Vertebral Fixations - From Video Day 1.2 Flashcards
What are vertebral fixations?
Are the compression and torque of one vertebra on top of the other, locking the vertebra together in a hypomobile segment in the spine.
What is felt on palpation at the HTJJ level with a fixation?
You will find a shortened side of the paraspinal muscle rigid to distal pressure this is the excess side, the opposite side will be deficient weak and inhibited.
What does a shortened paraspinal muscle do to a fixated vertebra?
It keeps the vertebra torqued to the pulling side and the hypotonic muscle struggling to maintain position.
How should HTJJ points of a vertebral fixation be needled in the cervical and thoracic regions?
The excess side should be needled deep - 1.25-1.5 inches
The deficient side should be needled shallow - 0.5-.75 inches
How should the HJTT points of a vertebral fixation in the Lumbar region be needled?
the excess side - 1.75-2.5
The deficiency side 0.5-0.75
What is affected when needling the HTJJ points?
The dorsal primary rami that inervates the facet joints, at its own level and the facet joint below it.
Where is the supraspinous ligament located?
The supraspinous ligament runs onlong the posterior border of the spinous processes.
Where is the interspinous ligaments located?
Between the spinous processes.
Where is the ligamentum flavum located?
It spans adjacent laminae of the vertebrae.
Where is the posterior longitudinal ligament?
The vertebral discs and vertebral bodies are supported on the posterior side by the posterior logitudal ligament and it is very thin, compared to the anterior ligament.
Where is the Anterior longitudinal ligament located?
The anterior longitudinal ligament is on the anterior side of the vertebrae and support the vertebral bodies and the discs.
What does the anterior longitudinal ligament do?
I prevents hyperextension of the vertebral column.
Which branch of the dorsal primary rami is affected by needling the HTJJ?
The medial branch to the midline.
What should be needled to affect the lateral branch of the dorsal primary rami?
Inner line of the BL channel
Where is the longissimus muscle?
Is the middle erector spinal muscle.
Where is the iliocostalis muscle located?
It is the outer erector spines affected by the outer line of the BL channel.
How should excess and deficient HTJJ points be needled in the lumbar region?
Excess 1.75-2.5 inches
Deficiency 0.5-0.75 inch
What does the skyline exam show?
Determines between structural or functional scoliosis.
How do you perform the skyline exam?
- View curves from the back
- Patient bends forward if scoliosis goes away it’s functional and caused by muscle imbalances and can be effected by acupuncture.
How do vertebrae connect to each other?
3 joint complex
What does the 3 joint complex consist of?
The intervertebral disc and two facet joints.
Where are the thoracic and lumbar facet joints located?
Posterior-lateral region between vertebral levels
How is the facet joint formed?
The inferior articulation processes of the above vertebra, articulate with the superior articular processes of the vertebrae below.
Where are the cervical facets located?
Between the frontal and sagital planes.
Why does the neck have the greatest range of motion of the entire spine?
C1 creating the Atlanta occipital joint and C1-C2 creating the atlantoaxial joint.
What is the C1-C2 joint called?
Atlantoaxial joint
Which facet joints does the dorsal primary rami innervate?
The facet joint at its own level and the facet joint below it.
Which facet joints should be needled to reinforce a vertebral treatment?
The facet joint above the affected vertebrae.
