Tucker Questions - Mod 5 Flashcards
According to Tucker, which lesions require the highest diagnostic skill and, handling by an operator?
It is in the handling of group lesions that the highest diagnostic skill of the operator is displayed. It softens impossible to distinguish group lesions from warp lesions, and yet the distinction is highly important. Warp lesions may be made to correct themselves by the change of habits and by exercises, though this process is made a hundred times as rapid by the assistance of the operator. But group lesions are like the log jams in Northern rivers. Unless the key to the situation is discovered, and corrected, the whole condition will recur; the operator may correct the secondary lesions as many times as possible, they—or others—will recur in time.
According to Tucker, which two lesions are often impossible to distinguish between?
It softens impossible to distinguish group lesions from warp lesions, and yet the distinction is highly important
How does Tucker suggest curvatures of the spine primarily?
That curvatures of the spine are due primarily to dynamic and not static causes may be proved in the following manner:
There is the same total amount of curvature, but instead of being one long curve it is a series of short ones. This is not possible in all curvatures, is easiest in those involving the lumbar region and is no longer possible after structural changes have been caused in the bones.
Curvature may thus be due not to contracture of muscles of one side, either convex or concave side, but to shortening of the muscles of both sides until they are shorter than the spine; or else to swelling of the discs until the spine is longer than the muscles
What is Tucker referring to when he describes “A deviation due to habitual posture, exercise or movement?
Wrap lesions
In which vertebrae does Tucker say is the most frequent site of lesioning?
They are most frequent at the fourth dorsal, as said, where the distortion they produce may be a curve, three or four vertebrae long only, or may lead to acute lesion of some one point, as the rib, or to other forms of distortion.
What is the second most frequent site of lesioning?
The next most frequent site of them appears to be between the third cervical and the occiput on the left side—and these occur almost invariably in connection with strain or disorder of thyroid function. The effect of this contracture, if mild, is merely to cause lesion of the third cervical; but may go so far as to squeeze atlas and axis some distance to the opposite side, the right.
What is the most common warp lesion – due to sitting for long periods of time?
They are of the greatest variety, but the most typical is the posterior sag of the lumbar spine due to the habit of sitting long hours over school desk or books. Probably ninety per cent of educated human beings suffers from this deformity. In the formative years, the period of growth, the body is peculiarly liable to warps from the posture. These may in time correct themselves, under changed habits, but they do not do so in all of that ninety per cent by any means; and in any case, they leave a weakness and a tendency to recurrence. But in many cases, they produce acute lesions and even structural changes that are permanent.
At what stage of life is the body more liable to warps from posture?
In the formative years {adolescence} the period of growth, the body is peculiarly liable to warps from the posture.
What are group lesions?
Warp Lesions - made to correct themselves through a change in exercise and habits
Group Lesions - “are like the log jams in Northern rivers. Unless the key to the situation is discovered, and corrected, the whole condition will recur; the operator may correct the secondary lesions as many times as possible, they—or others—will recur in time.”
What is a general principle related to group lesions?
The general principle of group lesions is perhaps most easily seen in case of lesion of the sacrum (or as it is more often called, lesion of the innominate).
What does Tucker say is the danger of sleeping on a high pillow?
Thus in sleeping on the back with the head raised on a high pillow the occiput is drawn forward, and the atlas is found prominent back of the mastoid line. In sleeping for long hours in this position the ligaments become stretched, and the muscles of course relaxed; and the bones become displaced simply in the direction of the strain. They tend to recover as soon as normal use and normal position is restored, but when the same strain is repeated night after night they become established in the false position.
Why is it difficult for the mind to grasp the mechanical principles of the human body?
Mechanical parts are concealed
Extremely complicated; practically all mechanical principles apply at all points
Individual variation
It is a living human body lying there, possibly in a state of extreme suffering and this does in fact make much more difficult and sometimes extremely difficult, the matter of concentrating the mind on the purely mechanical factors in the condition
What are the curvatures of the spine due to?
The curvatures of the spine are primarily due to dynamic and not static causes
How do muscles affect the curvature of the spine?
Curvature may thus be due not to contracture of muscles of one side, either convex or concave side, but to shortening of the muscles of both sides, until they are shorter than the spine; or else to swelling of the discs until the spine is longer than the muscles. (Burns, A. O. A. Journal, July, 1917.) In order to get the greater length of bone within the limit of the lesser length of the muscle, the spine curves on itself. The aetiology of this muscular shortening is doubtless the same as that of neuralgia, etc., the one motor, the other sensory. Curvatures may also arise from unilateral contractures.
What is common between the 4 sites of curvatures in the spine?
Curvatures may also arise from unilateral contractures.
