Practical 2 Treatments Flashcards
Supine Thoracic HVLA (extended or neutral dysfunction)
Pt prone with arms crossed (PTP arm on top)
*Physician stands opposite of PTP w thenar on PTP
Other hand F and SB to get tension
Engage RB and thrust thru
Reassess
Supine Thoracic HVLA (flexed dysfunction)
Pt prone with arms crossed (PTP arm on top)
*Physician stands same side as PTP w thenar one segment below and opposite of PTP
Other hand F and SB to get tension
Engage RB and thrust thru
Reassess
- flexing 1 seg below induces E at above seg
- rotation at below seg induces oppo rotation at above seg
Anteriorly rotated innominate SD MET/ART
big flex the leg
Posteriorly rotated innominate SD MET/ART
hang leg off table
Superior innominate shear SD MET/ART
grab ankle, pull leg away from pt
Inferior innominate shear SD MET/ART
grab ankle, push leg into pt hip
Innominate inflare SD MET/ART
cross leg, push pt knee out
Innominate outflare SD MET
cross leg, doc pull pt knee in
Superior pubic shear SD MET
stabilize oppo ASIS, doc force ABd and E
Inferior pubic shear SD MET
flex and adduct leg, doc force in flex and add
Extended sacrum MET
ER legs (gap SI anteriorly) Encourage exhale, resist inhale
Flexed sacrum MET
IR legs (gaps SI posteriorly) Encourage inhale, resist exhale
Forward sacral torsion (R/R or L/L) MET
Modified sims
Axis down, pt face down, 2 legs off table
Backward sacral torsion (L/R or R/L) MET
Lateral recumbant
Axis down, pt face up, top leg off table
AL1 CS
F StRa
AL2,3,4 CS
F SaRt
AL5 CS
F SaRa
PL1-5 SP or TP CS
E Ra
add Sa for TP: E SaRa
UPL5 CS
E IR
*top of SI joint
LPL5 CS
F IR
- bottom of SI joint
- only post lumb that is F
- pt prone, so LOW pole put the leg down LOW (F)
HSIS CS
E ER
*lateral to SI joint
PL3-4 glut
E ER
3 = high glut 4 = low glut
Anterior pelvic CS
all F +/- other movement, straightforward
- criss cross iliacus sauce
- just F for low ilium
- F StRt for psoas
- F Add IR for inguinal L
Piriformis CS
F ABd ER
pt supine
PC1 inion CS
F StRa
- medial, subocciput
- only PC TP that is F, all are Ra
PC1 occiput, PC2 occiput, PC2 CS
E SaRa
Inhaled rib MET/ART
Push bottom rib down into exhalation
Rib 1-2 Exhaled MET/ART
pt hand on forehead, flex head against force
Rib 1 = ant/mid scalene
Rib 2= post scalene
Rib 3-5 Exhaled MET/ART
pt arm above head and pull down against force
Rib 3-5 = pec minor
Rib 6-8 Exhaled MET/ART
pt cross arm and push elbow towards ceiling
Rib 6-8 = serratus anterior
Rib 9-10 Exhaled MET/ART
arm off table, force elbow behind them
Rib 11-12 Exhaled MET/ART
pt scrunch back (sidebend), physician push rib up
Rib 11-12 = quad lumb
Inhaled is same physician force but pt force is respiratory, resist inhale and exaggarate exhale
Rib Inhaled SD MET/ART
push rib down with exhalation, resist inhalation
