Exam 2 Flashcards
Unilateral cervical syndrome
Legs balance on head rotation to one side only
Look for trigger points on side opposite head turn (side of body rotation)
If no trigger point = atlas posterior
Rotation of head reduced the source of neuromuscular imbalance of muscle tone of the pelvis
Vestibulospinal tract
Inability of the vestibulospinal system to maintain balance
Find the subluxation adn adjust
Leg check is a semi valid indicator or
Spinal dysfunction that can affect pelvic muscle tone
If turn the head and the legs balance =
Rotational dysfunction
SCP cervical syndrome
LPJ
CP cervical syndrome
Zygomatic arch
LOD cervical syndrome
PA, IS, LM
Cervical syndrome adjust
Rotate the head completely and maintina contact during rotation
Chin is 1” above the bottom of the headpiece
Cervical syndrome atlas
If right rotation balances the legs
LP atlas
Cervical syndrome atlas
If left rotation balances the legs
RP atlas
Atlas cervical syndrome adjustment
Toggle recoil
PA, SI, LM
Atlas
Only posterior atlas listings are found with thompson style compressive leg check so it’s a good idea to check atlas with palpation adn motion even if the cervical syndrome comes out negative
Counter rotation of two segments can occur at any two levels of the cervical spine but usually are found at 2 neighboring segments
Double cervical lock
C2 PR and C3 PL
C3 body left and C4 PL
A patient with a cervical subluxation but NO cervical syndrome leg check finding has which of these listings
ASLA
Double cervical lock
Legs balance on head rotation to both sides
Palpate bilaterally for tender nodules
Adjust superior segment, recheck and adjust inferior
Counter-rotation of two neighboring segments
Double cervical lock
Ipsilateral or contralateral rotation of 2 non-neighboring segments
Double cervical lock
One segment posterior feels like body left and body right at the same time
Double cervical lock
Associated with multi-segment regional cervical fixation and decreased cervical curve
Double cervical lock
Cervical syndrome - posterior cervical
Legs balance on head rotation to both sides
Palpation reveals tender nodules on the R and L of the same segment - x-ray analysis may confirm a military neck
Posterior cervical adjustment
Double thumb method
Xception derifield cervical syndrome
Cervical rotation stays balanced, bring legs into flexion and cervical rotation causes short leg
Xception derifeield starts with
Balanced legs
Cervical rotation has no effect
Short leg appears on flexion cervical rotation balances the legs
If right cervical rotation with the legs flexed creates balanced legs
RXDCS
If left cervical rotation, with the legs flexed, creates balanced legs
LXDCS
X-derifield cervical syndrome
Balanced legs, flex them and now short leg
Cervical rotation balances
XDCS
X-derifield negative derifield
Balanced legs
Flex them and have short leg
Cervical rotation leg stays short = XD-D
Automatic innate reaction to SI joint dysfunction
OCCS
Lousy SI on the side of the tender nodules
OCCS
Adjust first rib
To mobilize the cervicals without touching them
Overcompensated cervical syndrome
Unbalanced legs
Cervical rotation causes them to balance
Multiple tender nodules in a stair stepping form on opposite side with trapezius spasm on same side
Suspected with chronic C2 subluxation
OCCS
Decreasing spinous laterality down to C7
Very tight trapezius muscle opposite side of axis spinous laterality
Often seen in torticollis
Often found when SI joint is in severe need of correction
OCCS
Left overcompensated cervical syndrome (right trap spasm, spinouses left side) adjustment
Right 1st rib
OCCS adjustment
SCP
CP
LOC
Number of thrusts
SCP = 1st rib head
CP = zygomatic arch
LOC = L-M, I-S, S-I
Number of thrusts = 1
OCCS adjusmten
Laterally flex head
Effective for torticollis
Bilateral cervical syndrome
Legs balanced
Upon cervical rotation to both sides, legs unbalance
BCS
Variable indicator of counter-rotation of upper cervical segments (occiput/C1 or C1/C2)
BCS adjustment
Palpate C2 spinous pain
SCP = inferior nuchal line CP = bilateral thenars LOC = AP, IS scoop with flip to ceiling 1 thrust Tuck chin in Effective for removal of C1-occiput fixations
This finding may indicate anteriority and/or inferiority of sacrum if the correct trigger points are found
Negative Derifield
Negative D legs
Legs unbalanced, into flexion, short leg balances or stays short
This finding may indicate posteriority of ilium
Positive Derifield
Positive D
Legs unbalanced, flex legs and short leg becomes long
-D
AI sacrum
-D AI sacrum trigger points
Ipsilateral achilles tendon
Medial tibial condyle (medial hamstrings)
Inferior medial ischial tuberosity
Medial and inferior to PSIS
Ipsilateral pubic tubercle
Contralateral T2-6 costo-transverse junction and mid-clavicular 1st or 2nd intercostal space pain anteriorly
3 trigger points needed with 2 below the waist
If AI trigger points are not found, check for
Ipsilaterior posterior rocked ischium Contralateral PI ilium IN or EX Sacral apex left or right L5 or L4
Negative D as AI sacrum
Part 1
SCP = Ischial tuberosity
LOC - IS, slight ML
Reduces inferior sacrum
Part 2
SCP - medial to PSIS
CP - above knee
Lines up ilium with anterior sacrum
Negative D AI sacrum description
Knife edge below buttock - push it up - same side table
Opposite side table - lift leg straight, push out on medial PSIS opposite side of you
The side of the anterior sacrum
Is the -D side
Negative Derifield Part 2 alternate moves
SCP just medial to PSIS
CP = top of knee
LOC = medial to lateral
3-5 thrusts
Negative derifield supine (preferred)
Part 1
SCP - ischial tuberostiy
CP - ASIS
LOC - IS, ML
Part 2 SCP - inguinal ligament CP - top of opposite knee LOC - fingers lateral, AP 3-5 thrusts Torque out
LBP after first tennis game in spring
Left -D without trigger points
Right OCCS
What is pelvic listing
IN left
5 leg check categories in thompson
\+D -D CS XD BCS
L short stays short = -D
Right head rotation balance
Left head rotation stays short
RCS - palpate L - no tender nodules = atlas stuck - LP atlas
CS categories
Atlas
OCCS
DL
Post Lock
+D confirmed with
Leg lag (resistance on flexion)
PI ilium
Commonly see XD in
Kids and athletes
+D
Short leg, CS cleared, still short - put in flexion = crosses
Leg lag on same side
PI ilium
Posterior rocked ischium
Tight gastroc
-D first fixes =
Second fixes
Inferiority
Anteriority
Lifting leg on AI sacrum
Puts ilium in same plane as sacrum
