is indicated by pain during dorsiflexion, tenderness upon palpation of the posterior lower leg, or pallor of the skin of the posterior lower leg during the test. Note that if a client Functional or structural pes planus test Tests for a functional or structural cause of pes planus aka flat feet. The client stands with toes facing forward without any footwear. The massage therapist observes the client’s medial longitudinal arch while the client is asked to stand on their toes. Then the client is asked to sit on the massage table. A structural pes planus is indicated if the medial longitudinal arch remains flat when the client is standing on their toes and when seated. A functional pes planus is Conclusion Judging by the breadth of common orthopedic tests given here, it should be noted that the greater the ROM at a joint, the higher the number of dysfunctions of that joint and the surrounding musculature becomes common. Given the number of muscles acting upon the glenohumeral and coxal joints, pinpointing the source of pain or dysfunctions becomes more difficult in the absence of orthopedic tests. In many clinical settings, particularly when dealing with References Lowe, W. (2006). Orthopedic assessment in massage therapy (1st edition). Daviau Scott. Lowe, W. (2009). Orthopedic massage: theory and technique (2nd edition). Churchill Livingstone, London. Magee, D. J. (2013). Orthopedic physical assessment (6th edition). Saunders, Philadelphia.
has a DVT, all massage is contraindicated and the client should immediately be referred to their physician.
indicated if the medial longitudinal arch is restored when the client is standing on their toes or when seated. Functional pes planus may be due to weakened plantar flexors or tendons of the foot and the arch may be somewhat restored through remedial exercise. Cross-fiber friction of the plantar tendons may help initiate repair these tendons and contribute to a more normal arch. clients whose employers or insurance companies may be paying for a limited number of treatments, narrowing the massage down to the relevant structures involved becomes particularly important. As many physicians who refer such clients do not specialize in soft-tissue injuries, the application of these tests enables a physician to properly reevaluate a client and determine the exact scope of a client’s health-care needs.
Orthopedic physical exam special tests. (n.d.). Retrieved April 15-22, 2018, from http://physicaltherapyweb.com/orthopedic-physical- examination-tests/ Special Tests. (n.d.). Retrieved April 1-5, 2018, from https://www. thestudentphysicaltherapist.com/special-tests.html
ORTHOPEDIC TESTS FOR MASSAGE THERAPISTS Final Examination Questions Select the best answer for each question and complete your test online at EliteLearning.com/Book
26. What is hypertonicity?
21. Pain resulting in weakness or loss of movement is usually due to which of the following? a. Poor diet. b. A nervous system disease. c. Injury to a muscle, tendon or ligament. d. A broken bone. 22. What does ROM stand for? a. Range of muscles. b. Range of motion. c. Root of motion. d. Range of mobility. 23. For clients seeking relief from their pain and movement dysfunctions, a quality massage therapist should be seeking: 24. Orthopedic tests are assessments that help clarify: a. Whether a dysfunction is functional (muscular) or structural (skeletal) in nature. b. If a bone is broken. c. If a muscle is strained. d. How much pain a client can tolerate. 25. What is one benefit of quick assessment skills? a. Being able to address a client’s pain or dysfunction quickly. b. Being able to charge a client more money. c. Being able to use multiple tests. d. To rule out who massage will not be good for. a. Short-term solution. b. Long-term solution. c. Short- and long-term solutions. d. For client retention.
a. Increased muscle tension. b. Increased cardio-vascular tension. c. Increased stress levels. d. An overreaction to a client’s dysfunction. 27. Which massage technique helps realign muscle fibers? c. Petrissage. d. Hot stones. 28. Which would be the most likely reason for not doing a PNF stretch on the client? a. The client does not think stretching will work. b. The client already has low ROM. c. Passive stretching is just as effective. d. The client experiences acute pain during the PNF stretch. 29. Which anterior neck flexors are tested in the anterior- lateral neck flexors test? a. The infra- and supra-hyoids. b. SCM and scalenes. c. The scalenes group. d. SCM. 30. What is the cervical compression test for? a. A nerve compressed by a muscle. b. To test a client’s inferior ROM. c. A cervical nerve compression in the lower cervical spine. d. How long it takes for symptoms to manifest. a. Directional massage. b. Cross-fiber friction.
Course Code: MNJ01OT
Page 33
Book Code: MNJ0524
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