CCP for year II Flashcards
C2 is rotated and side bent how?
to the left
The head side bends to which side?
right
T1 rotates and side bends how?
To the right
Which infraclavicular area is concave and compressible?
Right
T2-6 are what?
Neutral side-bent left and rotated right
The lower thoracic area shifts better to which side?
Left
The pelvis rolls how?
Right better than left
Which iliac crest is high?
left
The pelvis torsions which way?
left (posterior left/anterior right)
What is the sacral SD?
left on left torsion
Which arm is short?
Left
Which leg is long?
Right
Which leg is externally rotated?
Right
True or false: all systems are disrupted by CCP
True
True or false: CCP is always, or will become painful
False-May only be an issue if the body is stressed or injured
Why are departures from CCP significant?
Generate an uncompensated fascial pattern
True or false: you should treat patients who are in pain, by bringing them back to CCP
True
When should you treat CCP?
Improve structure and function
Type I SDs of the back are caused by which muscles?
Long restrictor muscles
How may tender points do pts in CCP have?
18
Which tender points should you concentrate on?
Postural/tonic muscles
Postural muscles respond to dysfunction how?
facilitation/hypertonicity
Phasic muscles respond to dysfunction how?
hypotonicity
What is Fryette’s first principle ?
side bending and rotation are opposite when neutral
Shortened levator scap/ upper trap generate what SD?
Upper cervical side bent right, rotated left
Shortened/inhibited lat dorsi/lower trap causes what SD?
T2-6 side bent left, rotated right
Tight posas causes what?
Pelvis side bends left, left crest high
Tight hamstrings causes what SD?
Left leg long
How do you have a more permanent effect on CCP? (4)
Treat strain
Stretch muscle
Move bones
Strengthen core
If an out of pattern SD persists in spite of treatment, what should you think of?
Visceral pathology
If there is pain with CCP, is this always a red flag?
Could be
What happens to the fascial system with CCP?
Increases resting tension
What happens when there is a change in structure with CCP?
Change in function
What happens to the dural system with CCP?
Increases resting tension
What happens to the autonomics with CCP?
Instability
What happens to the diaphragm with CCP?
Decreased efficiency
What happens to venous and lymphatic return with CCP?
Decreased
What happens to the respiratory system with CCP?
Reduced efficiency and increased vulnerability to disease
What happens with venous and lymphatic return with CCP?
Tourniquet effect
Why are type I SDs of the back problematic?
Generates and uncompensated fascial pattern
What are the four significant departures from CCP?
- Type I SDs
- Type II SDs
- Significant sacral
- Significant innominates
What are the muscles that maintain the cervical CCP?
Levator scap
Upper trap
What are the muscles that maintain the thoracic CCP?
Lat dorsi and lower trap
What are the muscles that maintain the pelvis CCP?
Psoas
What are the muscles that maintain the leg SDs?
Hamstrings
Who should you refer patients who have out of pattern, non-musculoskeletal concerns to?
Dr. Jason H. Parvis, DO
