BLT/FPR/Stills OSCE

Question 1

For BLT, what position should the patient be placed in

Answer 1

The ease of motion (to the SD) as well as slight flexion to align the spine

Question 2

For BLT Upper Thoracics, where should the hand be placed

Answer 2

Ipsilateral to PTP, index finger on the TP of the dysfunctional segment

Contralateral to PTP, on the patient’s head

Question 3

For BLT Lower Thoracic, where should the hands be placed

Answer 3

Ipsilateral thumb contacts the Tp of the inferior vertebra

Contralateral thumb contacts the TP of the superior segment vertebra

Question 4

What is the goal of FPR

Answer 4

To reduce abnormal muscle hypertonicity and restore lost motion to a restricted articulation

Question 5

What is the hand position for upper thoracic FPR

Answer 5

One monitoring the segment, the other on top of the head

Question 6

What is the hand position for lower thoracic FPR

Answer 6

Monitor segment with one hand, the other rests on the posterior aspect of the patient’s neck

Question 7

What is the position for lumbar flexed type 2 FPR

Answer 7

Patient prone with pillows under the abdomen

Flex the leg on the ipsilateral side of the dysfunctional ptp

Apply compressive force through the femur

Internally rotate and adduct the lower extremity by moving the knee medially

Question 8

What is the position for Lumbar extended type 2 FPR

Answer 8

Patient prone with pillow under the abdomen

Doc at side contralateral to the PTP

Add 1lbs of compression through your finger resting on the TP contralateral to the PTP you are monitoring

Abduct the leg ipsilateral to the PTP until motion is felt at the monitoring hand, also induce internal rotation fo the hip and extend the leg