intervertebral discs.

answer

Decompresses and hydrates

question

While testing hip hyperextension the firing order should be?

answer

Hanstrings, Gluteus maximus, Contralateral lumbar erectors, and Ipsilateral lumbar erectors.

question

In shoulder abduction, which muscle should not be included in the optimal firing order pattern?

answer

Anything besides the Rotator cuff muscles( S.I.T.S- supraspinatus, Infraspinatus, Teres minor, Subscapulus) and Deltoid

question

Who made the classic statement, "In the presence of vertebral dysfunction, palpable 4th-lay muscle hypertonicity will always be found?"

answer

Philip Greenman, DO, FAAO

question

_______ ___ group dysfunctions cause three or more consecutive vertebral joints to rotate and sidebend in opposite directions resulting in a functional scoliosis.

answer

Type 1

question

An enhancer is any client-activated force (inhale to the count of 5, look up at your eyebrows and down at your toes, etc.) directed through the neuromyoskeletal system that aids the therapist in?

answer

Releasing motion-restricted tissues.

question

"Go for a smooth grove" is powerful statement emphasizing the importance of proper balance and alignment in all joint-related tissues in this vital area. Who made this statement?

answer

Dr. Ida Rolf

question

No muscle, ligament or joint capsule should ever be taken into a _____________ range of motion since this is outside the scope of practice for most massage and bodywork practitioners

answer

Nonphysiologic

question

When the therapist applies slow sustained pressure to the bony transverse processes to cause a GTO stretch receptor release in all these deep muscles to create a?

answer

Truly Smooth Groove

question

What does hypertonic knots palpated in the lamina groove and exquisitely tender iliocostalis muscles at the lateral rib angle indicate?

answer

Ribs may be motion restricted in either internal or external rotation or joint dysfunction.

question

What does "Dual Fixation" sometimes indicate?

answer

blockage

question

What is Dalton referring to when he says "Dorsal Dish"?

answer

Flat Spot

question

What does Dalton says you should not do in relation to your client having "Dorsal Dish"?

answer

Don't attempt a downward prone spring test on the flat spot

question

What does Ida Rolf mean when she said "Dig a hole to allow the spine a place to come back to"?

answer

Reaching across and placing extended fingers in the lamina groove so you can hook and scoop the spinalis, longissimus, and paravertebral fascia medial to lateral

question

The Dirty Dozen treatment section begins with release of the?

answer

LPL

question

"LPL" stands for?

answer

Levator-PECS-LATs

question

The modified Corkscrew is designed to release which muscles?

answer

Splenius capitis/cervicis receptor release

question

The use of ____greatly affects the therapeutic outcome when treating suboccipitals.

answer

Enhancers

question

In the FRF Section, the therapist searches for 4th layer fibrosis that alerts them to the presence of?

answer

Joint dysfunction or fixation

question

Fast-paced fiber-activation techniques stimulate the?

answer

The muscle spindle's dynamic gamma motoneuron system (DGM)

question

What sensory system in Chapter 18 responds to the position of the head in relationship to gravity and movement?

answer

Vestibular system

question

Compensatory sagittal curves result in hyperkyphosis or hyperlordosis, whereas, horizontal compensations are referred to as _________ or ____________.

answer

Rotations or torsions.

question

Acquired scoliosis arises from conditions such as?

answer

Psoas syndrome, sciatic irritability, inflammatory response, short-leg syndrome, a healed leg fracture, or an unleveled hip prosthesis following surgery.

question

In the chapter "Scoliosis...A Case Study", Amy's structure indicated?

answer

Would indicate facet tropism including rib, disc and vertebral end-plate remodeling

question

The Short Right Leg Syndrome chapter discusses research by Denslow and Chase which found?

answer

1. Significant incidence of low right femoral heads; 2. Lumbar convexity to short leg side (sidebent left/rotated right) and 3. A high correlation depicting contralateral pelvic rotation. Therefore, their findings suggested that both innominate bones rotate around the sacrum (iliosacral tilt), and the innominates and sacrum have the additional propensity to rotate as a block around the vertical lumbar spine. Not only confirming leg length findings conducted by early researchers but also laid the foundations for new, more sophisticated studies

question

_______ percent of babies presenting in a normal left fetal lie are right vestibular and left motor dominant.

answer

20 %

question

J. Gordon Zink discovered that 80 percent of subjects who considered themselves healthy presented with a left/right/left/ right common compensatory pattern and 20 percent (R/L/R/L) were labeled as having

answer

Uncommon compensatory pattern

question

A common substitution pattern in hip abduction is?

answer

gluteus medius/minimus are firing late.

question

During prolonged standing, the client's body weight routinely shifts over the vestibularly dominant _______ leg creating stretch weakness in the _____ gluteus medius/minimus.

answer

Left; left

question

What is a common self-regulating balancing foot pattern?

answer

Right foot is supinated or inverted while the left foot is pronated or everted.

question

In the lower limbs, compensations at each level can be summarized as?

answer

-Ankle instability due to foot supination on short side -Knee hyperextension on the short side and the knee flexed on the long side -Externally rotated leg on the short side -Circumduction of the long limb

question

It is theorized that fetal inertia during maternal acceleration stimulates what part of the vestibular apparatus causing left vestibular and right motor dominance?

answer

the utricle

question

What structure permits the rectus abdominis muscles to spread laterally during pregnancy?

answer

Due to laxity of the linea alba tissues

question

Myoskeletal Zone Therapy primarily focuses on ___________ and ___________fascial distortions of the spine and its associated diaphragms.

answer

Rotation and sidebending

question

Zink reasoned that, optimally, there should be equal fascial rotational motion to both sides. This small group was labeled as?

answer

"ideal" or "Bilateral"

question

In Dr. Pope's paper, he discusses labor and delivery and makes this statement, "The "bent twig" is an analogy used to describe the shape of the cranial bones and how they are often permanently modified by birth trauma before ____________ takes place."

answer

Full ossification

question

The mechanism of labor has been divided into several cardinal movements/ What are they?

answer

Engagement, Flexion, Descent, Rotation, Extension, Restitution, and Expulsion.

question

Myoskeletal Zone Therapy assessment and treatment begins with the___________ junction.

answer

Cervicocranical

question

If the client presents with a L/R/L/L pattern, which zone needs to be addressed in order to restore the common compensatory pattern?

answer

Lumbo Sacral

question

If the client presents with an R/L/L/L pattern, treatment at what zone would bring him/her into a compensated state?

answer

Thoraco Lumbar (TL)

question

What diaphragm would you address if the client were decompensated at the thoracolumbar junction?

answer

Respiratory Diaphragm

question

The vertebral artery is particularly at risk from bone spurring where it enters the spine at C6-7 and also at the occipitoatlantal membrane as it tucks up into the_____.

answer

Foramen magnum

question

____________________ combined with rotation of the head on neck results in narrowing of the vertebral artery on the contralateral side up to 90 percent.

answer

Hyperextension

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