Cervical BLT FPR Still

Question 1

Overview of BLT

Answer 1

indirect
activating force: respiration, inherent motion
end position: indirect

Question 2

Overview of FPR

Answer 2

indirect
activating force: place in neutral position, compression/decompression
end position: indirect

Question 3

Overview of Still’s

Answer 3

indirect to direct
activating force: compression/decompression
end position: direct

Question 4

OA BLT

Answer 4

1) supine patient, use one hand in a “pincher” grasp of the laminae on either side of the midline for C1 to stabilize and monitor the OA through the atlas
2) place other hand on patients head to induce position of greatest BLT
3) test respiratory phases
4) repeat
5) recheck
Dx: OA E SlRr

Question 5

C2-7 BLT

Answer 5

1) with forearms supported by table, contact bilateral articular pillars with index fingers
2) establish point of BLT in cervical
3) test respiratory phases and have pt hold breath as long as possible in phase that provides best BLT
4) repeat 1-3x
5) recheck
Dx: C2 F SlRl

Question 6

OA F RrSl FPR

Answer 6

1) neutralize sagittal curve, monitor segment and flex spine to straighten lordotic curve
2) activating force: add compression of less than 1 lb to the segment
3) indirect positioning
4) hold 3-5 seconds
5) return to neutral and retest TART

Question 7

Cervical FPR

Answer 7

1) neutralize sagittal curve: monitor segment and flex spine to straighten lordotic curve at that level
2) activating force: add compression
3) indirect positioning
4) hold 3-5 seconds
5) return to neutral and retest
Dx: C2 F RrSr

Question 8

Still’s Technique for AA

Answer 8

1) patient lies supine on table and physician sit behind
2) pt places hands over parietotemporal regions and the left index finger pad palpates the left transverse process of C1
3) physician rotates patient’s head left (indirect barrier)
4) introduce gentle compression through the head directed toward C1 and then with moderate acceleration begins to rotate the head toward the right restrictive barrier
5) release should occur before the restrictive barrier is engaged; if not, do not carry head more than few degrees through the barrier
6) reasses