Test 2 LAB Flashcards
HVLA of the thoracics for neutral and non neutral dysfunction should have what patent set up? What about lumbar?
Thoracic
Neutral seated or supine
Non-neutral supine- similar to neutral supine with a few minor differences.
Lumbar
Neutral lateral recumbent-ratchet up for lumbar
Non neutral seated-similar to neutral thoracic
What is the purpose of HVLA?
The objective is to use a thrusting technique to overcome joint restriction. Increase range of motion
Why are these thrusts short and quick, what’s the rational?
move through the restrictive barrier but not the anatomic barrier
Whats the mechanism of treatment for HVLA-3 steps?
Restore motion in the joint, restore proprioception from the joint, relax the muscle surrounding the joint
Name a few absolute contraindications for these HVLA techniques?
Rheumatoid or osteoarthritis, local metastases, patient apprehension, unskilled physician, downs syndrome…
You patient has a T4FSLRL how is the physicians hand position for this non neutral dysfunction different for a similarly rotated neutral dysfunction where T4NSRRL? What about the direction of force?
Neutral set up for left rotation is putting the thenar eminance posterior to the upper of the two vertebra of the dysfunctional spinal unit, at the left transverse process of T4, whereas the the non-neural setup position is the lower of the two vertebra; ironically the pressure applied by the physician in the latter example is to the upper of the two vertebrae. The direction of force for neutral dysfunction is toward the upper of the two vertebra but slightly lateral
Neutral upper, crunch toward and lateral
Non Neutral lower, crunch upper
How is the seated setup for a thoracic neutral and lumbar non neutral segment dysfunction different?
Thoracic neutral setup has the physician get into position and then right before the thrust make sure that the t spine is flexed or extended to localize the sagittal plane. The thrust in antero-superior.
Lumbar non neutral setup has the physician rotate, side bend, and extend the back before a similar antero-superior thrust is made.
If someone has an anterior glide on the left SC joint what other motions can I deduce are also present?
Inferior glide and flexion
My patient has posterior superior glide and extension at the AC joint, what’s the SC joint doing?
Anterior and inferior glide with extension (E & F are in transverse plane and will be the same for both AC and SC joints)
When is supraclavicular MFR indicated?
Thoracic inlet lymphatic congestion
Thoracic inlet myofascial restriction
Restricted clavicular motion
Dig in the hooks tech
Your patient had a right breast mastectomy and had all her LN removed on that side. She now has RUE edema and wears a compression stocking on her arm. What OPP treatment is indicated to help with her residual edema?
Pectoral traction
grab pecs pull back and up, resist breathing motion and repeat 5-7x
What motion is being tested when palpating the manubrium using an A & P axis? What about a transverse or vertical axis?
A&P side bending
Transverse F&E
Verticle rotation
How can you simultaneously dx all motions of the sternum?
What about superior and inferior motions?
Compress with both hands
S&I one hand palm at typhoid fingers at maubrium
The counterstain hold for rib dysfunction is how long; why?
120 sec b/c the costal muscles can take longer to relax
AR1 tender point is located where? Which muscles is it associated with?
1st controsternal articulation: associated with pec major and intercostal muscles
