SMRT Thigh & Knee Exam

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1. To release the ITT (or IT band), you will*

a) take the foot, create lateral compression, and move the leg toward abduction
b) take the foot, create medial compression, and move the leg toward abduction
c) move from the knee, creating anterior compression and lateral rotation
d) bend the knee and move the leg into lateral rotation

2. There are 3 ways to create muscle tension, they are overuse of the muscle's action, _________________, and direct lines of compression.*

a) movement in the wrong direction
b) the opposite side of the area is tight
c) the bone is shortened and has shortened the muscle
d) the bone has moved out of its space and is occupying the space the muscle needs

3. To release an adhesion between the ITT and vastus lateralis, you will*

a) combine the releases for both the ITT and vastus lateralis
b) release vastus medialis
c) use the patella
d) none of the above

4. To mobilize the femur, you want to*

a) test the lateral and medial movement of the femur
b) test the anterior and posterior movement of the femur
c) move and hold the femur in the direction it moves easiest to
d) all of the above

5. The four major ligaments in the knee are the*

a) anterior collateral, posterior collateral, medial cruciate, and lateral cruciate
b) anterior cruciate, posterior cruciate, medial collateral, and lateral collateral
c) superior cruciate, inferior cruciate, anterior cruciate, and lateral collateral
d) anterior cruciate, posterior cruciate, medial collateral, and posterior patellar

6. The bony landmark on the posterior femur that vastus lateralis and medialis originate from is*

a) the linea aspera
b) the linea alba
c) the gluteal tuberosity
d) the intertrochanteric line

7. After releasing the position, you should*

a) never repalpate
b) repalpate, but with a very light touch
c) always repalpate, going as deep as the tissue will allow
d) palpate surrounding areas

8. The position of the femur head is really important to releasing the*

a) hip
b) thigh muscles
c) knee
d) all of the above

9. SMRT positions are held for*

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

10. When you do the general release for the distal hamstrings, you will*

a) extend the leg at the knee and compress lateral
b) flex the leg at the knee and compress to your monitor hand
c) flex the leg at the knee and medially rotate
d) extend the thigh at the hip and laterally rotate

11. Sartorius inserts on the*

a) tibial tuberosity
b) medial condyle of the femur
c) proximal medial surface of the tibia
d) lateral condyle of the tibia

12. To find the division between vastus lateralis and vastus intermedius use the ______________ as a reference point.*

a) patella
b) femur
c) tibia
d) ITT

13. The general release for the adductor compartment of the thigh is also the _____________ release.*

a) sartorius
b) gracilis
c) adductor magnus
d) vastus medialis

14. If your client stands with their knees toward hyperextension, you should use a fair amount of extension in your release to*

a) duplicate the pattern
b) release vastus lateralis
c) unlock the connective tissue in the knee
d) release popliteus

15. You will place the edge of your hand on the superior edge of the pubic symphysis to release the*

a) proximal adductors
b) vastus lateralis
c) biceps femoris
d) TFL

16. If your client is naturally in lateral rotation at the hip, you should*

a) move the foot back to neutral before each move
b) give up, nothing will work
c) work from the position that client's leg and thigh are in naturally
d) only do lateral rotation, never medial rotation

17. To release adhesions between vastus medialis and the adductors, you will begin by*

a) moving the leg and thigh into adduction
b) moving the leg and thigh into abduction
c) wrapping your hand around the upper thigh
d) creating a direct line of anterior compression

18. When doing the last release for the adductors, you will be standing on the opposite side of the table, you should*

a) never do rotation
b) always do rotation
c) only do lateral rotation
d) do a little lateral rotation or a little medial rotation, whichever the client needs

19. To release tension in the bottom of gluteus maximus, place your hand*

a) under the proximal femur, laterally rotate, and compress toward the hip
b) above the ischial tuberosity, move it inferior and medial
c) on the bottom of the foot, create a direct line of lateral compression, and flex at the knee
d) on the inner thigh and move the femur lateral

20. The adductor muscles are in an agonist/antagonist relationship with*

a) the quadriceps
b) the abdominal muscles
c) the hamstrings
d) the tibial muscles

21. To release TFL, you will create*

a) hip flexion
b) medial rotation
c) compression into the hip
d) any combination of the above

22. To release the patellar tendon, you first palpate by*

a) moving the tendon anterior and posterior
b) lifting the foot up and down
c) moving the tibia right and left
d) moving the patellar tendon medial and lateral

23. When working on the anterior leg, the bolster helps us because*

a) it creates lateral rotation in the leg
b) it creates flexion in the knee
c) it holds the thigh up
d) changes the angle of the ankle

24. The second move for rectus femoris and vastus intermedius involves*

a) lifting the thigh into hip flexion and medially rotating the thigh
b) lifting the leg into extension at the knee
c) lifting the thigh into hip flexion, keeping extension at the knee, and compressing toward the hip
d) an anterior line of compression and flexion of the leg at the knee

25. To release biceps femoris and vastus lateralis, you will need to*

a) work from a supine position
b) move the foot into the bolster with the client in a prone position
c) from a prone position, lift the leg into flexion at the knee
d) none of the above

26. During the release for the patella tendon or ligament, you are also releasing*

a) the fat pat below the patella
b) TFL
c) the bursa sacks below the patella
d) both a) and c)

27. When you create a position*

a) the combination of percentages of each movement are always the same
b) you should always customize the movements for the client on the table
c) the combination of percentages of each movement can be very different from client to client
d) both b) and c)

28. When working with rectus femoris and vastus intermedius, you will need to create*

a) a direct line of anterior compression
b) a direct line of posterior compression
c) a direct line of lateral compression
d) a direct line of medial compression

29. The common origin for the adductor muscles is the*

a) ischium
b) pubis
c) ilium
d) greater trochanter

30. When you move the client's leg into full flexion, lift the thigh into hip extension, and use your knee to create compression toward the hip, you are releasing*

a) gluteus maximus
b) the middle of the hamstrings
c) vastus lateralis
d) the ITT

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