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OS2 > CPA2 > Flashcards

CPA2 Flashcards

1
Q

supine t-spine hvla

A

doc opposite ptp; pt arms crossed over chest, w/ ptp side arm on top

doc caudal thenar eminence on ptp, doc abdomen placed on pts elbows, doc cephalad hand positions neck (type 1 SB away from doc, type 2 SB towards doc)

pt exhales x2, doc thrusts through abdomen

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2
Q

prone t-spine hvla

A

doc opposite ptp,hands placed facing opposite directions on each side of spine (type 1 - ptp side facing caudad, type 2 - ptp side facing cephalad)

pt exhales x2, doc thrusts and twists

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3
Q

supine knee fulcrum hvla - upper and middle thoracics

A

pt supine w/ fingers behind neck, doc at head w/ ipsilateral knee to ptp as the fulcrum

docs hands pass through pts arms and encircle ribs

pt exhales x2, doc pulls pts chest down into thigh and adds cephalad traction

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4
Q

seated lower t spine hvla

A

pt seated w/ ptp side hand behind neck and holding their elbow with other hand; doc opposite ptp

doc ipsilateral thenar eminence on SD vertebrae, other hand grasping bicpes (t1 vs t2)

doc engages RB in all 3 planes, pt exhales x2, doc pulls pt through RB w/ slight anterior force from monitoring hand

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5
Q

hvla seated knee fulcrum technique

A

pt seated w/ hands behind neck, doc behind pt

doc ptp side knee on vertebrae, doc hands beneath pt arms and grasps forearms

pt exhales x2, doc pulls pt superiorly and posteriorly

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6
Q

ribs 1-4 hvla

A

pt prone, doc opposite SD side

pt cubs chin w/ hand ipsilateral to SD, doc places thenar/hypothenar eminences at SD w/ cephalad hand while caudad hand goes on pts head rotating it towards the SD into the barrier

pt exhales x2, doc applies anterolateral thrust on SD rib (hand on head only stabilizes)

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7
Q

seated 1st rib inhlalation dysfunction hvla

A

pt seated, doc behind w/ foot on table opposite SD and pts arm draped over it

doc contacts SD rib w/ second MCP joint of one hand and top of pts head w/ other hand

doc engages barrier by SB head towards SD rib, pt exhales and thrusts inferior/medially on the superior rib (load 1st exhale, thrust second)

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8
Q

ribs 3-10 bucket handle inhalation SD hvla

A

pt supine, doc opposite SD rib

pt crosses arms over body w/ SD side arm on top, doc caudal thenar eminence posterior and superior to angle of SD rib while other hand elevates pt head

doc applies pressure through elbows localizing at SD rib, pt exhales x2 and doc applies posterior thrust towards thenar eminence

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9
Q

ribs 3-10 bucket handle exhalation SD hvla

A

pt supine, doc opposite SD rib

pt arms crossed over body w/ SD side arm on top, doc caudad thenar eminence of caudad hand on posterior/inferior border of SD rib and other hand elevates pts head

doc applies pressure through elbows localizing at SD rib, pt exhales x2 and doc applies posterior thrust slightly caudal to thenar eminence

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10
Q

modified kirksville crunch (same side SD hvla)

A

pt supine, doc same side ptp

pt arms over chest w/ ptp arm on top, doc thenar eminence of cephalad hand on ptp and other hand grasps pts elbows and raises them until vector is felt on ptp

posterior hand induces SB, pt exhales x2, doc exerts pressure through abdomen

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11
Q

superior innominate shear hvla

A

pt supine w/ feet off end of table, doc at foot of table grasping pts tibia and fibula superior to ankle

doc IR and abducts leg, leans back, and pt exhales x2-x3 and at the end an downward thrust is exerted

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12
Q

inferior innominate shear hvla hands

A

pt lateral recumbent w/ SD up, doc behind pt w/ cephalad hand on PSIS and caudad hand on ASIS

doc provides lateral distraction to gap the joint, then cephalad force, pt exhales x2-x3 and at the end a cephalad thrust is exerted

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13
Q

inferior innominate shear hvla forearms

A

pt LR w/ SD up, doc in front of pt w/ hands monitoring lumbosacral junction

pt straightens bottom leg and places foot of top leg just distal to popliteal fossa

doc cephalad hand motiors SI joint, caudad forearm is placed inferior to ischial tuberosity; pt exhales x2, cephalad force from forearm

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14
Q

anterior innominate rotation hvla

A

pt LR w/ SD up, doc in front of pt w/ cephalad hand b/w L5/S1 and caudal hand flexing pts hips until motion is felt at the joint

doc drops pts top leg off of the table

cephalad hand moves to antecubital fossa w/ forearm on shoulder, caudad forearm placed along pelvis b/w PSIS and troachanter

pt exhales x2, force directed down femur shaft

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15
Q

posterior innominate rotation hvla

A

pt LR w/ SD up, doc in front of p w/ cephalad hand b/w L5/S1 and caudad hand flexing pts hips until motion felt

pt straightens bottom leg and top foot placed distal to popliteal fossa

doc cephalad hand moves to antecubital fossa w/ forearm on shoulder and caudad forearm on PSIS and iliac crest

pt exhales x2, force directred towards umbilicus

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16
Q

pubic restriction hvla

A

pt supine, knees flexed w/ feet flat on table; doc standing on either side of pt

MET alternation w/ hips

w/ final cycle, exert abduction force while pt is adducting

17
Q

bilateral sacral flexion hvla

A

pt prone, doc at side monitoring SI joint and abducting the legs until motion is felt then IR

doc heel of hand on APEX of sacrum

pt inhales x2, final inhale apply anterior/superior thrust on sacrum

18
Q

bilateral sacral extension hvla

A

pt prone in sphinx, doc beside pt monitoring SI and abducting legs until motion felt then ER

heel of doc hand is at base of sacrum

pt exhales x2, last exhale anterior/inferior thrust into sacrum

19
Q

sacral torsion hvla

A

pt supine w/ hands behind neck, doc on axis side

SB pt LE AND torso away, creating a C-shape; caudal hand thenar eminence on contralateral ASIS and cephalad hand grasping pts contralateral distal bicep

cephalad hand induces rotation of torso into barrier pulling the opposite elbow towards self while stabilizing and preventing motion w/ other hand

pt exhales x2, thrust down through ASIS

20
Q

L1-5 extension/neutral SDs - long lever, walk around

A

pt supine w/ hands behind neck, doc opposite PTP monitoring segment and SB pt towards RB by making C-shape away from doc

doc cephalad hand on pts contralateral distal bicep, caudad hand on contralateral ASIS

rotate pt trunk w/ cephalad hand into RB, pt exhales x2, rotational thrust down on arm

21
Q

type 1 lumbar lateral recumbent hvla

A

pt LR w/ PTP up, doc in front of pt

grasp pts bottom arm and pull anterior/CEPHALAD while monitoring vertebrae to engage SB; then switch monitoring hands and flex hips until motion felt, then pt extends bottom leg and top leg goes in pop fossa

cephalad forearm on pts anterior shoulder, caudal forearm contacts line b/w PSIS and greater trochanter ; push shoulder posterior and hip anterior to engage RB

pt exhales x2, rotational thrust same direction

22
Q

type 2 lumbar lateral recumbent hvla

A

pt LR w/ PTP up, doc facing pt

grab pts bottom arm and pull anterior/CAUDAD while monitoring PTP; switch and flex hips while monitoring

for T2E - leave bottom leg slightly bent w/ superior leg crossed over the bottom
For T2F - pt straightens bottom leg and places top foot into bottom legs popliteal fossa

caudal forearm contacts posterior pelvis from SI to greater trochanter, cephalad arm contacts pts anterior shoulder; caudal forearm rolls pelvis anterior into RB

pt exhales x2, rotational thrust through RB

23
Q

cervical ST/MFR techniques

A

SO release, contralateral traction

24
Q

OA SD hvla

A

pt supine, doc at head

doc contacts right occiput posterior to mastoid process and other hand grasps head

move head into RB and adds cephalad traction, thrust into RB w/ exhalation

25
Q

AA SD hvla

A

pt supine, doc at head

cradle head w/ thumbs anterior to ears and rotate into RB while flexing C-spine

apply rotation through RB w/ exhalation

26
Q

C2-C7 rotational emphasis hvla

A

pt supine, doc at head

docs index fingers from bridge on affected vertebrae spinous processes, and flexes head until motion felt

SB head towards freedom, rotate into RB and apply thrust in rotational plane w/ exhalation

27
Q

C2-C7 SB emphasis hvla

A

pt supine, doc at head

docs index fingers form bridge and flexes head until motion felt

rotate into freedom, SB into RB; SB side hand applies thrust and other hand stabilizes head

upper cervicals = thrust towards eye
middle cervicals = thrust straight across neck
lower cervicals = thrust down towards chest

OS2 (4 decks)

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