Exam 1 Flashcards
(107 cards)
1
Q
SOT chiropractic world of
A
Major Bertrand Dejarnette
2
Q
Born in
A
Greenridge MO
Dec 23 1899
3
Q
1913 dejarnette
A
Witnessed chiro parade down Brady St
4
Q
1921
A
Enrolled at nebraska college of chiro in lincoln
5
Q
Became a DO dearborn college of osteo in elgin, IL
A
1922
6
Q
Grad from chiro coll
A
1924
7
Q
Opens office in Neb City
A
June 18, 1925
8
Q
Gets in trouble iwth NBCE for using modaliies
A
1929
9
Q
Earliest writings on color therapy and vasomotor control
A
1930
10
Q
Began teaching post-grad courses at Cleveland KS
A
1935
11
Q
Offers 4 year post-grad course in SOT at LACC
A
1949
12
Q
Appointed to NBCE
A
1954
13
Q
ICA review of chiropractic
A
1958
14
Q
Between 1937 and 1949
A
No new licenses issued
15 licenses in 31 years due to no cooperation between basic sciences board and chiro board
15
Q
Beginning of the national board.
DeJarnette was on the first board
A
1963
16
Q
First presdient of the national board
A
Ed Saunders
17
Q
The Sacro Occipital Research Society International was formed in ___ by ___ in order to carry his work on after his retirement
A
1957
Dr. DeJarnette
18
Q
Office in Nebraska City, NE
A
1924-1985
19
Q
All I have done is to pull aside a curtain for further vision
A
William Garner Sutherland
1873 - 1954
20
Q
The ___ is the highest known element in the human body
A
CSF
21
Q
He who is able to reason will see that this great river of life must be tapped and the withering field irrigated at once, or the harvest of health is forever lost
A
AT Still - Philosophy of Osteopathy
CSF
22
Q
Structure of SOT
A
Category system Cranial Extremities Ongoing research Chiropractic Manipulative Reflex Technique
Star
23
Q
The three clinically interrelated categories of primary anatomy and physiology
A
Category I
CAtegory II
Category III
24
Q
The primary cranio-sacral respiratory mechanism and it’s relationship to the nourishment and protection of the nervous system for whole-body functional coordination
A
Category I
25
How was the weight-bearing structure of the body communicates and operates within the demands of a gravitational environment
Category II
26
A sub-system of primary lumbar subluxation that threatens categories I and II by creating a pelvic and cranio-sacral distortions
CAtegory III
27
SOT uses the ___ system of patient classification
Category
28
SOT incorporates
Extremities, viscera and cranium into clinical picture
29
SOT uses pelvic wedges (blocks) for
Correction of many pelvic subluxation dysfunctions
30
SOT supplies order to
The myriad confusing methodologies in the profession (all the different techniques)
31
SOT is not designed or intended for clinicians who rely on
Rote memorization of a single method of analysis or correction
32
Normal dural function is
Essential to life and health
33
It underlies all of life’s processes and gives dynamism, form and substance to all of anatomy and physiology
Primary respiratory mechanism
34
Primary respiratory mechanism phases
Inhalation
| Exhalation
35
Mechanism of primary respiratory mechanism
System composed of many parts that work together to create a whole, greater than the sum of the parts
36
It is the guiding principle; it is the inherent intelligence within
Primary respiratory mechanism
37
CSF pressure oscillations are not confined to
Hydrocephalic patients with raised intracranial pressure
38
Five components of the primary respiratory mechanism
1. Inherent motility of the brain and cord
2. CSF fluctuation
3. Reciprocal tension shifting within the dura mater system
4. Cranial motion (intra and inter bone)
5. Sacro Iliac mobility
39
One function of sacro iliac joints is motion. This is compromised in
Category I patients
40
One function of sacro iliac joint is support to the spine. The sacrum is suspended between the ilia by interosseous sacro iliac ligaments. This support is compromised in
Category II patients
41
The pelvis develops sacro iliac weight-bearing ligamentous instability (hypermotion) in an effort to
Compensate for dural dysfunction
42
Interosseous S1 ligament weight bearing
Cat II
43
Sacroiliac boot joint
Cat 1
44
It is always considered that there is arelationship between ___ dysfunction and dural function
Lumbar disc
45
Most immediate anatomic-physiologic dysfunction
Category
46
Cranio sacral dural CSF/CNS dysfunction
Category I
47
Sacro iliac weight-bearing neuromusculoskeletal dysfunction
Category II
48
Lumbar discogenic dysfunction
Category III
49
Reactions to sustained stress
Clear - cat 1 - cat2 - cat 3
The onion successive layers of neuro-mechanical compensation
50
What does almost ALL chiropractic analysis have in common
```
Palpation (static an dmotion)
Observation (spinal and whole body, including postural)
Leg checks
Muscle testing
X-ray measurements
Energetics
```
51
It’s all about output, the adjustment is all about
Input
52
Input affects
Output
53
Sense organs stimulated by movement of the body itself
Proprioceptors
54
General proprioceptors are found in
Skeletal muscles, tendons, and joints
55
Stimulated by tnesion which occurs when muscle is stretched and when it is contracted
Golgi organ in tendons
56
In skeletal muscle
| Stimulated when muscle is stretched or shortened
Muscle spindle
57
Similar to those in the skin are found in deep connective tissue and around joints.
Pacinian corpuscles
58
Pacinian corpuscles are stimulated by
Pressure of surrounding structures when joints are moved
59
General proprioceptor end-organs may be linked with centres in ___ by a chain of 3 neurons
Cerebellum or
| Parietal lobe of cerebral cortex
60
Proprioceptor impulses from head and neck muscles travel in
Cranial nerves from muscles of mastication)
61
Gracile nucleus
Fibers from lower limbs and lower trunk
62
Tertiary sensory neurons passes from
Thalamus - internal capsule - reach post central gyrus of parietal lobe
63
Where awareness of muscle and joint sense is appreciated
Parietal lobe post central gyrus
64
Cuneate nucleus
Fibers from upper limbs and trunk
65
Proprioceptor impulses travel from
Trunk and limbs in spinal nerves
66
Secondary neurons cross over to opposite side of brain stem in
Sensory decussation
67
The controlling centers in the motor cortex are linked by 2 neurons with the effector organs
The voluntary muscles
68
The motor nerve cells in the ___ send out messages which travel along their nerve fibers in the ____
Precentral gyrus
| Internal capsule
69
Where most of the fibers cross to the other side and continue downwards in the lateral corticospinal tract
Medulla
70
Some fibers remain uncrossed in
Anterior corticospinal tract
71
Upper motor neurons synapse with cells in the _______ at various levels dependin gon muscles they are destined to supply
Anterior horn of spinal cord
72
The ___ of the lower motor neurons travel in the spinal nerves to the skeletal muscles of trunk and limbs
Axons
73
One side of the cerebral cortex controls activity of the muscles on the
Opposite side of body
74
Looking at the output
```
Distortion
Rib head motion
Mind language
Stress tests
Arm fossa test
Cervical compaction test
Heel tension
```
75
Only muscle you have to use constantly while standing
Gastroc
| Soleus
76
Distortion analysis Cat 1
A-P sway
Probably due to decreased inhibition of postural muscle tone below the level of T6
77
Distortion analysis Cat 2
Lateral sway
Due to body’s effort to avoid sacro iliac weight-bearing on the dysfunctional side with compensations (hemisphericity)
78
Distortion analysis cat 3
Antalgia
Due to avoidance of pain (taking nerve root away from bulging disc
79
Laterally and forward flex the neck and raise the rib cage
Scalene muscles
80
1st rib head
Feeling for unilateral or bilateral 1st rib/T1 muscular hypermotion compensatory to CAt 1 or II
81
Cat I 1st rib head
Bilateral/symmetrical
82
Cat II 1st rib head
Unilateral/asymmetrical (pain on hypermobile side)
83
Stress testing cat 1
Deep inhalation or exhalation
84
Stress testing cat 2
Hop on one leg at a time (flat footed)
85
Stress testing cat III
Valsalvas
86
The testing procedures for muscle strength used by experienced clinicians in AK are
Reliable
87
Muscle testing high reliability for ___
High agreement for___
Low for ____
Piriformis
Pectoralis
Hamstrings and TFL
88
Future research reflect more accurately teh
Clinical practice of functional neurologic assessment
89
Manual assessment of muscular fucniton is used to identify
Changes associated with facilitation adn inhibition in response to hte introduction of sensory receptor-based stimuli.
90
Muscle testing responses to sensory stimulation of known value are compared with usually predictable patterns based on
Known neuroanatomy and neurophysiology, guiding the clinician to an understanding of the functional status of the patient’s nervous system
91
Mind language cat 1
PSIS test the arm
92
Mind language cat 2
L5 transverse, test arm
93
Mind language Cat3
Styloid fossa, test arm
94
Weakness on mind language will show up on
Both sides equally
95
Cerebellum’s diminished regulation over timed motor response
Contact on sartorius or rectus abdominus interferes with muscular compensation for the unstable pelvis, therefore the arm blows out
96
Correct fingertip contacts for arm foss
```
Female = 1”
Male = 1.5”
```
97
45 subjects with weak arm fossa test
Divided into 3 groups cat 2 blocking, prone cat 1 blocking, no adjustments
98
86% of control group no adjustments
Remained unchanges
99
73% of cat 2 blocking group became negative
Weak arm fossa test
100
Cat 1 blocking group for weak arm fossa
Showed mixed response
101
```
29 asymptomatic
39 symptomatic (with L/S pain)
```
7 L/S ortho tests and AF test were evaluated for sensitivity specificity and diagnostic competncy
Only AF test and heel to buttock showed more positive in symptomatic vs asymptomatic
102
Harder with S-I force on cervical
Pelvic dysfunction
103
Easier with S-I force on cervical while raise legs
Cervical issue
104
Traction on achilles tendon will be tight in the presence of dural dysfunction.
Palpation of decreased inhibition of posterior postural muscles below T6
Dr. Thompson posteiror rocked ischium indicator
105
Since heel tension is usually found on
Cat 1 patients
106
Since Cat I patients have sacral dural dysfunction you could argue that heel tension is a
Sacral indicator
107
Sacral dural dysfunction
Loss of S/I synovial motion
