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OS 4 Exam 1 Mik > Stuff to Remember > Flashcards

Stuff to Remember Flashcards

1
Q

Superior Innominate Shear HVLA

A

Patient supine, feet off end of table
Physician at foot of table
Grasp pt’s tibia and fibula superior to the ankle
Internally rotate and abduct the pt’s leg
Lean back to induce axial traction
Instruct pt to inhale and exhale slowly over 2-3 cycles and gently increase traction on exhalation
Exert an axial high velocity, low amplitude thrust

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2
Q

Inferior Innominate Shear HVLA

A

Patient LR, affected side UP
Physician behind patient
Cephalad hand on PSIS, caudal hand on ASIS
Provide lateral distraction to gap the SI joint, then cephalic force
INtruct the pt to inhale and exhale slowly over 2-3 cycles and gently increase force on exhalation
Exert a cephalic force through the ASIS and PSIS contacts

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3
Q

Inferior Innominate Shear HVLA Alternate Technique

A

Patient LR, affected side UP
Phsyciain facing patient
Monitor at lumbosacral junction
Pt straights bottom leg, places foot of top leg just dial to popliteal fossa of bottom leg
Cephalic hand monitors the SI joint
Caudad forearm is placed inferior aspect of the ipsilateral ischial tuberosity
Simultaneously, push shoulder posterior and roll pelvis anterior to induce axial rotation until movement of the SI joint is palpated
High velocity, low amplitude force is delivered with caudal forearm, parallel to the table

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4
Q

Anterior Innominate Rotation HVLA

A

Patient LR, affected side UP
Physician facing the patient
Cephalic hand between L5 & S1 spinous process
Caudad hand flexes pt’s hips and knees until L5 & S1 separates
Drop the pt’s top leg off the table
Cephalic hand moves to antecubital fossa, with forearm on shoulder
Caudad forearm is placed along the femur between the pSIS and trochanter
Simultaneously, push shoulder posterior and roll pelvis anterior to induce axial rotation until movement of the SI joint is palpated
High velocity, low amplitude force is delivered with caudal forearm, directed down the shaft of the femur

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5
Q

Posterior Innominate Rotation HVLA

A

Pt LR with affected side UP
Physician facing pt
Cephalic hand between L5 & S1 SP
Caudad hand flexes pt’s hips and knees until L5 & S1 SP separate
Pt straightens bottom leg, and places foot of top leg just distal to the popliteal fossa of the bottom leg
Cephalic hand moves to antecubital fossa, with forearm on shoulder
Caudad forearm is placed on the PSIS and iliac crest
Simultaneously, push shoulder posterior and roll pelvis anterior to induce axial rotation until movement of the SI joint is palpated
High velocity, low amplitude force is delivered with caudal forearm, directed towards the umbilicus

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6
Q

Pubic Restrictions HVLA

A

Pt supine, hips and knees flexed with feet flat on table
Physician standing on either side of pt
MET, alternating between Abduction of the knees with forearm between the knees, patient force toward addcution
Adduction of the knees with knees squeezed together, patient force towards abduction
With final abduction cycle, induce a high velocity, low amplitude thrust towards further abduction

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7
Q

MET Lumbar Type 1 (Neutral) SD, Lateral Recumbent Long Lever Technique

A

NUDR (Neutral dysfunction, PTP Up, Pt force Down, Recumbent)

  1. Pt LR, PTP Up, and doc faces pt
  2. Monitor at the apex of the curve with the cephalic hand
  3. Flex hips and knees until motion is felt under monitoring hand
  4. Lift pt’s ankles, SB the lumbar spine into barrier
  5. Pt gently pushes ankles towards the floor (Down) against doc’s counterforce for 3-5s
  6. Pt is asked to relax and during pot-isometric relaxation, the barrier is reengaged by pulling up on the ankles
  7. Repeat last 2 steps 3-5 times or until no further restrictions are met.
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8
Q

MET Lumbar Type 2 Flexed SD, Lateral Recumbent Long Lever Technique

A

FDDR (Flexed dysfunction, PTP Down, Pt force Down, LR)

  1. Monitor at dysfunction with caudad hand
  2. Grasp pt’s arm and pull anterior/superior, engaging rotation and SB barriers
  3. Switch monitoring hands
  4. Straighten bottom leg, engaging extension barrier
  5. Engage SB barrier by lifting ankles
  6. Pt pushes down towards floor against resistance
  7. Relax, engage new barrier during post-isometric relaxation
  8. Repeat until no further restriction
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9
Q

MET Lumbar Type 1 (Natural) SD, Lateral Recumbent, Long Restrictor Technique

A
  1. Pt LR, PTP down, Physician facing pt
  2. Caudad hand or thigh to flex pt’s knees and hips while cephalic hand monitors the apex of the curve
  3. Fine tune F/E of hips until dysfunctional segment/curve is in neutral
  4. Pt’s top leg is lowered off the edge of the table, causing anterior rotation of the pelvis, until the monitoring hand detects motion
  5. Switch monitoring hands. Use cephalad hand to move the pt’s top shoulder posteriorly until the caudal hand detects motion
  6. Pt pushes top shoulder forward against doc’s resistance for 3-5s
  7. Relax. Doc gently moves the pt’s shoulder posteriorly, rotating T/L spine to new restrictive barrier
  8. Pt pulls the hip posteriorly & cephalic against doc’s resistance for 3-5s
  9. Relax. Doc moves the pt’s pelvis anteriorly & caudal, engaging new SB and R barriers
  10. Repeat until no new restrictions
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10
Q

MET Lumbar Type 2 SD, Lateral Recumbent, Long Restrictor Technique

A
  1. Pt LR, PTP down, Doc facing the pt
  2. Caudad hand or thigh flexes pt’s knees and hips while cephalic hand monitors dysfunctional segment
  3. Fine tune F/E until the dysfunctional segment is in neutral.
  4. Place pt’s top foot behind the bottom knee in popliteal fossa
  5. Switch monitoring hands. Use cephalad hand to move pt’s top shoulder posteriorly until the caudal hand detects motion.
  6. Pt pushes shoulder forward against doc’s resistance for 3-5s
  7. Relax. Doc moves the pt’s shoulder posteriorly, rotating T/L spine to new restrictive barrier
  8. Pt pulls hip posteriorly against doc’s resistance for 3-5s
  9. Relax. Doc moves the pt’s pelvis forward to new rotation barrier
  10. Repeat until no new restrictions
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11
Q

HVLA Supine “OB Roll”

A

Pt supine, fingers interlaced behind neck
Doc stands opposite PTP, monitors at segment and SBs the trunk to RB until motion is felt at dysfunctional segment
Place cephalad hand through the pt’s C/L arm and rest the dorm of hand on pt’s sternum
Caudad hand blocks linkage at pt’s ASIS on opposite side
Doc rotates pt’s trunk with cephalad hand into the rotational barrier
On exhalation, exert a rotational thrust

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12
Q

If you’re treating an extension sacral SD, which way do you rotate the pt’s legs?

A

External rotation after ABducting

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13
Q

If you’re treating a flexion sacral SD, which way do you rotate the pt’s legs?

A

Internal rotation

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14
Q

Forward Sacral Torsion ME

A

L/L or R/R
Modified Sims, axis side down, hips and knees flexed to 90 degrees. lower both legs to the floor and pt lifts up against doctor’s force

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15
Q

Backward Sacral Torsion ME

A

L/R or R/L
LR, axis side Down, F H/K to 90degrees, pull pt’s lower arm toward physician to produce posterior rotation so pt’s back gets closer to the table. drop top foot off table and have patient push that leg up against physician’s counterforce

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16
Q

HVLA Supine T-Spine (Kirksville Crunch)

A

Physician stands OPPOSITE PTP
Pt crosses arms over chest with side of PTP on top
Doc places thenar eminence of caudal hand on PTP
Pt’s elbows are position in doc’s upper abdomen
Cephland hand/forearm lift’s pt’s head and neck to localize RB (type 1 SB away from doc, Type 2 SB toward doc)
Pt inhales and exhales deeply
Upon exhalation, the examiner exerts a posterior to anterior HVLA thrust through their abdomen toward the posterior transverse process

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17
Q

HVLA Prone (Texas Twist)

A

Stand on side OPPOSITE PTP
Place hands facing opposite directions on either ride of SP depending on type of SD:
Type 1: Hand facing caudad, place hypothenar eminence on PTP, Hand facing cephalad, place thenar eminence on opposite TP
Type 2: Hand facing cephalad, place thenar eminence on PTP, Hand facing caudad, place hypothenar eminence on opposite TP
Pt inhales and exhales deeply. As patient exhales, follow their motion to further engage barrier
At the end of exhalation, a downward anterior HVLA thrust is applied with a counter balance pressure (twist) in the direction the fingers are pointing with greater force on the PTP side

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18
Q

AC1 Mandible

A

Located on the posterior surface of the ascending rams of the mandible
Tx = SARA

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19
Q

AC1

A

C1 TP midway between ramus and mastoid process

Tx = RA

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20
Q

AC2-6

A

Anterolateral aspect of the TP of affected vertebra

Tx = F SARA

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21
Q

AC7

A

Posterosuperior surface of proximal clavicle where SCM inserts
Tx = F STRA

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22
Q

AC8

A

Medial end of the clavicle at the sternal attachment of the SCM near the sternal notch
Tx = F SARA

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23
Q

AT1

A

Midline on suprasternal notch

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24
Q

AT2

A

Midline on the manubrium at the sternal angle

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25
Q

AT3-AT4

A

Midline at the level of the costal cartilage related to the named vertebra

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26
Q

AT5

A

Midline at the level of the costal cartilage related to the named vertebra (about 1 inch superior to xiphoid)

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27
Q

AT6

A

Midline at the level of the costal cartilage related to the named vertebra (at sternal-xiphoid junction)

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28
Q

AT7

A

Lateral to midline, at the inferior tip of the xiphoid

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29
Q

AT8

A

Lateral to midline, halfway between xiphoid tip and umbilicus (1.5 inches inferior to xiphoid)

30
Q

AT9

A

Lateral to midline, 3/4 distance from umbilicus to pubic symphysis (1-2 cm superior to umbilicus)

31
Q

AT10

A

Lateral to midline, 1/4 distance from umbilicus to pubic symphysis (1-2 cm inferior to umblilicus)

32
Q

AT11

A

Lateral to midline, halfway between umbilicus and pubic symphysis (3-4 cm below umbilicus)

33
Q

AT12

A

Mid-axillary line on the superoanterior surface of iliac crest (B/L)

34
Q

AT1-AT8 Treatment

A

Pt supine with feet flat on table

Doctor places knee under patio’s head/neck or trunk to flex pt to involved vertebrae

35
Q

AT7-AT9 Treatment

A

FSTRA

Pt supine with doc’s knee for flexion

36
Q

AT9-AT12 Treatment

A

Pt supine, doc on same side as TP with foot on table
Doc uses pt’s legs to cause flexion at was it. Pt’s H/K are flexed to 90. Add rotation towards doctor
(FSTRA)

37
Q

AL 5-6T (anterior lateral thoracic)

A

At the costosternal joint at the affected level

38
Q

AL 7-8T (anterior lateral thoracic)

A

On inferior medial surface of costal cartilages, 1 and 2 in inferolaterally from xiphoid

39
Q

Treatment for AL5-8T

A

Pt seated, doc behind with leg on table under pt’s arm of unaffected side (FSTRA)

40
Q

PC1 inion Tx

A

flexion

41
Q

PC1 occiput and PC2 lateral Tx

A

ESARA

42
Q

PC3

A

FSARA

43
Q

PC4-7

A

ESARA

44
Q

PC8

A

FSARA or ESARA

45
Q

PT1-3 Tx

A

SP: patient prone with arms draped over side of table. Doc cups chin with one hand and extend
TP: ESARA

46
Q

PT4-6 Tx

A

SP: patient prone with arms draped over top of table, doc holds chin, extend
TP: ESART

47
Q

PT7-9 Tx

A

SP: prone, arms draped over top fo table with pillow under chest to extend. Doc cups chin
TP: ESART

48
Q

PT10-12 Tx

A

SP: arms over top of table, pillow under chest, doc grasps pt’s ASIS on side opposite dysfunction, raising the pt’s hip
TP: ESARA (pelvis) ESART (torso)

49
Q

AL1

A

medial to ASIS

Tx = doc same side, foot on table, F H/K to 90, knees and ankles pulled toward doc (FSTRA)

50
Q

AL2

A

Medial to AIIS

Tx = pt supine, doc opposite, foot on table, F H/K to 90, knees and ankles away from TP (FSART)

51
Q

AL3-4

A

AL3 is lateral to AIIS
AL4 is inferior to AIIS
Tx = doc opposite TP with foot on table, F H/K to 90, pull knees and ankles away from the TP (FSART)

52
Q

AL5

A

Anterior aspect of pubic bone about 1 cm lateral to pubic symphysis
Tx = pt supine, doc same side of TP with foot on table, F H 90-135, push ankles away from TP and doc and rotate knees toward TP and doc (FSARA)

53
Q

PL 1-5 SP

A

midline

Tx = pt prone, doc on same side, extend pt’s hip ipsilateral to TP

54
Q

PL 1-3 TP

A

Pt prone, doc opposite side of TP, doc extend ipsilateral hip to TP and rotates pt’s leg toward TP

55
Q

UPL5

A

superomedial border of PSIS

Tx = pt prone, doc opposite side of TP, doc extends pt’s ipsilateral hip to TP and externally rotates leg

56
Q

LPL5

A

inferior aspect of PSIS
Tx = pt prone with thigh on I/L side over side of table, doc on same side, doc flexes pt’s H/K to 90, add adduction and internal rotation of hip

57
Q

PL3 lateral glut medius

A

2/3 of way between PSIS and TFL

Tx = pt prone, doc same side, doc extends pt’s I/L hip

58
Q

PL4 lateral glut medius

A

posterior margin of TFL

Tx = pt prone, doc same side, doc extends I/L hip

59
Q

Iliacus

A

1-2 in medial to ASIS
Tx = pt supine, doc same side with foot on table, F K/H to 90, pts ankles crossed on doc’s knees, ER rotation of hips (frog legged)

60
Q

Low ilium

A

Lateral aspect of superior ramus

Tx = pt supine, doc same side, F H/K to 90, slide ER hip

61
Q

Inguinal ligament

A

Lateral surface of the pubic bone near attachment of inguinal ligament
Tx = pt supine, doc same side, foot on table, F H/K to 90, rest on doc’s knees, cross opp ankle over

62
Q

Psoas Major

A

2/3 distance from ASIS to midline

Tx = pt supine, doc same side of TP with foot on table, F H/K and rest on doc’s knees. Pull feet and ankles towards TP

63
Q

High Ilium Sacroiliac

A

lateral aspect of PSIS

Tx = pt prone, doc same side,, extend pt’s hip and ad/abduct

64
Q

High Ilium Flare Out (HIFO)

A

Lateral aspect of ILA, associated with coccygeus m

Tx = pt prone, doc on opposite side, extend leg, marked adduction and external rotation (pull toward doc)

65
Q

Piriformis

A

halfway from sacral ILA to greater trochanter
Tx = pt prone with dysfunction side off table, doc on same side, flex pt’s hip to 135 off side of table, abduction and external rotation by lifting knee

66
Q

AR1 & AR2

A

FSTRT

67
Q

AR3-6

A

FSTRT

68
Q

PR1

A

EST

69
Q

PR2

A

FSARA (trunk and head)m doc’s knee on table on days side, pt’s arm over knee

70
Q

PR3-6

A

FSARA (trunk) - doc’s knee on table on dysf side, pt’s arm over knee

OS 4 Exam 1 Mik (1 decks)

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