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Thompson lab practical > lab final > Flashcards

lab final Flashcards

1
Q

patient positioning

A
  • chin 1” above the lower end of headpiece
  • anterior crest of ilium 1” above upper end of pelvic piece
  • 1-2 finger width b/t pelvic and lumbar pieces
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2
Q

Unilateral cervical syndrome

A

LC: 1 leg short ext; balances with head rotation to 1 side only (side of syndrome is the side they’ve rotated their head and the legs balance, body rotation is opposite side RCS=body left)

Criteria: palpate tender nodule on side opposite head rotation

Adj:
CH-superior hand, 1st PIP
SH-inferior hand, palm on zygomatic arch
LOC-L-M, P-A, I-S

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3
Q

Cervical Syndrome Atlas

A

-absence of tender nodule, adjust opposide side and

Listing: opposite side CS posterior atlas

LOC-L-M, P-A, S-I

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4
Q

Double Cervical lock

A

LC- 1 leg short in ext; balances with both sides rotation

Criteria: palpate tender nodules on 2 diff segments bilaterally

Listing: R or L CS

Adj: adjust highest seg first and recheck if lower is needed

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5
Q

Posterior cervical syndrome

A

LC: 1 leg short in extension; balances to both sides

Criteria: palpate tender nodule bilaterally on same segment
* lat xray shows loss of lordosis

Listing: P

DS-either side of patient, fencer stance
SCP-bilateral LPJs
CH-double thumb (no stabilization)
LOC-P-A, slight I-S

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6
Q

Overcompensated Cervical Syndrome OCCS

A

LC: short leg; balances with head rotation to 1 side only

Criteria: chronic C2 subluxation; tender nodules C2-C6; spinous rotation to C7; tight R trap on TN side often torticollis

DS-straight away on TN side
SCP-1st rib head, side of TN
CH-superior hand, thumb web
SH-inferior hand, palm on zygomatic arch
LOC-S-I, L-M (CH), I-S (SH) scissor action
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7
Q

Xception Derifield cervical syndrome

A

LC- legs balanced in ext; no change head rotation; short leg in flexion; legs balance on one side of head rotation

Criteria- palpate for tender nodules on side opposite of rotation

adjust as normal CS

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8
Q

Bilateral Cervical Syndrome

A

LC- legs balanced in ext; leg short on both sides of head rotation

Criteria- palpate C2 spinous tenderness

  • DS-low fencer on either side of patient
  • PT-prone, deflect head piece 15º, tuck chin
  • SCP-inferior nuchal line
  • CH-bilateral thenars
  • LOC-A-P, I-S Scoop w/ a flip to ceiling
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9
Q

Pelvic adjustments:

A

Anterior iliac crest ~ 1” above pelvic piece

Drop 3-5x’s

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10
Q

AI Sacrum criteria

A

LC: short leg in ext; head rotation has no effect; flex legs and it remains short on same side or balances -Derefield

Criteria: 3 TrPs, 2 below waist

  • ips: achiles, med tib, inf ischial tube, med/inf PSIS, pubic tub
  • contra: T2-T6 costotransverse, 1/2 intercostal space at mid clav line
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11
Q

AI sacrum supine adjustment

A

Adjust: 2 parts *use pelvic insert

part 1
“deliver the baby”, get the elbow down LOW
-PT-supine, knee bent, leg resting laterally
-SCP-ischial tuberosity
-CH-inferior index finger, MCP joint
-SH-heel of superior hand on same ASIS

part 2 “torque”

  • DS-Fencer on side of SCP
  • PT-supine, opposite knee bent
  • SCP-inguinal lig about 1”above pubic tube
  • CH-heel of superior hand
  • SH-palm on top of opposite bent knee
  • LOC-slight A-P, fingers torque lateral ( CW or CCW)
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12
Q

AI sacrum prone

A

part 1-

  • DS-low fencer on side of SCP
  • SCP-ischial tuberosity
  • CH-inferior hand, knife edge
  • SH-roll in like a Toggle
  • LOC-I-S, slight M-L & P-A

Pelvic tilt lever neutral

  • DS-fencer on either side
  • SCP-just medial to PSIS
  • CH-heel of superior hand
  • SH-palm sup to knee crosses & lifts leg in ext
  • LOC – M-L, slight P-A
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13
Q

Rotated Sacrum SAR, SAL

A
  • same leg check findings as AI sacrum but no TrPts
  • neg -D

criteria- stabilze sacrum and pt lifts both legs
-leg that goes higher is side of rotated sacrum

  • DS-fencer, SCP side, face cephalad or caudal
  • PT-cross ↓ leg over ↑ leg, keep knee straight
  • SCP-high leg side 1.sacral apex 2. medial PSIS
  • CH-bilateral flesh pisiforms
  • LOC-1. L-M 2. M-L, scissor thrust, slight P-A
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14
Q

PI iluem criteria

A

+D
-1 leg short in extension, head rotation no effect, goes long in flexion

criteria- leg lag, tender sartorius (med knee and inguinal lig)

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15
Q

PI ileum supine

A

Adjustment-
DS-low fencer, superior, on same side as SCP
-Use arm fossa test for exact SCP
-SCP-inguinal ligament 1” above pubic tube
-CH-superior knife edge
-SH-roll in like toggle
-LOC-A-P, S-I, L-M

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16
Q

PI ileum prone

A
  • DS-fencer, opposite side as SCP
  • SCP-med-inf PSIS
  • CH-heel of inferior hand
  • SH-fist of superior hand on ischial tuberosity
  • LOC-P-A, I-S, M-L
17
Q

Posterior Rocked Ishium

A

-D without triggers

criteria- tender gastroc

  • DS-fencer, facing caudal on side of SCP
  • PT-prone
  • SCP-ischial tuberosity
  • CH-superior fleshy pisiform
  • SSP-roll in like Toggle
  • LOC-P-A, S-I, with a roll

Thompson lab practical (2 decks)

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