little notes

Question 1

Double cervical lock

Answer 1

short leg; balances to both sides HR

palpate TN bilaterally at diff levels

Question 2

OCCS

Answer 2

short leg ext; head balances to one side only

• TN and spinous rotation from C2-C7
• chronic C2 subluxation
• tight trap opposite spinous rotation

SCP- 1st rib on side of spinous laterality
SH- zygomatic arch
lift head and laterally rotate over SCP
LOC- P-A, L-M, S-I, SH hand goes I-S scissor action

Question 3

Xception Derefield

Answer 3

legs balanced ext, HR no change, short leg in flexion that balances with HR to one side only

-thompson prone cervical

Question 4

Bilateral Cervical Syndrome

Answer 4

• balanced in ext, leg short with both sides head rotation
• palpate for C2 spinous pain
• tilt headpiece, tuck chin
• CP- double thenar
• SCP- inferior nuchal line
• LOC- A-P, I-S, scoop

Question 5

Posterior Cervical

Answer 5

• leg short in extension, HR balances both on both sides
• TN bilaterally on same segment
• SCP- bilateral LPJ
• CP- both thumbs
• LOC- P-A, slight I-S

Question 6

-D

Answer 6

-leg short in extension, stays short on R/L HR, stays short in flexion

• check trigger points; if present AI
• no trigger points, check gastroc, if present its posterior rocked ischium
• if not gastroc check sacrum by doing prone leg raise, if one is higher then its AI sacrum

Question 7

AI sacrum prone

Answer 7

PART 1

• fencer on side of SCP
• roll in toggle with inf hand
• SCP- ischial tube
• LOC P-A, I-S, slight M-L

PART 2

• stand opposite of SCP
• cross leg of SCP over other and lift in ext
• SCP- medial PSIS
• LOC slight P-A, M-L

Question 8

AI sacrum spine

Answer 8

PART 1
deliver the baby
get the elbow LOW
SCP- ischial tube
SH- ASIS with leg rested laterally
LOC  I-S, P-A, slight M-L

PART 2
think torque
opposite knee bent
-SCP- inguinal lig
-LOC- A-P and CCW or CW

Question 9

Rotated Sacrum

Answer 9

stabilize over sacrum and do prone leg lift. higher leg is side of apex rotation

SCP- sacral apex and medial PSIS on side of higher leg
LOC- apex hand L-M, and PSIS hand M-L scissor thrust with slight P-A

Question 10

Posterior Rocked Ischium

Answer 10

• presents as -D but with no trigger points
• palpate tenderness in gastroc
• fencer stand toward feet
• CP- fleshy pisiform with fingers toward feet
• SCP- ischial tuberosity
• SH- roll in like toggle
• LOC- P-A, S-I

Question 11

+D

Answer 11

1 leg short in extension, HR no change, flexion it goes long

-check for leg lag, and sartorious insertion and attachment, indicates PI ileum or possible EX

Question 12

PI ileum prone

Answer 12

fencer stance, opposite side (arms like X)
SCP- medial PSIS
SH- fist on ischial tube
LOC- P-A, M-L, I-S

Question 13

PI ileum supine

Answer 13

fencer stand same side
-arm fossa for inguinal contact

SCP-inguinal lig
CP- roll in like toggle
LOC- A-P, S-I, L-M

Question 14

IN

Answer 14

-shows up as -D

challenge by int and ext rotation making it worse or better

muscle test by bending knee, pushing L to M to make IN better, should be strong
-make in worse by fig 4 muscle test

-stand on side of SCP, bend knee and push it L-M like the muscle test
SCP- lateral posterior distal thigh
SH- ASIS
LOC- slight A-P and M-L

Question 15

EX

Answer 15

shows up as +D

ext and int rotation leg check
muscle tests

-stand straight away opposite SCP with pt in fig 4
SCP- ASIS of involved side
SH- ASIS of straight leg side
LOC- A-P, M-L

Question 16

Rotated Lumbars seated

Answer 16

-visual, palpation, xray, only on simple listing or closed wedge side

SCP- mammillary on side of body rotation
CP- pisiform
-cross arms, slump patient, rotate to tension
LOC P-A, I-S, M-L

Question 17

Anterior Dorsals

Answer 17

-palpate and visualize pottinger saucers

-use extra peice, slumps pt cross arms lay back
- contact inferior scapulas
SCP- body of vertebrae
LOC A-P

Question 18

Spondylo

Answer 18

• xray and history

Contraindicationes:
pregnancy, AAA, abdominal surgery, greater than grade 2, asymptomatic