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OS4 CPAs > CPA: Cervical And Ribs > Flashcards

CPA: Cervical And Ribs Flashcards

1
Q

What are the 5 treatment modalities being tested on?

A 
ME
HVLA
Still's technique
FPR
Counterstrain
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2
Q

Do inhalation or exhalation dysfunction txs require the pt to place the dorsum of their hand on their forehead?

A

Exhalation

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3
Q

In exhalation dysfunctions, ribs are stuck..

So tx the..

A

Down

Top rib

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4
Q

In inhalation dysfunctions, ribs are stuck..

So tx the..

A

Up

Bottom rib

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5
Q

Dysfunctions of the ribs include:

A

Bucket handle (lateral)

Pump handle (anterior)

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6
Q

Why for 1st rib bucket handle exhalation dysfunction tx do you turn the pts head 30 degrees? Which way do you turn?

A

You need to pull the lateral aspect of the rip superiorly, turning head activates muscles on that part of the bone helping to encourage movement towards inhalation

Turn away from affected rib

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7
Q

Pump-handle motion predominantly occurs at what ribs? Bucket-handle?

A

Upper ribs

Lower ribs (not 11 and 12, caliper)

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8
Q

What mm are being activated in a rib 1 exhalation dysfunction tx? 2-10?

A

Neck muscles

Peck muscles (pt lifts arm, not head)

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9
Q

What direction is the arm moving in exhalation rib 2-10 dysfunction tx?

A

Pump handle = up

Bucket handle = 45 deg up and out (activates lateral fibers of seratus anterior)

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10
Q

Before treating caliper dysfunctions of ribs 11 & 12, what should you do?

A

Side-bend the pt’s legs towards you (away from the dysfunctioned side) and abduct their arm on the dysfunctioned side

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11
Q

When dealing w/ AA txs (axis, C2), what does every tx process include?

A

Completely flexing the cervical spine to lock out movement elsewhere BUT the axis..

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12
Q

What are you doing to set up tx for an inhalation pump handle dysfcn of rib 1?

A

Flexing the pt’s cervical spine to relax the SCM muscles

Placing my thumb on the superior portion of the anterior portion of rib 1 (between the SCM muscle bodies that split)

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13
Q

Where’s the thumb go in rib 1 inhalation dysfcn bucket handle tx?

A

Lateral to the SCM around the midaxiallary line, superiorly over the lateral part of rib 1

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14
Q

What should you be doing to encourage movement of the rib 1 bucket handle motion in an inhalation dysfunction?

A

Side-bending pt’s head towards dysfunction to relax those mm

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15
Q

What position does the doc put the pt when tx an inhalation rib 2-10 dysfcn?

A

Doc puts their knee down to the rib level they’d like to tx, if it’s a bucket handle dysfcn the pt can reach their hand down on the affected side

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16
Q

What’s the difference between inhalation and exhalation caliper motion dsfnc tx set-ups?

A

In inhalation, the pts arm isn’t extended above their head

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17
Q

For Stills and FPR, what are you always doing when putting the pt into a tx position?

A

Monitor at the site of dysfunction with one hand

18
Q

During a Still’s tx, what is the doc including?

A

Pressure/compression

19
Q

What must the doc do ALWAYS after a tx?

A

Return pt to neutral and re-access

20
Q

For Still’s of the OA, where does your monitoring hand go?

A

In the occipital sulcus by the OA on the side of sidebending

21
Q

What does FPR stand for?

A

Facilitated Positional Release

22
Q

For stills regarding anterior inh or exh TP rib dysfunctions, in which does the pt take a deep breath in during tx, and in which does the pt exhale?

A

Inhales in exhalation dysfcn

Exhales in inhalation dysfcn

23
Q

What what be done in every FPR tx technique?

A

Must flatten the curve, place the region in a neutral position (which means flat, no lordosis or kyphosis)

Compression

24
Q

What’s the order of FPR?

A 
Flatten
Compress
Put pt into ease of motion
Hold for 3-5 seconds
Return to neutral
Reaccess
25
Q

When doing cervical FPR, where’s the pt’s head?

A

Off the table in the hands of the doc

26
Q

In an anterior rib dysfunction, FPR tx for it requires what hand placement?

A

Contralateral hand comes around the front to monitor anterior rib point

Ipsilateral hand monitors at the cervicothoracic junction

Both forearms are on the pts shoulders to induce < 1lb of compression

27
Q

What must be established in FPR txs for cervical dysfcns? Ribs?

A

Lordosis os the c spine

Kyphosis of the t spine for ribs

28
Q

How many seconds do you maintain counterstrain positions of comfort?

A

90 seconds for non-ribs

120 seconds for ribs

29
Q

What is the order of things for performing counterstrain?

A

Locate a somatic dysfcn
Find a tenderpoint associated w/ that SD
Establish a pain scale
Wrap around that TP until the pt is in a position of comfort where there’s a 70% reduction in pain
Hold that position for 90 sec (120 if it’s rib)
Return pt slowly back to neutral and reaccess

30
Q

Where’s the AC1 TP?

A

Posterior aspect of the mandible’s ascending ramus

31
Q

Where are the AC2-6 TPs?

A

On the anterolateral aspects of the transverse processes of the respective cervical vertebra

32
Q

In counterstrain of the anterior neck, what action is always performed (except for AC1)?

A

Flexion of the neck

33
Q

For AC7, what’s the position of tx?

A

Flexed

SB towards

Rotated away

34
Q

Where are AR1 and AR2 located? What does counterstrain often tx regarding these points?

A

AR1 is just below the SC joint on rib one just lateral to the manubrium

AR2 is at the mid-clavicular line on rib 2

Exhalation dysfunction of the ribs

35
Q

AC7 and AC8 are associated w/ what?

A

The insertion of the SCM m

36
Q

What do AR TP tx? What do PR TP tx? Generally..

A

Anterior txs exhalation dysfunction

Posterior txs inhalation dysfunction

37
Q

AR TP 1-2 tx involves what type of movements? AR TP 3-6?

A

F STRT

F STRT

38
Q

In the J stroke HVLA tx for an inhalation dysfcn of rib 1, what contacts the first rib?

A

metacarpo-phalangeal joint (MCP joint)

39
Q

What must be done when looking for SD in the spine?

A

Look in flexion AND extension

40
Q

For the j stroke, hows the force directed?

A

Inferior then medially like a j

OS4 CPAs (1 decks)

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