Practical 2 Treatments

Question 1

Supine Thoracic HVLA (extended or neutral dysfunction)

Answer 1

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

Question 2

Supine Thoracic HVLA (flexed dysfunction)

Answer 2

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

Question 3

Anteriorly rotated innominate SD MET/ART

Answer 3

big flex the leg

Question 4

Posteriorly rotated innominate SD MET/ART

Answer 4

hang leg off table

Question 5

Superior innominate shear SD MET/ART

Answer 5

grab ankle, pull leg away from pt

Question 6

Inferior innominate shear SD MET/ART

Answer 6

grab ankle, push leg into pt hip

Question 7

Innominate inflare SD MET/ART

Answer 7

cross leg, push pt knee out

Question 8

Innominate outflare SD MET

Answer 8

cross leg, doc pull pt knee in

Question 9

Superior pubic shear SD MET

Answer 9

stabilize oppo ASIS, doc force ABd and E

Question 10

Inferior pubic shear SD MET

Answer 10

flex and adduct leg, doc force in flex and add

Question 11

Extended sacrum MET

Answer 11

ER legs (gap SI anteriorly)
Encourage exhale, resist inhale

Question 12

Flexed sacrum MET

Answer 12

IR legs (gaps SI posteriorly)
Encourage inhale, resist exhale

Question 13

Forward sacral torsion (R/R or L/L) MET

Answer 13

Modified sims

Axis down, pt face down, 2 legs off table

Question 14

Backward sacral torsion (L/R or R/L) MET

Answer 14

Lateral recumbant

Axis down, pt face up, top leg off table

Question 15

AL1 CS

Answer 15

F StRa

Question 16

AL2,3,4 CS

Answer 16

F SaRt

Question 17

AL5 CS

Answer 17

F SaRa

Question 18

PL1-5 SP or TP CS

Answer 18

E Ra

add Sa for TP: E SaRa

Question 19

UPL5 CS

Answer 19

E IR

*top of SI joint

Question 20

LPL5 CS

Answer 20

F IR

• bottom of SI joint
• only post lumb that is F
• pt prone, so LOW pole put the leg down LOW (F)

Question 21

HSIS CS

Answer 21

E ER

*lateral to SI joint

Question 22

PL3-4 glut

Answer 22

E ER

3 = high glut
4 = low glut

Question 23

Anterior pelvic CS

Answer 23

all F +/- other movement, straightforward

• criss cross iliacus sauce
• just F for low ilium
• F StRt for psoas
• F Add IR for inguinal L

Question 24

Piriformis CS

Answer 24

F ABd ER

pt supine

Question 25

PC1 inion CS

Answer 25

F StRa

• medial, subocciput
• only PC TP that is F, all are Ra

Question 26

PC1 occiput, PC2 occiput, PC2 CS

Answer 26

E SaRa

Question 27

Inhaled rib MET/ART

Answer 27

Push bottom rib down into exhalation

Question 28

Rib 1-2 Exhaled MET/ART

Answer 28

pt hand on forehead, flex head against force

Rib 1 = ant/mid scalene
Rib 2= post scalene

Question 29

Rib 3-5 Exhaled MET/ART

Answer 29

pt arm above head and pull down against force

Rib 3-5 = pec minor

Question 30

Rib 6-8 Exhaled MET/ART

Answer 30

pt cross arm and push elbow towards ceiling

Rib 6-8 = serratus anterior

Question 31

Rib 9-10 Exhaled MET/ART

Answer 31

arm off table, force elbow behind them

Question 32

Rib 11-12 Exhaled MET/ART

Answer 32

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

Question 33

Rib Inhaled SD MET/ART

Answer 33

push rib down with exhalation, resist inhalation