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Chapter 3 Flashcards

1
Q

What is a good example of a need to have X rays before adjusting a patient?

A

they could have fractures, tumors or irregular bony growths

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2
Q

What does the analytical workup of an X ray allow the doctor to do?

A

substantiate the acutal spinal misalignment as it appears on the film

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3
Q

What does the doctor determine from X rays?

A

He/she can determine listings, not subluxations

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4
Q

What does instrumentation say?

A

It tells us when to and when not to adjust, NEVER where

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5
Q

What are leg checks used for?

A

monitor the patient between adjustments

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6
Q

What does thedoctor use static palpation for?

A

structure recognition and muscle tonicity

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7
Q

What does the doctor use motion palpation for?

A

a comparative study between the vertebra in question to the vertebra above, below or itself

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8
Q

Do we use motion palpation for upper cervical?

A

no

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9
Q

What is the least important in a workup of a patient?

A

symptomatology

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10
Q

PP

A

patient placement

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11
Q

DS

A

doctor stance

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12
Q

CP

A

contact point

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13
Q

SCP

A

segmental contact point

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14
Q

CH

A

contact hand

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15
Q

SH

A

stabilization hand

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16
Q

TQ

A

torque

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17
Q

TP

A

tissue pull

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18
Q

RI

A

roll in

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19
Q

LOC

A

line of correction

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20
Q

What is CP 1? What is it used for?

A

Pisiform, used in toggle recoil technique

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21
Q

What is CP 2 and 3? What is it used for?

A

CP 2: padded portion of 5th metacarpal
CP 3: distal bony aspect of 5th metacarpal

used as a knife edge in posterior axis listings

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22
Q

What is CP 4? What is it used for?

A

middle and proximal joints of the 3rd phalange

used in diversified technique

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23
Q

What is CP 5? What is it used for?

A

tip of 3rd phalange

used as a CP for child toggle adjusting and commonly as a palpating finger

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24
Q

what is CP 6? What is it used for?

A

distal end of the 2nd phalange

used for gonstead chair adjusting

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25
Q

What is CP 7? What is it used for?

A

thumb side of the proximal phalynx of the 2nd phalange

used in diversified techniques

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26
Q

What is CP8? What is it used for?

A

just proximal to CP7

used in diversified technique

27
Q

What is CP9? What is it used for?

A

tip of 1st phalange
used as a child CP for toggle
CP for gonstead atlas cervical chair
CP for full spine adjusting

28
Q

What is CP 10?

A

thenar eminence

29
Q

What is CP 11?

A

non-padded area between thenar and hypothenar

30
Q

Name the different exercises to do before a toggle adjustment day?

A 
hamstring and quadricep exercise
shoulder roll
thumb web stretch exercise
wrist exercises
arched hand exercise (count 1,2,3,4,5)
torque
pectoralis
triceps
31
Q

How many atlas listings are there?

A

12

32
Q

How many axis listings are there?

A

8

33
Q

What are the 4 films required for upper cervical analysis?

A

lateral, nasium, base posterior, A-P open mouth

34
Q

What is the reason for the lateral film?

A

obtain the first and second letter of an atlas listing

35
Q

What is the secondary reason for the lateral film?

A

evaluate the C1/C2 relationship

36
Q

What are the 3 lines required to interpret a lateral film?

A

Occipital condyle line
atlas plane line
listing line

37
Q

Where do you place the dots for the occipital condylar line?

A

anterior and posterior parts of the occipital condyle

38
Q

Where do you place the dots for atlas plane line on the lateral film?

A

base of the anterior tubercle of C1 and narrowest part of the posterior arch

39
Q

Where do you place the dots for the listing line on the lateral film?

A

make sure the line is parallel to the occipital condylar line

40
Q

How do you determine the number of degrees on a lateral film?

A

Atlas plane line is normally 4 degrees above the listing line. The further away they get, substract 4 from what the degree is. If the atlas plane line is below the listing line, you add 4 to however many degrees you measure.

41
Q

How do you determine a listing on the lateral film?

A

if listing line is below atlas plane line, it is AS

if listing line is above atlas plane line, it is AI

42
Q

What is the alternate name for the lateral film?

A

longitudinal

43
Q

What are the 4 lines on the nasium?

A

Ocular orbit line
superior basic line
inferior basic line
vertical median line

44
Q

How do you draw the ocular orbit line on the nasium?

A

place as many dots on the ocular orbit as possible and draw a line through one of the two sets that match up

45
Q

How do you draw the superior basic line on the nasium?

A

parallel to the ocular orbit line

46
Q

How do you draw the inferior basic line of the nasium?

A

dots on the lateral inferior tips on the occpital condyle

47
Q

How do you draw the vertical median line on the nasium?

A

draw a plus sign using the foramen magum line, make sure when you draw the line it is perpendicular to the ocular orbit line

48
Q

What is the 70% rule for the nasium film?

A

if the superior basic line and inferior basic line converge, this will check the laterality you found on the longitudinal film

49
Q

What are the 2 lines for the base posterior film?

A

atlas plane line

perpendicular skull line

50
Q

What is the other name for the base posterior film?

A

vertical film

51
Q

How do you draw the atlas plane line for the base posterior film?

A

put a dot in the middle of the transverse foramina and draw a line through both of them

52
Q

How do you draw the perpendicular skull line on the base posterior film?

A

put a dot in the center of the nasium and draw a plus sign and draw a line that goes through both points

53
Q

How do you draw the plus sign for the base posterior?

A

draw as many dots as possible in the ocular orbit

find two sets that match, line up with them and drag it down to the basilar process to draw the line

54
Q

What part of the listing does the nasium give?

A

left or right laterality

55
Q

What part of the listing does the base posterior give?

A

rotation

56
Q

What is the other name for A-P open mouth?

A

vertico-horizontal

57
Q

What are the 4 lines that go with the A-P open mouth?

A

ocular orbit line
superior basic line
inferior basic line
vertical median line

58
Q

How do you draw the ocular orbit line for the A-P open mouth?

A

put as many dots as possible in the orbit and draw a line through a set of dots that matches another set of dots

59
Q

How do you draw the superior basic line for the A-P open mouth?

A

put dots on jugular processes and draw a line through both dots

60
Q

How do you draw the inferior basic line for the A-P open mouth?

A

dots on lateral inferior tips of atlas lateral mass and draw through both dots

61
Q

How do you draw the vertical median line on the A-P open mouth?

A

connect dots at medial inferior tips of condyle and make a plus sign
draw vertical median line perpendicular to the ocular orbit line

62
Q

What part of the listing does the A-P open mouth give?

A

axis, check for last 2 letters of atlas listing

63
Q

How do you determine an axis subluxation?

A

spinous to body, body to line

64
Q

What is the 70% rule for the A-P open mouth film?

A

if the superior basic line and inferior basic line converge on the side of anterior rotation

Toggle (2 decks)

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