Listings Review & History Flashcards
What is the Gonstead listing for extension malposition?
P or P-Inf
Extension malposition is what motion restriction?
Flexion restriction
What is the Gonstead listing for flexion restriction?
P or P-Inf
Extension restriction is what malposition?
Flexion malposition
Left lateral flexion malposition is what restriction?
Right lateral flexion restriction
What is the Gonstead listing for right rotation restriction?
PR
What is the Gonstead listing for left rotation restriction?
PL
PL is what malposition?
Right rotation malposition
PR is what malposition?
Left rotation malposition
Right rotation and right lateral flexion restriction has what Gonstead listing?
PRS or PRS-M
Right rotation and right lateral flexion restriction is what malposition?
Left rotation and left lateral flexion malposition
Right rotation and left lateral flexion restriction has what Gonstead listing?
PRI-L, PRI-M, or PRI-T
Right rotation and left lateral flexion restriction is what malposition?
Left rotation and right lateral flexion malposition
Left rotation and left lateral flexion restriction has what Gonstead listing?
PLS or PLS-M
Left rotation and left lateral flexion restriction is what malposition?
Right rotation and right lateral flexion malposition
Left rotation and right lateral flexion restriction has what Gonstead listing?
PLI-L, PLI-M, or PLI-T
Left rotation and right lateral flexion restriction is what malposition?
Right rotation and left lateral flexion malposition
If the PSIS is up, what is the Gonstead listing?
AS ilium
What restriction is AS ilium?
Flexion restriction of SI
What restriction is PI ilium?
Extension restriction of SI
The reference for the sacrum’s tilt is…
sacral promontory
What are the restriction and malposition of AI sacrum?
Flexion restriction/ extension malposition of sacrum
What are the restriction and malposition of PS sacrum?
Extension restriction/ flexion malposition of sacrum
Clarence Gonstead focused on ___ as the foundation of the spine
the sacrum
What types of imaging can Gonstead assessment include?
- Weight bearing imaging
- Full spine imaging
- Nervoscope
Lines were drawn on radiographs
Besides imaging, what type of examination was done by Clarence Gonstead?
Performed a version of motion palpation (more joint play than end feel)
In Gonstead listings, all vertebrae (except C1) misalign ___ first
posteriorly
In Gonstead listings, what is the point of reference for vertebral listing?
Spinous process
From C2 to L5, what is the first letter of a Gonstead listing?
P
In Gonstead listings, what does the second letter indicate?
The side of SP deviation (to left or right)
In Gonstead listings, what does the third letter indicate?
Lateral wedging of the intervertebral disc in relation to the spinous deviation (lateral flexion)
If the spinous rotates to the side of an open wedge (from lateral flexion), what is the third letter of the Gonstead listing?
S (superior SP)
If the spinous rotates to the side of a closed wedge (from lateral flexion), what is the third letter of the Gonstead listing?
I (inferior SP)
What is the reference point for ilium subluxations?
PSIS
Name the four possible misalignments of the ilium
- PI (posterior inferior)
- AS (anterior superior)
- IN (internal rotation)
- EX (external rotation)
Can there be misalignment in multiple directions?
Yes
ie. PIEX, ASIN
Name the two possible misalignments of the sacral promontory
- AI (anterior inferior
- PS (posterior superior)
Can misalignment of the sacral promontory occur unilaterally?
Yes
ie. AI sacrum on the left
Medicare was implemented in…
1965
When was chiropractic added to Medicare coverage?
70s
What is the Medicare/Houston conference listing system?
Anatomically descriptive method for describing subluxations designed to be used by all chiropractors as a uniform language
Medicare/Houston conference listings are ___ based. This does not well reflect ___
static based
does not well reflect motion concepts
How would chiropractors originally demonstrate subluxation to Medicare?
Via imaging only
Since 1988, Medicare no longer focuses on…
static only
Now, how do chiropractors demonstrate subluxation to Medicare?
- Imaging
- PART system
When using the PART system for Medicare, what documentation is required for coverage?
Documentation of 2/4 components, with at least one being A or R
Medicare/Houston conference listings use ___ as the reference point
vertebral body
