upper Lab midterm

Question 1

SC joint

• RMT
• most common misalignment
• challenge

Answer 1

pectoralis major clavicular branch

• arm straight up thumb toward feet
• pull down and out
• anterior medial inferior
• challenge- stimulus in vector of correction

Question 2

SC supine same side

Answer 2

DS- same side
PP-supine
SCP- medial aspect of the SC
CP- soft pisiform of inside hand
SH- lateral side of GH gently contracting post/inf
LOC- M-L, A-P, along clavicle usually I-S

Question 3

SC supine opposite side

Answer 3

DS-opposite side
SCP-medial side
CP- soft pisiform outside hand
SH- gently tractioning post/inf on GH joint
LOC- M-L 95%, A-P, along line of clavicle ususally I-S

Question 4

SC modified side lying

Answer 4

DS- opposite side of table, inf leg behind scapula, superior hand supporting head
PP- 30deg side lying involved side down, opposite hand covering breast tissue
SCP- medial side of SC
CP- soft pisiform of inf hand
LOC- M-L 95%, A-P along the clavicle
SH- support head and inferior knee behind scapula

Question 5

AC joint RMT

Answer 5

coracobrachialis

1st 30deg of shoulder flexion

same side of table, bend the elbow fully, about the level of ribs, press down in arching motion

Question 6

AC joint:

• most common misalignment
• challenge?

Answer 6

?

Question 7

AC supine adjustment

Answer 7

DS- same side and head of table
PP- supine, arm abducted to where joint closes, then bring arm down 10deg
SCP- 1in medial to AC joint
CP- end of thumb and 2nd digit (pincher)

Question 8

AC joint seated

Answer 8

DS- same side of table
PP- seated
SCP- 1” medial to AC joint
CP- web of hand, make sure your arm is straight vertical
SH- outside hand grasping flexed elbow keeping arm at 180
LOC- S to I

Question 9

AC joint chiro/chiro

Answer 9

DS-seated or kneeled behind pt 
PP- seated
SCP- 1" medial to AC joint
CP- overlapping chiro index fingers
SH- arm over your shoulder keeping it at 180deg
LOC- S to I

Question 10

AI humerus RMT

Answer 10

1- ant delt
pt supine, arm straight raise to 45deg, push down on forearm
2- teres major
back of hand in small of back, stabilze shouder and try to pull elbow up

Question 11

AI humerus supine same side

Answer 11

DS- same side
PP- supine
SCP- olecranon of involved side and lateral GH joint, elbow against chest
SH- bring GH joint back into neutral position
CP- palms
LOC- I-S, A-P, M-L

*fingers point to joint

Question 12

AI humerus seated

Answer 12

DS- same side
PP- seated with hand on opposite shoulder and arm to chest
SCP- olecranon if involved side
CP- palms of hands with fingers interlocked
SH- sternum against spine of scapula
LOC- M-L, A-P, I-S

Question 13

PI humerus RMT

Answer 13

1- teres major
hand in small of back, stablize shoulder, pull elbow up
2- ant deltoid
pt supine with arm raised 45deg, push down

Question 14

PI humerus web contact

Answer 14

DS- same side
PP- prone
SCP- posterior proximal aspect of humerus (distal to GH)
CP- web of inside hand
SH- outside hand grasping above elbow with humerus slightly abducted 30deg
LOC- P-A, M-L, slightly I-S

Question 15

Posterior humerous knife edge

Answer 15

CP- knife edge of inside hand

LOC- P-A, M-L, slightly I-S

Question 16

GH distraction muscle test

Answer 16

fail 2/5 muscle tests and spine is clear

-name and perform 2 different shoulder RMTs

Question 17

GH distraction

Answer 17

DS- same side upper corner of table
PP- spine with shoulder flexed to 90
SCP- anterior medial aspect of GH joint
CP- interlocked hands or fingers, stabilze with your shoulder
LOC- M-L slightly I-S

Question 18

Biceps Tendon RMT

Answer 18

biceps

place flexed elbow on your thigh with hand supinated and pull towards you

Question 19

Biceps Tendon Adjustment

Answer 19

?