SMRT Back & Spine Exam

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1. As you stripe down the vertebrae in both lamina grooves, you feel one vertebrae that is out of alignment, you*

a. move the vertebrae in the direction it is already going in to allow the ligaments to release and the vertebrae to naturally realign
b. move the vertebrae in the opposite direction of the misalignment to force the vertebrae back into place and release the ligaments
c. try to crack the clients back
d. give up and tell them there is nothing further you can do

2. There are 2 releases for middle trapezius. One uses the ________________, while the other uses the ______________________.*

a. vertebrae, head of the humerus
b. vertebrae, lateral clavicle
c. vertebrae, head
d. vertebrae, acromion process

3. To release compression in the vertebrae*

a. compress the ribs toward the vertebrae
b. release all the muscles attaching to the scapula
c. gently compress either 2 vertebrae or a group of vertebrae
d. all of the above

4. A common action for the rotator cuff is*

a. lateral rotation
b. stabilization of the glenohumeral joint
c. medial rotation
d. abduction

5. SMRT positions are held for*

a. 10 to 30 seconds
b. as long as possible
c. over a minute
d. 20 to 45 seconds

6. When doing a SMRT position you should passively contract the muscle to within*

a. 20% of possible movement
b. 25% of possible movement
c.10% of possible movement
d. 5% of possible movement

7. Omohyoideus links ________________ to ____________________.*

a. the neck, the chest
b. the anterior neck, the posterior neck
c. the posterior shoulder, the posterior neck
d. the upper shoulder, the anterior neck

8. When the client is prone you can release the long head of triceps by extending the arm at the shoulder. Modifying this move slightly will release*

a. serratus posterior superior
b. lower trapezius
c. teres major and minor
d. omohyoideus

9. Levator scapulae is in a constant tug-of-war between the neck and the scapula. If you do not get a release by working with the scapula, you may need to release*

a. the ribcage
b. the neck
c. the vertebrae
d. everything else

10. To release latissimus dorsi and teres major with the client in a prone position, you must*

a. rotate the shoulder laterally toward the back
b. rotate the shoulder medially toward the chest and abduct the arm slightly
c. rotate the shoulder medially toward the chest and adduct the arm slightly
d. rotate the shoulder laterally toward the back and compress toward the shoulder

11. To release omohyoideus, you need to*

a. place your thumb under the scapula and lift it up off the back
b. move the upper thoracic vertebrae toward the scapula
c. lift the clients arm off the table, creating extension at the shoulder
d. place your hand on the top of the shoulder and push down

12. Muscle tension can be caused by*

a. overuse of a muscle's specific actions without adequate stretching
b. direct lines of compressive force
c. misalignment of joints that result in the bones putting pressure on the muscle
d. all of the above

13. Pain at the medial border of the scapula is often thought to be the rhomboids. But often the pain is caused by ___________________.*

a. supraspinatus
b. serratus posterior superior
c. trapezius
d. levator scapulae

14. One of the ways to release infraspinatus and teres minor is to*

a. medially rotate the upper arm and mildly compress
b. arc the ribs in a superior direction
c. move the arm into supination and compress toward the shoulder
d. laterally rotate the upper arm and mildly compress

15. Ligaments of the costovertebral joints are*

a. the radiate, costovertebral, and anterior longitudinal ligaments
b. the radiate ligament of the rib heads, the lateral costovertebral ligament, and the medial costovertebral ligament
c. non-existent
d. the radiate ligament of the rib heads, the lateral costovertebral ligament, and the superior costovertebral ligament

16. You must use the spine to release the transversospinalis group of muscles because*

a. these muscles all attach to the spine
b. these muscles run from the transverse processes of one vertebrae to the spinous processes of another
c. these muscles sit in the lamina groove of the spine
d. all of the above

17. One way to release supraspinatus is to use the ______________ of the scapula and arc it ____________________.*

a. inferior angle - medial
b. superior border - superior
c. lateral border - posterior
d. spine - superior and lateral

18. Two of the three erector spinae muscles are present in the lower back, they are*

a. iliocostalis lumborum and spinalis thoracis
b. iliocoastalis thoracis and longissimus lumborum
c. multifidus lumborum and longissimus thoracis
d. iliocostalis lumborum and longissimus thoracis

19. To release the lumbar erector muscles you will use the arm and*

a. arc the shoulder lateral and inferior
b. move across the body into extension and adduction
c. bring the scapula toward the spine
d. only move minutely

20. Why does the therapist go slowly during the UE dura stretch?*

a. because they have to
b. to feel for the client’s end range
c. to make the client as uncomfortable as possible
d. to talk with the client about their feelings

21. If you move into an SMRT position and the client complains of pain*

a. you may have gone the wrong direction
b. it may be the grip you have with your fingers, try to adjust
c. you may have moved too much, release, start over, and move less
d. any of the above

22. One way to release quadratus lumborum is to use the*

a. lower thoracic vertebrae and arc toward the iliac crest
b. upper lumbar vertebrae and arc toward the iliac crest
c. sacrum
d. both b) and c)

23. The only time direct pressure on to the vertebrae is contra-indicated is if*

a. the client has osteoporosis
b. the client is a child
c. the back is straight
d. lordosis is present

24. What does PNF stand for?*

a. Proprioceptive Nervous Fluctuation
b. Proprioceptive Not Functioning
c. Proprioceptive Neuromuscular Facilitation
d. Proprioceptive Neuromuscular Fluctuations

25. Serratus posterior inferior's action is*

a. raising the ribs during inhalation
b. stabilizing the lumbar vertebrae
c. pulling the ribs down during exhalation
d. elevating the iliac crest

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Spontaneous Muscle
Release Technique

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