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Practices (2.1) > Adjusting > Flashcards

Adjusting Flashcards

1
Q

____ is the reference structure unless otherwise noted.

A

Vertebral body

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2
Q

Contact side of _____ unless scoliosis is present.

A

Open wedge

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3
Q

If scoliosis is present, contact side of _____

A

Scoliosis

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4
Q

If there is a scoliosis, doc stands on side of _____

A

Convexity

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5
Q

Doctor contacts the side they are standing on when patient is supine or prone.

A

FYI

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6
Q

Terminology for National Boards:

  • Segment is Stuck
  • Segment can’t move there
A 
Stuck = Fixed
Immobile = Restricted or Decreased
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7
Q

Medicare listing are used as _____, which means that segment is actually in that position as if seen off of an x-ray. Or we utilize “stuck” in that position. This is similar to fixation.

A

Malpositions

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8
Q

_____ is to close open wedges.

A

Torque

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9
Q

Open wedge on the right is _____

A

CW torque

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10
Q

Open wedge on the left is _____

A

CCW torque

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11
Q

Gonstead Spinal Listing Rule

A

P - R/L - S/I

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12
Q

Spinal listings are named by how the subluxated segment misaligns to the segment below.

A

Gonstead

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13
Q

In Gonstead the first letter always begins with _____

A

P = Posterior

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14
Q

In Gonstead, The second letter is always _____, which refers to spinous rotation.

A

R or L = Right or Left

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15
Q

In Gonstead, The third letter refers to lateral flexion or wedging of the segment on the side of spinous rotation, which will be either ____

A

S or I = sup or inf

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16
Q

In Gonstead, The open wedge is corrected by using clockwise or counterclockwise torque. Contact the side of the _____ wedge.

A

Open

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17
Q

National body listings refer to ____

A

Body Rotation

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18
Q

National body rule

A

R/L - P - S/I

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19
Q

In National Body Listings, the first letter will be an ____

A

R or L

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20
Q

In national body listings, the second letter will be a ____

A

P

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21
Q

In national body listings, the third letter will be a ____, which refers to Lateral Flexion or Wedging on the side of body rotation.

A

S or I

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22
Q

Medicare Listing Malpositions:
Increased interspinous space between the involved segment and the segment below with decreased interspinous space between the involved segment and the segment above.

A

Flexion Malposition

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23
Q

Medicare Listing Malpositions:
Decreased interspinous space between the involved segment and the segment below with increased interspinous space between the involved segment and the segment above.

A

Extension Malposition

24
Q 
Kinetic Listings (motion):
Decreased motion or segmental fixation
A

Hypomobility

25
Q 
Kinetic Listings (motion):
Loosened motor unit
A

Hypermobility

26
Q 
Kinetic Listings (motion):
A segment or group of vertebral segments move in a manner inconsistent with their corresponding area.
A

Aberrant motion

27
Q

T/F: Scoliosis and/or alteration of curve SECONDARY to muscular imbalance.

A

True

28
Q

Costovertebral or costotransverse disrelationship; Sacroiliac Subluxation

A

Paraspinal

29
Q

Flexion Malposition:

  • Dynamic fixation or restrictions
  • National vertebral body reference
A

Flexion Fixation / Extension Restriction

Anterior Inferior body

30
Q

Extension Malposition:

  • Dynamic fixation or restrictions
  • National vertebral body reference
A

Extension Fixation / Flexion Restriction

Posterior Inferior body

31
Q

Left Rotation Malposition:

  • Dynamic fixation or restrictions
  • National vertebral body reference
A

Left Rotation Fixation / RRR

Left Posterior

32
Q

Right Rotation Malposition:

  • Dynamic fixation or restrictions
  • National vertebral body reference
A

RR Fixation / LRR

Right Posterior

33
Q

Left Lateral Flexion Malposition:

  • Dynamic fixation or restrictions
  • National vertebral body reference
A

LLF Fixation / RLFR

Left Inferior

34
Q

Right Lateral Flexion Malposition:

  • Dynamic fixation or restrictions
  • National vertebral body reference
A

RLF Fixation / LLFR

Right Inferior

35
Q

Right Rotation & Right Lateral Flexion Malposition:

  • Dynamic fixation or restrictions
  • National vertebral body reference
A

RR & RLF Fixation / LR & LLFR

Right Posterior Inferior

36
Q

Right Rotation & Left Lateral Flexion Malposition:

  • Dynamic fixation or restrictions
  • National vertebral body reference
A

RR & LLF Fixation / LR & RLFR

Right Posterior Superior

37
Q

Left Rotation & Left Lateral Flexion Malposition:

  • Dynamic fixation or restrictions
  • National vertebral body reference
A

LR & LLF Fixation / RR & RLFR

Left Posterior Inferior

38
Q

Left Rotation & Right Lateral Flexion Malposition:

  • Dynamic fixation or restrictions
  • National vertebral body reference
A

LR & RLF Fixation / RR & LLFR

Left Posterior Superior

39
Q

Gonstead Pelvic Subluxations:

Spongy edema at posterior superior margin of SI Joint

A

PI Ilium

40
Q

PI Ilium findings

A
  • Low Femur Head
  • Anterior Sacrum
  • Longer Innominate
  • Larger Obturator Foramen
  • Increased Lumbar Lordosis
41
Q

Gonstead Pelvic Subluxations:

Spongy edema at posterior inferior margin of SI Joint

A

AS Ilium

42
Q

AS Ilium Findings

A
  • Higher Femur Head
  • Posterior Sacrum
  • Shorter Innominate
  • Smaller Obturator Foramen
  • Decreased Lumbar Lordosis
43
Q

Gonstead Pelvic Subluxations:

Visually: Causes the foot to diverge away from midline (foot flair, toe out, EX rotation)

A

IN Ilium

44
Q

IN Ilium findings:

A
  • Increased width of the ilium making it wider
  • Appears narrow at the base of obturator foramen
  • Decreased normal anterior curve
  • Raises the femur head
45
Q

Gonstead Pelvic Subluxations:

Visually: Causes the foot to diverge toward midline (toe in, internal rotation)

A

EX Ilium

46
Q

EX Ilium findings:

A
  • Decreased width producing narrow ilium
  • Increased width at base of obturator foramen
  • Anterior lumbar curve increases
  • Lowers femur head
47
Q

Lovett Positive Classification of Scoliosis:

  1. ) This is the least offending scoliosis & is a ___.
  2. ) Side of Anterior Sacrum is on same side as the ____.
  3. ) Convex side is towards the ____.
  4. ) Spinouses will deviate away from the ____.
  5. ) ____ should be used on the side of the PI Ilium.
  6. ) ____ should be used on the side of the AS Ilium.
A 
Normal Compensatory Deviation
PI Ilium (short leg)
AI Sacrum/PI Ilium
Convexity
Heel Lift
Sole Lift
48
Q

Absolute Contra-Indications to adjusting

“FAR-TIM”

A
  1. Malignancies
  2. Tumors
  3. Infections
  4. Fractures (exception Clay Shovelers)
  5. AAA
  6. Recent Surgery
49
Q

Relative Contra-Indications to adjusting

“C-OSCAR”

A
  1. Osteoporosis
  2. Spondylolisthesis
  3. Rheumatoid Arthritis
  4. Cardiovascular predisposing factors
  5. Congenital Anomalies
  6. Acute Spactic Muscle Region
50
Q

Balanced Pelvis

A

ASIS’s are in the same vertical plane as the symphysis pubis

51
Q

Ant Pelvic Tilt / Hyperlordosis / Lower Cross Syndrome:

Lengthened/Inhibited muscles

A

Hamstrings
Gluteals
Abdominals

52
Q

Ant Pelvic Tilt / Hyperlordosis / Lower Cross Syndrome:

Hypertonic/Facilitated muscles

A

Psoas
Quadriceps
Erector Spinae

53
Q

Post Pelvic Tilt / Hypolordosis / Lower Cross Syndrome:

Lengthened/Inhibited muscles

A

Psoas
Quadriceps
Erector Spinae

54
Q

Post Pelvic Tilt / Hypolordosis / Lower Cross Syndrome:

Hypertonic/Facilitated muscles

A

Hamstrings
Gluteals
Abdominals

55
Q

Upper Cross Syndrome:

Hypertonic/Facilitated muscles

A 
Pec Major
Upper Traps
Levator Scap
SCM
Scalenes
Suboccipitals
56
Q

Upper Cross Syndrome:

Lengthened/Inhibited muscles

A 
Rhomboids
Lower & Middle Traps
Serratus Anterior
Teres Minor
Longus Coli
Longus Capitus

Practices (2.1) (5 decks)

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