quiz ch 19, 57, 37, 38

Question 1

Once adjustment has been selected, what are the patient and doctor variables that can be controlled to modify treatment delivery

Answer 1

1. posture

2. initial condition

Question 2

what can cause buckling

Answer 2

1. static position then you put a load on it
2. load at 500 lbs/sec
3. vibration

Question 3

how can you differentiate between mobilization from high velocity low amplitude procedures

Answer 3

1. look at velocity vs. tissue
2. slow acting mob -viscoelastic, and low end of stiffness
3. rapid procedure- viscoelastic quickly and relys on stiffness

Question 4

how tell grades apart

define the mechanism of action for each biomechanical classification of treament procedures

Answer 4

1. cpm, flex distraction, garde 1 and 2 - visocelastic
2. grade 3 viscoelastic and midrange stiffness
3. grade 4 and hvla hammers- stiffness

Question 5

how does a reductionist view of clinical chiopractic assist patient care

Answer 5

break down into mechanistic details so helps patient

Question 6

ch 57 whats estimated rate of post SMT CVA (stroke)

Answer 6

1/400,000 = 5.8 million

Question 7

whats most common vascular lesion associated with cervical SMT

Answer 7

diessection of vertebral artery at that cervical vertebral level

Question 8

what are the known RISK FACTORS associated with dissection of cervical cerebral blood vessels

Answer 8

stenosis of post inf. cerebellar a
hyperplasia
medical cystic necrosis
CT abnormalities
GENETIC DISORDERS OF COLLAGEN
INHERITED FACTORS
hyperhomocysteinemia
UPPER RESPIRATORY TRACT INFECTIONS
precurosor lesions
TRAUMA

Question 9

what is the clinical presentation of a patient suffering from vertebral artery dissections

Answer 9

SUDDEN SEVERE PAIN IN NECK DIFF FROM ANY PAIN BEFORE
DIZZYNESS
drop attacks (IOC)
dysarthria (speech difficulty)
dysphagia
WALKING DIFFICULTIES
NAUSEA (VOMIT)
NUMBNESS ON ONE SIDE OF BODY AND FACE
nystagmus
hemianesthesia
CONFUSION
visual field distrubance

Question 10

what are the neurological conditions that should be watch when tx patient with lumbar/cerv disc syndrome

Answer 10

radiculopathy
myelopathy
cuada equina (emergency referrel)

Question 11

what are the contributions of manipulation

Answer 11

meric system
major and minor subluxation
toggle-recoil adjustments
instrument assisted adjusting

Question 12

difference between a graded oscillation and manipulation

Answer 12

speed dand force of procedure delived

mobilization/graded oscillation: within patients ability to resis manipulation

manipulation is delivered with a speed and force patient cant resis

Question 13

difference between impulse-based model and non impulsed based model

Answer 13

impulse base referes to reflex distubrances

non impulsed based refers to nerve compression effects

Question 14

list the models that are in common use when it comes to objectives of chiro adjustment

Answer 14

static vs dynamic model
lesion model
mechanical vs neurological model
anatomic model
systems model
physiological model
pathological model
wellness model
health model

Question 15

what are teh grades of mobilization according to maitland

Answer 15

grade 1 little force in begining of range
grade 2 greater depth, begining of range
grade 3 greater depth and end range
grade4 small depth and end range with little osscilation
grade 5 paraphysiologic range

Question 16

which professions use high veolocity low amp thrust for treating muscoloskeletal problems

Answer 16

chiro
osteopath
medicine
physical therapy includes HVLA

Question 17

differences between long or short lever and a general or specific contact

Answer 17

• short and specific (SP, TP) localizes force to singl joint

- long lever and general spreads to multiple joints

Question 18

what terms is the adjustive force defined

Answer 18

impact kinectic energy (mass and velocity) or clinician and mechanical resistance to deformation ( stifffness and elasticity) of both patient and clinician

Question 19

what is cavitation and significance

Answer 19

cav is when joint is taken beyond elastic barrier creating sudden yielding of jt as it enters paraphysiological space

liquid in container turns into a vapor bubble and pops

significance: temporarily increase pass rOM, increase jt space, with 20 min refractory period

Question 20

how does assisted prestress differ from a resisted presetress in delivery of HVLA thrust

Answer 20

assisted prestress has segmental contacts on superior vertebrae of the dysfunctional motion.
applied prestress is in direction of thrust
adjustive vectors direct to produce movement of superior vertebrae

resisted presetress has segmental contact on inferior vert of dysfunct segment, applied prestress in dirrection opposite of thrust, adjustive vectors directed to produce movemnt of inferior vert

a assisted mechanism affects joint below segmental contact while resisted affects joint above segmental contact