Segmental

Question 1

Dx

Answer 1

Rotation
•	Posterior is Dx
•	Tx is opposite
Flexion/extension
•	Better is Dx
•	Tx is opposite
Sidebending
•	Thumb on side of ease is Dx
•	Tx is opposite

Question 2

Lumbar ME Type 2

Answer 2

• Lateral recumbent with Posterior TP UP
• Note: Tx is opposite of Dx
• Rotation by shouders towards DO
  * Reach for floor
• Extension is added at hips (flexion dx)
• Flexion is added at shoulders (extension dx)
• Sidebend at treat with ankles
  * Towards floor for feather edge
  * They try to bring to roof

Question 3

Lumbar ME Type 1

Answer 3

• Lateral recumbent with posterior TP DOWN
• Use legs to localize flexion to apex segment
• Rotation by shouders away from DO
  * Localize to apex segment
  * Hold pt down and perform ME twice
• Lower ankles to localize to apex segment
  * Hold down pressure for ME
  * Repeat 2-4 times

Question 4

Lumbar HVLA

Answer 4

o Lateral recumbent with posterior TP DOWN
o Localize from below to dysfuntion
• For F Dx extend slightly
• For E DX flex
o Straighten lower leg, tuck upper foot into popliteal fossa (stabilize)
• If large pt then upper leg off of table
o Shoulders can come forward for E Dx
o Pt grasps your elbow with lower hand and rotate to dysfunction
o Use same arm for sidebending
• Cephalad for 2
• Caudad for 1
o Pt can now clasp hands together to stabilize
o Cephlad hand under pt arm, caudad btwn iliac crest and greater troc
o Roll entire pt towards you to take out tissue slack
o Thrust at pelvis
• Type 2: anterior and cephlad
• Tyoe 1: anterior and caudad
o RETEST