Subluxation Definitions and Component Models Flashcards

1
Q

What did Ruth Jackson, M.D say about the term Subluxation?

A

That is is a term that defies casual explanation and precise definition and its use therefore is highly controversial and hotly debated and will mostly likely remain that way

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2
Q

What is the Philosophical/Conceptual way of defining subluxation

A

Philosophically subluxation is a concept we believe encompasses an entire class of phenomena - It is a metaphor concerning what we see as a possible source of interference to normal internal/external communication

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3
Q

Is the following a Philosophical/Conceptual approach or a operational/scientific approach to explaining subluxation?
“describes the nature of the subluxation process listing the structures involved and generalizing its effects as evidence of its existence”

A

Philosophical/Conceptual Approach

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4
Q

What is the Scientific/Operational way of defining subluxation?

A

a phenomenon worth studying only in proportion to its significance in human life and purposes

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5
Q

T or F

Most research has been clinical which leads to operational definitions of vertebral subluxation

A

T
“a subluxation is what exists in the body when we find signs/indicators/symptoms (leg checks, palpable findings, instrumentation readings) from the outside”

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6
Q

In creating a definition for subluxation what should be ultimately try to do?

A

seek to create a comprehensive neuro-endocrine-immune-spinal biomechanical theory of the body’s innate intelligence and its relationship to coordination, adaptation and health

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7
Q

What are some things we need to be aware of when defining subluxation

A
  • Our Audience

- when to use an operational vs. conceptual definition

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8
Q

The best CONCEPTUAL definitions are those that are …?

A

general enough not to conflict with any specific OPERATIONAL definition

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9
Q

T or F

VIrtually all definitions of subluxation that have been used are Operational (Scientific) with varying levels

A

F

Almost all are Conceptual (Philosophical)

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10
Q

Who uses the following definition of subluxation?
“A subluxation is the condition of a vertebra that has lost its proper juxtaposition with the one above or the one below or both; to the extent less than a luxation; and which impinges nerves and interfered with the transmission of mental impulses:

A

Stephenson

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11
Q

What does “MOPI: stand for?

A

M: Misalignment/Malposition
O: Occlusion/Narrowing
P: Pressure/ Impingement
I: Interference

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12
Q

Who uses the following definition of Subluxation
“Subluxation in the chiropractic sense is not a partial dislocation, but an alteration of the normal anatomical or physiological relationships, or dynamics of contiguous structures”

A

Homewood

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13
Q

Where did the following definition of Subluxation come from?
“A subluxation is a misalignment, malposition or dyskinesia of any skeletal articulation within its active or passive range of motion”

A

PCC Draft 2003

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14
Q

where did this definition of Vertebral Subluxation come from?
“ A vertebral Subluxation is a subluxation of any weight breaking spinal articulation that compromises neural integrity and may influence organ system function and general health”

A

PCC draft 2003

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15
Q

Who used the following definition of Subluxation?
“A motion segment in which alignment, movement integrity, and or physiological functions are altered although contact between joint surfaces remains intact”

A

Gatterman (1995)

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16
Q

What is the most generally accepted definition of subluxation?

A

a subluxation is a complex of functional and or structural and or pathological articular changes that compromise neural integrity and may influence organ system function and general health
- ACC Position Paper ,1996

17
Q

Do chiropractors view subluxation as a lesion or a process

A

A process

18
Q

Does defining subluxation as a lesion or a process involve the idea of time?

A

A process

19
Q

Subluxation as a (Process/Lesion) is considered to involve multiple local tissues and multiple body systems which constitute “components” of it

A

Process

20
Q

What are the 5 components of the VSC Model

A

1) Kinesopathology
2) Myopathology
3) Histopathology
4) Neuropathophysiology
5) Biochemical/Pathophysiology

21
Q

What 2 things make up the 2-component model proposed by Amalu and Tiscareno

A

1) Segmental Aberrant Spinal Arthrokinematics

2) Neuropathophysiology

22
Q

What 3 things make up the 3-component model as proposed by Kent

A

1) Dyskinesia
2) Dysponesis
3) Dysautonomia

23
Q

What 3 things make up the 3-component model as proposed by Kent

A

1) Dyskinesia
2) Dysponesis
3) Dysautonomia

24
Q

What is Dysponesis

A

A reversible physiopathologic state
consisting of unnoticed, misdirected
neurophysiologic reactions to various agents and the
repercussions of these reactions throughout
the organism (consist mainly of covert
errors in action-potential output from the
motor and pre-motor areas of the cortex and
the consequences of that output)

25
Q

Explain the “Safety Pin Cycle”

A

“unnoticed” errors in input (afferent transmission)
result in “covert” errors in output (efferent transmission), which has repercussions throughout the organism (“dis-ease”and “functional disorders”)

26
Q

define Subluxation Complex

A

a theoretic model of motion segment dysfunction (subluxation) that incorporates the complex interaction of pathologic changes in nerve, muscle, ligamentous,
vascular, and connective tissues.

27
Q

Define Subluxation Syndrome

A

An aggregate of signs and symptoms that relate to pathophysiology or dysfunction of spinal and pelvic
motion segments or to peripheral joints.