A 22-year-old male marathon runner presents to the office with the complaint of right-sided rib pain when he runs long distances. Physical examination reveals normal heart and lung findings and an exhalation dysfunction at ribs 4-5 on the right. ... #109
...Which of the following muscles or muscle groups will be most useful in correcting this dysfunction utilizing a direct method? (A) anterior scalene (B) latissimus dorsi (C) pectoralis minor (D) quadratus lumborum
EXAMPLE RESPONSE:
C) Pectoralis minor. The exhalation dysfunction at ribs 4-5 on the right suggests that the pectoralis minor muscle may be in a hypertonic state. Using a direct method, the therapist would focus on releasing this muscle to correct the dysfunction. The other muscles listed do not directly relate to the dysfunction described.
...Which of the following muscles or muscle groups will be most useful in correcting this dysfunction utilizing a direct method? (A) anterior scalene (B) latissimus dorsi (C) pectoralis minor (D) quadratus lumborum EXAMPLE RESPONSE: C) Pectoralis minor. The exhalation dysfunction at ribs 4-5 on the right suggests that the pectoralis minor muscle may be in a hypertonic state. Using a direct method, the therapist would focus on releasing this muscle to correct the dysfunction. The other muscles listed do not directly relate to the dysfunction described.