Year 1 Review DSA Flashcards
direct treatments
soft tissue muscle energy MFR stills hvla
what is ST
repetetive w/ force: hold 1-2 sec until release or until tissue release
what is MFR
non repetitive, add enhancing maneuver (breathing), NMSK release
what is muscle energy
most common type is post isomentric relaxation, activation 3-5 seconds, 3-5 times
what is hvla
direct into barrier, quick thrust through RB to PB
indirect treatments
MFR BLT FPR Stills CS
what BLT
activating force is breathing
what fpr
flatten curve, place in ease, add compression for 5 seconds, release and return to neutral
what stills
place in ease, add compression or traction, move through RB to PB
what CS
find TP, ESTABLISH TENDERNESS SCALE, place into ease, hold 90 sec, slowly return to neutral, recheck
which method has an active activating force?
muscle energy
Cranial diagnosis
OA is T1-like + F/E
cervical diagnosis
AA (R only),
C2-C7 (F/E T2 like)
thoracic diagnosis
Type 1 (TONGO) Type 2 (single, F/E, same side)
lumbar diagnosis
type 1 or 2
innominate diagnosis
ASIS, PSIS, iliac crest, pubic bone
motion test for innominates
asis compression or standing forward bending test
innominate: anterior/posterior rotation
check inf/superior ASIS, medial malleolus, and PSIS
innominate: outflare/inflare
asis is more lateral or more medial
innominate: shears
entire innomminate is either superiror or inferior
how to diagnose Sacrum
4pt static eval + motion testing
- motion test=seated forward bending test (opp side of axis/side of unilateral SD)
- lumbar spring test: (-)=flexed, (+)= extended
- backward bending test: F v E
- repiratory motion
MAKE SURE THAT L5 IS COMPENSATED BEFORE TREATING
ribs: bucket handle motion
1, 2 and 8-10
ribs: pump handle motion
3-7
ribs: caliper motion
11 and 12
ribs: types of abnormal motion
- torsion: w/ rotation of thoracic region
- non-physiological
- inhaled/exhaled
how to treat ribs
BITE: inhale SD tx bottom first, exhalation tx top first
Inhalation SD
ribs stuck up in exhalation
tx by exaggerating exhalation motion if rib 1-10
if rib 11-12, treat quadratus lumborum
exhalation SD treatment
R1: tx ant/medial sclaene R2: tx posterior scalene R3-5: tx pectoralis minor R6-8: tx serratus anterior R9-10: tx latissimus dorsi R11-12: tx quadratus lumborum
shoulder normal ROM
flex: 180
ext: 60
adduct: 130-140
abduct: 180
IR: 90
ER: 90
Horizontal abduct: 45-55
elevated SC joint
ADducted
Inferior SC join
ABducted
AC joint movement
internal/external rotation
radial head movement
posterior w pronation
anterior w supination
if you fall forward (FOOSH)
you fall prone, so you will have a posterior radial head b/c your elbow was pronated
if you fall backward
you fall supine, so your elbow is supinated and you will have an anterior radial head
fuckin spencers technique
- extension
- flexion
- compression cirumduction
- traction circumduction
5a. ADduction/ ER
5b. ABduction - IR
- traction w/ inferior glide
what do you check to evaluate the LE
hip,
knee
proximal fibular head
whats going on with proximal fibular head with PRONATION
it anterior
Pronation=dorsiflex, evert, abduct
whats going on with proximal fibular head with SUPINATION
is posterior
supination=ADdcut, invert, plantarflex
movements at the talocalcaneal joint
eversino: anteromedial glide
inversion: posterolateral glide
movement of navicular, cuboid, cuneiform
plantar glide
movementof cuneiform, metetarsal
ant/post glide
Zink patterns
common compensated= LRLR
uncommon compensated=RLRL
