Thoracic/Lumbar ART/MET

Question 1

dynamic segmental motion testing for T1-T6

Answer 1

neutral: sphinx
flexion: sphinx with head down
extension: sphinx with head pulled back

Question 2

what would indicate a flexion SD using dynamic segmental motion testing T1-T6

Answer 2

resistance to approximation

Question 3

what would indicate an extension SD using dynamic segmental motion testing T1-T6

Answer 3

resistance to separation

Question 4

what would indicate a flexion SD using positional diagnosis T1-T6

Answer 4

posterior TP becomes more posterior with extension and more symmetrical in flexion

Question 5

what would indicate an extension SD using positional diagnosis T1-T6

Answer 5

posterior TP becomes more posterior with flexion and more symmetrical in extension

Question 6

hand placement seated articulatory T1-T6 type 2 SD

Answer 6

thenar eminence on lateral aspect of TP

other hand controlling patient’s head to engage RB

Question 7

physician placement in MET seated T1-T6 type 2 SD

Answer 7

ispilateral to PTP

one hand claw on PTP, other hand on head

Question 8

physician placement in MET seated T1-T6 type 1 SD

Answer 8

knee is on table ipsilateral to the PTP and contralateral to where you want the pt to sidebend
- hand claw on PTP, other hand on head

Question 9

hand placement for ART seated lower thoracic SD extension/flexion type 2 SD

Answer 9

stabilize the vertebral segment BELOW the SD by grasping spinous process with index finger and thumb

Question 10

hand placement for ART thoracic sidebending prone

Answer 10

caudad hand –> contralateral to you, ipsilateral to PTP

cephalad hand –> ipsilateral to you, contralateral to PTP

Question 11

patient position for lumbar ART sidebending lateral recumbent

Answer 11

patient lies on side of SD

if sidebent right, patient lies on right side