Somatic Dysfunction (real Lab Other Is Lecture)

Question 1

How to inspect for lateral curves

Answer 1

. Stand behind standing patient
. Patient bend forward from waist and screen for lateral curve
. Look for vertebral humping (group lateral curve)

Question 2

Active range of motion for thoracic spine

Answer 2

. Stand behind seated patient

. Have them do flexion/.extension, rotation, sidebending

Question 3

Passive range of motion testing for thoracic spine position

Answer 3

. Stand behind/to side of seated patient
. Use side of chest and hand closest to ant. Side of patient to apply motion to patient’s shoulders or arms
. Use thenar eminence on post. Side of patient to contact spine

Question 4

PROM thoracic flexion/extension

Answer 4

. Patient links fingers behind neck/ folds arm across chest w/ hands on opposite shoulders
. Assume PROM position w/ thumb vertically over center of spinal column or between individual spinous processes
. Palpate quality of spinal motion w/ hand on spine

Question 5

PROM thoracic sidebending testing

Answer 5

. Drape your forearm and allow over patient’s shoulder closest to you
. Lean on forearm to introducing sidebending
. Use thumb and thenar eminence to palpate quality of motion
. Change sides and do the same for other side

Question 6

PROM translation in thoracic spine

Answer 6

. Physician exerts horizontal, laterally directed force away though thenar eminence of right hand
. Will create sidebending

Question 7

PROM left rotation for thoracic spine

Answer 7

. Place thumb/thenar eminence of right hand over patient’s right transverse process area
. Push anteriorly w/ right hand to rotate spinal region to left
. Do opposite for right rotation

Question 8

Vertical column method for tissue texture change

Answer 8

. Start at T1 on right side palpating to T4 (repeat on left) over transverse process area
. Assess temp w/ back of hand
. Test skin drag
. Palpate deeper to sense puffiness or ropiness

Question 9

Side to side method for tissue texture changes

Answer 9

. Start at T1 and compare right side to left side
. Palpate superficial to deep on one side then compare it to other
. Then move down to next vertebrae and do the same

Question 10

M99.02 thoracic soft tissue dysfunction and objective and discussion

Answer 10

. Dysfunction: right thoracic paraspinal muscle spas,
. Objective: dec. muscle spasm and soft tissue tension and increase spinal motion
. Discussion: employed as prep procedure prior to specific spinal manipulation

Question 11

thoracic soft tissue treatment patient and physician position

Answer 11

. Patient: lying on left side w/ 1-2 pillows under head and knees and hips flexed
Physician: standing at side of table w/ patient facing you, side w/ spasm is up

Question 12

Thoracic soft tissue treatment procedure

Answer 12

. Place finger pads medial to Igor paraspinal muscles so they contact paraspinal groove at level of thoracolumbar junction (rest of hands on torso)
. W/ both hands apply force to tightest areas directed anteriorly and laterally
. Place 1 foot in front of other and keep back straight so you can lean back and use your body weight to provide corrective force
. Release in controlled way
. Work up and down thoracic region treating tight areas

Question 13

M99.03 lumbar soft tissue treatment dysfunction, objective, and discussion

Answer 13

. Dysfunction: right lumbar paraspinal muscle spasm
. Objective: decrease muscle spas, and soft tissue tension and increase spinal motion
. Discussion: send as prep before specific spinal manipulation

Question 14

Lumbar soft tissue treatment patient and physician position

Answer 14

. Patient: lying on side w/ head pillows and hips and knee flexed
. Physician: standing on side of table patient facing you, side w/ spasm up

Question 15

Lumbar soft tissue treatment procedure

Answer 15

. Finger pads on medial paraspinal muscles at the paraspinal groove at or below level of thoracolumbar junction w/ rest of hands on torso
. Apply force w/ both hands ant. And laterally to tightest areas w/ body weight providing corrective force
. Release controlled
. Work up and down region treating tight areas rhythmically

Question 16

M99.04 ART sacrum direct (sacral rock) dysfunction, objective, and discussion

Answer 16

. Dysfunction: scrum restricted in multiple directions w/ or w/o distinct barrier mechanics
. Objective: improve sacrum motion
. Discussion: general technique, can do w/o diagnosis to improve sacroiliac motion, modify parasympathetic tone from sacrum to treat prostatic is or dysmenorrhea
. Can be performed about transverse or oblique axis

Question 17

Sacral rock patient and physician position

Answer 17

Patient: prone
Physician: standing on side of patient

Question 18

Sacral rock procedure

Answer 18

. Place hands on sacrum
. Exert alternating rock motion by applying ant. Force to sacral base followed by equal and opposite force to sacral apex (move into barrier)
. Repeat rocking several time until you feel softening
. Top hand assists providing downward pressure
. Repeat on oblique axis by moving hands to diagonal