2. Motion Palpation and Spinal Analysis.pdf Flashcards
True or False:
chiropractic subluxation is basically the same as medical subluxation
False
chiropractic subluxation is NOT a medical subluxation
What is Motion Palpation & Spinal Analysis
Simply put, it’s just a way of referencing the subluxation (as a “bone in space”) and defining which way to correct it
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)????
- 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)
Fill in the blank for the 4 defining points of medical subluxation
- Incomplete luxation
- Outside normal joint motion/limits
- Ligaments/joint capsule torn/disrupted
- Always visible on static imaging (eg. Xray)
What is a subluxation
misalignment of a vertebrae causing impingement on the nerves as they exit at the vertebral joints
_____?_______ Palpation
- The “bone out of place” model (archaic) * Palpation
- Spinous out of midline
- Taught and tender fibers
Static
Does static palpation tell us the subluxation?
Describe what else it tells us
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
TRUE OR FALSE
subluxation: the SL joint will always move away from the direction of SL BUT will resist moving OUT of a SL*
FALSE
subluxation: the SL the joint will always move further into the direction of SL BUT will resist moving OUT of a SL*
True or False:
Subluxations do not want to go to line of correction
True
What is line of correction based on?
based on the direction that’s fixated
* (labeled by direction it won’t go)
_______/Gonsted
- References the position of the spinous process
What the ACVA uses
Palmer
_____?______ Palpation
- Identifying “landmarks”
- Identifying specific vertebra and other bony projections
versus
_____?______ Palpation
- Identifying the location/direction of the subluxation
Static Palpation:
* Identifying “landmarks”
* Identifying specific vertebra and other bony projections
Motion Palpation:
* Identifying the location/direction of the subluxation
True or False/Fill in blank
In the dynamic model:
Healthy joints have a springy end feel (property of _______)
True
ligaments
(true or false)
Dynamic model
Fixated / subluxated joints have a “hard” or “restricted” end feel
True
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)
PASSIVE
PARAPHYSIOLOGICAL SPACE (Your movement at this point should remain in ~1/8” space)
Is every manipulation a chiropractic adjustment?
every manipulation is not a chiropractice adjustment but every chiro adjustment is a manipulation
From Neutral: Describe the order starting at elastic barrier of resistance (CRACK) and start with where does that fall?
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
List 4 in order from chart on bottom describing active range of motion first
- Active range of motion
2.Mobilization - Manipulation
- Joint Sprain
What is the difference between active range of motion and mobilization?
- Active range of motion is how far a joint will move bc of muscles
- Mobilization: passive range of motion
The difference between mobilization (number 2) and 5he next down manipulation (adjustment)is??
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
What are the Dynamic Model
* 3 Types of Fixations (which one is an adjustment not required?)
- ____________ – hard end feel
- __________-Ligamentous – stiff end feel
- ____________ – mushy end feel
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
When assessing a single joint how do you reach the paraphysiological space?
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)
