Practices

Question 1

Lumbar side posture benefits which aspect of the listing the most?

Answer 1

Rotation

Question 2

The patient has decreased abduction and normal adduction of the shoulder. Which glenohumeral misalignment do you suspect?

Answer 2

Inferior

Question 3

A T10 subluxation has a high right transverse process. If you use a double thenar contact, which hand would you thrust with primarily? Which side of the patient should you stand on?

Answer 3

Left; Right

Question 4

The patient’s head is level but the first spinous has rotated to the right. You would adjust:

Answer 4

Axis left

Reminder the first sp is on axis not atlas

Question 5

If the doctor is using side posture technique contacting the 2nd sacral tubercle with the involved side down, what subluxation is being corrected?

Answer 5

P-L sacrum

Question 6

If the foot is rotated internally, with an elevated PSIS you would list it as:

Answer 6

ASEX ilium

Question 7

If you have rotation of the sacrum in the coronal plane, with the apex to the right, what torque is necessary to correct it?

Answer 7

Lateral to medial

Question 8

If the patient has a short leg, the obturator will be:

Answer 8

Increased vertically

Question 9

When you are correcting an S-I lesion in side posture, which part of the procedure is best described?

Answer 9

Side posture involved side up, compresses the opposite side

Question 10

What is the patient position for a Gonstead PIEX pull ilium correction?

Answer 10

Involved side down

For a PIEX side posture correction the pull move is down and the push move is up

Question 11

With an IN ilium subluxation, the distance between the S2 tubercle and the PSIS will

Answer 11

Decrease

Question 12

What is the patient position and contact hand for an L4 segment that has lax annular fibers on the left and diminished spinous rotation to the left?

Answer 12

Right side up and right leg bent; inferior hand

This is a PRS listing = body left and inferior

Question 13

Right rotatory scoliosis (Lovett +) is described as the lumbar bodies:

Answer 13

Rotated right
(Right scoliosis means the convexity is on the right. Rotatory means the bodies are rotated to the concavity and spinouses to the convexity)

Question 14

A patient exhibits low back pain at L3. They have more lateral flexion to the left that the right and increased right rotation as compared with left rotation. What would the doctor;s segmental contact be? What side of the patient is down?

Answer 14

Right mammillary contact; left

Question 15

What torque is necessary to adjust a lumbar vertebrae tat has a right lateral flexion malposition and right rotational fixation malposition?

Answer 15

Counter clockwise

Question 16

When adjusting an L5 spondylolisthesis, what is the patient position?

Answer 16

Supine; knees and hips flexed

Question 17

If the L4-L5 disc is the target tissue for flexion distraction technique, the doctor will contact:

Answer 17

L4 spinous process

Question 18

L3 is a PLS, which hand is the contact hand?

Answer 18

Right (inferior hand)

Question 19

A PLS listing could be described as:

Answer 19

Left spinous rotation malposition, reduced left lateral flexion

Question 20

A T8 subluxation has a concavity on the left and spinous rotation to the left. What torque should be applied?

Answer 20

Clockwise on the right transverse process

Question 21

What is the bestway to adjust a Pottinger saucer?

Answer 21

A-P

Question 22

If a patient has an inferior posterior transverse process on the right, the doctor would stand on and contact which side?

Answer 22

Left; left

Right inferior and posterior transverse process = left superior spinous

Question 23

The T11 vertebrae is PRI-T. What is the segmental contact and what side does the doctor stand on?

Answer 23

Left transverse contact; right

Question 24

Spinous left and open wedge on the left side of T6 requires what torque and what doctor contact.

Answer 24

Counterclockwise; spinous process

All vertebral segments with a left open wedge require a CCW torque

Question 25

During an anterior thoracic move, where does the doctor contact the patient?

Answer 25

Below the involved segment

Thrust is A-P and I-S

Question 26

An extension, left spinous rotation, and left lateral flexion malposition is what listing for a T10 subluxation?

Answer 26

PLI

Question 27

A knife edge adjustment is for which subluxation?

Answer 27

Posteriority
(Thumbs can be used for rotations in the lower cervicals and upper thoracics. Double thumb is used in the lumbars on the knee-chest table)

Question 28

A dr contacts the patient’s spinous or transverse process with the pisiform of her contact hand. The dr places her stabilization pisiform in the snuff box of her contact hand. What type of adjustment is this?

Answer 28

Single hand contact

Question 29

A patient has pain on the right side of the T5-T6 segment. He has a posterior inferior transverse process on the right. The lateral bending is restricted to the left and the body listing is right and inferior. Convert this to a Gonstead listing.

Answer 29

PLS

Question 30

With a PRI-T at the T11 level, which hand is the contact hand?

Answer 30

Left superior hand

Question 31

A patient has a vertebral segment scoliosis on the right, along with right spinous rotation. What listing is this?

Answer 31

PRS
(These are spinous listings. The spinous is on the right (PR) and is on the open wedge (right scoliosis) which makes it the superior side (S). The entire listing is PRS with a spinous contact.)

Question 32

A patient has a high transverse process on the left with a T10 left segmental convexity. Which is used?

Answer 32

Torque

Question 33

What is the contact for a left rotation vertebral body malposition which has diminished left lateral flexion at the T6 level?

Answer 33

Pisiform on the left transverse process