College of Massage Therapists of British Columbia (CMTBC) Practice Exam

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How should a patient with lower limb extensor synergy be positioned?

  1. Pillow under the feet to promote extension

  2. Pillow under knees to encourage hip and knee flexion

  3. Flat on their back with no pillows

  4. Side-lying with legs straight

The correct answer is: Pillow under knees to encourage hip and knee flexion

The positioning of a patient with lower limb extensor synergy is crucial for facilitating proper movement patterns and preventing complications. Placing a pillow under the knees encourages hip and knee flexion, which can help counteract the effects of extensor synergy. This positioning allows the patient to escape the rigid extension typically associated with this condition, promoting a more functional and relaxed posture. Encouraging hip and knee flexion helps to decrease muscle tone in the extensors and supports the natural curvature of the spine, facilitating relaxation and comfort. It can also stimulate proprioception, which is important for rehabilitation. Overall, this position can aid in improving the patient's overall movement potential and comfort during treatment. The other options do not effectively address the needs of a patient with lower limb extensor synergy in the same way.

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