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Subluxation -- Hagen > Midterm -- Pt2 > Flashcards

Midterm -- Pt2 Flashcards

1
Q

For nervoscope findings, what do we call it when the needle deflects over MULTIPLE segmental levels/dermatomes? It this normal?

A

Heat Swing; yes, it is normal physiology and it’s the bodies natural thermal fluctuations

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2
Q

For the nervoscope findings, what do we call it when the needle deflects over a SINGLE segmental level/dermatome?

A

Break

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3
Q

T/F. Breaks are repeatable

A

True

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4
Q

What is the ideal movement of the needle for a Break?

A

ldeal 2 increments or more

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5
Q

How do you tell if a stool is the correct height for the doc?

A

docs inferior patella should be at top of stool

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6
Q

Which way to the angled legs face of the stool?

A

face back

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7
Q

What is proper patient preparation in order to run a scope on someone?

A
  • access to spine from occiput to S2 tubercle (shirt off/gown)
  • Remove: glasses, hats, chains
  • ideal acclimation time to room temp = 10mins
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8
Q

Cervical Glide:

  1. doctor stance
  2. patent placement
  3. scope grip
  4. Probe width
A
  1. scissored; forward knee touching outside of stool
  2. seated to back of stool
  3. 1 hand grip
  4. parallel to inward
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9
Q

Cervical Glide:

  1. Start at
  2. Finish at
  3. Marking break
  4. Misc. needs
A
  1. T1
  2. 1/2” onto occiput (bowel level w/ occiput)
  3. 1/4” below mid thermocouple on side of 1st deflection
  4. hair sweep OR forehead stabilization
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10
Q

Thoracolumbar Glide:

  1. doctor stance
  2. patent placement
  3. scope grip
  4. Probe width
A
  1. scissored; forward knee touching inside of stool
  2. seated hand widths forward from back of stool
  3. dual hand grip
  4. parallel to outward
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11
Q

Thoracolumbar Glide:

  1. Start at
  2. Finish at
  3. Marking break
  4. Misc. needs
A
  1. C7
  2. S2
  3. 1/2” above mid thermocouple on side of 1st deflection
  4. full access to S2 before start
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12
Q

Seconds per segment:

Cervical

Thoracolumbar

A

Cervical– 3 secs (~18-21 total)

Thoracolumbar– 2 secs (~35-38 total)

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13
Q

For occiput - C1 where is usually the break location?

A

Suboccipital– b/w the 2 segments (upper cervical)

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14
Q

For C2-T3 where will the break location typically be?

A

interspinous space below

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15
Q

For T4 where will a typically break location be?

A

at its own spinous level

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16
Q

For T5-T9 where will a typically break location be?

A

interspinous space above

17
Q

For T10-T12 where will a typically break location be?

A

at its own spinous level

18
Q

For L1-L5 where will a typically break be?

A

lower 25% of spinous of involved segment

19
Q

For the given segments, where can one expect to see the break?

  1. Occiput - C1
  2. C2-T3
  3. T4
  4. T5-T9
  5. T10-T12
  6. L1-L5
A
  1. suboccipital–b/w 2 segments
  2. interspinous space below
  3. at its own spinous level
  4. interspinous space above
  5. at its own spinous level
  6. lower 25% of spinous of involved segment
20
Q

For documentation of a Break, what is all needed?

A
  • segmental level
  • direction of break (1st deflection)
  • amplitude (increments)

Ex: T8/Lt/3
or C2/Rt/2

21
Q

What components of the VSC would the Tytron fall under?

A

Neuropathology– thermoregulation

Histopathology – inflammation, edema

22
Q

What componenets of the PART system would the Tytron usuage fall under?

A

T– Tissue/tone changes

23
Q

When using the Tytron, what is the patient placement? What is the doctor stance?

A

Patient seated to back of stool, feet out, hands in lap and access from S3 to C1

No kneeling or squatting

24
Q

Using the Tytron:

  1. Starting location
  2. Trigger?
  3. When do you start?
  4. Stopping location
A
  1. rollers over S3, barrels over S2
  2. pull trigger and hold
  3. start moving on 2nd beep
  4. release trigger at C1

don’t forget hairsweep

25
Q

How many seconds per segment when using the Tytron?

A

1 second/segment

26
Q

Describe the barrel positioning when using the Tytron.

A

as close to skin but w/o touching and follow disc plane lines

27
Q

How do you do the Mastoid Fossa Scan using the Tytron?

A
  • press “F” for fossa Scan
  • 1st Right barrel Right ear
  • 2nd Right barrel Left ear
  • hold barrow 90 degrees to fossa
  • hold trigger for 3 seconds
28
Q

What is considered significant for the Mastoid Fossa scan?

A

greater that 0.5 degrees Celsius

29
Q

When using the Tytron, what do you press to get the Bar graph?

A

“B”

30
Q

When usuing the Tytron what do you press to get the anatomy?

A

“A”

31
Q

T/F. A normal thermoregulation should be constant.

A

False!! It should fluctuate

32
Q

What is the Pattern analysis aspect when using the Tytron?

A
  • pattern of thermal fixation
  • once “pattern” is noted, all future scans are compared to established “pattern”
    (do not want a pattern, that means body ins’t adapting well)
33
Q

What would an Adaptive scan outsome look like for the Tytron?

A
  • normal changes in thermoregulation that fluctuate with patient’s presentation and env.
  • tend to be smooth gradual line presentations
  • DO NOT follow a pattern of consistency
  • NOT reproducible
34
Q

T/F. A Break is reproducible.

A

True

35
Q

What would a Stress scan outcome look like for the Tytron?

A
  • abnormal changes in thermoregulation
  • tend to be sharp and irregular line presentations
  • Not reproducible
  • can be results of: pain, caffeine, drugs, emotional stress….
36
Q

T/F. Adaptive scans are not reproducible, and Stress can outcomes are.

A

False– BOTH are NOT reproducible

37
Q

What would a pattern scan outcome look like for the Tytron?

A
  • abnormal fixation of thermoregulation
  • can be smooth and sharp in line presentation
  • REPRODUCIBLE
38
Q

What makes a Pattern scan outcome different than an Adaptive or Stress scan outcome when using the Tytron?

A

The Pattern scan outcome is REPRODUCIBLE (the other two are NOT reproducible)

39
Q

Does the Tytron have a Neurocalometer ability?

A

Yes

Subluxation -- Hagen (4 decks)

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