Activator Methods Midterm Flashcards
(47 cards)
The central feature of the Activator Method protocol is what?
Leg Length Analysis (LLA)
Leg Length Analysis (LLA) is a series of repeated systematic measure of what two things?
prone extended and flexed leg length Inequality (LLI)
The leg length analysis id’s neuroarticular dysfunction ____ and ___ even when a pt suffers from atypical or no symptoms.
confidently and consistently
What info is found by measuring LLI?
isolate neuroarticular dysfunction
direction of misalignment
confirm direction of ADJ and post-ADJ assessment
What key point is determined from leg length analysis?
where to adj
when to adj
when not to adj
Research and clinical experience docs have a good to very good intra-examiner reliability when evaluating what structure?
Pelvic Deficiency PD or Leg Length Inequality LLI
A functional short leg is designated as what?
Pelvic Deficient (PD leg) AKA Reactive leg
What are anatomical changes seen on a short leg?
unleveled pelvis
shipped patella
flatten arch
excessive pronation
True or False: Proper footwear should have a back/strap good for toe gripping, tight fit, not badly warn.
True
Tilt table preserves and enhances what postural distortions and compensations?
weight-bearing also width: supports arms bolster under ankle relax knee face slot: commodities short/tall leave ankles proper position
What is the name of the activator table?
Lloyd Activator Hylo
Describe the doctors stance.
at the foot of the table in stance that permits a clear line of sigh to plantar surfaces of pt’s feet
one foot forward in-line or scissor stance
Upright posture
Look don’t touch: what are you looking for?
Asymmetry, inversion or eversion, excessive toe-out or toe-in flare
What is the next step after “look don’t tough”?
bring legs together
In most cases what info is noticed by visual inspection?
Pelvic Deficient (PD) or Reactive, Leg
How do you perform the “six-point landing”?
- place hands in 6 point landing
- remove inversion( supination)/eversion (pronation)
- gentle dorsiflex feet
- flare feet 10º
- apply gentle headward pressure
Feet in 6 point landing, look at __
heels, observe/measure PD (pelvic deficient) leg
What is position one?
pt prone on the table
6 point landing
The initial short leg is considered what?
PD or reaction leg
Leg check drills
look, don’t touch
bring legs together
six-point landing
hands off
What step must be completely done before putting moving to position 2?
Hands off
What are the 4 essential steps of the initial leg check?
- pt placement
- visual observations
- position 1 procedure (id pd leg)
- position 2 procedure (id starting point for analysis)
Position 2 procedure
- stand in-line, scissor stance
2 contact dorsal feet at MTP junction w/middle fingers - Plantar flex feet until slack is taken up, before lifting legs
- slow lift legs raise feet flexing knees
- ~30º of knee flexion, index fingers into welt shoe, position thumbs on soles near ball of each foot
- Continue to raise until see flexed to no more than 90º
- site imaginary mid-line (2nd sacral tubercle to EOP)
- at 90º, Abduct feet to 10º toe-out foot flare
What are you looking for in position 2?
look at shoe welt, heels and measure change in relative length of PD leg
