Thoracic and Lumbar BLT/FPR/STILLS

Question 1

What type of technique is BLT?

Answer 1

balanced ligamentous tension
indirect passive tx involving minimization of periarticular tissue load and placement of affected ligaments in a position of equal tension

Question 2

BLT: upper thoracics, supine
Dx: T1-T3 NSlRr
Tx: T2 NSlRr

Answer 2

Pt supine w/ doc at head
support pt’s head w/ left hand and reach under neck, placing pad of a finger on left transverse process of dysfunctional segment
rotate right and sidebend left to point of BLT
find if inspiration or inspiration is better and have pt hold in whichever pos
repeat until best motion obtained
recheck

Question 3

BLT: lower thoracic, seated
Dx: T4-T12 NSlRr
Tx: T8 NSlRr

Answer 3

Pt seated w/ doc behind
using right thumb, contact right TP of lower vertebra of dysfunctional unit (T9)
using left thumb, contact L TP of T8
have pt lean back at hips to est firm contact, then have them sit up
have pt lean a little to the left and turn to the right
test respiratory phases
repeat until best motion obtained

Question 4

BLT: thoracic, lumbar, prone
Dx: T12 ESlRl
Tx: T12 ESlRl

Answer 4

Pt prone, doc on right side
left thumb over left TP of T12 and left index and middle fingers on right TP of T12
right hand on left and right TPs of L1
Pt inhales and exhales

Question 5

FPR: Thoracics, Seated
Dx: Rt. T2 ErSr

Answer 5

monitor segment and instruct pt to extend spine
activate force: add light compression
triplanar indirect positioning T2 ErSr
hold for 3-5 sec
return to neutral and retest TART

Question 6

FPR: Thoracics, Seated
Dx: T7 ERrSr

Answer 6

neutralize spine and monitor segment
add light compression
triplanar indirect positioning

Question 7

Prone FPR: Lumbar Flexed type II SD

Dx: L4 FSlRl

Answer 7

monitor TP of segment and place pillow under abdomen to straighten lumbar spine
flex leg off table then adduct and internally rotate the LE
add compression by pushing the knee up

Question 8

FPR: lumbar extended type II SD, prone
Dx: L4 ESlRl

Answer 8

doc stands on side opposite PTP
monitor TP and place pillow under lower abdomen
extend, abduct, and internally rotate left leg
hold for 3-5 sec

Question 9

Still Technique; upper thoracics (T1-4), seated

Dx: T1 ERrSr

Answer 9

start T1 ERrSr and monitor at TP
compress segment by pushing down on head
move T1 through barrier to FRlSl
return to neutral and retest

Question 10

Still Technique: Lower thoracics (T5-12), Seated

Dx: T6 E RlSl

Answer 10

start in pos of ease: T6 E RlSl and monitor at TP
compression thru shoulders to the segment
move through barrier to FRrSr while maintaining compression