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Thompson Technique > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

Unilateral cervical syndrome

A

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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2
Q

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

A

Vestibulospinal tract

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3
Q

Inability of the vestibulospinal system to maintain balance

A

Find the subluxation adn adjust

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4
Q

Leg check is a semi valid indicator or

A

Spinal dysfunction that can affect pelvic muscle tone

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5
Q

If turn the head and the legs balance =

A

Rotational dysfunction

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6
Q

SCP cervical syndrome

A

LPJ

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7
Q

CP cervical syndrome

A

Zygomatic arch

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8
Q

LOD cervical syndrome

A

PA, IS, LM

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9
Q

Cervical syndrome adjust

A

Rotate the head completely and maintina contact during rotation

Chin is 1” above the bottom of the headpiece

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10
Q

Cervical syndrome atlas

If right rotation balances the legs

A

LP atlas

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11
Q

Cervical syndrome atlas

If left rotation balances the legs

A

RP atlas

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12
Q

Atlas cervical syndrome adjustment

A

Toggle recoil

PA, SI, LM

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13
Q

Atlas

A

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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14
Q

Counter rotation of two segments can occur at any two levels of the cervical spine but usually are found at 2 neighboring segments

A

Double cervical lock

C2 PR and C3 PL
C3 body left and C4 PL

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15
Q

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

A

ASLA

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16
Q

Double cervical lock

A

Legs balance on head rotation to both sides

Palpate bilaterally for tender nodules

Adjust superior segment, recheck and adjust inferior

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17
Q

Counter-rotation of two neighboring segments

A

Double cervical lock

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18
Q

Ipsilateral or contralateral rotation of 2 non-neighboring segments

A

Double cervical lock

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19
Q

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

A

Double cervical lock

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20
Q

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

A

Double cervical lock

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21
Q

Cervical syndrome - posterior cervical

A

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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22
Q

Posterior cervical adjustment

A

Double thumb method

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23
Q

Xception derifield cervical syndrome

A

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

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24
Q

Xception derifeield starts with

A

Balanced legs

Cervical rotation has no effect

Short leg appears on flexion cervical rotation balances the legs

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25
Q

If right cervical rotation with the legs flexed creates balanced legs

A

RXDCS

26
Q

If left cervical rotation, with the legs flexed, creates balanced legs

A

LXDCS

27
Q

X-derifield cervical syndrome

A

Balanced legs, flex them and now short leg

Cervical rotation balances

XDCS

28
Q

X-derifield negative derifield

A

Balanced legs

Flex them and have short leg

Cervical rotation leg stays short = XD-D

29
Q

Automatic innate reaction to SI joint dysfunction

A

OCCS

30
Q

Lousy SI on the side of the tender nodules

A

OCCS

31
Q

Adjust first rib

A

To mobilize the cervicals without touching them

32
Q

Overcompensated cervical syndrome

A

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

33
Q

Suspected with chronic C2 subluxation

A

OCCS

34
Q

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

A

OCCS

35
Q

Left overcompensated cervical syndrome (right trap spasm, spinouses left side) adjustment

A

Right 1st rib

36
Q

OCCS adjustment

SCP

CP

LOC

Number of thrusts

A

SCP = 1st rib head
CP = zygomatic arch
LOC = L-M, I-S, S-I
Number of thrusts = 1

37
Q

OCCS adjusmten

A

Laterally flex head

Effective for torticollis

38
Q

Bilateral cervical syndrome

A

Legs balanced

Upon cervical rotation to both sides, legs unbalance

39
Q

BCS

A

Variable indicator of counter-rotation of upper cervical segments (occiput/C1 or C1/C2)

40
Q

BCS adjustment

A

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
41
Q

This finding may indicate anteriority and/or inferiority of sacrum if the correct trigger points are found

A

Negative Derifield

42
Q

Negative D legs

A

Legs unbalanced, into flexion, short leg balances or stays short

43
Q

This finding may indicate posteriority of ilium

A

Positive Derifield

44
Q

Positive D

A

Legs unbalanced, flex legs and short leg becomes long

45
Q

-D

A

AI sacrum

46
Q

-D AI sacrum trigger points

A

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

47
Q

If AI trigger points are not found, check for

A 
Ipsilaterior posterior rocked ischium
Contralateral PI ilium
IN or EX
Sacral apex left or right
L5 or L4
48
Q

Negative D as AI sacrum

A

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

49
Q

Negative D AI sacrum description

A

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

50
Q

The side of the anterior sacrum

A

Is the -D side

51
Q

Negative Derifield Part 2 alternate moves

A

SCP just medial to PSIS
CP = top of knee
LOC = medial to lateral
3-5 thrusts

52
Q

Negative derifield supine (preferred)

A

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
53
Q

LBP after first tennis game in spring
Left -D without trigger points
Right OCCS
What is pelvic listing

A

IN left

54
Q

5 leg check categories in thompson

A 
\+D
-D
CS 
XD
BCS
55
Q

L short stays short = -D
Right head rotation balance
Left head rotation stays short

A

RCS - palpate L - no tender nodules = atlas stuck - LP atlas

56
Q

CS categories

A

Atlas
OCCS
DL
Post Lock

57
Q

+D confirmed with

A

Leg lag (resistance on flexion)

PI ilium

58
Q

Commonly see XD in

A

Kids and athletes

59
Q

+D

A

Short leg, CS cleared, still short - put in flexion = crosses

Leg lag on same side

PI ilium

60
Q

Posterior rocked ischium

A

Tight gastroc

61
Q

-D first fixes =

Second fixes

A

Inferiority

Anteriority

62
Q

Lifting leg on AI sacrum

A

Puts ilium in same plane as sacrum

Thompson Technique (5 decks)

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