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Special Pops > Full Spine Lab Stuff > Flashcards

Full Spine Lab Stuff Flashcards

1
Q

Instrumentation

A

Nervoscope

Tytron

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2
Q

Nervoscope

A

Look for break for C2-LL

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3
Q

Tytron

A

Look for .4 degree difference

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4
Q

Visualization

A

AS occiput
PS occiput
Lateral flexion head tilt
Rotation

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5
Q

AS occiput

A

Head always up (in extension)

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6
Q

PS occiput

A

Head stuck on chest (in flexion), tenderness

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7
Q

Lateral flexion head tilt can be

A

C0 or C1

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8
Q

Rotation can be

A

C0 or C1

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9
Q

Static palpation

A

Feel over spinous processes for edema and swelling
Feel lateral to the spinous for high/tight musculature changes
Look for persistent redness over specific area (might indicate subluxation)
Look for child’s response when palpating
Atlas - feel for superior lateral TP

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10
Q

For Atlas palpation

A

Swelling/edema is usually under the mastoid on side of laterality

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11
Q

For Occiput

A

Edema/swelling anterior to the mastoid

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12
Q

Motion palpation cervicals

A

C2-7 for infants
P-A and I-S glide with extension of head

Atlas - rotation a child does not like to rotate opposite laterality

Occiput - flexion and extension - restrictoin is side of laterality

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13
Q

Thoracic motion palpation

A

P-A and I-S glide with extension of upper chest

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14
Q

Lumbar motion palpation

A

P-A and I-S glide using the legs for extension

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15
Q

Analysis of the pelvis - static palpation - edema

A

Superior = PI

Inferior = AS

Medial = EX

No palpable edema = IN

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16
Q

Analysis of the pelvis - visualization

A 
Lower glute = PI
Higher glute = AS
Flatter wide glute = IN
Rounded narrow = EX
External foot flare = IN
Internal foot flare = EX
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17
Q

Lower glut

A

PI

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18
Q

Higher glut

A

AS

19
Q

Flatter wide glute

A

IN

20
Q

Rounded narrow

A

EX

21
Q

External foot flare

A

IN

22
Q

Internal foot flare

A

EX

23
Q

Analysis of the pelvis motion palpation

A

Child prone lift the ipsilateral leg into extension

Press P-A using index finger or thumb over the SI joint

24
Q

The size of you CP needs to match

A

The size of the SCP

25
Q

PS occiput - seated

A

SCP - superior aspect of mastoid groove

CP - thenar eminence or lateral aspect of the thumb

SH - vulcan grip, split fingers, around the shoulder

LOD - S-I and P-A

26
Q

PS Occiput - supine

A

SCP - superior mastoid groove

CP - pisiform or index finger of the hand

SH - cradles the occiput

LOD - S-I and P-A

27
Q

AS occiput - seated

A

PP - seated with the cervical block

DS - behind child, sometimes with the child on your lap

CP - glabella

SCP - middle finger using the pad

LOD - S-I and P-A

28
Q

AS occiput - supine

A

PP - cervical block under neck

DS - stands at the head of the table

SCP - glabella

CP - thumb same as the side of involvement

SH - thumb over thumb with fingers cradling the parietal bones

LOD - S-I and A-P

29
Q

Atlas

A

PP - wherever the child is happy

SCP - atlas TP

CP - pad of the correct size digit, match the size of the sCP

SH - parietal bone opposite the side of involvement

LOD - S-I and L-M using sustained pressure

30
Q

C2-C7

A

Primary subluxation will be posterior, P is a perfectly good listing

PP - prone, seated, or supine

SCP - spinous

CP - pad of the correct size digit, match the size of the SCP or pinch the spinous

SH - depending on the patients position, always keep stabilize the head

LOD - I-S and P-A sustained contact or a light pulsing

31
Q

Rotation for C2-C7

A

Shouldn’t be used on your pediatric patients because their uncinate processes aren’t developed

32
Q

Thoracic-prone

A

Primary subluxation will be posterior, P is perfectly good listing

PP - prone, supine or standing, on your lap, table or the parents stomach

SCP - spinous or TP

CP - pad of the correct size digit, match the size of the SCP

SH - depends on the adjustment

33
Q

SH for thoracic prone

A

Single hand - pinky on pinky or thumb to thumb

Double transverse - index and middle finger, peace sign, with a knife edge stabilization

Thumb pisiform

Jump move

34
Q

Lumbars prone

A

PP - on your lap, table or the parents stomach

SCP - spinous or mamillary

CP - pad of the correct size digit, match the size of the SCP

SH - depends on the adjustment

LOD - I-S and P-A

35
Q

SH lumbars prone

A

Single hand - pinky on pinky or thumb to thumb

Double transverse - index and middle finger, peace sign, with a knife edge stabilization

36
Q

Lumbars side posture

A

PP - side lying

SCP - spinous or mammillary

CP - index finger backed by middle finger

SH - childs arms

LOD - I-S and P-A

37
Q

PI ilium prone

A

PP - prone on the table, parents chest or your lap

SCP - inferior aspect PSIS

CP - thenar, hypothenar or thumb

SH - lifts the ipsilateral leg into extension

DS - contralateral to involvement

LOD - I-S and P-A

38
Q

AS ilium prone

A

PP - prone on the table, parents chest or your lap

SCP - Ischial tuberosity

CP - thumb

SH - thumb, pisiform

LOD - S-I and P-A

39
Q

EX ilium prone

A

PP - prone on the table, parents chest or your lap

SCP - lateral aspect PSIS

CP - thumb

SH - thumb over thumb

LOD - L-M add torque

DS - same side

40
Q

IN ilium prone

A

PP - prone on the table, parents chest or your lap

SCP - medial aspect PSIS

CP - thumb

SH - thumb over thumb

LOD - M-L add torque

DS - opposite side

41
Q

PI ilium side posture

A

PP - side lying involved side up

SCP - inferior aspect PSIS

CP - index finger

SH - childs arms

LOD - I-S and P-A

42
Q

AS ilium side posture

A

PP - side lying involved side up

SCP - ischial tuberosity

CP - index finger or pisiform

SH - childs arms

LOD - S-I and P-A

43
Q

EX ilium side posture

A

PP - side lying involved side down

SCP - lateral aspect PSIS

CP - index and middle finger

SH - childs arms

LOD - L-M add torque

44
Q

IN ilium side posture

A

PP - side lying involved side up

SCP - medial aspect PSIS

CP - index and middle finger

SH - childs arms

LOD - M-L add torque

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