Lab Final

Question 1

Distortion

Answer 1

Look at them stand,
A-P sway = cat 1
Lat sway= cat 2
Antalgia= cat 3

Question 2

Ums

Answer 2

Pi ilium

Question 3

LLL

Answer 3

AS Ilium

Question 4

Rib head

Answer 4

• Doctors for fingers on the patients first rib bilaterally patient flexes head slowly
• cat 1= bilaterally symmetrical
• cat 2= Unilateral asymmetrical

Question 5

Mind language

Answer 5

• arm test
• Category one = psis
• Category two = L5 TP
• category three =styloid process

Question 6

Stress test

Answer 6

Patient standing, arm out to side straight patient does following actions then muscle test arm;

• cat 1 = inhale/ exhale
• cat 2 = hop, flat footed
• cat 3 = valsalva

Question 7

Arm fossa

Answer 7

Cat 2
Rt side of
Hold touch pull
Upper and lower inguinal lig

Question 8

Cervical compaction

Answer 8

• patient supine lift legs slowly off table
• Dr presses S to I on head while patient lifts legs
• Cat 2 = harder is pelvis
• cat 2= easier is cervical

Question 9

Heel tension

Answer 9

Cat 1

• patient prone, doctor pulls on ankle, ankle with least dorsi flexion is suspected
• patient is supine, patient dorsi flexes foot of heel tension and tests arm
  - if arm blows out its cat 1
• patient is supine, patient plantar flexes foot of heel tension and tests arm
  - arm blows out its ankle dysfunction

Question 10

Poas

Answer 10

• Dr takes patients arms straight overhead while patient is supine
• through leg, grab trochanter apply M-L pressure on leg and upon exhale use other hand to push on the psoas

Question 11

Iliofemoral

Answer 11

• patient supine
• Dr internally rotates both legs, side with less rotation is fixated
• patient legs flat against the table, dr stands on opposite side and pulls trochanter towards them while patient externally rotates leg.

Question 12

C1/L5 isolation

Answer 12

• patient supine dr does leg check
• C1- patient tucks chin in without lifting head off table- legs balance
• L5 patient lifts hips or sits up —->legs balance

Question 13

UMS/LLL palpation

Answer 13

• dr palpates the following areas:
  - upper/lower inguinal lig
  - medial/ lateral knee
• if patient feels palpatoru pain upon the UMS or LLL, doctor will block the patient accordingly

Question 14

Cat 2 blocking

Answer 14

Criteria: weak arm fossa test, either UMS or LLL
-patient is supine
short leg block @ 90 degrees on iliac crest and long leg block @ 45 degrees under trochanter
-30 seconds up to 2 minutes until arm fossa is strong
-take both blocks out at same time

Question 15

Basic 2

Answer 15

• patient is supine, dr has one hand under patients head
• doctor then places their other palm on patient’s forehead with drs fingers resting gently on patients cheeks
• doctor presses hands together while also pushing S-I while patient breathes in, sucks their thumb, and dorsiflexes feet holding for 10 seconds

Question 16

stair-stepping and figure 8

Answer 16

-4 steps

if whole side is restricted its cat 2?

Question 17

trap fiber 1

Answer 17

C1, T-1,-2,-10

Question 18

trap fiber 2

Answer 18

C2, T-3, -11,-12

Question 19

Trap fiber 3

Answer 19

C3, T-4,-5, L1

Question 20

Trap fiber 4

Answer 20

C4, T6, L2

Question 21

Trap fiber 5

Answer 21

C5, T7, L3

Question 22

Trap fiber 6

Answer 22

C6, T8, L4

Question 23

Trap fiber 7

Answer 23

C7, T9, L5

Question 24

Trap Fiber treatment

Answer 24

-place I-S pressure on the subluxated segment and rub out trapezius fiber

Question 25

Category 3 blocking

Answer 25

• patient is prone
• short leg block at 45 degrees down from the greater trochanter and the long leg block angled 45 degrees just below the iliac crest
• usually about 10 minutes, make sure legs balance before taking blocks out

Question 26

SOTO-STEP OUT TOE/TURN OUT

Answer 26

• patient has sciatic pain uni or bilaterally
• dr palpates the patient’s glute, upper hamstring, and hamstring to confirm sciatic pain
• on side of sciatic pain dr places superior hand underneath patients knee and inferior hand under patient’s foot
  
  • dr abducts, externally rotates, and dorsiflexes the patients leg
  • hold 15 seconds
• do action 2 times

Question 27

Traction

Answer 27

• patient is prone on the blocking board with boh blocks at 45 degrees pointing down at the iliac crests bilaterally
• dr contacts patients sacrum with inferior hand and stabilizes wrist with superior hand; patient holds onto top of table
• as dr pushes P-A and S-I on sacrum, patient inhales and pulls up on tables and holds for 20 seconds
• doctor and patient relax
• repeat this 5 times

Question 28

L5 analysis

Answer 28

• lovett bro C1 assessment for L5
• patient prone, dr contacts styloid fossas bilaterally
• side of pain–> sup C1 tippage–>inferior L5
• Dr palpates post arch bilat
• side of pain–> post C1–>L5 spinous rotation to that side
• stress test patient to confirm L5 listing

Question 29

Side posture

Answer 29

normal side posture but have patient extend top leg instead of bending it at knee, then dr stands between legs and does side posture

Question 30

ortho blocking

Answer 30

-get L5 listing
-patient is prone on blocks at 45 degrees in at the iliac crest
-step 1: remove block on the side of L5 tippage, lift tippage: I-S tissue pull on side of sacral base towards, patient bends knee and brings heel to butt on inferior side
step 2: remove the block on side of spinous rotation, tissue pull with pisiform from L-M with a knife edge contact, patient bends knee and brings heel to butt on opposite side
-repeat 20 seconds 4-5 times each side

Question 31

Basic 3 cranial

Answer 31

• patient places heel of hand on bridge of nose and lays fingers flat
• doctor places thumbs where patients middle finger lies and places 3 middle fingers 1” above patients ears
• dr is to pull apart thumbs and fingers and hold
• patient repeats procedure 2 more times with thumbs going posterior
• this is opening up superior sagital sinus