Session 2 Flashcards
The Spine and Pelvis
A vertebral fixation usually involves how many vertebrae
3
An imbalance in what muscles may cause a fixation
Rotatores longus and brevis
When judging facet resistance, if the anterior facet offers more resistance and is considered and anterior fixation the ____________ vertebra is adjusted on the ___________ vertebra.
Bottom
Middle
With a posterior fixation, there _________ vertebra is adjusted on the __________ vertebra
Top
Middle
The common neurolymphatic for all rotators is found at
Kidney 27
A probable upper cervical fixation is indicated when there is a bilateral weakness of the
Gluteus maximus
A probable thoracolumbar fixation is indicated when there is a bilateral
Lower trapezius
A probable occipital fixation is indicated when there is bilateral weakness of the
Psoas
A probable lumbar fixation is indicated when there is a bilateral weakness of
Neck extensors test weak when tested together bilaterally
After successfully correcting a fixation you should test it again in a ___________ position to see if it returns
Weight bearing
When will fixations therapy localise
When movement is introduced into the fixation region
The best way to therapy localise a fixation is to check if the ____________ strengthens to TL of the fixation
Associated bilateral weakness
A _________ contact is usually used when correcting a subluxation, whereas a ____________ contact is used to correct a spinal fixation
Single
Two handed
Upon challenging a subluxated vertebra, you can expect an indicator muscle to
a) weaken
b) strengthen
c) either, depending on its original status
c
When a previously strong indicator muscle weakens as the result of a rebound vertebral challenge, you adjust
a) in the direction
b) opposite the direction
of challenge
a
When a weak muscle strengthens as the result of a holding vertebral challenge, you adjust
a) in the direction
b) opposite the direction
of challenge
a
The lovett brother of a vertebra is the vertebra that operates _____ with the original vertebra
In conjunction
The lovett of the axis vertebra is
L4
The lovett of the 7th cervical is
T11
The lovett brother of subluxations
a) always
b) may need
to be adjusted
b
Why is it necessary to routinely check the lovett of a subluxation after the subluxation has been corrected
If the lovett is not corrected the subluxation may reoccur
When checking for a lovett, if there is no subluxation detected at that vertebral level, it is best to check for _________ subluxation
Intraosseous
A fixation may mask another fixation. How does this occur
If one fixation has exceptionally weak associated muscles, the antagonist muscles contract and thus test strong until the first fixation is corrected
For children or the elderly a _________ adjustment may be indicated
Respiratory
A rather peculiar indicator for occipital subluxation is
Indicator muscle weakness when the patient pokes the tongue laterally
When adjusting an anterior thoracic subluxation, the principle followed is to adjust
a) towards
b) away from
the plumb line
a
In anterior thoracic subluxations, weakness of the ________ and _________ muscles are usually involved
Levator costorum
Insterspinalis
Positive therapy localisation with one hand on the sacroiliac joint indicates
Probable category II
Which pelvic category is an osseous subluxation between the sacrum and the innominate
Category IIsi
Pelvic category ________ is a torsion around the pubic bone. The correction is done with the patient
a) prone
b) supine
c) side lying
Category IIsp
b
Imbrication is an _________ of the _______ joints
Overlapping
Facet
Challenge for intraosseous subluxation is
a) one-handed
b) two-handed
b
If therapy localisation of a previously adjusted vertebra returns on weight bearing, it is best to check for intraosseous subluxation at the level or ___________ the spinus process _________ times
Tap
Ten
Therapy localisation of an intervertebral disc lesion requires
a) one hand
b) two hands on one vertebra
c) two hands; one above, one below the disc
c
In the treatment of an acute lumbar disc, pressure is applied in a ________ direction to the spinous or transverse process above the disc while the patient slowly exhales, as the patient inhales, _________ pressure is applied to the vertebra _________ the lesion at the contact point and direction of maximum challenge
Cephalad
Caudad
Below
The character of the associated muscle weakness in a frank intervertebral disc syndrome is different than the usual “weakness” observed in applied kinesiology muscle testing. Explain
The disc syndrome causes frank radiculopathy with muscles weakness in proportion to the degree of nerve impingement. It is not a failure of “locking” as in most AK testing and does not respond to any of the five factors of the IVF
In “hidden cervical disc” there direction of correction is
a) in the direction of challenge
b) opposite the positive challenge
b
If the dorsal scapular nerve is entrapped in the scalenus muscle, which muscle would you expect to find weak in Adson’s position?
Rhomboid
If cervical compaction technique is required, and passive range of motion is less that active motion in left lateral flexion, the practitioner applied 1.5kg to 2kg of rhythmic force to the vertex of the patient’s head while passively moving the cervical spine through _________
Left rotation
