AK Procedures Flashcards
Temporal tap
Tapping begins just anterior to the ear and then continues anterior along the TS line in a circular pattern.
Procedure 1: (other reflexes) used to see if any of the other 5 factors is needed. It is used after treating reflexes. Tap on the left side TS line then retest while TLing to other reflex.
Procedure 2: (nutrition) after correcting all reflexes if you TL to two of the reflexes associated with the muscle and then tap the left TS line a weakening of a pim would indicate a nutritional imbalance in the muscle associated with those two reflexes.
Procedure 3: (habit control) tap the left side with a positive statement and then tap the right side with a negative statement. If the procedure fails, test for hypertonicity of the temporalis muscle. This procedure will fail if the patient clenches their teeth during the tapping procedure.
Body into distortion
Disorganizations, structural faults, active reflexes, and other factors become evident when a patient is examined in the same postural distortion that is present in the patient.
Origin/insertion
Microavulsion of tendon at junction with periosteum.
Hard heavy pressure applied to OI for 30-60 seconds.
Raw veal bone (phosphatase) to aid in healing.
Originally found in 1964
Neurolymphatic reflex
Discovered by frank chapman in 1930’s
1965 goodheart correlated with specific muscles
Anterior and posterior pairs
Treatment is firm, rotary pressure for seconds to 8-10 min
Neurovascular reflex
Reported by Terrence Bennet, DC in 1930’s
Control of vasoconstriction and vasodilation can be influenced by Bennet reflexes, somatoautonomic reflexes.
Located on skull
Rate of pulse between 70-74 bpm
Treat for 20-30 sec to up to 5 minutes
Cranial Stress receptors
Many times found in sprain/strain injuries or when trauma has been sustained to the skull
TL pim weakens or tapping NV for associated muscle weakens a pim.
Treat by pulling skin in direction and in phase of respiration 4-5 times
Foot reflexes
These are golgi tendon apparatus that are found on the dorsum of the foot. Correspond with the attachments of the various muscles of the foot and will affect various muscles of the body according to their organ relationship.
Toes represent the head area and the rest of the foot mirrors the body.
Reflexes can be TL’d.
Treatment is done by pressing in the direction that causes weakness and negated by phase of respiration for 4-5 breaths.
Hand reflexes
Seen when an individual develops symptoms in the body while using his or her hands, i.e. A carpenter gets knee pain when using a hammer.
Reflexes that “turn off” muscles. Located in both surfaces of the hand. Right hand controls right side of body and left hand left side of body.
Can be TL’d using any pim or will strengthen a weak muscle.
Treatment done by determining direction that weakens pim and negated by phase of respiration for 4-5 respirations.
Shock absorber test
Strike the bones of a joint with a 5-10 lb force.
If weakness is found examine the joint for subluxations.
Manganese deficiency will allow shock to stretch ligaments that are directly related to joint.
Extraspinal subluxation challenge
Direct challenge. Adjust in the vector that strengthens a weak muscle or opposite to vector that causes the greatest amount of weakening of a pim.
Neuromuscular spindle cell
Indicated in any trauma. More numerous in muscles of extremities than trunk. Located throughout the muscles but more concentrated at the center of the muscles. Stimulated by stretch.
Pressure applied to approximate will relax or weaken a muscle.
Pressure applied to stretch the muscle fibers will strengthen a muscle.
Golgi tendon organ
Most are supplied with stretch receptors which are located near the musculotendonis junction.
Pressure applied against the tendon toward the origin or insertion has the effect of weakening a muscle.
Pressure applied against the tendon toward the belly of the muscle has the effect of strengthening a weak muscle.
Reactive muscle
Weakening of a muscle following the testing of another muscle. Weakness occurs because of improper proprioceptor communication between the related muscles.
Treat the spindle cells of the muscle that weakened after the stimulation of the other muscle.
Raw veal bone calcium can be needed.
Muscle interlink- relationship of muscles that interact as reactive muscles in a pattern similar to that of ligament interlink.
Lovett reactor
Each vertebra is linked with its counterpart at the opposite end of the spine. C1-L5 C2-L4 C3-L3 C4-L2 C5-L1 C6-T12 C7-T11 T1-T10 T2-T9 T3-T8 T4-T7 T5-T6
Vertebral subluxation
A rebound be challenge can be used.
Intrinsic spinal muscles
Rotatores longus, Rotatores brevis, intertransversarii, interspinalis. If muscles fail to balance after subluxation has been corrected, it is necessary to apply therapy directly to the muscles with Origin Insertion.
Anterior thoracic
Interspinalis and levator costorum muscles hold the vertebra posteriorly and inferiorly.
Primary atlas technique
Use when imbalances of upper cervical region are suspected but not found.
TL to atlas with thumb due to more nerve endings in thumb than other fingers.
Bang to top of head, or side of shoulders, that recreates injury will cause wrist extensor so to go weak and will be negated by repeating with traction of the head. This is an indicator for hidden cervical disc or upper cervicals.
Goodheart believes, like Gonstead, that most C0-C1 and C1-C2 imbalances are compensatory.
Postural pattern is need for fascial flush to abdominals. If this is found, check atlas and TMJ.
Sacral subluxation
Can be unilateral or bilateral. Palpate nuchal ligament for tenderness from EOP to C7. Will only TL to both nuchal ligament and sacrum simultaneously, not individually.
Anterior inferior sacrum
With patient prone, stand on the lesion side and with a thumb contact on the sacral ala, close to the psis. Hold firmly and flex knee to stretch the rectus with the other hand, by grabbing the ankle, until hold until you feel the sacrum move superiorly.
Bilateral anterior inferior sacrum
Raise the pelvis through table adjustment or with a roll under the pelvis. Flex the knees and hold them in position with your chest. Contact sacral alae BL with thumbs just medial to psis. Gradually increase pressure with your chest and wait to feel both sides of the sacrum move superiorly.
There is usually an anterior thoracic subluxation with a bilateral anterior-inferior sacrum that should be corrected first.
Oblique sacrum
The anterior-inferior side is corrected in the usual manner and the posterior side is corrected with a thrust adjustment.
Respiratory adjustment
Challenge to find the vector and see which phase of respiration negates the challenge. Repeat 6-7 times with 4-6 lbs of pressure.
Persistent subluxation
Is usually an intrinsic muscle problem or a remote problem. Intrinsics can be corrected through O-I or NL (K 27 is NL for all spinal intrinsics).
A key factor is to have the patient do things done every day to see if they bring on problems.