Week 2 Flashcards
Name the % of Pump and Bucket for Rib 1, Rib 2, Rib 3-6, Ribs 7-10, and Ribs 11 and 12
For inhalation dysfunctions, one should treat the ____ most rib and for exhalation dysfunctions one should treat the ____ most rib
1 = 50% bucket and 50% Pump 2 = Primarily pump 3-6 = Mixed pump and bucket but primarily pump 7-10 = Primarily bucket 11 and 12 = caliper
Inferior, Superior
The spine of the scapula is at the level of ____ and the inferior angle of the scapula is at the level of ___
T3, T7
For a rib 1 exhalation pump handle dysfunction, you contact the ___ aspect of the affected rib ___
Then during inhalation you apply an ____ force to the affected rib to put into inhalation barrier and a ___ force to the patients hand on forehead
The ___ muscle is activated during isometric contraction to correct the dysfunction
Superior, angle
Inferior, posterior
Anterior scalene muscle
For a rib 1 exhalation bucket handle dysfunction, same stuff as pump handle except head and neck are rotated to ___ degrees ___ from the affected side
Also, the ___ muscle is activated to correct the dysfunction
30, away
Middle scalene
To diagnose a rib 2-10 pump handle somatic dysfunction, you place your fingers on the ____ aspect for ribs 2-6 and the ____ junctions for ribs 7-10
To diagnose a rib 2-10 bucket handle somatic dysfunction, you place your fingers on the ____ for ribs 2-10
Parasternal, costochondral junctions
Midaxillary line
For a rib 2-10 exhalation pump handle dysfunction everything is the same except ____ muscles are activated to correct the dysfunction
Pectoralis and Serratus Anterior
For a rib 2-10 exhalation bucket handle dysfunction everything is the same except ____ muscle is activated to correct the dysfunction
Along with the patient raising their hand during the isometric contraction towards the ceiling AND ___ and a ___ degree angle
Lateral part of the serratus anterior
Laterally, 45
To diagnose a rib 11-12 exhalation caliper dysfunction, have the patient lie ___ and contact the ___ of the 11th and 12th rib
Prone, body
For a rib 11-12 exhalation caliper dysfunction, unlike the other 1-10 ribs you stand on the side ____ the dysfunction
You also pull the patients lower extremities ___ the physician to induce side-bending of the spine ___ from the dysfunctional rib
Then place patients arm over head in ___duction
Then contact ASIS on side of SD and pull ___ to induce spinal rotation ___ the side of the dysfunction and at the same time contact the ___ aspect of the involved rib, just ___ to the rib ___
Then a ___ distraction force is applied to the effected rib and patient is told to pull ipsilateral hip towards table for isometric contraction
The ___ muscles are activated to correct the dysfunction
Opposite
Towards, away
ABduction
Posterior, towards
Posterior, proximal, angle
Lateral
Lateral part of the latissimus dorsi and quadratus lumborum
To diagnose a rib 1 Inhalation pump handle somatic dysfunction or Inhalation bucket handle SD, it is the same as in an exhalation SD
For a rib 1 Inhalation pump handle dysfunction, you contact the ____/____ aspect of the dysfunctional rib with thumb (between the 2 heads of the ___ muscle) and then you __ the patients head and neck to engage the exhalation barrier
During exhalation you apply an __ force to the __ aspect of the rib into it exhalation position and resist motion during inhalation and encourage it during exhalation
Also, the ___ muscle is activated to correct the dysfunction
Superior/anterior, SCM, flex
Inferior, anterior
SCM
For a rib 1 Inhalation bucket handle dysfunction, you contact the ____ aspect of the dysfunctional rib with thumb (lateral to the SCM) and then you __ the patients head and neck to engage the exhalation barrier and **along with sidebending the patient ____ the dysfunctional rib
During exhalation you apply a force to the __ aspect of the rib to follow the dysfunctional rib motion ___ into its exhalation position
Also, the ___ muscle is activated to correct the dysfunction
Lateral, flex, towards
Lateral, inferiorly
SCM
To diagnose a rib 2-10 inhalation pump and bucket handle, it is the same as an exhalation SD
For a rib 2-10 Inhalation pump handle dysfunction, you place your knee on the table at the level of the dysfunctional rib and this will flex the trunk to encourage the rib into its exhalation barrier
You contact the ___ aspect of the dysfunctional rib and apply a force to the ___ aspect of the rib to follow the dysfunctional rib motion inferiorly into its exhalation position
Also, the ___ muscles are activated to correct the dysfunction
Superior, anterior
Intercostal muscles and descent of the diaphragm
For a rib 2-10 Inhalation bucket handle dysfunction, you place your knee on the table at the level of the dysfunctional rib and this will flex the trunk to encourage the rib into its exhalation barrier
You sidebend the patients rib ___ the affected rib until relief of tissue tension is felt at rib
Then contact the ___ aspect of the dysfunctional rib at the Midaxillary line and apply a force to the ___ aspect of the rib to follow the dysfunctional rib motion inferiorly into its exhalation position
Also, the ___ muscles are activated to correct the dysfunction
Towards
Superior/lateral, lateral
Intercostal muscles and descent of the diaphragm
For a rib 11-12 Inhalation caliper dysfunction, unlike the other 1-10 ribs you stand on the side ____ the dysfunction
You also pull the patients lower extremities ___ the physician to induce side-bending of the spine ___ from the dysfunctional rib
Then place patients arms ___
Then contact ASIS on side of SD and pull ___ to induce spinal rotation ___ the side of the dysfunction and at the same time contact the ___ aspect of the involved rib, just ___ to the rib ___
Then a ___ distraction force is applied to the effected rib and patient is told to pull ipsilateral hip towards table for isometric contraction
The ___ muscles are activated to correct the dysfunction
Opposite
Towards, away
No where (leave them at side of table)
Posterior, towards, posterior, distal, angle
Lateral
Quadratus Lumborum
For a modified Kirksville HVLA treatment you are treating a ____ rib head somatic dysfunction
The student stands on the ___ side of the SD
The patient places their arm on the side of the dysfunction towards the opposite ___ and the arm opposite of the SD grasps the opposite ___
You contact the posterior rib angle to act as a fulcrum via the thenar eminence and ___ the upper extremities at the shoulder closest to you to place patients elbow directly over posterior rib angle
Upon exhalation, you provide an ___ to ____ thrust to the SD rib angle into the thoracic cage
Posterior
Opposite
ASIS, shoulder
Flex
Anterior to posterior
For the Chin Pivot HVLA treatment, you can treat ribs __-___
You stand at the head of the table towards the ___ side of the SD and the patient cusps their chin with the arm on the ___ side of the SD
Then, while on the rib angle of the SD rib, pull the patients ipsilateral elbow in the __ direction until motion is palpated at the dysfunction to gap the __ and ___
Then rotate head and neck ___ SD side and during the final exhalation apply an HVLA thrust into the SD rib in an ___ and ___ direction and also note you aren’t applying the thrust into the head and neck, you are only stabilizing it to maintain the ___ and ___ barrier
1-4
Opposite, same
Cephalad, rib and transverse process
Towards
Anterior and lateral, sidebending and rotational
For an elevated rib 1 SD, you can perform the ___ HVLA treatment
An elevated rib 1 SD is diagnosed via loading and springing ____ onto rib 1 at the ____ line for bucket handle or on the ___ aspect for the pump handle component
The student places their foot on the ___ side of the SD rib
Then contact the SD rib with the ____ joint of the hand and place the other hand on top of their head and sidebend it ___ the SD side
During exhalation apply an ___ force onto the first rib and the final HVLA treatment during exhalation is a ___ and ___ force onto the superior 1st rib
Also make sure the ipsilateral shoulder is NOT held in a ___ position so that they can relax
J-stroke seated
Inferior, midaxillary, anterior
Opposite
2nd MCP joint, towards
Inferior, inferior and medial
Cephalad
To diagnose a rib 1 exhalation pump handle somatic dysfunction, you place your thumbs on the ____ of rib ___ and index fingers are placed ___ to the ___ and over the ___ aspect of rib ___
To diagnose a rib 1 exhalation bucket handle somatic dysfunction, you place your thumbs on the ____ of rib ___ and index fingers are placed ___ to the ___ and over the ___ aspect of rib ___ On the ___ line
Angle, 1, posterior, clavicle, anterior, 1
Angle, 1, posterior, clavicle, lateral, 1, midaxillary? SHOULDN’T IT BE MID CLAVICULAR LINE?
Name the DTR
1) Biceps
2) Triceps
3) Brachioradialis
They are graded on a scale of __-__ with +___/__ being normal
(No response, slight response, brisk, very brisk, repeating aka clonus)
Document this in the objective portion**
1) C5
2) C7
3) C6
0-4 with +2/4 (brisk response is normal)
Spurlings maneuver consists of what three stages?
It is indicative of what?
Compression of head in neutral, compression of head in extension, SB away and then towards affected side with compression
Nerve root compression
The OA joint is a ___ joint, AA is a ___ joint, and C2-C7 is a ___ joint
Modified type 1 (so flexion and extension component but R and SB are opposite), Rotation only, Modified type 2
^** Or is this type 2? IM SO FUCKING CONFUSED, i think it’s only type 2
The primary motions of the OA joint are ___ and ___
To diagnose an OA joint SD, you can do the lateral translational test. Here if you have for example a restriction to LT to the right (aka from left to right) they are SB ___, R ___
You can also do the rotational test where you lift anterior on the right ridge, you induce ___ rotation and if you have for example an increased rotation during flexion, you have an ___ SD (aka it likes to live in flexion)
Flexion and extension
SB right, R left
Left, flexion
For diagnosing AA joint SDs, contact the ___ of the atlas and ___ the C-spine to isolate it and then rotate to determine ease vs restriction of motion
Lateral mass, rotate
For ME of the OA, you contact the ___ and extend or flex the patient through the occuput depending on barrier
Then you rotate and SB in the ___ direction
The student then pulls the chin towards the chest for a __ SD or pushes the head towards the table for a ___ SD
Occiput
Opposite
Flexion, Extension
For the ME of the AA joint, flex head and neck to lock out the ___ of the ____ and thus isolate the atlas on the axis
Rotation, typical cervical vertebrae
For HVLA of the OA joint, you stand at the head of the table, on the same side of the table as the ___ so your thrusting hand is whichever hand side is ___ too (Ex: if Rotated left, use left hand)
You contact the occiput with the ___ joint and the other hand cradles the head and neck (zygomatic process)
At end of exhalation, apply and HVLA thrust in the direction of the ___ of the ___ with the hand in contact with the ____, you DO NOT pull on the ____
Posterior occiput, rotated
2 MCP joint
Top of the head, occiput, mandible
For HVLA rotational focused C2-C7, stand at the head of the table on the ___ side of the table as the PTP and contact it with the ___ joint and cradle neck and head.
^** Make sure the hand contacting the PTP is the hand of the ___ side of the rotational PTP
Engage the ___ restriction barrier first through the named segment and then side bend them _____ the ease of motion ___ the named segment
Also make sure you engage the flexion or extension plane barrier called the ___ plane barrier
Then apply HVLA thrust to segment in a rotational manner and note the proper direction of thrust is following the ___ anatomical position so more towards __ for upper typical segments and towards the ___ for lower typical segments
Same, 2nd MCP
Same (so if RrSr, contact with right hand)
Rotation, towards, To (notice NOT through)
Sagittal
Facet, eyes, opposite axilla
For HVLA translation focused C2-C7, stand at the head of the table, on the ___ side of the table as the PTP and contact the __ aspect of the named segment in the ___ line with the ___ joint and cradle neck and head
^** Contact with the hand of the ___ side of the translational PTP
Engage the ___ restriction barrier first through the named segment via a force directed towards the ___and then rotate them _____ the ease of motion ___ the named segment
Also make sure you engage the flexion or extension plane barrier called the ___ plane barrier
Then apply HVLA thrust to segment in a sidebending manner towards the ___
Opposite, lateral, midcoronal, 2nd MCP
Same (So if you have a restriction of translation from left to right, it means you are SB right, but you are feeling a PTP on the left, so therefore use your left hand)
Sidebending, sternal notch, towards, TO
Sternal notch (or T1 spinous process in OSTE)
Usually C2-C3 have ___ components predominating and C4-C7 has ___ components predominating
Rotational, SB
THe articulation between the inferior facets of the axis and superior facets of C3 follow ___ mechanics
Modified type 2
