CP - Midterm 1 Flashcards
introduction
hi my name is dani and i will be your student chiropractor today. Is it alright if i assess you today? please let me know if you experience any pain or discomfort
Components of the prone SIJ series
gapping, flexion, extension, internal rotation, external rotation, P–>A glide, I–>S glide
weight bearing SIJ series
piedau’s, gillets, sacral push
prone lumbar
P–>A glide, rotation, lateral flexion
seated lumbar
quick scan, P–>A glide, rotation, lateral flexion, flexion
6 P–>A landmarks in a postural analysis
achilles tendons, back of the knees, gluteal crease, PSIS, Inferior angle of scap, shoulder rotation, head angle
6 L–>M landmarks in postural analysis (plum line)
plum line: external meatus of ear, shoulder, L3, greater trochanter, knee, malleolus
hypertonic muscles in upper cross (4)
pec maj, levator scap, upper trap, SCM
hypotonic muscles in upper cross (4)
rhomboids, serr ant, deep neck flexors, mid/low trap
hypertonic muscles in lower cross (6)
QL, errector spinae, tensor fascia latae, hip flexors, adductors, piriformis
hypotonic muscles in lower cross (2)
Gmax, abdominals
hypertonic in layered syndrome
C/S erector spinae, upper trap, levator scap, TL erector spinae, Hamstring
hypotonic in layered syndrome
rhomboids, mid/ lower trap, serratus anterior, lumbosacral erector spinae, Gmax
consequences of upper cross syndrome
referred pain to chest, shoulders, arms, TMJ problems and facial pain, inappropriate breathing function, evolution of fibrotic changes and trigger points
consequences of lower cross
ant pelvic tilt, increase lumbar lordosis, decreased trunk/spinal stability, instability at the thoracolumbar junction
consequences of layer syndrome
loss of C/S lordosis with chin jut; shoulder elevation and IR with protraction; posterior pelvic tilt
gapping - superior hand
contralateal SIJ
gapping - inferior hand
ipsi lower leg above ankle
gapping - inferior hand action
take to full internal rotation (end range); shake at the end of end ROM
gapping - general listing
“general restriction” of the SIJ
SIJ Extension - inferior hand placement and tissue slack
PSIS; i-s and p-a
SIJ Extension - superior hand
Acetabulum
SIJ Extension - superior hand LOD
s-i, a-p
SIJ Extension - inferior hand LOD
i-s, p-a
SIJ Extension - dynamic listing
extension restriction
SIJ Flexion - superior hand and tissue slack
ischial tuberocity; s-i
SIJ Flexion - inferior hand
ASIS
SIJ Flexion - superior LOD
s-i, p-a
SIJ Flexion - inferior LOD
i-s, a-p
SIJ Flexion - dynamic listing
flexion restriction
SIJ internal rotation - dynamic listing
internal rotation restriction
SIJ external rotation - dynamic listing
external rotation restriction
P-A glide - tissue slack
I-S
P-A glide - LOD
P-A
P-A glide - dynamic listing
P-A glide restriction of the sacral ala on the ____
I-S glide - inferior hand contact and tissue slack
contra sacral ala; L-M, I-S
I-S glide - superior hand contact and tissue slack
ipsi lateral border of sacrum; L-M
I-S glide - LOD of superior hand
L-M
I-S glide - LOD of inferior hand
I-S
I-S glide - dynamic listing
I-S glide restriction of the sacral ala on the ___
Pidau’s - contacts
thumb on sacral apex and index on PSIS
Pideau’s dynamic listing
general restriction
sacral push - contact
thumb on sacral ala
sacral push - tissue slack
I-S, M-S
sacral push - LOD
P-A
sacral push - dynamic listing
general sacoiliac dysfunction
Gillets - contact
PSIS and 2nd sacral tubercle
gillets - flexion
same leg to 90
gillets - extension
opp above 90
gillets - dynamic listing of flexion
thumbs do not approximate in an upper SIJ flexion restriction
gillets - dynamic listing of extention
thumbs do not separate in an upper SIJ extension restriction
lumbar P-A glide - inferior hand contact
SP w soft hypothenar
lumbar p-a - tissue slack
I-S
lumbar p-a - LOD
P-A perpendicular to the plane line of the vertebrae
lumbar p-a - dynamic listing
P-A glide restriction of ___ on __
lumbar rotation - superior hand contact; tissue slack; LOD
SP with thumb; I-S, L-M; L-M
lumbar rotation - inferior hand contact; LOD
ASIS; A-P
lumbar rotation - dynamic listing
___ rotation restriction of ___
lumbar lateral flexion - superior hand contact; tissue slack; LOD
ifnerior interspinous space with thumb; I-S, L-M into the interspinous space; L-M
lumbar lateral flexion - inferior hand contact; LOD
lower extremities above the knee; abduct
lumbar lateral flexion - dynamic listing
later flexion restriciton of ___
lumbar seated quick scan - contact; tissue slack; LOD
SPS w broad contact; I-S; I-S, P-A
lumbar seated quick scan - dynamic listing
general restriction
lumbar seated flexion - contact; tissue slack; LOD
interspinous space with finger and across shoulders with forearm; none; S-I w arm across shoulder
lumbar seated flexion - dynamic listing
flexion restriction of __
