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

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What is the only assessment indicated during the acute stage of a GH dislocation?

Joint Mobility Assessment
Active Free Range of Motion Test
Passive Range of Motion Test
Strength Test

The correct answer is: Active Free Range of Motion Test

The only assessment indicated during the acute stage of a glenohumeral (GH) dislocation is the passive range of motion test. In this critical period immediately after a dislocation, the shoulder joint is typically very sensitive and unstable, making aggressive assessments like active free range of motion or strength testing inappropriate. A passive range of motion test allows the therapist to gently move the joint through its range without putting strain on the injured structures. This can help in identifying the extent of the injury without exacerbating the condition. By assessing passive motion, a therapist can gather information about potential restrictions and the overall state of the joint while minimizing further damage and discomfort. Active free range of motion tests and strength tests would not be appropriate as they require the patient to actively engage the musculoskeletal system, which may not be possible or safe during the acute phase of a dislocation. Joint mobility assessment may also involve active movements and is typically not indicated until the acute phase has passed and inflammation has decreased.