Instrumentation

Question 1

instrumentation satisfies which component of the PART system?

Answer 1

T - TISSUE TONE

Question 2

instrumentation is assessing?

Answer 2

vasomotor function, dermal microvasculature, sympathetic nervous system (smooth muscle regulation, tunica media of vessel, function without an antagionist)

Question 3

what is the purpose of instrumentation?

Answer 3

objectify neurologic function, target area for further assessment, WHEN to and when NOT to adjust

Question 4

nervoscope tells you…

Answer 4

WHEN TO ADJUST

Question 5

tytron c-3000 gathers information from?

Answer 5

first 5 mm of epidermis

Question 6

tytron c-3000 is what type of system?

Answer 6

paraspinal thermal imaging system (infrared technology, relative skin temperature, direct skin temperature)

Question 7

tytron c-3000 is primarily used for which type of analysis?

Answer 7

PATTERN

Question 8

can the tytron c-3000 be used for break analysis?

Answer 8

yes, but it’s not as effective

Question 9

what are some disadvantages of the tytron c-3000?

Answer 9

less effective for break analysis and doesn’t work well in the cold (below 60 degrees)

Question 10

VSC associated with tytron c-3000?

Answer 10

neuropathology (dermal thermoregulation) and histopathology (cytological/inflammation/edema)

Question 11

full spine scan using tytron c-3000 should take?

Answer 11

26 seconds

Question 12

patient placement which using tytron c-3000?

Answer 12

identical to that of running cervical glide with nervoscope (patient sits all the way to the back of chair)

Question 13

tytron c-3000: scan commences at…

Answer 13

S2

Question 14

tytron c-3000: scan terminates at…

Answer 14

base of occiput

Question 15

which speed should you keep while running a scan using the tytron c-3000?

Answer 15

speed of 1 second/segment

Question 16

tytron c-3000: every scan that is run is accompanied by a…

Answer 16

mastoid fossa reading

Question 17

mastoid fossa reading provides more specific information about?

Answer 17

upper cervical complex (occ-c1-c2*)

Question 18

mastoid fossa reading commence by…

Answer 18

pressing “F” key

Question 19

mastoid fossa reading

Answer 19

right barrel in right fossa, right barrel again in left fossa

Question 20

with a mastoid fossa reading what would indicated clinical significance?

Answer 20

0.5 degrees C or greater

Question 21

gold standard for tytron c-3000?

Answer 21

take 3 thermal readings (scans) over a 24 hour period with scans spaced apart as evenly as possible (12 hours)

Question 22

which is it important to space our scans involved with tytron c-3000?

Answer 22

body needs time to adapt

Question 23

three general scan types for the doctor to consider:

Answer 23

pattern, adaptive, stress

Question 24

stress could be due to..

Answer 24

emotional stress, physical stress/pain, drugs or caffeine

Question 25

nervoscope is what type of instrument?

Answer 25

relative skin temperature instrument

Question 26

nervoscope assists in

Answer 26

objectifying neurologic dysfunction

Question 27

nervoscope is primarily used for

Answer 27

segmental break analysis

Question 28

can the nervoscope be used for pattern analysis?

Answer 28

yes, but only if it is connected to a recording unit

Question 29

when using the nervoscope, what level should your sensitivity switch be set to?

Answer 29

LOW or medium

Question 30

heat swing

Answer 30

gradual sweeping deflection of needle reflecting gentle thermal shift over MULTIPLE neurological fields as a part of normal physiologic function

Question 31

break

Answer 31

rapid reproducible deflection of the needle reflecting an atypical and unexpected thermal shift present over a neurological field (dermatome) as a part of dysfunctional physiology

Question 32

patient placement for cervical instrumentation

Answer 32

seated even with back of stool

Question 33

patient placement for thoraco-lumbar instrumentation

Answer 33

seated slightly forward (hand width)

Question 34

doctor’s stance - cervicals

Answer 34

scissorced stance 45 degrees (or less) to patient with contact arm in lin with patient’s spine (knee touching side of chain). contact elbow is in close to the doctor’s body. stabilization hand will support the forehead or sweep hair. single hand grip of instrument.

Question 35

probes are in what position during cervical spine glide?

Answer 35

parallel or slightly inwards if patient is more petite/pediatric patient

Question 36

cervical glide commences at

Answer 36

T1

Question 37

cervical glide terminates

Answer 37

1/2 inch up onto occiput

Question 38

instrument pitch is always in accordance with..

Answer 38

disc plane line/surface of skin

Question 39

glide speed for cervicals is

Answer 39

3 seconds/segment

Question 40

what glide time is ideal for cervicals?

Answer 40

18-21 seconds

Question 41

confirmed breaks in cervicals are marked where?

Answer 41

1/4 inch BELOW mid thermocouple well outside of the glide path

Question 42

probes are in what position during T/L spine glide?

Answer 42

parallel or wide open if patient has a larger frame

Question 43

T/L spine glide commences at

Answer 43

C7

Question 44

T/L spine glide terminates at

Answer 44

S2 (between PSIS’s)

Question 45

glide speed for T/L is

Answer 45

2 seconds/segment

Question 46

what glide time is ideal for T/L?

Answer 46

35-38 seconds

Question 47

confirmed breaks in T/L are marked where?

Answer 47

1/2 inch ABOVE mid thermocouple well outside of the glide path

Question 48

when recording positive instrumentation findings…

Answer 48

segmental level involved, direction and amplitude (increments of deflection)