Fellow's Review- Spinal Tx Quiz Flashcards
NUDR acronym?
Neutral dysfunction, PTP Up, pt force down, r?
Steps of ME?
Diagnose, take them into barrier (f/e, r/l), pt activates force in opposite direction (doc resists)- isometric contraction, repeat til no new barrier
Long restrictor tx?
pt shoulder, then hip against doc’s force; PTP down, move leg to flexion, and extension depending on need
FDDR acronym?
Flexion dysfunction, PTP Down, Pt force down, lateral Recumbent
Peeing Dog
SUUE acronym?
modified Sims, PTP Up, pt force Up, Extension dysfunction
difference between type 1 and type 2 HVLA for lumbar?
arm position
type 1- up toward head
type 2- down
OB Roll differences?
Type 1: away from you
Type 2: shoulders towards you
both stand on side of PTP
PTPs found on R L1-3; ME tx for dysfunction?
?
T6-10 curve what is apex? what hand does pt grab?
T8; on side of PTP
when treating upper thoracics what do you manipulate?
head and neck
what’s the other way to do the seated technique?
pt arms folded
rib 1 engages what muscle for pump handle?
anterior scalene
rib 1 bucket handle engages what muscle?
middle scalene muscle
for rib 1 pump handle ME what does the pt do?
pushes head anteriorly, takes deep breath and hold it
what does the pt do for rib 1 bucket handle exhalation?
rotate head 30 degrees
ribs 2-10 pump handle uses what muscles for exhalation?
pectoralis and serratus anterior muscles
where does pt exert force for ribs 2-10 pump handle?
deep breath and pushes hand up toward ceiling
what does the pt do for a bucket handle dysfunction for ribs 2-10?
hand out at 45 degree angle
what muscle is used for exhalation at ribs 2-10?
lateral part of Serratus anterior m
what muscles are used for exhalation in ribs 11 and 12?
quadratus lumborum and latissimus dorsi
rib 1 inhalation pump handle muscle used?
sternocleidomastoid
what muscle for rib 1 inhalation bucket handle?
also SCM
what muscle for ribs 2-10 pump handle inhalation?
intercostal and descent of the diaphragm
ribs 2-10 muscles used for bucket handle inhalation?
quadratus lumborum
chin pivot technique is used for what ribs?
1-4
what hand cups chin?
side of dysfunction
how should your arms be for a good thrust on chin pivot HVLA?
cross arms
how is the kirksville crunch modified for ribs?
pt grabs ASIS on opposite of dysfunction, roll past spine, can move top arm to get upper ribs
foot goes on table for J stroke technique on what side?
opposite of dysfunction
head sidebends for J stroke?
toward dysfunction
OA has what mechanics?
Type I modified; Sb and Rotation opposite but can be flexed or extended