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Chiropractic practices Flashcards

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1
Q

when we talk about torque what do you think of

A

gonstead

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2
Q

where do we have axial plane facets and TPs

A

horizontal

upper cervicals

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3
Q

where do we have coronal plane facets and TPs

A

lower cervicals, thoracics

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4
Q

where do facets of the spine become sagittal

A

T12

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5
Q

what is facet tropism

A

1 sagittal facet + 1 coronal facet

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6
Q

diversified line of drive (LOD)

A

Posterior to anterior - PA
Lateral to medial - LM
Inferior to superior - IS

except for C1 which is SI

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7
Q

gonstead line of drive (LOD)

A 
Posterior to anterior 
Lateral to medial 
Medial to lateral 
Inferior to superior 
Superior to inferior 
Clockwise 
Counterclockwise
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8
Q

when does gonstead use medial to lateral line of drive

A

mammillary process in lumbar spine only***

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9
Q

gonstead line of drive is always __

what about if we are talking about IS and SI LOD

A

perpendicular to the curve of the spine

above C3 - IS 
*C3- PA 
below C3- SI 
*T6 - PA 
blow T6 - IS 
*L3 - PA 
below L3 - SI
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10
Q

what are static listings

A

fixation, malposition, subluxation

where body or SP is stuck

you can cross them off when you see them - body is malpositioned to the right - body is to the right

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11
Q

what are motion listings

A

diminished
decreased
restrictred

where body or SP can not go

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12
Q

describe disc wedge or lateral bending listings

A

right superior TP/body and left inferior TP/body

always stand on side of convexity

need TORQUE LOD to fix
TORQUE all about lateral bending and disc wedging

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13
Q

describe rotation listings

A

DO NOT TORQUE ROTATION LISTINGS

PR - spinous right
BL - body left

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14
Q

all of gonstead listings start with what

A

P

except atlas then its A

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15
Q

what is the listing formula

A
  1. level base
  2. lateral flexion
    STOP - stand on open wedge side
  3. rotation - motion/static
  4. circle what they asked
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16
Q

Line of drive also can be said as

A

line of correction

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17
Q

open wedge is also up or down on side posture

A

up

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18
Q

T6 has decreased right rotation and anterior right TP

A

PR and BL

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19
Q

decreased right rotation and fixed to the left

A

PR and BL

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20
Q

decreased right sp rotation and malpositioned body to the right

A

PL and BR

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21
Q

tissue prominent on the left

A

PR and BL

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22
Q

patient can’t rotate head to the right and sp is malpositioned to the right

A

PR and BL

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23
Q

paraspinal spasm on the left

A

PR and BL

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24
Q

anterior transverse process on the right

A

PR and BL

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25
body posterior on the right | and diminished right rotation of spinous
PL and BR
26
contracted mulifidi on the left
PL and BR
27
increased left body rotation and decreased right body rotation
PR and BL
28
hypo mobility to the left and sp has decreased rotation to the right
PL and BR
29
static malposition of SP right and right TP is limited from AP
PR and BL
30
concavity on the left which type of scoliosis is this
right scoliosis
31
contracted intertransverssari on the left and patient is lying with right side up
left lateral flexion open wedge on right
32
taut inter transverse ligament on the left
right lateral flexion open wedge on left
33
lax annular fibers on the left
left lateral flexion open wedge right
34
superior right TP and body lean left
left lateral flexion open wedge right
35
decreased right lateral bending and sublimated laterally bending to the left
left lateral flexion open wedge right
36
stacking on the left
right lateral flexion open wedge left
37
counter clockwise torque and left stabilization hand
right lateral flexion open wedge left
38
right towering
right lateral flexion open wedge left
39
right segmental scoliosis and apical vertebrae on the right
left lateral flexion open body right
40
stacking occurs on which side of scoliosis or lateral flexion
convexity
41
towering occurs on which side of the scoliosis and lateral flexion
concavity
42
what is the segmental contact for a sp right and scoliosis/left lateral flexion diversified and gonstead
diversified cervicals - sp thoracic - double tp******* lumbar - sp gonstead cervicals - sp thoracic - sp lumbar - sp
43
what is the segmental contact for a sp left and scoliosis/right lateral flexion
diversified cervicals - body thoracic - body/double TP***** lumbar - body gonstead cervicals - body thoracic - body lumbar - body
44
what is the segmental contact for a sp right
diversified cervicals - body thoracic - body lumbar - body gonstead cervicals - sp thoracic - sp lumbar - sp
45
tissue pull is always in what direction
LOD or LOC
46
what is another term we could use for body in cervicals, thoracic, and lumbars
cervicals - lamina/pedicle thoracic - TP lumbar - mammillary
47
what are general rules of gonstead
contact the superior (open) side of the segmental wedge except L5 - special listing thrust through the plane line of the disc clockwise and counterclockwise torque to close the open wedge
48
gonstead side posture and single hand instructions
side posture - doctor forearm must be in line with thrust single hand - episternal notch must be in line with thrust
49
gonstead key terms and question clues
``` cervical chair knee chest decreased extension torque P first in listing single hand ```
50
basic gonstead cervical set up
occiput - patient - seated - PS listing - contact theanr on mastoid or ear - thrust PA and SI in scooping motion - AS listing - contact surface of 3rd digit contact glabella - thrust AP and SI in scooping motion atlas - patient - seated - contact - tip of thumb on lateral atlas - stabilize - base of occiput - thrust - PA or AP and lateral to medial C2-7 - patient - seated - contact - tip of index on lateral spinous or lamina - stabilize - cupped hand on segment below - thrust - PA through the plane line of the disc
51
basic gonstead thoracic set up
thoracic - patient - prone - doctor - on side of segmental contact - fencer stance for simple listings and straight away for 4 part listings - contact - pisiform on lateral SP or TP - stabilize - contact patient wrist - thrust - PA through the plane of the disc
52
basic gonstead lumbar set up
always have involved side (side of segmental contact) up except for spinous pull moves lumbar - patient - side posture or knee-chest table - push moves - contact pisiform on lateral spinous or mammillary - stabilize shoulder - thigh to thigh - thrust PA through the plane of the disc, lateral to medial, plus any torque - pull moves - contact pad of 2/3rd digit on lateral spinous or mammillary - stabilize shoulder to knee - thigh to thigh - thrust PA through the plane line of the disc - LOD - spinous = lateral to medial for push and pull moves - mammillary = medial to lateral for push pull techniques
53
basic gonstead L5 special listing set up
if L5 disc wedge (convexity) is on the right, and scoliosis convexity is opposite of lumbar disc convexity, then the doctor must contact L5 sp or mammillary ON THE SIDE OF THE SCOLIOSIS
54
basic gonstead sacrum set up
involved side UP patient - side posture contact - pisiform contact medial to PSIS (PR and PL) - pisiform contact on the first sacral tubercle (base posterior) stabilize - shoulder, thigh to thigh thrust - PA through the SI joint plane
55
basic gonstead anterior coccyx set up
patient - prone contact - covered thumb tissue pull from base thrust - superior ward (IS and PA)
56
diversified occiput set up
flexion malposition = extension restriction= AI/PS - to adjust extend head - prone: hypothenar or thenar extension malposition = flexion restriction = PI/AS - to adjust flex head - prone: thenar
57
diversified atlas and cervicals set up
prone cervical - LF subluxation - stand on side of contact - lateral flexion over contact and rotate head opposite of contact, slight flexion - PUSH supine cervical - rotation subluxation - stand on side of contact - lateral flexion over contact and rotate head opposite of contact, slight flexion - PUSH seated rotary - rotation subluxation - stand on opposite side of contact - lateral flexion over the contact and rotate head opposite of contact, slight flexion - PULL master cervical - hyperlordosis - distraction to avoid adjusting into the curve (distraction reduces curve)
58
diversified says to stabilize the level __ gonstead says to stabilize the level __
stabilize level above stabilize level below
59
gonstead cervical chair will put the patient into __
extension
60
cervical quiz seated cervical cervical chair prone cervical supine cervical which is gonstead
seated cervical - PULL - stabilize above - doctor stands on OPPOSITE side of contact - LOD PA LM IS cervical chair - PUSH - stabilize BELOW - doctor stands on SAME side of contact - LOD PALM IS SI CW CCW prone cervical - PUSH - stabilize above - doctor stands on SAME side of contact - LOD PA LM IS supine cervical - PUSH - stabilize above - doctor stands on SAME side of contact - LOD PA LM IS
61
what is our line of drive for diversified
PALM IS PA LM IS
62
how do you fix a PLS cervical chair
``` GONSTEAD patient seated doctor behind contact left SP distal index on left SP stabilize below ```
63
how do you fix a body right seated cervical
``` DIVERSIFIED patient seated doctor in front contact right side pad of middle digit in right lamina pedicle junction stabilize above ```
64
diversified thoracic set up
AP thoracic (anterior thoracic, anterior-dorsal, flexion, flexion extension disc relationship) - patient supine, standing, or seated - contact segment BELOW - LOD - AP and IS PA thoracic (extension) - patient prone - contact SP - LOD - PA and IS
65
when do you use knife edge (ulnar surface) contact in diversified
thoracic extension malposition
66
when do you used combination moves
modified diversified upper thoracic fencer stance stabilization hand is above malar and TRACTION
67
what is the bilateral transverse contact used for
diversified (aka double pisiform or bilateral TP) USED FOR COUNTERROTATION vertebrae stand on and contact HIGH TP side or open wedge side contact both TPs of same segment
68
what is the bilateral thenar contact used for
diversified (aka double pollicis) lower thoracics fencer stance
69
what is the bilateral thumb contact used for
GONSTEAD (aka double thumb) adults knee chest lumbars
70
what is the unilateral thumb contact used for
diversified (aka covered thumb and thumb pisiform) decrease amplitude because you contact with thumb and then cover with other hand and thrust through thumb kyphotic adult osteporosis dowager hump
71
what the modified thumb contact used for
diversified (aka bench thumb or thumb move) lower cervicals and upper thoracic LOD LM - spinous rotated to right then contact right and blast it to china
72
diversified rib set up rib prominence is felt where
anterior, posterior, seated, standing PMS most common subluxation - cranky rib - PMS contact angle of the rib - NOT rib head rib prominence felt on side of vertebral body rotation
73
first rib usually subluxates __
superior PMS most common
74
diversified lumbar set up
side posture preferred prone or seated can also be done
75
diversified spondylolisthesis adjustment
SUPINE knee chest
76
diversified tropism adjustment
decreased rotation due sagittal facet
77
thoracic quiz T4-5 extension malposition T4-5 flexion subluxation T6-7 flexion extension disrelationship Pt position LOD contact
T4-5 extension malposition Pt position - prone LOD - PA IS contact - T4 T4-5 flexion subluxation Pt position - supine LOD - AP IS contact - T5 T6-7 flexion extension disrelationship Pt position - supine LOD - AP IS contact - T7
78
diversified sacrum set up
diversified and Thompson contact contra apex RAI
79
gonstead sacrum set up
contact ipsilateral base PIR
80
diversified coccyx set up
internal correction held 40 seconds with opposing hand applying external pressure on sacrum avoid ganglion of impar no correlation between coccyodynia and coccyx angulation
81
what adjustment is contradicted in spondylolisthesis
PRONE
82
prone lumbars are associated with what
knee chest prone knee chest GONSTEAD
83
pelvic adjustment set up
GONSTEAD AND DIVERSIFIED side posture preferred AS ilium - extension malposition and flexion restriction - supine push down on ASIS and pull in ischial tub - prone push down on the ischial tub - side pull or push PI ilium - flexion malposition and extension restriction - prone push down on PSIS and pull up knee - side pull or push - glut max spasm and low gluteal fold
84
explain ilium position and its association with glut max and obturator height and width as well as palpatory tenderness AS, PI, IN, EX
ilium position in relation to GM and obturator AS - GM short, short obturator PI - GM long, long obturator IN - GM flat wide, narrow obturator EX - GM hunch narrow, wide obturator ASIN - long leg PIEX - short leg ``` palpatory findings AS - inferior PI - superior IN - none EX - medial ```
85
pelvis orientation and iliac crest and femoral head relationship in the prone position and standing xray
prone: - PI - high - AS - low standing X-ray: - PI - low - AS - high
86
ilium listing set up diversified and gonstead very similar in terms of ilium PI AS
patient - side posture EX - involved side down, with digit pull on PSIS ASEX - involved side down, with digits pull on iliac crest PI - contact PSIS - pull: pisiform / push: 2/3rd digit - stabilize shoulder - pull: knee to knee / push: thigh to thigh - thrust - PA and IS (IN) AS - contact ischial tuberosity with - pull: 2/3rd digit / push: pisiform - stabilize shoulder - pull: knee to knee / push: thigh to thigh - thrust - PA and SI (IN)
87
point tenderness along PSIS pelvic listing?
PI
88
gluteal hunching on right low gluteal fold on right pelvic listing?
Right PIEX
89
toe in superior PSIS point tenderness pelvic listing?
PIEX
90
superior ASIS on the right pelvic listing?
right PI
91
left lower femoral head on xray pelvic listing?
left PI
92
posterior ischial tuberosity pelvic listing?
AS
93
superior PSIS on left what is the right ilium listing?
right PI
94
flexion fixation of ilium flat gluteus Maximus pelvic listing?
PI IN
95
tall obturator pelvic listing?
PI
96
wide ilium or inominate pelvic listing?
IN
97
wide obturator pelvic listing?
EX
98
longest inominate on xray pelvic listing?
PI
99
superior PSIS foot flare pelvic listing?
AS IN
100
short obturator narrow ilium pelvic listing?
AS EX
101
sacral anterior inferior pelvic listing?
PI
102
extension restriction pelvic listing?
PI
103
what aggravates an SI
trochanteric belt
104
side posture thigh to thigh means you're pushing or pulling
push thigh to thigh is same as drop
105
side posture knee to knee means you're pushing or pulling
pulling knee to knee is same as kick
106
side posture EX pull is fencer stance or straight stance
straight stance which means perpendicular to the patient
107
elbow above or below contact for ASIN push
below
108
elbow above or below contact for PIEX pull
above
109
elbow above or below contact for EX pull
above
110
L3 PRI-M side posture pull or push RL or LR
pull or push right to left
111
L4 PRS side posture pull or push RL or LR
pull or push right to left
112
L2 body malpositioned in right rotation and left lateral flexion (knee chest)
pull or push left to right
113
L4 seated lumbar with decreased right lateral flexion and right rotation
pull or push right to left
114
C6 has left SP rotation and left body lateral flexion is ___ body limited rotation and __ scoliosis gonstead listing
L body limited rotation right scoliosis PLI - Lamina contact CW torque
115
C4 body left and inferior has restricted right rotation and limited right lateral bending contact with doctors __ hand and lateral flex the patients head to the __ gonstead listing
Right right PRS CW torque
116
right scoliosis, left SP would have reduced __ leaning and body restricted from rotating to the __ gonstead listing
right left PLI CW torque
117
posterior and superior right TP has __ towering and spinous reduced from rotating __ gonstead listing
left right PLI CW torque
118
decreased spinous extension and body has decreased right rotation and right lateral flexion gonstead listing
PRS CW torque
119
decreased right lateral flexion and left body rotation. motion segment has a right convexity and right posterior TP gonstead listing
PLI CW torque
120
anterior TP is on right and superior gonstead listing
PRS CW torque
121
thigh to thigh contact means knee to knee contact means
drop kick
122
what are motion, gonstead, and static listings
motion listings - body reference - where the body is not - restriction gonstead - SP reference - always starts listing with P static listings - TP or body reference - where the body is
123
which listings are national or medicare listings
static listings
124
LOD for gonstead or diversified? T8 PRS
G - PA LM IS CW
125
LOD for gonstead or diversified? C4 body right and superior patient is supine
D - PALMIS
126
LOD for gonstead and diversified? C5 PLI-I
G - PA LM SI CW
127
LOD for gonstead and diversified? use knee chest to adjust L4 which has decreased right body rotation, left lateral flexion, and extension
G - PA ML SI CCW
128
LOD for gonstead and diversified? use double pisiform maneuver for T9 right TP anterior and superior
D - PA LM IS
129
LOD for gonstead and diversified? L2 has PLI-M
G - PA ML IS CW
130
right ilium PSIS has superior tenderness and limited foot flare. what is the listing
PIEX
131
what is the segmental contact point (SCP) c4 prs
right SP
132
what is the segmental contact point (SCP) T1 PR
right SP
133
what is the segmental contact point (SCP) T6 posterior right TP
right TP if there is no wedging (contact open wedge), you're gonna be on the body side! ***
134
what is the segmental contact point (SCP) PLI M
right mammillary process
135
what is the segmental contact point (SCP) limited ilium flexion
ischial tuberosity
136
what is dr stance (same or opp) of contact modified combo diversified
same side
137
what is dr stance (same or opp) of contact diversified seated cervical
opposite side
138
what is dr stance (same or opp) of contact T1 - PR
same side
139
what is dr stance (same or opp) of contact gonstead cervical chair
same side
140
what is dr stance (same or opp) of contact double thenar
same side
141
where to stabilize for gonstead? cervical chair c4 PRS
below
142
where to stabilize for gonstead? single hand t4 PLI
grasp wrist
143
where to stabilize for gonstead? L4 PRS side posture push
stabilize right shoulder with doctor right hand (open wedge up!)
144
where to stabilize for gonstead? seated ASLP atlas
occiput with contact hand
145
what hand is used to stabilize for gonstead? PR sacrum
superior hand cephalad
146
what's the torque for the listing? PRS PI-R sacrum
CW CCW
147
what are the planes and axis of movement
sagittal - x - flexion and ext transverse - y - rotation coronal - Z - ab and add
148
what are the dozen adjusting rules
1. vertebra = body = vertebral body 2. D and G both contact superior side of segment or convex side of disc wedge 3. D will contact high TP and stabilize opposite TP (doctor stands on convex side of wedge) 4. stand on the side of convexity 5. put the involved side up or open wedge up 6. use a push if there's a correct choice between push and pull 7. pathology (PI pelvis is accompanied with AI sacrum) and physiology (PI pelvis is accompanied with AS sacrum) 8. body and SP rotate opposite 9. anterior TP = SP listing 10. posterior TP = body listing 11. static listings - malposition, fixation, subluxation 12. motion listings - decreased, limited, restrictions
149
sacrum contact point for diversified and Gonstead for a RAI or PI-R sacrum
diversified RAI - contra apex | gonstead PI-R- ipsi base
150
for thoracics contact wear and stand where
contact high TP | stand on open wedge side
151
when is straight away stance used
4 part thoracic listings

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