Thoracic Lumbar MET and ARt Flashcards

1
Q

Seated ART,

Upper Thoracic (T-6)

Type 2

Dx: T2 E SLRL

A

Tx: Opposite;

  1. Doc stands behind and puts hand on specific TP that we are looking at with claw (put thumb and index finger T2 TP; put middle finger on the TP below)
  2. Doc flexes patient head, SB R and R right
  3. Rhythmically rotate L for 1-2 seconds. while spriinging the TP of interest
  4. Relax for a couple of seconds
  5. Go through the restrictive barrier shortly
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2
Q

MET Upper Thoracic

Type 2, Seated

A

Same as before

  • press form3-5 seconds
  • relax for 1-2

then go to next RB

-reated 3-5 times

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3
Q

MET Upper Thoracic

Type 1, Seated

–Dx: T1-T3 NRLSR

Where is PTP?

A

PTP is on R!

For grouped, TREAT THE ONE IN THE MIDDLE!

-Tx: L TP of T2, rotate to the R, SB to the L

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4
Q

HAND PLACEMENTS ARE ONLY FOR LOWER THORACICS

HAND PLACEMENTS ARE ONLY FOR LOWER THORACICS

HAND PLACEMENTS ARE ONLY FOR LOWER THORACICS

HAND PLACEMENTS ARE ONLY FOR LOWER THORACICS

HAND PLACEMENTS ARE ONLY FOR LOWER THORACICS

HAND PLACEMENTS ARE ONLY FOR LOWER THORACICS

A

Type 1- 1 hand under 1 bicep and over other

Type 2- 1 hand over both biceps

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5
Q

MET, seated

Lower Thoracic SD ( Type 1)

Dx: T8-T10 NRrSL

A

Tx: right TP of T9, rotate left and SB R

Pt puts same arm on the side of their tx TP, Left hand on that elbow,

  • Doc will put arm under ONE bicep, grapping the one touching neck,
  • Doc SB them to the R and rotates them to the L
  • tell pt to apply an oppsing force
  • 3-5 seconds,

break

continue 3-5 times

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6
Q

ART, seated

Lower Thoracic SD ( Type 1)

Dx: T8-T10 NRrSL

A

same thing, except move rhythically for 1-2 seconds

  1. Rhythmically rotate L for 1-2 seconds. while spriinging the TP of interest
  2. Relax for a couple of seconds
  3. Go through the restrictive barrier shortly
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7
Q

MET, seated

Lower Thoracic SD (type 2)

Dx: T7 ERRSR

LOWER THORACIC CROSS ARMS

A

Tx- Right TP of T7, patient puts their R hand behind their neck, have the patient flex, rotate left and sidebend left

-monitor the TP

—-fix same way

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8
Q

ART Lower thoracic

Sidebending SD, LR

SB R

A

-place L hand on opposite side of spine with fingers facing head

add compression

sidebend for 1-2 seconds,

break, 1-2 seconds

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9
Q

ART

Lower Thoracic Type 2 Extended SD

Seated

MET and ART

A
  • tell pt to cross arms
  • doc sits by patient with hand over opposite shoulder
  • grab vertebrae with finger and thumb
  • flex the thorax with your hand
  • hold in RB for 1-2

-put fingers on segment,

tell pt to cross arms

–> put them into flexion, rhymically push down

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10
Q

ART

  • Lower Thoracic Type 2 Flexion SD*
  • Seated*
A

Same thing, but with patient extended

-put fingers on segment,

tell pt to cross arms

–> put them into flexion, rhymically push down

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11
Q

ART Lower Thoracic Sidebending SD,

Seated

SB R

A
  • patient has arms folded across chest
  • Doc sits by pt and and puts thumb on the TP
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12
Q

ART Lumbar Sidebending SD

Seated

A

-

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13
Q

ART lumbar sidbend SD,

lateral recumbant

SR

A

- Lay on the side with the dysynction

FACE PATIENT

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14
Q

ART lumbar type 2 flexion SD,

seated

A
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15
Q

ART lumbar type 2

extension Sd, seated

A

UTILL I FEEL MOVEMENT IN THE SEGMENT

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16
Q

MET/ART

Lumbar seated Tx

Type 1 SD

Dx: L1-L3 NRRSL

A

Tx: L2, neutral, rotate left, SB R

17
Q

MET/ART

Lumbar seated Tx

Type 2 SD

Dx: L2 ERRSR

A

TX: L2, flex, R left, SB L

Put thumb and index on L2, middle on L3

18
Q

MET Lumbar Type 1 (Neutral) SD

Lateral Recumbant

Long Lever Technique

-Dx: L3-5 N RRSL

Neutral= NUDR

A

NUDR

  • Neutral*
  • PTP is UP*
  • Pt force down*
  • Lateral recumbant*
  • Lay down lateral recumbant on left side, with the right side up.
  • put claw on L4, with another finger below
  • Lift patients legs up, while thell resist down.
19
Q

[Long Lever Technique] MET Lumbar

Type 2 Extended SD

Lateral Recumbant

Dx: L4 ERrSR

Extension= SUUE

A

SUUE

Modified SIMS

PTP UP

Pt force up

Extension dysfn

  1. Patient lays lateral recumbant with in a modified SIMS position (, They lay on whatever side that allows their feet to face up.

R PTP is up,

Modified SIMS; lateral rucumbant with their chest down, but hip up; drop feet off of the table–> have pt push up while you resist. Conduct MET

20
Q

[Long Lever Technique] MET Lumbar

Type 2 Flexion SD

Lateral Recumbant

Dx: L4 FRLSL

Flexed= FDDR

A

Flexed; PTP down; Pt force down; lateral recumant

L PTP will be down; lateral recumbant with chest up; with legs extended; lift up patients legs; have them push down will you

do MET

21
Q

MET Lumbar Type 1 Neutral SD

Lateral Recumbant

Long Restricctor Technical

Dx: L3-5 NRrSL

PTP ALWAYS DOWN FOR LONG RESTRICTOR!

A
  1. Lay lateral recumbant with the PTP down
  2. Flex the hip up, while monitoring segment, until the segment is in neutral (around 90).
  3. Drop the top leg down.
  4. Swtich hands
  5. Push the shoulder back, while monitoring, until you can feel movement at the fingers (segment)
  6. Push down on the top shoulder and have pt push against (MET)
22
Q

MET Lumbar Type 2 Extended SD

Lateral Recumbant

Long Restricctor Technical

Dx: L4 E RrSR

PTP ALWAYS DOWN FOR LONG RESTRICTOR!

A
  1. Lay lateral recumbant with the PTP down
  2. Flex the hip up, while monitoring segment, until you can feel movement at the segment
  3. straighten the bottom leg; then hook the top on the popliteal fossa
  4. Swtich hands
  5. Push the shoulder back, while monitoring, until you can feel movement at the fingers (segment)
  6. Push down on the top shoulder and have pt push against (MET)

Lay lateral recumbant with PTP down (chest up)

  1. Rotate the pt L
  2. Sidebend the pt L
    - drop top hip off of the bed AND HOOK THE FOOT, while monitoring the segment with two fingers
    - Push shoulder back until motion is felt
23
Q

MET Lumbar Type 2 flexed SD

Lateral Recumbant

Long Restricctor Technical

Dx: L4 F RrSR

PTP ALWAYS DOWN FOR LONG RESTRICTOR!

A

Same as last, except we put the fingeron L5 and flex the leg to L5, not L4