Mopal module 1 Flashcards

1
Q

loss of normal motion within normal ROM in a joint

A

subluxation

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2
Q

a way of referencing the subluxaiton as a bone in space and defining which way to correct it

A

listings

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3
Q

models designed to give us a simple way of looking at it and documenting it clinically rather than an absolute biomechanical and physiological representation

A

systems

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4
Q

within normal joint motion/limits

ligaments injured but intact - does not involve complete tear

alters the normal motion of vertebrae involved

can be visible or not on static imaging (x-ray)

A

chiropractic subluxation

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5
Q

incomplete luxation

outside normal joint motioin/limits

ligaments/joint capsule torn/disrupted

always visible on static imaging (x-ray)

A

medical subluxation

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6
Q

end range testing

A

dynamic

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7
Q

the bone out of place model

palpation

spinous out of midline

taught ant ender fibers

LOC based on the model

A

static model

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8
Q

biomechanically sound model

palpation end range testing

healthy joints have a springy end feel

fixated/subluxated joints have a hard or restricted end feel

LOC based on the direction that’s fixated

A

Dynamic model

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9
Q

determine where lack of motion is

A

dynamic

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10
Q

references the position of the spinous process

A

palmer/gonstead

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11
Q

references the direction of restricted motion - the body

A

gillet/faye

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12
Q

thoracic down to lumbar to pelvic

A

gonstead spinous listing

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13
Q

cervical listings

A

body listing

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14
Q

currently only uses the static palmer/gonstead model

A

the AVCA

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15
Q

originated from the biped

easy to understand

it’s just a model

A

static

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16
Q

based on the biomechanics of the patient

requires time to master some of the finer palpation skills

A

dynamic

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17
Q

static palpation is used for

A

identifying landmarks

identifying specific vertebrae and other bony projections

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18
Q

motion palpation is used when

A

identifying the location/direction of the subluxation

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19
Q

superior

A

cranial

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20
Q

inferior

A

caudal

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21
Q

posterior

A

dorsal

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22
Q

anterior

A

ventral

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23
Q

medial

A

medial

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24
Q

lateral

A

lateral

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25
Q

end range ROM is ___ where chiropractic occurs

A

paraphysiologic space

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26
Q

where chiropractic occurs

A

paraphysiologic space

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27
Q

elastic barrier of resistance

A

crack

28
Q

limit of anatomic integrity

A

joint sprain

29
Q

created by muscles

the smallest your joint can go

A

active ROM

30
Q

a little more motion - muscles stretchy and has more give

mobilization technique - normal ROM - massage, PT anyone can do this

A

mobilization

31
Q

past passive little bit more

A

manipulation

32
Q

go past that spacy = injury

A

joint sprain

33
Q

you have to get to the end of passive motion (mobilization

A

at the paraphysiological space

34
Q

at the paraphysiologiccal space healthy joints

A

have a springy end feel (property of ligaments) - trampoline

35
Q

in paraphysiological space fixated/subluxated joints have

A

a hard or restricted end feel

36
Q

fiborous ligaments have both plastic and elastic properties

A

initial loading is elastic, followed by plastic resistance

37
Q

ligament crimp

A

little wave to them - push in, pushes back 1/8” would

38
Q

provide stability

connects bone to bone

A

ligaments

39
Q

motion palpation is when challenged healthy joints should

A

give at the paraphysiologic space (about 1/8” of final moevement/give)

40
Q

perceived as a spring which gives way, then pushes back…think trampoline

A

motion palpation

41
Q

fixated joints have little/no give and do not push back

A

the elastic nature of the ligaments has been replaced by stiffness/immobility

42
Q

3 types of fixation

A

articular
ligamentous
muscular

43
Q

hard end feel

doesn’t go away with repeated cahllenges - block of wood

adjust this bad boy!!!

A

articular

joint capsule subluxation

44
Q

stiff end feel - cheese

often resolves with short impulse thrusts

adjust these…

A

ligamentous

45
Q

mushy end feel - soggy fries - repeated mobiliztion fixes

often improves with repeated tesitng

no adjustment required

A

muscular

46
Q

comprised of at least two segments and the tissues of the articulation

A

intersegmental motion palpation

47
Q

assessing a single joint

A

intersegmental motion palpation

48
Q

stabilize one segment and add motion ot the other

A

intersegmental motion palpation

49
Q

motion should be added through active and passive ROm until you reach

A

the paraphysiologic space

50
Q

chiropractors call this end play

A

intersegmental motion palpation

51
Q

your movement at this point should remain in approx

A

1/8” space

52
Q

learning to listen with our

A

fingers

53
Q

slow/low velocity technique

patient has final control

A

mobilization

54
Q

remains within passive range of motion

A

mobilization

55
Q

fast/high velocity but low amplitude (shallow)

HVLA

A

adjustment

56
Q

patient cannot control/resist = greater potential for harm

occurs beyond passive barrier in paraphysiologi pscae

A

adustment

57
Q

Right PI ilium implies a contralateral

A

AS ilium

58
Q

references the base of the sacrum relative to both ilia

A

sacral base posterior

59
Q

imples a bilateral AS ilium relative to the sacrum

A

sacral base posterior

60
Q

always adjust the listing that motion palpates as

A

fixated/subluxated

61
Q

bilaterla AS ilium is a

A

rare finding

62
Q

references the lateral aspect of the sacrum relative to the ipsilateral ilium

A

sacral base posterior - R or L

63
Q

implies an ipsilateral AS iliium relative to the sacrum

A

sacral base posterior

64
Q

adjust the listing that palpates as

A

fixated/subluxated

65
Q

references the distal aspect of the sacrum shifted away from the midline

A

sacral apex