Analysis, Eval, Technique

Question 1

CHART

Answer 1

CC
History
Asymmetry of related parts of MSK exam
ROM of joint
Tissue texture abnormality

Question 2

Observation findings:

Answer 2

Head tilt, shoulder misalignment, arm length, short leg, AROM and PROM

Question 3

Manual exam of spine:

Answer 3

Check fluid movement of SI
Palpate P-A spinouses for position, tenderness, restriction
Palpate transverse pressure to spinouses for segmental rotation
Palpate soft tissue for taut and tender fibers

Question 4

Gonstead listings

Answer 4

1st letter P (except atlas and occiput are A)
2nd letter R/L for rotation
3rd letter S/I for lateral flexion + disc wedge
Simple listings SCP Posterior inferior spinous on R/L
Complex add M/L/T

Question 5

For an AS occiput in Gonstead your CP is?

Rotation for an AS-RS-RA? RP?

Answer 5

Glabella
Anterior
Posterior

Question 6

In Gonstead what is your rotation for an ASRA atlas? ASRP, AIRP, ASLP, AILP?
Torque for AS listings? AI

Answer 6

Anterior
Posterior
Clockwise on R, counterclockwise on L
Counterclockwise on R, Clockwise on L

Question 7

Dynamic listings:

Answer 7

Extension restriction adjust A-P
Flexion restriction adjust P-A
R rtn restriction adjust R of spinous to L
L rtn restriction adjust L of spinous to R
R rtn, L lat flexion restriction (no R lat bend) close right open wedge
L rtn, R lat flexion restriction (No L lat bend) close left open wedge

Question 8

Medicare Listings:

Answer 8

Malposition to describe position into which entire vertebra is moved - follows body and not spinous describes movement that is fixed

Question 9

Adjustment goals:

Answer 9

Increase mobility of affected segment
Break up intra-articular adhesions
Reduce pain through firing mechanoreceptors
Restore optimum spinal functin

Question 10

Inominate bone smaller in vertical dimension? Larger?

Patient’s foo flare with toes pointing out? In?

Answer 10

AS, PI

IN, EX

Question 11

If ilium is dominant in PI or EX and sacrum is posterior what do you adjust?
If ilium is diminant in AS or IN and sacrum is posterior what do you adjust?

Answer 11

Ilium

Sacrum (unless no physical exam sacrum findings)

Question 12

Where are the TVP for T5-T9? T1-4 and T10-12?

Answer 12

Up two interspinous spaces

Up one interspinous space and 1” lateral

Question 13

Where do spinous processes go in scoliosis? Ribs go where? Intercostal spaces? Soft tissues? Disc spaces? Vertebral bodies go where?

Answer 13

Concave side, ribs bunch closer and project anterior reducing intercostal spaces thickening and contracting soft tissues and disc spaces thinned
Convex side, ribs further apart and project posterior widening intercostal spaces, viscera are stretched and disc spaces widened

Question 14

Extremity adjustments

Answer 14

Just go over class notes and add em here eventually