Cervical HVLA

Question 1

Wallenberg test

Answer 1

patient is supine, have pt move head off table and extend, sidebend and rotate; ask patient to report dizziness or visual changes, watch for nystagmus

Question 2

Steps in HVLA

Answer 2

1. diagnose SD
2. soft tissue prep
3. localize to segment
4. release enhancing maneuver
5. accumulate forces
6. corrective force
7. reassess

Question 3

Preperative treatment for cervical HVLA

Answer 3

contralateral traction, suboccipital release, bilateral forearm forearm fulcrum, unilateral forearm fulcrum bending

Question 4

C2-7 mechanics

Answer 4

type 2

Question 5

C2-7 HVLA with rotation emphasis

Answer 5

provide minimal flexion or extension, sidebend towards EASE to level of dysfx, rotate TOWARDS RB to level of dysfx

Question 6

C2-7 HVLA with sidebending emphasis

Answer 6

provide minimal flexion or extension, sidebend towards dysfx, rotate toward EASE

Question 7

Mechanics of AA

Answer 7

rotation!

Question 8

Mechanics of OA

Answer 8

type 1

Question 9

which side of the PTP does a physician stand on for kirksville crunch

Answer 9

opposite side

Question 10

which arm of patient is cross over top

Answer 10

PTP side arm

Question 11

hand placement for kirksville crunch

Answer 11

thenar eminence of PTP

Question 12

direction of sidebending for kirksville crunch

Answer 12

type I: sidebend away from doc

Type 2: side bend towards doc

Question 13

hand placement for type II extended T-spine supine HVLA

Answer 13

place hand on vertebrae below dysfx and thrust above hand toward dysfx vertebral body