Full Spine Lab Stuff Flashcards
Instrumentation
Nervoscope
Tytron
Nervoscope
Look for break for C2-LL
Tytron
Look for .4 degree difference
Visualization
AS occiput
PS occiput
Lateral flexion head tilt
Rotation
AS occiput
Head always up (in extension)
PS occiput
Head stuck on chest (in flexion), tenderness
Lateral flexion head tilt can be
C0 or C1
Rotation can be
C0 or C1
Static palpation
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
For Atlas palpation
Swelling/edema is usually under the mastoid on side of laterality
For Occiput
Edema/swelling anterior to the mastoid
Motion palpation cervicals
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
Thoracic motion palpation
P-A and I-S glide with extension of upper chest
Lumbar motion palpation
P-A and I-S glide using the legs for extension
Analysis of the pelvis - static palpation - edema
Superior = PI
Inferior = AS
Medial = EX
No palpable edema = IN
Analysis of the pelvis - visualization
Lower glute = PI Higher glute = AS Flatter wide glute = IN Rounded narrow = EX External foot flare = IN Internal foot flare = EX
Lower glut
PI
Higher glut
AS
Flatter wide glute
IN
Rounded narrow
EX
External foot flare
IN
Internal foot flare
EX
Analysis of the pelvis motion palpation
Child prone lift the ipsilateral leg into extension
Press P-A using index finger or thumb over the SI joint
The size of you CP needs to match
The size of the SCP
PS occiput - seated
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
PS Occiput - supine
SCP - superior mastoid groove
CP - pisiform or index finger of the hand
SH - cradles the occiput
LOD - S-I and P-A
AS occiput - seated
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
AS occiput - supine
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
Atlas
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
C2-C7
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
Rotation for C2-C7
Shouldn’t be used on your pediatric patients because their uncinate processes aren’t developed
Thoracic-prone
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
SH for thoracic prone
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
Lumbars prone
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
SH lumbars prone
Single hand - pinky on pinky or thumb to thumb
Double transverse - index and middle finger, peace sign, with a knife edge stabilization
Lumbars side posture
PP - side lying
SCP - spinous or mammillary
CP - index finger backed by middle finger
SH - childs arms
LOD - I-S and P-A
PI ilium prone
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
AS ilium prone
PP - prone on the table, parents chest or your lap
SCP - Ischial tuberosity
CP - thumb
SH - thumb, pisiform
LOD - S-I and P-A
EX ilium prone
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
IN ilium prone
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
PI ilium side posture
PP - side lying involved side up
SCP - inferior aspect PSIS
CP - index finger
SH - childs arms
LOD - I-S and P-A
AS ilium side posture
PP - side lying involved side up
SCP - ischial tuberosity
CP - index finger or pisiform
SH - childs arms
LOD - S-I and P-A
EX ilium side posture
PP - side lying involved side down
SCP - lateral aspect PSIS
CP - index and middle finger
SH - childs arms
LOD - L-M add torque
IN ilium side posture
PP - side lying involved side up
SCP - medial aspect PSIS
CP - index and middle finger
SH - childs arms
LOD - M-L add torque
