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

Which assessment technique is NOT advisable when evaluating joint function in a patient with severe musculoskeletal pain?

1. Active range of motion tests

2. Passive range of motion with overpressure

3. Manual muscle testing

4. Functional activities assessment

The correct answer is: Passive range of motion with overpressure

In evaluating joint function in a patient with severe musculoskeletal pain, it is crucial to consider the patient's comfort and safety. Assessing passive range of motion with overpressure may exacerbate pain or cause additional strain on already compromised tissues. This technique involves moving the joint beyond its usual range of motion to assess the end-feel, which can lead to increased discomfort and potentially harm the joint structure in a sensitive patient. On the other hand, active range of motion tests allow for movement within the patient's control, minimizing the risk of exacerbating pain. Manual muscle testing, while requiring cooperation, is often performed with careful attention to the patient's limits and can provide valuable insights into muscle function without necessarily imposing undue stress. Likewise, assessing functional activities can offer a holistic view of the patient's abilities without aggressive manipulation of the joints. Considering these factors, employing passive range of motion with overpressure is not advisable in such contexts, thereby making it the best choice as the technique to avoid.