ART Provider Soft Tissue Assessment & Diagnosis 4

Question 1

A patient with lateral elbow pain worsened by wrist extension and gripping prompts ART assessment primarily of which structure?

Accepted Answer

Common extensor tendon origin with emphasis on the extensor carpi radialis brevis

Answer

Pronator teres and flexor carpi radialis origin

Answer

Distal biceps brachii tendon at the radial tuberosity

Answer

Anconeus and supinator muscle belly

Question 2

When assessing posterior cervical musculature, which layer is evaluated first to identify the most superficial restriction affecting cervicogenic headache?

Accepted Answer

Upper trapezius and semispinalis capitis as the superficial layer

Answer

Suboccipital muscles beneath the nuchal ligament

Answer

Multifidus at the C2-C4 level

Answer

Anterior scalene group

Question 3

A patient with anterior knee pain and a negative MRI is assessed with ART. The most common soft tissue finding would be restriction of:

Accepted Answer

Patellar tendon and infrapatellar fat pad with quadriceps adhesion limiting superior glide

Answer

Posterior cruciate ligament and posterior capsule

Answer

Gastrocnemius medial head at its femoral origin

Answer

Iliotibial band at Gerdy's tubercle insertion

Question 4

ART assessment of posterior shoulder capsule tightness is best performed with the patient in which position?

Accepted Answer

Supine with the arm at 90 degrees of flexion passively adducted and internally rotated across the body

Answer

Prone with the arm hanging off the edge of the table

Answer

Standing with the shoulder at 90 degrees of abduction

Answer

Seated with hands clasped behind the head

Question 5

A distance runner presents with lateral hip pain that develops after sustained running. ART assessment would prioritize which structure?

Accepted Answer

Gluteus medius and IT band complex at the greater trochanteric region

Answer

Iliopsoas at the lesser trochanter insertion

Answer

Adductor longus at the pubic symphysis attachment

Answer

Tensor fasciae latae at its origin at the anterior superior iliac spine

Question 6

During plantar fascia ART assessment, which finding most specifically implicates the fascia itself rather than the intrinsic foot muscles?

Accepted Answer

Localized tissue restriction and altered texture at the calcaneal attachment with reduced fascial glide along the medial band

Answer

Generalized tenderness across the entire plantar surface

Answer

Global toe flexor weakness on manual muscle testing

Answer

Pain provoked by ankle dorsiflexion loading alone without direct palpation

Question 7

For ART assessment of pes anserine pathology, the examiner evaluates the proximal medial tibial insertions of which three structures?

Accepted Answer

Sartorius, gracilis, and semitendinosus

Answer

Rectus femoris, vastus medialis oblique, and gracilis

Answer

Biceps femoris, semitendinosus, and semimembranosus

Answer

Adductor longus, gracilis, and pectineus