Midterm: Cervical HVLA

Question 1

Name this test: Pt supine, doc at head of table. Doc extends/SBs Pts head off the table and is asks Pt to report nystagmus or visual changes.

Answer 1

Wallenberg test

Question 2

Steps in HVLA

Answer 2

1. Diagnose
2. Soft tissue prep
3. Localize in all three planes
4. Breath in and out (release enhancing)
5. Accumulate forces during exhalation
   - load
6. Corrective thrust
7. Reassess

Question 3

Which HVLA emphasis do you side bend towards ease and rotate TOWARD the dysfunction?

Answer 3

Rotational emphasis

Question 4

Which HVLA emphasis do you rotate toward ease and SB TOWARD the dysfunction?

Answer 4

Sidebendning emphasis

Question 5

Which muscles affect the AA rotation?

Answer 5

Obliqus capitis inferior

Question 6

How do you do an AA HVLA technique?

Answer 6

Fully flex head, rotate into RB, and thrust

Question 7

How do you perform an OA HVLA technique?

Answer 7

Sidebend, rotate, F/E toward the restriction and then thrust

Question 8

Which direction is the thrust for an OA HVLA technique?

Answer 8

Medially and anteriorly, and superiorly

Question 9

Kirksville Crunch set up.. go

Answer 9

Doc opposite PTP
Put thenar eminence on PTP
Have pt cross arms, PTP side superior
Sidebend toward proper direction
Load tissues
apply a posterior thrust

Question 10

Which way do you sidebend in type 1 HVLA? Type 2?

Answer 10

Type 1=Away

Type 2=Toward

Question 11

For Type I and II Flexed, where is the fulcrum hand, and what direction is the thrust?

Answer 11

Fulcrum on affected segment and thrust is A–>P

Question 12

For Type II Extended, where is the fulcrum hand and what direction is the thrust?

Answer 12

The hand is on the segment BELOW, and the thrust is directed superiorly above the hand to put the segment back into flexion

Question 13

Inhaled rib thrust vs exhaled rib thrust?

Answer 13

Inhaled: fulcrum hand below rib, thrust toward hand

Exhaled: fulcrum hand above rib, thrust above hand

Question 14

In Rib 11/12 exhalation SD, Inhalation emphasis, what is the set up like?

Answer 14

Doc opposite, and gasps onto patients ASIS, SB legs away.

HP: Thenar eminence on the rib on superior and lateral angle of the dysfunctional rib

At end of exhale, quickly lift ASIS toward ceiling

Question 15

Rib 11/12 inhalation SD, exhalation emphasis HVLA set up and technique

Answer 15

Doc opposite, and grasps patient ASIS, SB legs toward

HP: Hypothenar eminence medial and inferior to dysfunctional rib

At end of exhale, quickly apply cephalad and lateral thrust

Question 16

If I said hand placement of: hypothenar eminence medial and inferior to dysfunctional rib 11/12, would you say Exhalation or Inhalation?

Answer 16

Exhalation

Question 17

If I said hand placement of: thenar eminence on the rib on superior and lateral angle of the dysfunctional rib 11/12, would you say inhalation or exhalation?

Answer 17

Inhalation