FINAL Flashcards
Positive derifield is often associated with
The PI ilium
PI ilium must exhibit following triggers
Insertion of sartorius on medial anteiror knee
Palpatory pain on upper inguinal ligament
Resistance to flexion of the leg
Leg lag may indicated Pi if
+D on the same side
Leg lag and balanced legs may indicate
A knee issue
Pi ilium must have
+D and leg lag
PI Ilium trigger points
Upper inguinal ligament - sartorius origin
Medial knee - sartorius insertion
PRone Positive D Pi ilium
SCP - PSIS
SSP - ischial tuberosity
LOC - PA, IS, ML
Thrusts - 3-5
Pelvic piece drops toward feet to allow ASIS to drop inferiorly
Supine +D
Helps correct anterior pelvic muscular dysfunction
SCP - inguinal ligament one inch above pubic tubercle
SSP - roll in like toggle
LOC - AP, SI, LM
Thrusts - 3-5
Use arm fossa test for exact SCP
Rotated sacrum
Bend the left knee and lock the right knee into extension
This exacerbates a LEFT sacral apex
Bend the right knee and lock the left knee into extension
Accentuates a right sacral apex
Sacral base rotation
SCP - sacral apex and medial PSIS
LOC - scissors thrust ML and LM
Thrusts - -5
Cross involved - lower leg over higher leg
Done on side of higher leg prone
PRI
SCP - ischial tuberosity
SSP - roll in like toggle
LOC - PA, SI with a roll
Thrust - 3-5
Adjusting IN
Thumb web at lateral posterior distal thigh while stabilizing at the ASIS
Rotated lumbars seated
SCP - posterior mammilary
SSP - elbow twisting to tension
CP - pisiform
LOC - PA, IS, ML
Thrusts - 1
Should only be used on side of closed wedge
Spondylolisthesis
SCP - anterior to L4 or L5
CP - double thenars
LOC - AP, increasing pressure until table drops
Done during exhalation
Contraindications to spondylo adjustment
Asymptomatic Greater than a grade 2 Preganancy Abdominal aortic aneurysm or other precludign factors Abdominal surgery
Anteiror thoracics (dishing)
SCP - body of vertebrae
CP - chest
LOC - scoop shoulder blades superiorly while you drop onto patients folded arms AP
Thrusts - 1
Needs to be done with a thompson anterior block placed underneath dished area
When anterior area is large dishing of more than 3 segments, many experts advise
Checking the upper cervical area C1,2, or occiput
Lateral facet misalignment
SCP - lateral aspect of SP
NP - pisiform
LOC - PA, LM pull
Thrust - 1
Doctor stands on the side of pain and pulls spinous towards him/herself and PA
Rotated lumbars seated
SCP - posterior mammilary
SSP - elbow twisting to tension
CP - pisiform
LOC - PA, IS, ML
Thrusts - 1
Should only be used on side of closed wedge
The presence of spondylo or antero on film does NOT automatically indicate
The cause of low back pain
Spondylolisthesis adjustment
SCP - anterior to L4 or L5
CP - double thenars
LOC - A-P, increasing pressure until table drops
Done during exhalation
Contraindications to spondylo adjustment
- Asymptomatic
- Greater than a grade 2
- Pregnancy
- Abdominal aortic aneurysm or other precluding factors
- Abdominal surgery
Anterior thoracics (dishing)
SCP - body of vertebrae
CP - chest
LOC - scoop shoulder blades supreriorly while you drop onto patient’s folded arms AP
Thrusts - 1
Needs to be done with a thompson anterior block placed underneathn dished area.
Usually 2-4 segements in a row hypertonic musculature
When anterior area is large (dishing of more than 3 segments) many experts including thompson advise
Checking the upper cervical are
