Principals/chiro Theories Flashcards
Kirkaldy - Willis
3 phase model of instability
Dysfunction—-> unstable——>stabilization
Ie: joint hypomobility, altered biomechanics lead to instability, and then degeneration
Dysfunction happens from alteration in segment muscle tone and function
Korr
Segmental facilitation Theory -lowered threshold for firing in a spinal segment as a result of afferant bombardment(facilitation) associated with spinal lesion.
Aka:facilitation hypothesis Aka: fixation theory ,segmental hypothesis, gamma motor gain,
proprioceptive insult-constant bombardment lowers threshold for firing
sympatheticotonia
Korrs theory segmental dysfunction—>sustained hyperactivity (caused by muscle spindle activity/muscle spasm)——
Neuro dynamic hypothesis aka nueroimmunomodulation
Nervous system controls immune function when there is spinal biomechanical insult to the nerves it can alter the axoplasmic transport mechanism and as a result affect the quality of nuerktrophic influence and alter chemicals such as mast cells,h;istamine, B cell, t helper cells
General adaptation syndrome
Hans Syele
Developed the theory related to nueroendocrine mechanism
Nervous system dysfunction affects the endocrine system . Exposure to. Stress can; causes diseases of adaptation. Hypopititary adrenal axis
Alarm -fight or flight cortisol and adrenaline are released
Resist
Exhaust
Gamma motor neurons
Innervate muscle spindle
Basis of korrs theory
Alpha motor neurons
Innervate skeletal muscle operate through myoneural junction
Acetylcholine
Goals of the adjustment
To stimulate golgi tendon and inhibit alpha motor neurons due to the fast stretch on the tendon
Close the pain gate by sending a message to the CNS on large type A fibers
Increase mechanoreceptor bombardment (which inhibits nociocenptors)
Break up adhesions
Increase mobility
Improve neurological function.
Carver
Biomechanical model -subluxations are from abnormal biomechanics
Pelvic distortion model -distortion of the spine starts in the pelvis
Stevenson
Safterypin cycle subluxation distorts the cycle