Lecture 1: Thoracic and Lumbar Screening and Diagnosis

Question 1

What type of TART changes do you expect for a Type 1 dysfunction?

Answer 1

Chronic: Cool, dry skin, decreased edema, ropy, fibrotic

Question 2

What type of TART changes do you expect for a Type 2 dysfunction?

Answer 2

Acute: Erythematous, boggy, increased moisture, hypertonic muscles

Question 3

What muscles are involved in a type 1 dysfunction?

Answer 3

Long restrictor muscles of back

Question 4

What muscles are involved in a type 2 dysfunction?

Answer 4

Short segmental muscles of spine

Question 5

In diagnosis, what does load and spring refer to?

Answer 5

load: use thumbs to layer palpate and locate the TP
spring: apply anterior force to one side then the other to determine restriction of motion

Question 6

What is the long lever method of diagnosis?

Answer 6

When you use gross movements to assess motion

ex. sidebend using shoulder to assess spinal segment for sidebending

Question 7

Where do nerves exit in the cervical spine?

Answer 7

above the vertebral body

Question 8

Where do nerves exit in the thoracic spine?

Answer 8

below the vertebral body

Question 9

Where do nerves exit in the lumbar spine?

Answer 9

below the vertebral body

Question 10

What is the myodural bridge?

Answer 10

Connection between rectus capitis posterior major and dura mater - may have function aside from anchoring the muscle

Contains a dural component