HVLA

Question 1

In HVLA you ______ the barrier then the _________ barrier.

Answer 1

engage;restrictive

Question 2

Definition: A process where two congruent surfaces are “glued” together by a typically lubricating substance when said substance is spread thinly enough
Need:
Congruent surfaces
Lubricating Substance

Answer 2

Thin Layer adherence

Question 3

Impulse def

Answer 3

rapid acceleration and rapid deceleration over short distance

Question 4

Dr. Flemming told us that HVLA is about __________ and that _____________________________ nothing!

Answer 4

Restoration of Motion: the noise doesn’t mean anything

Question 5

A sound similar to a loud thud.
Present normally from sacroiliac joint, hip joint
May emanate from any osteoarthritic joint

Answer 5

Articular Clunk

Question 6

“Popping” noise expressed as a single modal curve on a sound frequency scale

Answer 6

Articular Pop

Question 7

A “breaking” noise may exhibit on sound wave analysis a bimodal or multimodal peak

Answer 7

Articular Crack

Question 8

A sound that is emitted most frequently when the wrist is placed in lateral extension.
A crackling sound akin to rubbing hair between ones’ fingers

Answer 8

Crepitus

Question 9

A sound that results from a tense ligament or fascial structure rolling over a bone or other solid prominence

Ex: The snapping ankle,
Snapping psoas tendon

Answer 9

Ligamentout Strum

Question 10

A high-pitched, non-repeatable “tearing” sound. Similar to peeling Velcro apart

Ex: Frozen Shoulder

Answer 10

Torn Adhesion Sound

Question 11

The Larger the joint, the _______ likely it will “pop”

Answer 11

Less

Question 12

How much pressure is in a facet joint before it pops?

Answer 12

-3.5 atm

Question 13

___________ is essential for producing the articular release.

Answer 13

Muscle relaxation. Do soft tissue before HVLA.

Question 14

Name as many contraindications to HVLA?

Answer 14

UHVCI(RA)(RISK)
unstable and hypermobile joints
RA and DS
vertebral basilar thrombosis
cancer or INFECTION
Pt says "NO!"
Risk outweighs the benefit

Question 15

Spurling’s Test
Def
(+) means what

Answer 15

ERS ( extend- Rot-sidebend)
evaluate the nerve root to see if it is impinged
- reproduction of radicular pain ipsilaterally.

Question 16

Distraction Test
Def
(+) means what?

Answer 16

pull up the head

+ test if symptoms are relieved

Question 17

Referred pain from a herniated disc
C5
C6
C7
C8

Answer 17

5- Deltoid
6- Bicepts, thumb
7- tricepts, finger extension
8- wrist grip.

Question 18

Vertebral Artery Test
def
+ means what

Answer 18

place pt supine, extend and rotate neck

+ is dizzines, nausea or syncope ( NO HVLA)

Question 19

The patient is supine and you flex the entire leg of the patient. The response is back pain. What sign is this?( testing for meningitis)

Answer 19

Kernigs sign

Question 20

When the patient is supine and you lift the patient’s head up bent like and they respond by lifting knees. This test is named? It tests for meningitis

Answer 20

Brudzinski’s sign

Question 21

Reflexes 
bicept
tricepts
brachioradialis
patellar

Answer 21

bi-c5
tri-c7
brac-c6
pat- L4