mt2 Flashcards
what other condition is almost always present in patients with the overcompensated cervical syndrome?
pelvic subluxation
torque for the second part of the supine -D correction is:
clockwise when done on the left side
the psoas correction in thompson probably works by:
pulling on Golgi tendon organs
an asymptomatic spondylolisthesis would be adjusted with the patient in which position?
none of the above
should only be adjusted with pain
when should a spondylo NOT be adjusted?
No Pain
where is the correct placement of the dorsal block for the adjustment of ant dorsals?
top edge just beneath the most tender spinous
the lateral facet adjustment is actually a:
prone spinous pull
if the -D triggers are not present, what two pelvic subluxations could exist on the patient?
SAL and posterior rocked ischium
The SAL and SAR sublux exist in which body plane?
frontal/ coronal
the L5 sitting lumbar adjustment should only be used on patients with:
closed wedge between L5 and S1 on the sie of the SCP
the sitting lumbar move should NOT be used on patients with:
an active, symptomatic bulging disc
in frontal plane rib cage elevation, the symptom picture COULD be:
respiratory disorder (diaphragm
what might lead you to test for an IN ilium?
chronic -D
what is the line of drive for the EX correction?
A-P, M-L
what is the thompson indicator for the elevated rib cage?
2nd intercostal space pain mid-clavicular line
the line of drive for the front hand on the two-handed rib head adjustment is
I-S, M-L
the LOD for the back hand on the two handed rib head adjustment
M-L, S-I
what is the correct action for the setting correct LOD for the pelvic drop during a supine +D adjustment (PI)?
set the selector knob to P, press and hold hte footswitch, lift the pelvic direction lever towards the ceiling
what is the strong point of the thompson tech that makes it so popular?
the drop makes the adjustment faster and easier on the pt
what condition is often present in the pt with the overcompensated vercical syndrome?
torticollis
what is the most common and usual dysfunction for hte segments in the dorsals that palpate as “dishing” or “anteriors”?
stuck in extension
the subluxated rib head manifests most commonly as:
localized and intense pain on inhalation
a patient complains of diffuse low back pain. idiopathic onset gradually over the past two years. no known initial trauma. normal weigh for his height. desk job in front of a computer all day. physical findings: high right iliac crest in standing position. low right rib cage standing. tight right quad. muscles on prone palpation. trouble getting his breath at times. which of the following indicators explains this patients’s presentation?
medial right large toe pain
the line of drive on the scapular contact during the anterior adjustment is:
I-S
given: a pt complains of torticollis symptoms. the pt has a right overcompensated cervical syndrome. the most obvious visual distortion is left external foot rotation. there is a negative deerfield on the left. what is the most likely pelvic listing associated with this pt’s main complaint?
IN left
the pt has a right PI ilium. the prone adjustment has the doctor stand:
on the left and inferior to the SCP
the dr’s stance for the EX ilium is
same side as the listing
given: the legs are balanced in the prone position. there is no cervical syndrome, +D, or -D. on leg extension, the legs raise evenly off the table. there is no high leg. what is the next thing to check for in thompson?
AS ilium
given: right short leg with the legs extended. on knee flexion, the short leg balances out with the left leg. on right cervical rotation when the legs are flexed, a short leg develops. with the legs still flexed, left cervical rotation balances the legs again. no tender nodulation is felt in the cervical spine on either side. in the supine position, there is a short leg on the right, choose the most reasonable answer?
ASLP C1
sacral base rotation
- SCP’s: sacral apex and medial PSIS
- LOC: scissors thrust, M-L, and L-M
- 3-5 thrusts
- cross involved leg (lower) over the leg that went higher
- done on side of higher leg
T/F: SAL and SAR are never determined using motion palpation.
true, its too dificult
T/F anterior sacrum cannot be determined with mo-pal.
true
posterior rocked ischium’s thompson indicator is ternderness at what body part?
the gastrocnemius
posterior rocked ischium
- SCP: ischial tuberosity
- SSP: Toll in like toggle
- LOD: P-A, S-I with a roll
- 3-5 thrusts
testing for IN or EX ilium in thompson is done in what position?
- supine with knee flexed to about 90º, arm out directly in front of them
- IN ilium, push away then muscle test arm, arm goes weak
- EX ilium push toward midline then muscle test arm, arm goes weak
adjusting the IN ilium:
- supine
- thumb web at lateral posterior distal thigh
- stabilizing at the ASIS
adjusting the EX ilium
- supine
- LOC: AP, ML
a long leg in extension which becomes the short leg in flexion might be an indicator of:
-PI Ilium
when testing independently form the thompson technique, it is found that the patient with a negative deerfield leg check and the associated trigger points, almost always has more:
anteriority than inferiority or vice versa
supine pelvic adjusting can be very helpful and effective on patients who have:
joint instability
what is the reason the doctor stands on the opposite side of the PI ilium during the prone PI ilium adjustment in Thopson?
plane line of the SI joint
what is the reason the doctor stands on the opposite side of the PI ilium during the prone PI ilium adjustment in thompson?
plane line of the SI joint
the second part of the negative deerifield adjustment is done for hte purpose of:
separating the upper SI joint and aligning the ilium with the anterior sacrum
the supine +D PI ilium segmental contact, in Thompson, is based on an analysis of:
anterior pelvic muscle function
J Clay thompson led research at _______ for 28 years.
the BJ Palmer chiropractic research clinic
thompsons inspiration for developing a drop method of adjusnting was:
his size
what company did J Clay Thompson work for as a mechanic and engineer?
john deere/ harvester
what did thompson invent and tatent first?
headpiece for toggle table
air can go into the cervical piece when the selector dial is set at?
D
why does the dorsal section of the table have a split pillow top?
to enable the shorter tatient to have head support prone
of the 5 basic leg check categories which start with legs balanced in extension? mark all that are correct.
bilateral cervical syndrome
XD cervical syndrome
of the 5 basic leg check categories which start with a short leg in extension? mark all that are correct.
unilateral cervical syndrome and -D
the central integrated state of alpha motor neurons ultimately determines whether the examiner sees _____.
short leg
the visual method of measurement does not differ significantly from the X-ray method of measurement for leg length insufficiency”, according to research presented in class.
true
in his research, gary Knutson determined that:
people with balanced legs feel better
which of these will NOT be found if the patient shows a negative deerfield leg check without the associated trigger points?
AI sacrum
on the patitient with a right cervical syndrome and no palpable tender nodulations over the LPJ
the stabilization hand is the right hand
the point at which the table stops the drop is referred to as the :
terminal point
your lecture instructor has suggested that hte subluxation usually associated with the bilateral cervical syndrome is:
different on different patients
which word describes the thompson method of performing a correct leg check?
compressive
patient presents with legs balanced in extension and bilateral cervical rotation has no effect. a right short leg appears in flexion and left cervical rotation balances the legs. what should you do next?
palpate for tender nodules in the cervical spine along the right LPJ’s
which of these is a visual and tactile determination of hte existence of unbalanced motor output?
leg check
what cervical syndrome is often seen with torticollis?
overcompensated cervical syndrome
according to lecture, what may be going on in the patient with the negative deerfield?
anteriority and inferiority of hte sacral base on the -D side
patient presents with 1 short leg in extension and bilateral cervical rotation balances the legs what is the cervical syndrome?
double lock cervical syndrome
in a test for a rotated sacrum which leg raises higher for a SAR and which SI joint is fixed?
Right leg, left SI
leg balancing which occurs during right head rotation usually means that the major part of the subluxation is associated primarily with imbalance in the muscles of:
cervical rotation
a cervical syndrome found with the legs flexed indicates:
transverse plane cervical rotation
which side of the patient exhibits tight trapezius muscles on the patient with a right overcompensated cervical syndrome?
left side
what should ALL effective chiropractors actually do, regardless of their techniques of choice?
remove indicators of subluxation
