FINAL

Question 1

Positive derifield is often associated with

Answer 1

The PI ilium

Question 2

PI ilium must exhibit following triggers

Answer 2

Insertion of sartorius on medial anteiror knee

Palpatory pain on upper inguinal ligament

Resistance to flexion of the leg

Question 3

Leg lag may indicated Pi if

Answer 3

+D on the same side

Question 4

Leg lag and balanced legs may indicate

Answer 4

A knee issue

Question 5

Pi ilium must have

Answer 5

+D and leg lag

Question 6

PI Ilium trigger points

Answer 6

Upper inguinal ligament - sartorius origin

Medial knee - sartorius insertion

Question 7

PRone Positive D Pi ilium

Answer 7

SCP - PSIS
SSP - ischial tuberosity
LOC - PA, IS, ML
Thrusts - 3-5

Pelvic piece drops toward feet to allow ASIS to drop inferiorly

Question 8

Supine +D

Answer 8

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

Question 9

Rotated sacrum

Answer 9

Bend the left knee and lock the right knee into extension

This exacerbates a LEFT sacral apex

Question 10

Bend the right knee and lock the left knee into extension

Answer 10

Accentuates a right sacral apex

Question 11

Sacral base rotation

Answer 11

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

Question 12

PRI

Answer 12

SCP - ischial tuberosity
SSP - roll in like toggle
LOC - PA, SI with a roll
Thrust - 3-5

Question 13

Adjusting IN

Answer 13

Thumb web at lateral posterior distal thigh while stabilizing at the ASIS

Question 14

Rotated lumbars seated

Answer 14

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

Question 15

Spondylolisthesis

Answer 15

SCP - anterior to L4 or L5
CP - double thenars
LOC - AP, increasing pressure until table drops

Done during exhalation

Question 16

Contraindications to spondylo adjustment

Answer 16

Asymptomatic
Greater than a grade 2
Preganancy
Abdominal aortic aneurysm or other precludign factors
Abdominal surgery

Question 17

Anteiror thoracics (dishing)

Answer 17

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

Question 18

When anterior area is large dishing of more than 3 segments, many experts advise

Answer 18

Checking the upper cervical area C1,2, or occiput

Question 19

Lateral facet misalignment

Answer 19

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

Question 20

Rotated lumbars seated

Answer 20

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

Question 21

The presence of spondylo or antero on film does NOT automatically indicate

Answer 21

The cause of low back pain

Question 22

Spondylolisthesis adjustment

Answer 22

SCP - anterior to L4 or L5

CP - double thenars

LOC - A-P, increasing pressure until table drops

Done during exhalation

Question 23

Contraindications to spondylo adjustment

Answer 23

1. Asymptomatic
2. Greater than a grade 2
3. Pregnancy
4. Abdominal aortic aneurysm or other precluding factors
5. Abdominal surgery

Question 24

Anterior thoracics (dishing)

Answer 24

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

Question 25

When anterior area is large (dishing of more than 3 segments) many experts including thompson advise

Answer 25

Checking the upper cervical are