CPA 3

Question 1

When performing still’s technique on the lumbar spine, how do you induce sidebending?

Answer 1

Internally rotating leg sidebends toward PTP (indirect)Externally rotating leg sidebends awayfrom PTP

Question 2

How do you perform FPR on cervical segmental dysfunction?

Answer 2

1) Pt supine wth head off table, one hand monitors segment2) flex head to flatten curvature3) Apply gentle compression to top of head4) move segment into indirect barrier5) Hold 3-5 sec, return to neutral and reassess

Question 3

How do you perform BLT on a Dx of L1-3 NSlRr?

Answer 3

1) Dr thumb on left TPP of lower segment and other thumb on right TP of upper segment2) Have pt lean backward then sit up straighter or slouch forward to localize -> the resulting pressure creates left rotation 3) instruct pt to slightly bend left and turn right in small increments to achieve balanced tension4) Have pt hold breath as long as possible 5) repeat until best motion is obtained then reassess

Question 4

How do you perform still’s technique on a Dx of T6 ERlSl?

Answer 4

1) Initial position = extend back, add RL and SL2) Localizing force = compression through shoulders3) Activating force = move through restrictive barrier through shoulder contact with compression -> FRrSr4) Return to neutral and reassesss

Question 5

What are the general steps of FPR?

Answer 5

1) Neutralize curves2) Compression3) Put into indirect barrier4) Hold 3-5 sec and reassess

Question 6

What is the position of the pt for treatment of lumbar spine with FPR?

Answer 6

Prone

Question 7

What is the position of the pt for treatment of lumbar spine with stills?

Answer 7

Supine

Question 8

How do you perform BLT on an OA SD?

Answer 8

1) pt supine, pinch C1 on both sides to monitor2) put head into indirect barrier3) have pt hold breath 4) Repeat until best motion obtained and reassess

Question 9

How do you diagnose the AA joint?

Answer 9

Fully flex the c-spine and rotate head bilaterally assessing ROM and freedom -> greater rotation to the right implies restriction of left rotation (rotated right)Flexion, extension and SB are NOT tested for this joint

Question 10

How do you perform stills technique on an AA SD?

Answer 10

1) Pt supine, finger on TP of C1 on side of rotation2) Rotate head into indirect barrier3) Compress top of head4) With compression, take head into neutral and articulate through the restrictive barrier5) Release compression, return to neutral and reassess

Question 11

What is the initial treatment position for ART for OA ERrSl?

Answer 11

FRlSr

Question 12

How do you perform FPR on a Dx of T2 ERrSr?

Answer 12

1) Neutralize curve by instructing pt to straighten spine 2) Activating force = add 1lb compression to top of head 3) Indirect positioning = move head into ERrSr4) Hold 3-5 sec, return to neutral and reassess

Question 13

How do you perform BLT on a Dx of OA ESlRr?

Answer 13

1) pt supine, use on hand to pinch C1 to stabilize2) Place other hand on pts head to induce indirect position3) Have pt hold breath4) Repeat until best motion is obtained, return to neutral and reassess

Question 14

What are the general steps of BLT?

Answer 14

1) Place in indirect position2) have pt hold breath3) Repeat until greates motion is obtained, return to neutral and reassess

Question 15

How do rotation and sidebending occur in the OA joint?

Answer 15

Opposite directions!

Question 16

When performing still’s technique on the lumbar spine, how do you induce rotation?

Answer 16

Abducting the leg rotates towards PTP (indirect)Adducting the leg rotates away from PTP

Question 17

What is the position of the pt for FPR of thoracic spine?

Answer 17

Seated

Question 18

How do rotation and sidebending of C2-C7 usually occur?

Answer 18

In the same direction -> always assume this for exams ** this is due to the uncinate process**

Question 19

How do you perform FPR on a Dx of T7 ERrSr?

Answer 19

1) Neutralize curve by instructing t to extend back2) Activating force = compress ~1lb pressure on shoulders 3) Indirect positioning = ERrSr4) Hold 3-5 sec, return to neutral and reassess

Question 20

How would you perform FPR on a Dx of L4 ESlRl?

Answer 20

1) Neutralize curve by monitoring TP and placing pillow under abdomen (pt prone)2) Activating force = abduct left leg and induce internal rotation of hip3) indirect positioning = press left leg down toward floor 4) Hold 3-5 sec then return to neutral and reassess

Question 21

How do you perform stills technique to a OA SD?

Answer 21

1) Pt supine, monitor PTP2) SB head into ease and introduce flexion or extension depending on diagnosis3) add compression to top of head 4) With compression, take head into neutral and articulate through the restrictive barrier 5) Release compression, return to neutral and reassess

Question 22

What is the position of the pt for BLT of lower thoracic and lumbar?

Answer 22

Seated

Question 23

What is the initial treatment position for ART for C4 ERrSr?

Answer 23

FRlSl

Question 24

How do you perform stills on a typical cervical SD?

Answer 24

1) Pt supine, finger monitors SD on side of rotation2) SB and rotate the cervical segment into indirect barrier -> induce flexion or extension depending on SD3) Compress top of head4) With compression, take head into neutral and articulate through restrictive barrier and reassess

Question 25

How do you perform stills technique on a Dx of T1 ERrSr?

Answer 25

1) Initial position = extend neck, then add Rr and Sr2) Localizing force = compression by pressing on top of head3) Activating force = moving through restrictive barrier with compression -> FRlSl4) Return to neutral and reassess

Question 26

What are the steps for performing Still’s technique on a Dx of L3 ERrSr?

Answer 26

1) Initial position = flex leg to localizes then add abduction and internal rotation of the leg 2) Localizing force = compression through knee3) Activating force = bring hip through adduction and external rotation 4) return to neutral and reassess

Question 27

How do you perform FPR on a Dx of L4 FSlRl?

Answer 27

1) Neutralize curve by monitoring TPP and placing pillow under abdomen (pt prone)2) Activating force = add compression by pushing flexed knee toward ceiling3) Indirect positioning = flex left leg off table then adduct and internally rotate 4) Hold 3-5 sec, return to neutral and reassess

Question 28

What is the position of the pt for treatment of thoracic spine with stills?

Answer 28

Seated

Question 29

What are the steps to performing still’s technique on a Dx of L3 FRrSr?

Answer 29

1) Initial positioning = flex hip and knee to localize L3, then add abduction and internal rotation into ease2) Compression force through femur3) move hip through adduction and external rotation and back into fully hip/knee extension 4) Reassess

Question 30

How do you perform BLT on a Dx of T4-12 N SlRr?

Answer 30

1) use thumb opp of PTP to contact lower TP then other thumb to contact higher TP2) Instruct pt to lean back at hips then sit up straighter or slouch forward 3) Instruct pt to lean left and turn right in small increments4) Have pt hold breath5) repeat until best motion is obtained and reassess

Question 31

How do you perform BLT on a Dx of T1-3 NSlRr

Answer 31

1) Ipsilateral hand monitors TP of SD and other hand supports pts head2) move pt into flexion with Rr and Sl (indirect) 3) have pt hold breath4) Repeat until best motion is obtained and reassess

Question 32

When performing stills technique to the lumbar spine, how do you localize the segment for a flexed Dx versus extended Dx?

Answer 32

Flexed = start with leg more flexed and midline Extended = start with leg more abducted and extended until motion is localized

Question 33

What is the position of the pt for BLT of the upper thoracic (T1-T3)?

Answer 33

Supine

Question 34

How do you perform FPR on hypertonic suboccipital muscles?

Answer 34

1) Pt supine with head and neck off table, one hand monitors hypertonic tissues2) slightly flex head and neck forward to flatten curvature3) apply compression to top of head4) extend head and neck and SB to same side of hypertonic muscles 5) Hold for 3-5 sec, return to neutral and reassess