2. Motion Palpation and Spinal Analysis.pdf

Question 1

True or False:

chiropractic subluxation is basically the same as medical subluxation

Answer 1

False

chiropractic subluxation is NOT a medical subluxation

Question 2

What is Motion Palpation & Spinal Analysis

Answer 2

Simply put, it’s just a way of referencing the subluxation (as a “bone in space”) and defining which way to correct it

Question 3

Fill in the blank for the 4 defining points of chiropractic subluxation

• Within _______ joint motion/limits
• _______ injured but ______
• Alters the ______ ______of vertebrae involved
• Describe if it is visible or not on static imaging (eg. Xray)????

Answer 3

• Within normal joint motion/limits
• Ligaments injured but intact
• Alters the normal motion of vertebrae involved
• Can be visible or not on static imaging (eg. Xray)

Question 4

Fill in the blank for the 4 defining points of medical subluxation

Answer 4

• Incomplete luxation
• Outside normal joint motion/limits
• Ligaments/joint capsule torn/disrupted
• Always visible on static imaging (eg. Xray)

Question 5

What is a subluxation

Answer 5

misalignment of a vertebrae causing impingement on the nerves as they exit at the vertebral joints

Question 6

_____?_______ Palpation

• The “bone out of place” model (archaic) * Palpation
• Spinous out of midline
• Taught and tender fibers

Answer 6

Static

Question 7

Does static palpation tell us the subluxation?

Describe what else it tells us

Answer 7

No it doesn’t tell us subluxation (we would need to palpate for motion restriction)-does tell us the line of correction

• Identifying “landmarks”
• Identifying specific vertebra and other bony projections

Question 8

TRUE OR FALSE

subluxation: the SL joint will always move away from the direction of SL BUT will resist moving OUT of a SL*

Answer 8

FALSE

subluxation: the SL the joint will always move further into the direction of SL BUT will resist moving OUT of a SL*

Question 9

True or False:

Subluxations do not want to go to line of correction

Answer 9

True

Question 10

What is line of correction based on?

Answer 10

based on the direction that’s fixated
* (labeled by direction it won’t go)

Question 11

_______/Gonsted

• References the position of the spinous process

What the ACVA uses

Answer 11

Palmer

Question 12

_____?______ Palpation

• Identifying “landmarks”
• Identifying specific vertebra and other bony projections

versus

_____?______ Palpation

• Identifying the location/direction of the subluxation

Answer 12

Static Palpation:
* Identifying “landmarks”
* Identifying specific vertebra and other bony projections

Motion Palpation:
* Identifying the location/direction of the subluxation

Question 13

True or False/Fill in blank

In the dynamic model:

Healthy joints have a springy end feel (property of _______)

Answer 13

True

ligaments

Question 14

(true or false)

Dynamic model

Fixated / subluxated joints have a “hard” or “restricted” end feel

Answer 14

True

Question 15

For the Dynamic Model at the End Range Evaluation
*
You have to get to the end of ________ motion at the ______________space (HOW SHOULD MOVEMENT REMAIN)

Answer 15

PASSIVE

PARAPHYSIOLOGICAL SPACE (Your movement at this point should remain in ~1/8” space)

Question 16

Is every manipulation a chiropractic adjustment?

Answer 16

every manipulation is not a chiropractice adjustment but every chiro adjustment is a manipulation

Question 17

From Neutral: Describe the order starting at elastic barrier of resistance (CRACK) and start with where does that fall?

Answer 17

elastic barrier of resistance (CRACK) happens past active range of motion and is reached at the end of mobilization

Paraphysiological space happens between end of mobilization and end of manipulation

next comes limit of anatomic integrity and hypermobility which is wear joint sprains happen

Question 18

List 4 in order from chart on bottom describing active range of motion first

Answer 18

1. Active range of motion
   2.Mobilization
2. Manipulation
3. Joint Sprain

Question 19

What is the difference between active range of motion and mobilization?

Answer 19

1. Active range of motion is how far a joint will move bc of muscles
2. Mobilization: passive range of motion

Question 20

The difference between mobilization (number 2) and 5he next down manipulation (adjustment)is??

Answer 20

Mobilization: Slow/low velocity technique where the Patient has final control and Remains within passive range of motion

Adjustment: Fast/high velocity but low amplitude
aka: HVLA*

the Patient cannot control/resist=greater potential for harm

Occurs beyond passive barrier in paraphysiologic space

Question 21

What are the Dynamic Model
* 3 Types of Fixations (which one is an adjustment not required?)

1. ____________ – hard end feel
2. __________-Ligamentous – stiff end feel
3. ____________ – mushy end feel

Answer 21

Articular – hard end feel
* It doesn’t go away with repeated challenges
* Adjust this bad boy!!!

Ligamentous – stiff end feel
* Often resolves with short impulse thrusts
* Adjust these…

Muscular – mushy end feel
* Often improves with repeated testing
* No adjustment required

Question 22

When assessing a single joint how do you reach the paraphysiological space?

Answer 22

Motion should be added through active and passive ROM until you reach the
paraphysiologic space

Stabilize one segment and add motion to the other (stabilize the inferior joint and move the superior)