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NPTE Clinical Files | Physical Therapy

Scar Tissue Mobilization Techniques

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

4.9631 Ratings

🗓️ 15 October 2025

⏱️ 8 minutes

🧾️ Download transcript

Summary

Diego is six weeks post-rotator cuff repair and reports stiffness and a pulling sensation near the surgical incision during overhead movement. Examination reveals restricted shoulder range of motion and palpable adhesions. Which technique is MOST appropriate to address the patient’s symptoms?

A) Effleurage

B) Transverse friction massage

C) Myofascial release

D) Joint mobilization

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Transcript

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0:00.0

I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide.

0:08.0

It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE.

0:15.0

Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see the life I

0:22.5

have today, a life filled with love, financial freedom, and a dream job that allows me to

0:27.7

change lives every single day. I created the NPTE Clinical Files podcast to give you simple,

0:34.3

actionable strategies, along with a step-by-step walkthrough of NPTE-based questions.

0:40.2

All of this so that you can dominate your exam like I did and achieve your dream.

0:45.4

So if you're a driven PT student who's looking to pass the NPTE and start creating a life

0:50.8

you love, you're in the right place.

0:53.0

Enjoy the show.

0:56.5

For this week's clinical file, we have Diego and Diego is six weeks post-rotator cuff repair and reports stiffness and

1:02.6

a pulling sensation near the surgical incision during overhead movement. Examination reveals

1:08.3

restricted shoulder range of motion and palpable adhesions.

1:12.4

Which technique is most appropriate to address the patient's symptoms?

1:16.6

So we have A, efflurage, B, transverse friction massage, C, myofascial release, and D is joint mobilization.

1:26.7

All right, let's go up to the top of this question.

1:28.5

Pretty straightforward, quick, in and out type question here, going after somewhat of a curve

1:35.5

ball. And the reason why I say that is, how much are you going into scar tissue mobilization

1:41.8

and that sort of stuff when you're studying.

1:46.3

That's the reason why this is a bit of a curveball.

1:52.2

So let's go ahead and dive into this challenge and leave with some really amazing stuff for you to know for the exam.

1:52.8

Sounds good?

...

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