NEM - Mopal II Practical Final Flashcards
sacral extension
contra-lateral leg (test the opposite side)
SCP: PSIS & S2 - upper boot / PIIS & S4 - lower boot
NEM: for the sacrum to move Posterior & Inferior without the ilium moving Posterior & Inferior.
ilium flexion
ipsilateral leg (test the same side)
SCP: PSIS & S2 - upper boot / PIIS & S4 - lower boot
instructions: do a 90 degree bent knee raise & demo
NEM: for the ilium to move Posterior & Inferior without the sacrum moving Posterior & Inferior
sacrotuberous
SCP: non-specific, hold at pelvis
instructions: kick your leg out to 60-70 straight leg kick
- hold onto wrists or forearm for stabilization
demo
NEM: is for ilium flexion to occur to occur without the supporting leg buckling
sacrospinous
SCP: sit on opposite side testing
contact: arm across shoulder (same side as sitting)
other hand: ischial tuberosity
ask for pt to find bone they sit on and ask to replace your hand with theirs
tell pt you are going to place your arm across their shoulder & laterally flex them towards you
NEM: for the ischium to move lateral
iliolumbar
SCP: L5 & iliac crest
action: 90 degree bent knee raise
NEM: for the ilium to move Posterior & Inferior without the rotation of L5 SP to the opposite side
Sitting 4ward (forward) flexion of the SI joint
SCP: both PSISs
action: bend down & touch your toes
NEM: for both PSISs to remain level
Standing forward flexion of the SI joint
SCP: S4 (sacral apex) & PSIS
stand to side of patient
hold gown
action: reach down to touch toes
NEM: for the PSIS and S4 to separate
Standing lateral flexion of the SI joint
SCP: both PSISs
action: slide your hand down your leg
NEM: for both PSISs to remain level
Sitting axial rotation of the SI joint
SCP: PSIS & S2 (middle & index finger)
peace sign
contact same side you are rotating to
instructions: sit up straight
slump pt.
***ask to contact opposite shoulder and move w/ patient
ask to contact lower back
rotating them towards you
NEM: for the ilium & S2 to separate
Lumbar flexion
SCP: 2-3 SPs or interspinous spaces
*arm across back of shoulder
pt. rounds down (bends forward)
NEM: for the SPs to separate
Lumbar extension
SCP: 2-3 SPs or interspinous spaces
contact: ask pt. give themselves hug & ask to contact elbow
extend pt. backwards
NEM: for the SPs to close
Lumbar hyperextension
SCP: SP using pincher hold (thumb & forefinger)
ask pt to hug themselves
ask to contact elbow
tell pt you are extending back, & then furthuer
***TELL THEM YOURE GOING TO SPRING****
NEM: P-A joint play of the ALL
Lumbar facetal extension
SCP: thumb on mammillary process of facet
ask pt to hug themselves
ask to contact elbow
tell pt you are extending them back
***TELL THEM YOURE GOING TO SPRING****
NEM: P-A joint play of the Capsular Ligament
Lumbar lateral flexion
SCP: 2-3 SPs
arm across back
doctor: seated as same side flexing to
instructions: placing arm across back of shoulder
I will be flexing you towards me once
NEM: for the SP to rotate to the opposite side
Lumbar Axial rotation using the mammillary process of the Facet
SCP: mamillary process
DOCTOR SCP:
contact opposite side of rotation
doctor: sit on side of rotation (rotating pt to)
move body w/ pt while rotating
instructions:
contact opposite shoulder
contacting back with thumb
tell pt. you will be rotating them towards you &
***SPRINGING WITH THUMB*****
NEM: P-A rotation of the Superior Facet past the Inferior Vertebrae
Lumbar Axial rotation using the SP
SCP: SPs
3 fingers
contact: ask pt. give themselves hug & ask to contact elbow
instructions: contacting back and rotating you towards me
NEM: for the SP to rotate to the opposite side
Thoracic flexion
SCP: 3 SPs or interspinous spaces
arm across back of shoulder
instructions: I will be placing my arm across your shoulder & flexing you forward
NEM: for the SPs to separate
Thoracic extension
SCP: 3 SPs or interspinous spaces
contact: ask pt. give themselves hug & ask to contact elbow
instructions: I will be contacting your back & extending you backwards
NEM: for the SPs to close
Thoracic Hyperextension (not done at T1-T2)
SCP: SP using pincher hold (thumb & forefinger)
ask pt to hug themselves
ask to contact elbow
instructions: I will be contacting your back,
pinching your spine
and extending you back, & then a little furthuer
***TELL THEM YOURE GOING TO SPRINGING WITH YOUR THUMB****
NEM: P-A joint play of the ALL Ligament
Thoracic Facetal extension
SCP: facet @ proper level
contact: proper side notated
doctor: thumb
**TELL PT YOU’RE GOING TO Extend them Back & SPRINGING WITH YOUR THUMB***
NEM: P-A joint play of the Capsular Ligament
Thoracic Axial Rotation using the TP
SCP: contact TP on the opposite side of rotation
instructions:
ask pt. give themselves hug
& ask to contact OPPOSITE SHOULDER
slump pt. WAY, WAY fwd,
CONTACT OPPOSITE SHOULDER & rotate you towards me,
& ***SPRING***
doctor: seated behind patient
ROTATE THEM TOWARDS YOU & SPRING!!!
NEM: for the Superior TP to Rotate P-A past the TP of the Inferior Vertebrae
Thoracic Axial Rotation using the Spinous Process
SCP: 3 SPs
instructions:
ask pt. give themselves hug & ask to contact elbow
slump you fwd,
rotate you towards me
NEM: for the SP to Rotate to the opposite side
Thoracic Lateral flexion
SCP: 2-3 SPs or interspinous spaces
*arm across back of shoulder
instructions:
sit up striaght
placing hang acroos back of neck/shoulders
slump you fwd
flex you towards me
NEM: for the SP to Rotate to the opposite side
Cervical flexion
SCP: 2 SPs
index & chiro finger (2 & 3)
instructions:
placing hand on forehead
contacting back of neck
flexing head forward
NEM: for SPs to separate
Cervical extension
SCP: 2 SPs
index & chiro finger (2 & 3)
instructions:
placing hand on forehead
contacting back of neck
extending head backwards
NEM: for SPs to close
Cervical Axial Rotation
SCP: 2 SPs
index & chiro finger (2 & 3)
instructions:
placing hand on forehead
contacting back of neck
rotating head towards me
NEM: for the SP to Rotate to the opposite side
Cervical Lateral Flexion
SCP: 2 SPs
index & chiro finger (2 & 3)
instructions:
placing hand on forehead
contacting back of neck
laterally flexing head towards me
NEM: for the SP to Rotate to the opposite side
Occiput-C1 extension (Jaw Jut)
SCP: spock fingers around ears
both hands
instructions:
***Place knee in middle of back at sacrum
ASK PT TO LEAN BACK ONTO YOUR LEG FOR SUPPORT
placing hands around ears
laterally flex your neck
push through 2-3x from back to front
NEM: that the Occiput Travels P-A & S-I glide of the Condyles on the Lateral Masses of C1
C1-C2 Rotation
SCP: 2 fingers on C1/C2 TP (behind mastoid) & forehead
contact opposite side of rotation
instructions:
placing hand on forehead
contacting behind your ear
rotating your head towards me
NEM: that C1 Rotates Anterior to the C2 TP
