CIS - Adult renal cases Flashcards
When treating the internal oblique and QL, how should position yourself and the patient?
Patient prone
Stand opposite side to be treated
When txing Internal oblique and QL, what do you do with your cephalad and caudad hands?
•Caudad hand grasp ASIS,
Cephalad hand stabilize Rib 11
(then treat Rib 12 separately)
When treating internal oblique and QL, what do you do with the ASIS and ribs?
What do you have the patient do?
Should you treat uni or bilat?
Pull ASIS posteriorly, stabilize rib to barrier
Patient pulls ASIS to table, operator resists, stretch to new barrier, repeat per MET
Treat bilaterally.
Re-doming the diaphragm is a direct technique, and apparently there are barriers in sidebending and rotation. huh. Anyway, what is the activating force?
How long should you have them hold this force?
How many times should you repeat?
Inhalation is activating force
Hold 5 seconds
repeat x 2
Where is the tenderpoint for treating iliacus (psoas) counterstrain?
How should patient be positioned?
2 inches inferior and 2 inches medial from ASIS (press posterolaterally)
Supine patient
When treating the iliacus tenderpoint, what is the technique?
Stand on the tender side
flex patients legs
externally rotate the legs and place them on your thigh
flex patient and sidebend toward the TP until it resolves
Hold for 90 seconds
Recheck
Where are the chapman’s points for the kidney?
Anterior: 1 inch superior and 1 inch lateral to the umbilicus (or 2.5 cm)
Posterior: between transverse processes of T12 and L1
What is the the treatment for chapmans points?
Which should be done first?
Circular motion at the point
Treat anterior first, then posterior
Describe the first visceral technique for the kidney
•Start Lateral to Umbilicus on Medial border of Ascending/Descending Colon
•Move Cephalad until contact Anterior/Inferior aspect of Kidney
•Exhalation: Move kidney Cephalo-Medially
Inhalation: Hold position
