Exam 2 Flashcards by Sally June

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

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Rotation of head reduced the source of neuromuscular imbalance of muscle tone of the pelvis

Vestibulospinal tract

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Inability of the vestibulospinal system to maintain balance

Find the subluxation adn adjust

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Leg check is a semi valid indicator or

Spinal dysfunction that can affect pelvic muscle tone

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If turn the head and the legs balance =

Rotational dysfunction

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SCP cervical syndrome

LPJ

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CP cervical syndrome

Zygomatic arch

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LOD cervical syndrome

PA, IS, LM

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Cervical syndrome adjust

Rotate the head completely and maintina contact during rotation

Chin is 1” above the bottom of the headpiece

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Cervical syndrome atlas

If right rotation balances the legs

LP atlas

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Cervical syndrome atlas

If left rotation balances the legs

RP atlas

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Atlas cervical syndrome adjustment

Toggle recoil

PA, SI, LM

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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

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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

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A patient with a cervical subluxation but NO cervical syndrome leg check finding has which of these listings

ASLA

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Double cervical lock

Legs balance on head rotation to both sides

Palpate bilaterally for tender nodules

Adjust superior segment, recheck and adjust inferior

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Counter-rotation of two neighboring segments

Double cervical lock

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Ipsilateral or contralateral rotation of 2 non-neighboring segments

Double cervical lock

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One segment posterior feels like body left and body right at the same time

Double cervical lock

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Associated with multi-segment regional cervical fixation and decreased cervical curve

Double cervical lock

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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

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Posterior cervical adjustment

Double thumb method

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Xception derifield cervical syndrome

Cervical rotation stays balanced, bring legs into flexion and cervical rotation causes short leg

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Xception derifeield starts with

Balanced legs

Cervical rotation has no effect

Short leg appears on flexion cervical rotation balances the legs

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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

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