Exam 1 Flashcards
What did BJ mean by “things natural”?
Separate chiropractic from religion
What did BJ mean by “by hands only”?
Separate chiropractic from surgery
“Dis-ease” is only caused by…
Vertebral subluxation
Name the Definition: Study of the fundamental nature of reality and existence and of the essence of things
Metaphysics
What are the 4 branches of Metaphysics?
1) Materialism
2) Mechanism
3) Teleology
4) Vitalism
Definition of Epistemology
Determine nature, basis and extent of knowledge.
Knowing
Nature of truth
Relationship between knowledge and belief
________ is one form of Epistemology
Empiricism
What is Practice relying on observation and experiment in the natural sciences.
KNOWLEDGE begins with EXPERIENCE?
Empiricism
Definition of Logic
Study of principles and methods of reasoning. Explores distinguishing good and bad reasoning
Definition of Ethics
Human conduct, character and values. Nature of right and wrong / good and evil
Definition of Aesthetics
Creation and principles of art and beauty. THoughts, feelings and attitudes
What was the historical mindset for subluxation?
Chiro’s do not diagnose symptoms and treat disease rather they analyze the spine and adjust subluxations
Definition of Subluxation
The articular lesion less than a dislocation
Definition of manipulate subluxation
Lesion amendable to chiropractic manipulation
Definition of subluxation complex
A theoretical model that describes the widespread effects of subluxation
Definition of subluxation syndrome
Clinical manifestation that include associated symptoms and physical signs of a subluxation OR aggregate of signs that relate to pathophysiology of dysfunction of spinal and pelvic motion segments or to peripheral joints
Name the Definition: Functional unit made up of two adjacent articulating surfaces and connective tissues binding them together
motion segment
Definition of Spinal motion segment
2 adjacent vertebrae and the connecting tissues binding them to each other
Characteristic and Domain of Subluxation
C: Articular Lesion
D: Researchers
Characteristic and Domain of Subluxation Complex
C: Theoretical Models
D: Educators
Characteristic and Domain of Subluxation Syndrome
C: Signs & Symptoms
D: Practitioners
Characteristic and Domain of Motion Segment Dysfunction
C: Common Currency
D: Politicians
Characteristic and Domain of Medical Subluxation
C: Unstable Segment
D: Surgeons
Manual therapy definition
Hands directly contact the body to treat articulations or soft tissue
Name the definition: Manual procedure involving direct thrust to move a joint past the physiological ROM without exceeding anatomical limit
Manipulation
Name the definition: Movement applied within or at the physiologic ROM without a thrust or impulse, goal of restoring joint mobility
Mobilization
Adjustment definition
Any chiropractic therapy that uses a controlled force, leverage, direction, amp, and velocity directed at specific joints
What are the three specific paradigms?
1) Patient Centered
2) Biopsychosocial
3) ACC
The patient centered paradigm encapsulates…
Uniqueness of the philosophical first principles of chiropractic
ACC’s New definition of SUbluxation
“A subluxation is a complex of functional and/or structural and/or pathological articular changes that compromise neural integrity and may influence organ system function and general health.”
ACC’s NEW definition of SUbluxation is endorsed by? (4)
1) ACA
2) ICA
3) COCSA
4) WFC
The subluxation complex should be viewed as a…
1) Conceptual model
2) Pathology
3) Generator of symptoms
4) local condition
Faye’s 5 component VSC model did what?
Moved beyond the attic “bone out of place” model placing emphasis on dynamic vertebral motion
What are the 4 basic movements of spinal segments according to Faye’s 5 component model?
1) Rotation about longitudinal axis
2) Right or Left lat. Flexion
3) Ant. Flexion
4) Post. Extension
5) LAD
Clinically, most fixations have _________% normal mobility
20-80%
Ankylosis of a joint = ________% fixation
100%
Components of the neuropathophysiologic component (3)
1) Irritation
2) Compression or mechanical Insult
3) Decreased axoplasmic flow
Components of Kinesiopathlogic component
1) Hypomobility
2) Compensatory hyper mobility
What component directly is affected by the chiropractic adjustment?
Kinesiopathologic
Components of the myopathologic component
Spasm or hypertonicity of muscles
Hiltons law is a part of what component?
Myopathologic
What is Hilton’s Law?
Nerve supplying a joint also supplies the muscles which move the joint and the skin covering the articular insertion of those muscles
What law’s are a part of the histopathologic component?
Weigert’s & Wolff’s
What is weigert’s law?
Loss of a part or element results in compensatory replacement and overproduction of tissue
(Like a Callus)
Examples of Histopathologic conditions:
- Inflammation
- Degeneration
- arthritis
What are the 5 signs of inflammation?
1) Redness
2) Heat
3) Swelling
4) Pain
5) Loss of function
What is the pathophysiology component?
Hormonal/chemical effects or imbalance related to pre inflammatory stress syndrome
Producing histamine, prostaglandin and bradykinin
What is referred to as the end result of the VSC?
General Adaptation Syndrome
What is general adaptation syndrome’s 3 components?
1) Alarm
2) Resistance
3) Exhaustion
Normal creep deformity occurs with…
Prolonged static posture
Name the definition: Mechanical phenomenon associated with local, uncontrolled mechanical response to spinal loading
Spinal Buckling Thoery
Creep deformity is a part of what theory?
Spinal buckling
MOI of spinal buckling
1) Creep
2) repetitive poor posture
3) rapid loading of spine
4) issues with spine stabilizing muscles
What term is used to describe the most common spinal lesion treated by chiropractors?
Segmental Dysfunction
What is the most common spinal lesion?
Segmental dysfunction hypothesis
Segmental Dysfunction =
Lack of ROM
What is phase 1 of the VSC?
Segmental Dynsfunction
Triad of signs for adjusting the SDF
1) spinous tenderness
2) loss of normal ROM
3) abnormal contraction of paraspinals
What is the precursor to fascilitation?
Myopathology
What are the 2 groups of Neurobiological models?
Noninflammatory & Inflammatory
The noninflammatory neurobiologic model causes
Sustained alterations in neural excitability
Which Dr. Created the “fixation theory” of non-inflammatory models?
Korr
What Dr. Created the “spinal learning” thoery a.k.a. Neuroplasticity?
Patterson-Steinmetz
According to the Korr’s theory:
When the ANS is involved then its known as sympathiconia
Korr Fixation THeory includes what components of the VSC theory?
Bio mechanical and Neurological aspect of SDF
What is considered the corrective component of the Korr fixation theory?
Golgi Tendon Organ
Korr’s fixation theory starts with…
Hypomobility of the motor unit
What is Sympatheticotonia?
The somatoautonomic reflex response
What is the basis of the Spinal Learning theory?
- perpetuates after stimulus stops
- “Neural Scar”
Segmental facilitation generates
A sustained altered stimulus
Is adjustment effective for spinal learning?
YES
The inflammatory neurological models are associated with (2)
1) peptides and inflammation on the nerve propagation
2) inflammatory changes secondary to tissue trauma
What are the 4 Inflammatory SDF models?
1) Dvorak
2) Gatterman-Goe
3) Mense
4) Evans
Dvorak’s inflammatory model talks about…
Postural muscles
Gatterman-Goe inflammatory model talks about…
Myofascial trigger points (MFTP)
Mense’s inflammatory model talks about…
Local muscle T2P (tender to Palpations)
Evans inflammatory model talks about…
Minimal energy hypothesis
Gatterman-Goe proposed that:
Traumatic or postural strain of skeletal muscle could generate MFTP
Who’s model focuses more on the sequel are of SDF rather than the cause of the mechanical spinal lesion?
Mense’s Inflammatory Neurological model
What model’s basic premise is “the spine will seek an optimal minimal energy configuration”?
Minimal Energy Hypothesis by Evans
Who invented the PulStarFRAS?
Evans
All of the neurobiologic models of SDF lead to
Segmental Facilitation
Any reference to what can relate to the dural torque theory?
CSF or Meninges
Meninges consists of: (3)
Dura Mater
Arachnoid Mater
Pia Mater
How do you correct Dural torque and CSF flow?
Pelvic Blocking
Proprioceptive Insult typically applies to what MOI’s?
Post traumatic or post surgical
Congenital anomalies that are considered proprioceptive insult theory?
Hemi-Vertebrae, Congenital Fusion etc.