Pneumonia

Question 1

Still technique addresses primary what?

Answer 1

Primary articular (x, y, z-axis) type 1 and 2 dysfunctinos

Question 2

Steps 1-3 for Still

Answer 2

1. Make a diagnosis (type 1 or 2)
2. Flatten (flex or extend) AP curve
3. Add facilitating force (compression or torsion)

Question 3

Steps 4-7 for Still

Answer 3

4. Move dysfunctional segment toward position of ease of flexion or extension
5. Move dysfunctional segment toward position of ease for side bending or rotation
6. Hold 3-5 seconds (may have quick impulse) and slowly release pressure while returning to neutral
7. Reassess with TART

Question 4

For atlantoaxial C1-C2 dysfunction in PIR, why do we flex the patients head 45 degrees?

Answer 4

Segmentally restrict motions of the OA and C2-C7

Question 5

For AA PIR, if we rotate the patient’s head to the R, which way do they push?

Answer 5

To the left

Question 6

After the 3-5 second engagement and 2-second rest, where do we take the head in AA PIR?

Answer 6

Further, until we gently reach the restrictive barrier

Question 7

How many times do we repeat the treatment in PIR for AA?

Answer 7

3-5 times or until motion is maximally achieved

Question 8

What is the activating force for C2-C7 dysfunctions?

Answer 8

Gentle, 1 pound or less with working hand

Question 9

What must we maintain during side-bending and rotation for C2-C7?

Answer 9

The compressive force

Question 10

Where are our hands on rib raising?

Answer 10

Both hands under patient’s thoracolumbar region

Question 11

Where do the pads of our fingers lay for rib raising?

Answer 11

On the paravertebral tissues over the costotransverse articulation on the side near the physician

Question 12

Do we lean down on our elbows and simultaneously draw the fingers on for rib raising?

Answer 12

Yes

Question 13

What kind of stretch does rib raising cause?

Answer 13

Lateral stretch

Question 14

Rib raising may be performed as a what?

Answer 14

Intermittent kneading technique or with sustained deep inhibitory pressure

Question 15

How do we place the shoulder in ribs 6-8 exhalation dysfunctions and serratus anterior contraction mobilizing the rib?

Answer 15

We flex is 90 degrees

Question 16

Where do we place our hands on ribs 6-8 serratus? How do we exert our force?

Answer 16

Superior angle of dysfunctional rib; caudad and lateral traction

Question 17

How does the patient push their elbow in ribs 6-8 serratus?

Answer 17

Toward the ceiling (scapular protraction)

Question 18

For HVLA extended, which side do we stand on?

Answer 18

Opposite of the rotational component

Question 19

What do we do with the arms in HVLA extended?

Answer 19

Place them across the chest forming a V with patient grasping opposite shoulders with hands

Question 20

What is the effectiveness of the HVLA extended technique determined by?

Answer 20

Reassessing the intersegmental motion at the level of the dysfunctional segment

Question 21

Is thoracic inlet/outlet “steering wheel” direct or indirect?

Answer 21

Direct

Question 22

Where are the hands placed on “steering wheel”?

Answer 22

Thumbs over posterior first rib region and place index and 3rd digits immediately superior and inferior to clavicle at the sternoclavicular joints bilaterally

Question 23

In “steering wheel” how much force do we use and for how long?

Answer 23

Just enough force to control the skin and underlying fascia so we don’t slide across the skin; 20-60 seconds

Question 24

May the motion pattern for the hemi-diaphragm be similar or unique for each side? Related or unrelated to other dysfunction?

Answer 24

Yes

Question 25

Where is our middle finger position on the back for hemi-diaphragm? Front?

Answer 25

On spinous process of T12; xiphoid process

Question 26

How do our hands rotate on hemi-diaphragm?

Answer 26

Clockwise on inhalation; counter-clockwise on exhalation

Question 27

Why do we use thoracic pump?

Answer 27

Atelectasis

Question 28

7 contraindications for thoracic pump? (FOCIMSS)

Answer 28

1. Fracture
2. Osteoporosis
3. COPD
4. Incision
5. Metastatic cancer
6. Severe congestion
7. Subclavian line

Question 29

How do we have the hips and knees for thoracic pump?

Answer 29

Flext with feet flat

Question 30

Where do we put our thenar eminences for thoracic pump?

Answer 30

Inferior to patient’s clavicles with fingers over rib cage (sternum for females)

Question 31

How do we do thoracic pump during inhalation and exhalation?

Answer 31

Increase pressure on exhalation, maintain pressure during inhalation

Question 32

Do we suddenly release pressure on last inhalation? Why?

Answer 32

Yes - patient takes rapid breath inflating any atelectatic segments