Week 1

Question 1

For the seated ME of Type 1 SD, you stand on the ___ side of the PTP and have patient place their hand on the back of their neck on the ___ side as the PTP and then grasp the elbow with their other hand

You cross over ___ arms for this treatment aka go ___ the patients grasping elbow

Then engage barrier

Answer 1

Opposite, same

1 (aka you only go under the patients arm grasping elbow), under

Question 2

For the long lever ME of a Type 2 Flexion SD, use the mnemonic ___

You want to monitor at the segment and then pull the arm closest to you in the ___ and ___ direction to ___ the spine into the barrier

Then you flex the hips and knees to ___ degrees and have patient straighten lower leg (extension barrier is addressed by extending the leg or trunk)

Then ___ top leg to address the ___ barrier and have the patient try to ___duct their leg towards the table

Answer 2

FDDR = Flexion SD, PTP Down, Patients force Down, Lateral Recumbent

Anterior and superior, rotate

90

Abduct, side-bending, adduct

Question 3

For the long lever ME of a Type 2 Extension SD, use the mnemonic ___

The sims position engages the ___ barrier and then flex hips and knees to 90 degrees to engage the ___ barrier and finally lower patients legs off table to engage ___ barrier

Answer 3

SUUE = Modified Sims position, PTP Up, Patients force UP, Extension dysfunction

Rotational, flexion, side-bending

Question 4

For the seated ME of Type 2 SD, you stand on the ___ side of the PTP and have patient place their hand on the back of their neck on the ___ side as the PTP and then grasp the elbow with their other hand

You cross over ___ arms for this treatment aka go ___ patients arm grasping elbow

Then engage barriers (first flexion or extension, then SB or Rotation)

Answer 4

Opposite, Same

2 (over patients arm grasping elbow), over

Question 5

For HVLA treatment of a type 1 lumbar SD, place the patient in the __ position with PTP ___ and pull the patients arm ____ to engage the rotational barrier and ___ to engage the side-bending barrier

Flex patients hips and knees to 90 degrees and have them straighten lower leg and hook top leg in the opposite popliteal space

Then with the cephalad forearm contact the ___terior ___ and then with the caudad forearm contact the ____terior ___

Induce ___ motion into the shoulder and an ____ motion into hip/pelvis

The HVLA thrust is using the ___ forearm through the restriction barrier

*** HVLA treatment for type 2 is the EXACT SAME, except fort the fact you pull the arm ___ and ___ instead

Answer 5

Lateral recumbent, Up, anterior, cephalad

Anterior shoulder, posterior hip/pelvis

Posterior, anterior

Caudad (an anterior rotational thrust)

Anterior and caudad

Question 6

For supine HVLA treatment of a type 1 SD aka the OB roll, patient is in the supine position with both hands behind neck and student stands on the ___ side of the PTP

Side bend the trunk ___ from you until motion is felt to engage the side-bending barrier

Then place dorsal aspect of hand on the patients ___ and contact the ASIS on the ___ side of the PTP to block linkage

At the end of exhalation, the student can apply a ___ thrust towards the self through the restriction barrier

Answer 6

Opposite

Away

Manubrium, same

Rotational

Question 7

Go look up the rules of 3

Question 8

For Type 1 ME thoracic spine, have patient place hand on __ side of PTP on the back of their neck and grasp elbow with other hand

Stand behind patient on ____ side of PTP and monitor at the apex with hand ___ to the PTP

Go ___ the patients elbow grabbing hand (aka under the axilla) and grasp the opposite bicep region

Keep in neutral and engage R and SB barrier

Answer 8

Same

Opposite, closest

Under

Question 9

For seated ME Type 2 upper (T1-T4) thoracic spine SD, you start by using one hand to monitor the ____ and the other hand flexes or extends the head based on the barrier.

^** So for example, if you were Extended and RrSr you would put patient into ___ to start off

Then move monitoring hand onto the PTP to localize ___ and ___ and put them into the barrier (Rl and Sl in this example)

Answer 9

Spinous process

Flexion

Side bending and rotation

Question 10

For seated ME Type 2 upper (T5-T12) thoracic spine SD, stand behind patient on ____ side of PTP and monitor at the segment’s spinous and TP

Go ___ the patients elbow grabbing hand and grasp the opposite bicep region

Engage barriers

Answer 10

Opposite

Over

Question 11

For the kirksville chrunch to treat a throacic spine SD (neutral and flexion) you have the patient supine and you stand on the ___ side of the PTP

Then have patient cross arms with PTP side ____ to the other arm

Roll them over and contact the the apex of the PTP with your thenar eminence

^** For flexion SDs, you place the thenar eminence ____ of the SD segment

Then flex upper extremities so your’e directly over the PTP and engage the sidebending barrier by moving the patients thoracic spine ___ the direction of the named segment barrier

Then provide HVLA thrust

Answer 11

Opposite

Superior

Inferior to the PTP of the lower two vertebra

Into

Question 12

For the Texas Twist HVLA treatment, the student stands on the side ___ the PTP for a type 1 SD… ?????

Contact the PTP with the ____ eminence of the caudad hand with the fingers pointing cephalad and the ____ eminence on the opposite TP of the cephalad hand with the fingers pointing caudad

During each exhalation, you increase the ___ force along with increasing cephalad force for hand on PTP and caudad force from other hand and this engages the rotation and sidebending barriers

After the last exhalation, an HVLA thrust is applied ____ with a simultaneous twisting motion in the direction that the fingers are pointing

The force is greater on the side of the ___

Answer 12

Opposite

Thenar, hypothenar

Anterior

Downward (anterior)

PTP

Question 13

For the HVLA Over-the-thigh treatment of the thoracic spine, you place your flexed knee on the table with the patients thoracic spine resting on the thigh (your knee contacts the ___ side of the patients body that the PTP is on)

Patient clasps hands behind neck and pass arms through space to contact the ___-___ region of the ___

Upon exhalation, pull the patients chest ___ onto the thigh while adding a ___ traction with the hand contact on the thoracic cage

Answer 13

Same

Posterior-lateral, thoracic cage

Downward, cephalad

Question 14

For the seated HVLA treatment of the thoracic spine, the foot on the ___ side of the PTP is placed onto the table and then onto the PTP, and then the patient interlocks fingers behind neck and you contact the __ surface of the patients wrists aka the “full nelson” position

For a type 2 SD, the ___ plane component is engaged by adding flexion or extension to the patient

Student leans patient back towards themselves and on exhalation you exert an ___ force through the patients ___ and using your knee as a fulcrum, you provide a simultaneous ___ force with the ___ core /body

Answer 14

Same

Dorsal

Sagittal

Upward (cephalad/distracting), axilla, lifting, central

Question 15

There is an alternate seated technique where the patient is seated straddling the table and you stand behind the patient on the side ___ the rotational component of the SD (so if rotated right, stand on left side)

Have the patient grab their neck on the side of the PTP and elbow with other arm.

Then, place your thenar eminence on side of PTP and your other hand ___ the patients elbow grabbing arm

Bring patient into flexion and sidebending barrier and then inhale and exhale and on exhalation bring them into rotational barrier

Finally on the last exhalation pull the patient through the ___ barrier while the hand on the PTP imparts an impulse causing and HVLA effect in ___

Answer 15

Opposite

Over

Rotation, rotation

Question 16

For the long lever ME of a Type 1 SD, use the mnemonic ___

You want to monitor at the ___ of the group curve so in other words, the middle of it while you flex the hips and knees to ___ degrees towards the ___

Then rotate the patients top shoulder ____ until motion at the segment is felt and then lift the ankles towards the ___ (to cause side bending of the lumbar spine into the restriction barrier)

Answer 16

NUDR = neutral dysfunction, PTP UP, patients force Down, Lateral Recumbent

Apex

90, innominates

Posterior, ceiling

Question 17

Primary afferent neuronal cell bodies are located in the ___ root ganglion and there are 2 types of primary afferents

The small cell body, which has ____-afferent fibers and involved in crude touch and nociception (pain)

Or

The large cell body, which has ___-afferent fibers and involved in proprioception, discrimination, and mechanoreceptors

Answer 17

Dorsal

Beta

Alpha

Question 18

Primary efferent neuronal cell bodies are located in the ___ horn of the spinal cord

Answer 18

Ventral

Question 19

So a ___ reflex is between a primary afferent fiber and a ventral horn motor neuron routing to a skeletal muscle or organ

Answer 19

Monosynaptic

Question 20

Efferent nerves that have axons terminating on ganglion neurons outside the CNS (encapsulated ganglia in fascia of the body wall or fascia of organs) are ____ axons

Efferent nerve that have axons traveling from ganglia to cellular targets of visceral organs are ___ axons (aka postganglionic)

Answer 20

Myelinated

Unmyelinated

Question 21

Afferent axons from a somatic structures that lead to efferent motor response to a somatic structure is called a ___-___ reflex arc

^** Examples include touching a hot object

Can be both monosynaptic and polysynaptic reflexes**

Answer 21

Somato-somatic

Question 22

Afferent axons from the viscera that leads to an efferent motor response to the viscera is a ___-____ reflex arc

^**example would be a distended bowel causing spasms in the muscular layer of the bowel

Answer 22

Visceral-Visceral

Question 23

Afferent axons from the viscera that lead to an efferent motor response on somatic structures is called a ___-___ reflex arc

^** The opposite of this is a ___-___ reflex arch

Interneurons are involved

^** An example of this is appendicitis where you get pain at the Mcburneys point and abdominal wall

Or myocardial infraction

Answer 23

Viscero-somatic

Somato-Visceral reflex

Question 24

The process Champman used was he first located ___ points for diagnosis and then he treated the ____ points

**^Treated viscerosomatic reflexes

When the reflex is gone, the treatment is complete

Rotate over the spot and 10-20 seconds is a good starting point

Answer 24

Anterior, posterior

Question 25

Name the organs that the acupuncture sites overlap with

1) Liver 14
2) Stomach 18
3) Spleen 16
4) Kidney 25
5) K-11

Answer 25

1) Gastric Hypercogestion
2) Hyperacidity
3) Small intestine
4) Bronchitis (lungs)
5) Urethra

Question 26

For anterior points of Chapman’s reflexes, name them

1) A) Periumbilical and then B) an inch lateral and an inch above C) an inch lateral and 2 inches above
^** These are posterior points and all the rest are anterior points (except uterus is also posterior)
2) 5th ICS left
3) 5th ICS right
4) 6th ICS left
5) 6th ICS right
6) 7th ICS left
7) 7th ICS right
8) 8, 9, and 10th ICS
9) 12th rib
10) Greater tubercle
11) IT band/ lateral side of thigh
12) Medial aspect of thigh from greater trochanter to patella
13) upper pubic symphysis 
14) 2nd ICS
15) 3rd and 4th ICS
16) Clavicle area, 1st rib, 2nd rib, and 2nd ICS etc....

Answer 26

1) Bladder, Kidneys, Adrenal
2) Stomach
3) Liver
4) Stomach
5) Liver/galbladder
6) Spleen
7) Pancreas
8) Small intestines
9) Appendix
10) Retina
11) Prostate/broad ligament
12) Colon
13) Ovaries/uterus
14) Thyroid and Esophagus
15) Lungs (upper and lower)
16) ENT stuff (Middle ear is directly on clavicle)