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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
``` Kinetic Listings (motion): Loosened motor unit ```
Hypermobility
26
``` Kinetic Listings (motion): A segment or group of vertebral segments move in a manner inconsistent with their corresponding area. ```
Aberrant motion
27
T/F: Scoliosis and/or alteration of curve SECONDARY to muscular imbalance.
True
28
Costovertebral or costotransverse disrelationship; Sacroiliac Subluxation
Paraspinal
29
Flexion Malposition: - Dynamic fixation or restrictions - National vertebral body reference
Flexion Fixation / Extension Restriction | Anterior Inferior body
30
Extension Malposition: - Dynamic fixation or restrictions - National vertebral body reference
Extension Fixation / Flexion Restriction | Posterior Inferior body
31
Left Rotation Malposition: - Dynamic fixation or restrictions - National vertebral body reference
Left Rotation Fixation / RRR | Left Posterior
32
Right Rotation Malposition: - Dynamic fixation or restrictions - National vertebral body reference
RR Fixation / LRR | Right Posterior
33
Left Lateral Flexion Malposition: - Dynamic fixation or restrictions - National vertebral body reference
LLF Fixation / RLFR | Left Inferior
34
Right Lateral Flexion Malposition: - Dynamic fixation or restrictions - National vertebral body reference
RLF Fixation / LLFR | Right Inferior
35
Right Rotation & Right Lateral Flexion Malposition: - Dynamic fixation or restrictions - National vertebral body reference
RR & RLF Fixation / LR & LLFR | Right Posterior Inferior
36
Right Rotation & Left Lateral Flexion Malposition: - Dynamic fixation or restrictions - National vertebral body reference
RR & LLF Fixation / LR & RLFR | Right Posterior Superior
37
Left Rotation & Left Lateral Flexion Malposition: - Dynamic fixation or restrictions - National vertebral body reference
LR & LLF Fixation / RR & RLFR | Left Posterior Inferior
38
Left Rotation & Right Lateral Flexion Malposition: - Dynamic fixation or restrictions - National vertebral body reference
LR & RLF Fixation / RR & LLFR | Left Posterior Superior
39
Gonstead Pelvic Subluxations: | Spongy edema at posterior superior margin of SI Joint
PI Ilium
40
PI Ilium findings
- Low Femur Head - Anterior Sacrum - Longer Innominate - Larger Obturator Foramen - Increased Lumbar Lordosis
41
Gonstead Pelvic Subluxations: | Spongy edema at posterior inferior margin of SI Joint
AS Ilium
42
AS Ilium Findings
- Higher Femur Head - Posterior Sacrum - Shorter Innominate - Smaller Obturator Foramen - Decreased Lumbar Lordosis
43
Gonstead Pelvic Subluxations: | Visually: Causes the foot to diverge away from midline (foot flair, toe out, EX rotation)
IN Ilium
44
IN Ilium findings:
- 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
Gonstead Pelvic Subluxations: | Visually: Causes the foot to diverge toward midline (toe in, internal rotation)
EX Ilium
46
EX Ilium findings:
- Decreased width producing narrow ilium - Increased width at base of obturator foramen - Anterior lumbar curve increases - Lowers femur head
47
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.
``` Normal Compensatory Deviation PI Ilium (short leg) AI Sacrum/PI Ilium Convexity Heel Lift Sole Lift ```
48
Absolute Contra-Indications to adjusting "FAR-TIM"
1. Malignancies 2. Tumors 3. Infections 4. Fractures (exception Clay Shovelers) 5. AAA 6. Recent Surgery
49
Relative Contra-Indications to adjusting "C-OSCAR"
1. Osteoporosis 2. Spondylolisthesis 3. Rheumatoid Arthritis 4. Cardiovascular predisposing factors 5. Congenital Anomalies 6. Acute Spactic Muscle Region
50
Balanced Pelvis
ASIS's are in the same vertical plane as the symphysis pubis
51
Ant Pelvic Tilt / Hyperlordosis / Lower Cross Syndrome: | Lengthened/Inhibited muscles
Hamstrings Gluteals Abdominals
52
Ant Pelvic Tilt / Hyperlordosis / Lower Cross Syndrome: | Hypertonic/Facilitated muscles
Psoas Quadriceps Erector Spinae
53
Post Pelvic Tilt / Hypolordosis / Lower Cross Syndrome: | Lengthened/Inhibited muscles
Psoas Quadriceps Erector Spinae
54
Post Pelvic Tilt / Hypolordosis / Lower Cross Syndrome: | Hypertonic/Facilitated muscles
Hamstrings Gluteals Abdominals
55
Upper Cross Syndrome: | Hypertonic/Facilitated muscles
``` Pec Major Upper Traps Levator Scap SCM Scalenes Suboccipitals ```
56
Upper Cross Syndrome: | Lengthened/Inhibited muscles
``` Rhomboids Lower & Middle Traps Serratus Anterior Teres Minor Longus Coli Longus Capitus ```

Practices (2.1) (5 decks)

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