4 - The Common Compensatory Pattern (Boesler)

Question 1

What is a common compensatory pattern?

Answer 1

An ALTERNATING pattern of FASCIAL preferences

Question 2

Which of the following is not one of the four major diaphrams?

a) pelvic diaphragm
b) thoracoabdominal diaphragm
c) tentorium cerebelli/falx cerebri
d) cervicothoracic diaphragm
e) thoracolumbar diaphragm

Answer 2

e) thoracolumbar diaphragm

Question 3

The common compensatory pattern uses which model of treatment?

Answer 3

Circulatory-Respiratory model of treatment

Question 4

A pt comes in having been in a car accident, which of the following patterns would be a potential pattern you would see in their body?

a) R/L/L/R
b) R/L/R/L
c) R/R/L/R
d) L/R/L/R

Answer 4

a) R/L/L/R
c) R/R/L/R

These are NON compensated patterns = trauma

Question 5

Which is the most common compensated pattern? what do these letters mean?

a) R/L/L/R
b) R/L/R/L
c) R/R/L/R
d) L/R/L/R

Answer 5

b) R/L/R/L

Lumbosacral area - rotated right
Thoracolumbar - rotated left
Cervicothoracic area - rotate right
Upper cervical area - rotated left

Question 6

{TQ} What is the biggest contributor to the common compensatory pattern?

a) Earth’s rotation
b) Gravity
c) Right vs. Left handedness
d) Birth Process (Left Occiput Anterior)
e) Asymmetry of visceral organs

Answer 6

b) Gravity

Question 7

[TQ] What is the common compensatory pattern for

innominate rotate?

Answer 7

Anterior Right innominate

Question 8

[TQ] What is the common compensatory pattern for the sacrum?

Answer 8

Left on Left

Question 9

[TQ] What is the common compensatory pattern for lumbosacral area?

Answer 9

Neutral RrSl (L5 or S1)

Question 10

[TQ] What is the common compensatory pattern for thoracolumbar junction?

Answer 10

RlSl (rotated left, sidebent left), Flexed or Extended

Question 11

[TQ] What is the common compensatory pattern for lower left ribs?

Answer 11

exhaled

Question 12

[TQ] What is the common compensatory pattern for upper left ribs?

Answer 12

inhaled

Question 13

[TQ] What is the common compensatory pattern for upper right thoracic vertebrae?

Answer 13

RrSr (T3-T4)

Question 14

[TQ] What is the common compensatory pattern for cervothoracic junction?

Answer 14

RrSr (T1)

Question 15

[TQ] What is the common compensatory pattern for the upper cervical area (including OA)?

Answer 15

NRlSR (neutral, rotated left, sidebent right)

Question 16

What are the transitional areas? List examples

Answer 16

The areas with the GREATEST Motion

• where head meets neck (OA)
• neck meets thorax (T1)
• thorax meets lumbar spine (T12)
• lumbar spine meets pelvis (L5)

Question 17

What will treating the CCP not do?

a) relieve myofasical torsions
b) affect autonomic system
c) affect somatic system
d) Improve diaphragmatic function
e) improve venous/lymphatic flow

Answer 17

c) affect somatic system

Question 18

T or F: A key dysfunction is the main dysfunction that causes other dysfunctions to occur.

Answer 18

True

Question 19

[TQ} A restrictive dysfunction is a dysfunction that holds others in place. A dysfunction in what holds ribs in place? A dysfunction in what holds cervicals in place?

Answer 19

THORACIC dysfunction!

Question 20

[TQ} A patient has the following dysfunctions. Which of the following should be treated first?

a) RIb 3 exhalation (L)
b) Rib 12 inhalation (L)
c) T3 FRS(L)
d) C6 ER S(R)

Answer 20

c) T3 FRS(L)

Question 21

Who’s looking forward to Valentine’s day?

Answer 21

KARIN IS!