Methods 4 Comp Eval #2 Flashcards
Side Posture Hypothenar Sacral Base Push, Dysfunctional Side Up
-Used w/ Extended Ilium (Flexion Restriction) and/or counternutated (Nutation Restriction)
-PSIS (Higher)/Sacral Base (Superior/Posterior)
-Doctors Position: Modified Fencer Stance (Side of Dys.)
-Contact Hand: Caudal hand, hypothenar on the higher sacral base (P-A, slight I-S)
-Indifferent Hand: Cephalic hand upward traction up
Side Posture Hypothenar Sacral Base Push, Dysfunctional Side Down
-Used w/: Extended Ilium (FR) and/or Counternutated (NR)
-PSIS (ASL)/Sacral Base (Posterior/Superior)
-CH: Caudal Hand on the sacral base (lower side-P-A)
Side Posture Hypothenar Sacral Apex Push, Dysfunctional Side Down
-Used w/ Flexed Ilum (Extension Restriction) and/or nutated (counternutation restriction)
-CH: Causal hand, hypothenar on the up side of the sacral apex (P-A)
Side Posture Forearm Sacral Apex Push, Dysfunctional Side Down
-Used when patient present with flexed ilium (ER) and/or nutation (CN restriction)
-Contact hand: Hypothenar on the up-side of the sacral apex (P-A)
Prone UL Hypothenar Transverse Push (Rotation)
-DP: Square or modified fencer stance (facing cephlad)
-CH: Caudal hand on the transverse process (P-A)
-IH: Reinforcing anatomical snuffbox
Prone UL HypothenarTransverse Push (Lateral Flexion)
-DP: Fencer or Square Stance (facing caudal)
-CH: Hypothenar of cephalic hand on the TP (P-A/S-I)
-IH: Pisiform in the anatomical snuffbox
Prone BL Thenar Transverse Push (Extension Restriction)
-DP: Modified Fencer Stance facing parallel to the spine
-CH: Thenar contact over the superior TP (P-A/I-S)
Prone Unilateral Hypothenar Spinous Push (Thoracic)
-DP: Square or fencer stance at the cephlad side of table
-CH: Hypothenar of cephlad hand on lateral surface of superior spinous process on side of rotation/torque hand
-Left: counterclockwise/Right: Clockwise
-Vector: P-A/L-M w/ Torque
Prone Knife Edge Spinous Push (Extension)
-PP: Headrest in flexion
-DP: Fencer stance, facing cephlad
-CH: Mid knife-edge contact on the inferior edge of the superior spinous process (I-S with enough P-A on SP)
-IH: Calcaneal reinforcement
Prone Knife Edge/Spinous Push (Flexion)
PP: Prone/Head piece lowered
DP: Fencer stance/Facing Caudal on superior edge of superior spinous process (P-A/S-I)
IH: Calcaneal reinforcement
Supine Opposite-Side Thenar/Transverse Drop (Rotation)
-DP: Modified fencer, opposite side of contact, tissue slack from below
-CH: Unilateral thenar contact (A-P to induce rotation)
Supine Opposite-Side Thenar/Transverse Drop (Flexion)
-PP: Arms crossed w/ No Flexion
-DP: Modified fencer/opposite side of contact
-CH: BL thenar contact on inferior segment (A-P)
Supine Opposite-Side Thenar/Transverse Drop (Extension)
-DP: Modified fencer/opposite side of contact
-CH: BL thenar or spinous contact on sup. segment (A-P/I-S)
Prone UL Hypothenar/Transverse Push (Lateral Flexion)
DP: Fencer or square stance facing caudal
CH: Cephalic hand on the TP (P-A/S-I)
Supine Index/Pillar Push (Rotation)
DP: Towards head of table on side of contact, angled 45-90* to the patient
-CH: Proximal MCP index of hand on the side of segmental contact on posterolateral pillar (P-A w/ rotation)
Supine Index/Pillar Push (Lateral Flexion)
DP: Lateral flex on side of contact/Tissue slack S-I
CH: Proximal MCP Index on posterolateral pillar (L-M/S-I)
Supine Thumb/Pillar Push (Rotation)
-DP: Approximately 90 degrees to patient
-Vec: P-A, slight I-S with rotation
Supine Thumb/Pillar Pull (Rotation)
DP: Opposite side of contact/45* to patient
CH: Anterolateral articular pillar of superior vertebrae
(A-P and slight I-S inducing rotation)
Seated Index/Occiput Lift (Lateral Flexion)
-PP: Head turned away from the side of contact
-DP: Standing b/h patient/patient’s head against sternum
-CH: Palmar surface of the middle finger corresponding to the side of the head of rotation/Contact on inferior border of occiput & lateral border of mastoid process
-Vector: I-S/L-M
Seated Index Occiput Push (Rotation)
-DP: Stand behind patient, towards side of contact
-CH: Ventral lateral surface of the index, palm turned up, forearm approximately 45* to the patient, remaining fingers supping lower occiput, superior mastoid groove on the side of contact
-Vector: P-A w/ Rotation
Seated Calcaneal/Zygomatic Pull (Extension)
PP: Roll towel behind the cervical spine
CH: Calcaneal contact of both hands on the superior aspect of the zygoma bilaterally
Vec: S-I, with enough A-P to stay on contact
Seated Index/Occiput Push (Lateral Flexion)
-CH: Ventral lateral surface of index; palm turned up and wrist straight, forearm approximately 45* to the patient, remaining fingers cupping lower occiput, superior mastoid groove
-Vec: P-A, L-M, S-I
Supine Hypothenar/Occiput Lift
PP: Doctor supports the patients head off the end of table
DP: Facing cephlad, lower fencer stance, weight shifted toward the superior leg, apply pre-adjustive long axis distraction by leaning bodyweight headward
CH: Hypothenar of caudal hand, contacting inferior edge of the occiput, medial to the mastoid
IH: Fingers wrap around the patient’s chin while forearm supports the patients head
Vector: I-S
Supine Thumb/Occiput Push (Rotation)
PP: Doctor supporting the patients head off the end of the table
DP: Toward head of table, anlged 45-90* to the patient
CH: Thumb of the hand corresponding to the side of segmental contact, posterior aspect of the mastoid, fingers resting on the angle of the jaw, forearm down the sternum
Vec: P-A/I-S w/ corkscrew-like motion
