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Motion, Extremities, Cross, etc Flashcards

1
Q

describe carpal bone adjusting posterior or anterior

A

posterior displacement - distract and extend wrist

anterior displacement - distract and flex wrist

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2
Q

what is glide and what does it mean if its decreased

A

decreased PA glide - posterior subluxation

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3
Q

what is line of drive for decreased AP glide of the hip

A

AP and posterior inward

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4
Q

who came up with the hypo mobility theory

A

gillet

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5
Q

what is hard end feel in all directions

A

articular

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6
Q

what is hard end feel in ONE direction

A

ligamentous

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7
Q

what is spongy or springy end feel

A

muscular

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8
Q

decreased extension at T6 indicates what on motion palpation

A

ligamentous

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9
Q

shoulder has diminished anterior glide. what is the LOD

A

anterior ward

P to A

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10
Q

explain motion

physiological ROM
elastic barrier
paraphysiological ROM
anatomical integrity

what’s most commonly asked

A

physiological ROM - active, muscle, tendon, exercise

MC - elastic barrier - (end of physiological ROM, start of paraphysiological ROM, end of passive range of motion, entrance to joint space, passive, ligament, mobilizations)

paraphysiological ROM - manipulation

anatomical integrity - joint dysfunction

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11
Q

coupled motion of cervicals, thoracic, and lumbars

A

rotation involved with couple motion is a BODY rule!!

cervicals - LF R, SP L, Body R, ipsilateral rotation*

thoracic - T1-6 (cervicals) and T7-12 (lumbars)

lumbars - LF R, SP R, Body L, contralateral rotation*

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12
Q

lumbars have body rotation towards convexity in coupled motion

T or F

A

T

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13
Q

cervicals and T8 rotate similar in lateral bending in coupled motion

T or F

A

F

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14
Q

cervicals and lumbars rotate opposite during lateral bending in coupled motion

T or F

A

T

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15
Q

right lateral flexion has ipsilateral cervical rotation

T or F

A

T

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16
Q

T4 rotates contra laterally during lateral flexion

T or F

A

F

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17
Q

cervicals and lumbars both have ipsilateral rotation during lateral bending

T or F

A

F

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18
Q

what is the most damaging action of unilateral facets

A

rotation

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19
Q

what is the most aggravating for bilateral facets

A

extension

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20
Q

what is the most relieving for bilateral facets

A

flexion

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21
Q

ADI instability occurs when the cervical spine is in what position

A

flexion

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22
Q

most compression on the cervical cord occurs in what position

A

flexion

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23
Q

corrugated appearance of the cervical cord occurs in what position

A

extension

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24
Q

what puts the most tension on a unilateral nerve root

A

lateral flexion away from side of nerve root

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25
what puts the most compression on a unilateral nerve root
lateral flexion toward side of nerve root
26
what increases the size of the unilateral IVF
lateral flexion away
27
what increases the side of bilateral IVF
flexion
28
explain lower cross syndrome causes of hyperlordosis and anterior pelvic tilt what causes this
hyperlordosis caused by - weak abs - tight paraspinals and psoas anterior pelvic tilt caused by - weak hamstrings and glutei - tight quads high heels and boots
29
explain lower cross syndrome causes of by-lordosis and posterior pelvic tilt what causes this
hypolordosis caused by - tight abs - weak paraspinals and psoas posterior pelvic tilt caused by - tight hamstrings and glutei - weak quads sandals
30
what are psoas muscles actions or motions
increase lumbar lordosis flex hip and trunk synergist to abs during trunk flexion synergist to paraspinals with lordosis
31
lateral recess stenosis occurs how
shit in the lateral part of the spinal canal or medial part of the IVF
32
trefoil canal occurs how
short pedicle | coronal facets
33
increased sacral base angle is caused by what
hyperlordosis | anterior pelvic tilt
34
primary muscles that contribute to anterior pelvic tilt
weak glutei max or hamstrings or tight quads if that's an answer
35
pendulous abdomen is due to what
anterior pelvic tilt weak abdominals
36
explain upper cross syndrome what motion is created weak and tight muscles
protraction - fix it with retraction tight - SCM, masters, sub occipitals, trapezius, levator, pectoralis weak - supra hyoid, deep neck flexors, subscapularis, lower trap, serratus anterior, diaphragm
37
what is the meric chart ``` explain some segments C1 2-3 T1-4 T5-9 T6-10 T10-12 L1-2 sacrum ```
segments associated with organs and conditions ``` C1 - everything - vagus C2-3 - tonsils or sore throat T1-4 - heart and lung T5-9 - stomach or abdomen T6-10 - gall bladder, pancreas, liver T10-T12 - kidney L1-2 - colon and ovaries sacrum - colon, uterus, dysmenorrhea ```
38
where is the atlas tp found
anterior and inferior to mastoid
39
where is the styloid found
anterior to atlas TP
40
where is the axis found
first palpable bifid sp
41
where is the hyoid bone found
C3
42
where is the thyroid found
C4-5
43
where is the carotid tubercle or cricoid cartilage found
C6
44
what is the last moveable segment on extension of the cervical spine
C6
45
what is the vertebral prominent in the cervical and thoracic spine
C7 - 70% | T1 - 30%
46
where is the jugular notch found
T2
47
where is the spine of scapula found
T3
48
where is the sternal angle found
T4-5
49
where is the inferior angle of the scapula when prone found
T6
50
where is the inferior angle of the scapula when seated or standing found
T7
51
where is the xiphoid found
T10
52
where is the umbilicus found
L3 disc
53
where is the iliac crest found
L4
54
where is the PSIS found
S2
55
where is the PIIS found
S4
56
what are the spots of the body that correlate with the lateral plum line
EAM greater tuberosity shoulder greater trochanter anterior to malleolus
57
what is the 3 points that are used to check for tibial torsion
mid thigh mid patella web of the foot (1st/2nd)
58
how do you determine internal and external tibial torsion
congenital - foot rotates with tibia internal - mid thigh not aligned with mid patella and foot external - foot not aligned with mid patella and mid thigh
59
who developed the basic distortion theory talking about the pelvis and how that causes a short leg who said cervicals cause the short leg
Carver BJ
60
right PI ilium quiz (high low left right) ``` right PSIS right femur head short leg prone right leg ASIS high iliac crest body rotation ```
right PI ilium quiz (high low left right) ``` right PSIS - low right femur head - low short leg prone - right right leg ASIS - high high iliac crest - left body rotation - right ```
61
heel lift quiz (yes or no) ``` sacral inferiority opposite PI scoliosis on high side ilium on xray ischial tube low on PI side ASIS elevated opposite AI sacrum concavity is opposite of short leg ipsilateral SP rotation toward PI ```
``` sacral inferiority opposite PI - no scoliosis on high side ilium on xray - no ischial tube low on PI side - yes ASIS elevated opposite AS sacrum - no concavity is opposite of short leg - yes ipsilateral SP rotation toward PI - no ```
62
what are absolute and relative contraindications to adjusting ``` CVA brain infarct thrombus aneurysm advanced DM VBI atherosclerosis DM anticoagulants disc prolapse fusion synovitis spondy 4 spondyloptosis joint instability advanced OA inflammatory arthritis spondy 3 hypermobility severe strain sprain 3 acute fracture acute dislocation strain sprain 2 infections pagets mets osteoporosis CVA or TIA wandering fragment nerve root avulsion vertigo severe pain and intolerance Space occupying lesion malingering pain hypochondriac hysteria ```
``` CVA A brain infarct A thrombus A aneurysm A advanced DM A VBI R atherosclerosis R DM R anticoagulants R disc prolapse A fusion A synovitis A spondy 4 A spondyloptosis A joint instability A advanced OA R inflammatory arthritis R spondy 3 R hypermobility R severe strain sprain 3 A acute fracture A acute dislocation A strain sprain 2 R infections A pagets R mets R osteoporosis R CVA or TIA A wandering fragment A nerve root avulsion A vertigo R severe pain and intolerance R Space occupying lesion R malingering pain A hypochondriac R hysteria R ```
63
what is the post adjustment dizziness protocol
don't administer another adjusment don't allow patient to ambulate note vital signs check pupils
64
what is the preferred adjustment
specific short lever controlled thrust - HVLA
65
what is a cavitation
rapid collapse of nitrogen 20 minute refraction period synovial gas release not necessary for proper adjustment
66
what is the treatment of myofascial trigger points
ICE****cryotherapy, deep pressure, ultrasound - taut and tender bands of muscle fibers - displaced reference zone of pain - allodynia- decreased pain threshold
67
are there increased risk of adjusting when you have the following ``` smoker osteophytosis diabetes mellitus young cerebral palsy vertigo meds herbs ```
``` smoker - y osteophytosis - y diabetes mellitus - y young - n cerebral palsy - n vertigo - y meds - y herbs - y ```
68
what is treatment for acute therapy pneumonic
PRICES ``` protect rest ice compress elevate support ```
69
what are breathing exercises
breuggers
70
what causes arterial compromise in lower extremities
buergers dz
71
what is Williams exercise who is it used for
flexion used for hyperlordosis, facet syndrome, spondylolisthesis, acute disc
72
what are mckenzie exercises who is it used for
extension used for hypolordosis, centralizes pain of sciatic, and chronic disc lesion
73
what are modified mckenzie exercises who is it used for
extension used for hypolordosis, acute disc, stenosis
74
what are jacobsens exercise
relaxation exercises
75
what are codmans exercises
pendular motion with the shoulder
76
what are wall walking exercises
shoulder masectomy cast
77
what are kegel exercises used for
incontinence
78
unsaturated fats contain what
double bonds
79
DISH aka
forestiers
80
cor pulmonale aka
heart failure
81
nephrosis aka
azotemia and uremia
82
eclampsia aka
toxemia of pregnancy
83
emphysema aka
COPD
84
MVP aka
murmur
85
leukocytosis aka
leukemia
86
neurogenic claudication aka
intermittent claudication
87
neurofibromatosis aka
von Recklinghausen disease
88
limb girdle aka
muscular dystrophy
89
obstipation aka
constipation

Part 2 Boards (34 decks)

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