Cervical, Thoracic, Rib Adjustments

Question 1

Seated adjustment for an Extended Occiput (Chin out)

Answer 1

Zygoma Occiput - Dr standing behind with rolled towel on abdomen

Question 2

Supine adjustment. C1 is right laterally listhesed

Answer 2

Index Atlas (Dr at head of table, 45-90 degrees on same side as contact)

Question 3

Prone - C4 is RR, LLF

Answer 3

Index Pillar Prone (Dr at side of table on side of contact, facing cephalon in lunging position)

Question 4

Seated - C5 is LR fixed P-A on left

Answer 4

Digital Pillar Pull (Kiddy Pop). Dr facing patient on opposite side of contact

Question 5

Supine - Occiput is LR fixed P-A on left

Answer 5

Thumb occiput (Dr at head of table 45-90 degrees on same side as contact)

Question 6

Seated - C1 is RR fixed A-P on left

Answer 6

Thumb Atlas (Dr standing behind on side of contact)

Question 7

Supine - C3 is LLF

Answer 7

Index Pillar Supine (Dr standing at head of table on side of contact)

Question 8

Prone - C5 has a flexion malposition (extension Restriction)

Answer 8

Knife-edge spinous (Dr in fencing stance facing cephalad)

Question 9

Seated - Occiput is RLF, fixed S-I on left

Answer 9

Occipital Lift (Dr standing behind, slightly towards side of LF)

Question 10

Supine - C1 is RR, fixed P-A on right

Answer 10

Index Atlas (Dr at head of table 45-90 degrees on same side as contact)

Question 11

Seated - C4 is LR, fixed A-P on right

Answer 11

Pisiform Pillar Anterior (Dr facing patient on same side as contact. Both hands have contact)

Question 12

Seated - C2 is RR, RLF

Answer 12

Digit Spinous (Dr standing behind towards side of contact - rat hole)

Question 13

Supine - C6 is LR, RLF

Answer 13

Thumb Pillar (Thumb web) (Dr at head of table 90 degrees on same side as contact)

Question 14

Prone - T1 is RR or RR and LLF

Answer 14

Index transverse (Dr on opposite side of contact) 
OR Pisiform Transverse (Dr in fencing stance facing cephalad on either side)

Question 15

Supine - Patient’s Occiput is in flexion malposition (extension restriction)

Answer 15

Pisiform mastoid (either side)

Question 16

Prone- C7 is LR, LLF

Answer 16

Thumb spinous (Dr in fencing stance on same side as contact)

Question 17

Prone - T5 is RR and LLF

Answer 17

Unilateral Pisiform Transverse OR Crossed Bilateral Pisiforms

Question 18

Supine - T6 is in flexion malposition with extension stacking T4-T5

Answer 18

Supine Thoracic (Anterior)

Question 19

Prone - T2 is LR and RLF

Answer 19

Index Transverse (Dr on opposite side of contact in lunging position)

Question 20

Prone - Occiput is RLF, fixed I-S on right

Answer 20

Knife-edge Mastoid

Question 21

Seated - C1 is RR, fixed A-P on left

Answer 21

Thumb Atlas (Contact ant. TP of C1 on left)

Question 22

Prone - T8 is LR and LLF

Answer 22

Unilateral Pisiform Spinous (Contact right aspect of T8 SP)

Question 23

Rib 6 has loss of caliper motion. Set up prone adjustment.

Answer 23

Covered thumb

Question 24

Supine - C3 is LR, fixed P-A on left

Answer 24

Index Pillar

Question 25

Supine - C5 is RR, fixed A-P on left

Answer 25

Digit Pillar Anterior (Crossed finger contact)

Question 26

Prone - T7 has an extension malposition (flexion restriction)

Answer 26

Knife-edge spinous (Contact inferior portion of T7 SP, LOD = I-S, little P-A)

Question 27

Rib 1 has loss of S-I motion

Answer 27

Index Costal Supine

Question 28

Mobilization of Rib 7-Rib 12

Answer 28

Iliocostal lift (Dr standing in square stance on opposite side of contact)

Question 29

Rib 3 has loss of Caliper motion

Answer 29

Supine thenar costal drop (Cross patient’s humerus over dysf. Rib, roll back over and body drop A-P)

Question 30

Rib 5 has loss of bucket handle motion, fixed I-S

Answer 30

Web costal - side posture (Contact inferior portion of Rib 5)

Question 31

Rib 4 has anterior dysfunction

Answer 31

Knife-edge costal (Supine) (IH just distal to CH)

Question 32

Seated - C2 is RR, LLF

Answer 32

Digit Pillar (DIP contact w/rat hole)