List of METs Flashcards
1
Q
MET for upslip
A
p.60
2
Q
MET for downslip
A
p.62
3
Q
MET for superior pubic symphysis - 2 positions
A
p.66
4
Q
The recommended treatment sequence is _____, _______, _____, _____
A
Symphysis pubis
Hip bone shear dysfunction (upslip, downslip)
Sacroiliac dysfunction (ERS/FRS)
Iliosacral dysfunction
5
Q
MET for inferior pubic symphysis - 2 positions
A
p.70
6
Q
Outflare comes with ___ rotation of the ilium
A
ANTERIOR
7
Q
MET for outflare
A
p.73
8
Q
MET for inflare
A
p.75
9
Q
Fryette’s 3 laws - Law I
A
I - in neutral range, SB and rotation are coupled in opposite direction
10
Q
Fryette’s 3 laws - Law II
A
In sufficient flexion or extension, SB and rotation are coupled in the same direction
11
Q
Fryette’s 3 laws - Law III
A
Iniating movement of vertebral segment in any plane of motion will modify the movement of that segment in other planes of motion
12
Q
Thoracic ribs SP vs TP - T1-T3
A
SP is even with TP
13
Q
Thoracic ribs SP vs TP - T4-T6
A
SP is half a level below
14
Q
Thoracic ribs SP vs TP - T7-T9
A
SP is one level below
15
Q
Thoracic ribs SP vs TP - T10
A
SP is one level below
16
Q
Thoracic ribs SP vs TP - T11
A
SP is half a level below
17
Q
Thoracic ribs SP vs TP - T12
A
SP is even
18
Q
In the thoracic spine, ___ is the primary motion (T1-T10) and ____ is the secondary motion
A
Rotation is primary
Side bending is secondary
19
Q
Ribs 1-10 attach to ___
A
sternum
20
Q
Ribs 1-7 attach directly to ____
A
Sternum
21
Q
Which ribs are the true ribs?
A
Ribs 1-7
22
Q
Ribs 11-12 are ___ ribs
A
floating
23
Q
Flattest shortest and broadest with the sharpest curve - rib ____
A
Rib 1
24
Q
Which rib articulates with the manubrosternal joint?
A
Rib 2
25
The higher the ribs, the more ____ ____ motion
Pump handle
26
Ribs 11-12 move in ____/____ motion
Pincer/caliper
27
viscerosomatic/somatovisceral - T1-T4
sympathetic to head and neck, with T1-T6 to the heart and lungs
28
viscerosomatic/somatovisceral - T5-T9
all upper abdominal viscera, stomach duodenum, liver, gallbladder, pancreas and spleen
29
viscerosomatic/somatovisceral - T10-T11
remainder of the small intestines, kidney, ureters, gonads and right colon
30
viscerosomatic/somatovisceral - T12-L2
left colon and pelvic organs
31
ERS dysfunctions in the mid-scapular region seem to appear with weak ___ and _____
rhomboids and serratus anterior
32
FRS dysfunctions in the lower thoracic spine seem to be commonly associated with weak ____
lower traps
33
If you have a lumbar and a sacral dysfunction, which do you correct first and why?
Correct the lumbar first, because to correct the sacral you need proper lumbar alignment
34
Facets - when patient flexes, _____ facets
opens
35
when patient extends, ___ facets
closes
36
when patient sidebends right, ___ left and ___ right
Open left and closes right
37
when patient sidebends left, ___ left and ____ right
closes left and opens right
38
What is important for the head when assessing T9-T12?
Head should not be rotated
39
Which structure is important for lymphatic drainage?
Thoracic inlet
40
Characteristic of anterior subluxation at ribs
Rib angle less prominent in posterior rib cage contour
Rib angle tender with tension of iliocostalis muscle
Prominent of anterior extremity of the rib in the anterior rib cage contour
Marked motion restriction in inhalation/exhalation
41
Characteristics of posterior subluxation at ribs
Rib angle more prominent in posterior rib cage contour
Rib angle tender with tension of iliocostalis muscle
Anterior extremity of the ribs less prominent in anterior rib cage contour
Marked restriction in rib inhalation/exhalation
42
Characteristics of superior first rib subluxation
Palpation of the superior aspect of the first rib anterior to the upper traps muscle shows dysfunctional rib to be 5-6mm cephalic in relation to the contralateral side
Marked tenderness of the superior aspect of the first rib
Restriction of respiratory motion primarily exhalation (rib stuck elevated)
Hypertonicity of scalene muscle on ipsilateral side
43
Rib dysfunctions (torsion) occur with t-spine movement, usually with ____
ERS
44
When the t-sx is R rotation, right ribs move in ___ rotation and left ribs move ___ rotation
Right ribs in external rotation
Left ribs in internal rotation
45
Able to move freely during inhalation
Unable to move freely during exhalation
Ease in inhalation
Diagnosis is _____
Inhalation somatic dysfunction
46
Able to move freely during exhalation
Unable to move freely during inhalation
Ease is exhalation
Diagnosis is _____
Exhalation somatic dysfunction
47
What is the key rib?
Major restrictor of the group's ability to move in either inhalation or exhalation
48
During an inhalation dysfunction (exhalation restriction) the ''key'' rib is the most ____ rib
inferior
49
During an exhalation dysfunction (inhalation restriction) the ''key'' rib is the most ___ rib
superior
50
Treatment order for thoracic spine - 3 rules
Thoracic spine before ribs dysfunctions
Structural lesions/restrictions before respiratory restrictions
Key ribs in respiratory restrictions before group
51
MET for anterior subluxation
p.141
52
MET for posterior subluxation
p.143
53
MET for external torsion
p.145
54
When would you use indirect balancing of rib?
If too painful for the patient or if nothing else is working
a lot of spasm so indirect technique is more gentle
55
MET for 1st and 2nd ribs exhalation dysfunction
p.149-150
56
Which muscles are used to for exhalation dysfunction of 1st/2nd rib?
Stretch scalenes by SB and rotation opposite
57
MET for ribs 3-5 exhalation dysfunction
p.150
58
Which muscles are used to for exhalation dysfunction of 3-5 rib?
Stretch pec minor by elevating and abducting arm
59
Primary movement at C0-C1
Flexion/extension (forward or backward bending)
60
Left rotation of occiput on atlas (C0-C1) = ______ displacement of right occipital condyle and ____ displacement of left occipital condyle
anterior right
posterior left
61
C0-C1 = in flexion, testing the ability of the condyles to move ___
posterior
62
C0-C1 = in extension, testing the ability of the condyles to move ___
anterior
63
Primary motion at C1-C2 is
rotation
64
what are the only 2 possible dysfunctions at C1-C2
R rotation
L rotation
65
For C3-C7 = SB and rotation are coupled ___
and what does it mean for the possible dysfunctions?
in the same direction
so no neutral (type 1) in the cervical spine, only ERS and FRS
66
Other name for the joins of luschka
Uncovertebral joints
67
Cervicocephalic syndrome
Restriction in upper cervical associated with deep pain in head
68
Cervical syndrome
Acute spastic torticollis
69
Cervicobrachial syndrome
Pain and stiffness in spine with symptoms in shoulder and UE
70
5 main somatic dysfunctions in cervical spine
1. Cervical segments in flexion with coupled SB and rotation to same side
2. Cervical segments in extension with coupled SB and rotation to same side
3. C1-C2 restriction in rotation
4. C0-C1 flexion with SB/rotation in opposite directions
5. C0-C1 extension with SB/rotation in opposite directions
71
Cervical ax - in flexion, we test to see if the facets can ____ whereas in extension, we test to see if they can ____
Open
Close
72
Cervical ax - in R SB, the right facets ____ and the left ____
close
open
73
Cervical ax - if you translate the vertebra anterior (PA) you are bringing it into ____ and testing to see if both facets can ___
extension
close
74
Treatment order for cervical spine
Begin in lower c-spine and move upward in cranio-cervical junction
75
Treatment order for cervical spine - exception to the rule
One major exception to this rule is to approach the most restricted segment first in order to influence the system to the maximum. However, if the most restricted area is also the most acute, the practitioner might wish to work around the acute area to remove related restrictors and decongest
the acute inflammatory process. If patient is acute, indirect techniques may be preferable
76
Atlanto-occipital
Extension = ___ displacement of condyles on C1
anterior
77
Atlanto-occipital
Flexion = ___ displacement of condyles on C1
posterior
78
Atlanto-occipital
Right to Left translation (R SB) = right condyle ___ and left condyle ___
anterior
posterior
because R SB coupled with L rotation
79
Atlanto-occiptal
Left to right translation (L SB) = Left condyle ____ and right condyle ____
anterior
posterior
because L SB coupled with R rotation
