Exam 1 Major Models and Hypotheses of Chiropractic Subluxation Flashcards

(56 cards)

1
Q

A branch of mechanics that studies the relationship between the forces acting on the body and the changes they produce in the motion of the body

A

Kinetics

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2
Q

Who is the chiropractic pioneer in biomechanics
What was his concern

A
  • Dr. Fred Illi
  • skeletal framework (spine & pelvis) = a unit where weight bearing, posture, locomotion
    tie into
    nervous & vascular systems, psychology, emotions
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3
Q

Who associated with the concept…
Hypomobility in a motion segment leads to compensatory hypermobility, particularly in motion segments immediate/ adjacent to fixed segment

A

Jirout, Kirkaldy-Willis

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4
Q

A lack of mobility in any segment due to any cause will result in compensatory hypermobility in the segments above and or below is the _____ ______

A

compensation reaction

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5
Q

According to Jirout,
What happens when an initial block is a highly mobile segment
Can it be fixed

A
  • compensatory hypermobility is DRASTIC
  • if factors noted in time, osseous changes CAN be avoided
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6
Q

A characteristic of affected segments is displacement of the normal axis of rotation in one or more planes …
is termed as

A

Change in Central Axis of Motion

  • attributed to Kapandji
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7
Q

Who wrote the book on modernized chiropractic?

A

Smith and Langworthy who were students and
Paxson

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8
Q

“A subluxation is a condition in which the exact relation between the articulating surfaces of bones has been altered from normal, the articulating surfaces still remaining in partial contact”
is a definition from

A

the modernized book of chiropractic

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9
Q

According to the modernized book of chiropractic, a simple subluxated vertebra differs from a normal vertebra only in its

A
  • field of motion and center of its field of motion
  • various positions of rest
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10
Q

According to the book of modernized chiropractic,
“positions of rest”
refers to what

A

positions assumed by bones while the body maintains certain poses (postures)

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11
Q

According to the book of modernized chiropractic,
when a change takes place, everything is changed much like a …

A

wheel with its hub off center
- too great on some directions and too small in others

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12
Q

The hypothesis that facet joints (z-joints) of affected segments demonstrate a loss of joint play is attributed to

A

Mennell

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13
Q

The loss of joint play represents and is associated with

A
  • represents the amount of capsular laxity/ joint
  • associated with reduced active or passive ROM, muscle hypertonicity and pain articularly
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14
Q

How can loss of joint play be corrected, according to Mennell?

A

HVLA thrust adjustment

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15
Q

The concept that vertebral malposition and aberrant motion are almost always concomitant findings
(misaligned segment/ 1 plane = segment in wrong place)
is called

A

positional dyskinesia
- Suh, Plaugher

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16
Q

“No adjustment should be administered to an apparent positional dyskinesia without concomitant evidence of a decrease in mobility at that articulation”
is a statement from

A

the Textbook of Clinical chiropractic

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17
Q

Plaugher also states,
“There is ____ scientific evidence that adjustments affect the positional dyskinesia component of the subluxation complex”

A

little

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18
Q

What can we tell patients regarding dynamics and kinesio-pathology?

A

the subluxation process occurs in a body that is seldom at rest (static)

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19
Q

What are we concerned with?

A

abnormal patters of movement AND the stuck places

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20
Q

What happens when one bone doesn’t move enough

A

another one will move too much

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21
Q

True or false
The chiropractic adjustment has been shown to restore normal joint play to affected segments

A

true

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22
Q

If a vertebra is out of place it will not move normally and if it’s not moving normally…

A

it will be found in the wrong place sometimes

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23
Q

In subluxation associated degeneration, what models are there?

A
  • 4 phase model
  • 3 phase unified model
24
Q

What does the 4 phase model chart?

A

the progression of the hypothesized biomechanical effects of uncorrected VS and offer empirical responses to adjustments

25
In the 4 phase model, what is the assumption that is made
there is a near perfect ideal spine which can be maintained or regained if correction is made in a timely fashion
26
When does phase 1 of the 4 phase model occur?
ages 0-20 early life or after occurrence
27
What can be seen during phase 1 of the 4 phase model
- motion dysfunction, possible misalignment - bony architecture still intact - SOFT TISSUE CHANGES
28
What is the biomechanical response to care in phase 1 of the 4 phase model
return to near- normal with care in WEEKS to MONTHS depending on chronicity
29
True or false There was a 21 Y/O female patient that suffered from severe migraine headaches in the "near perfect" category of phase 1
true
30
When does phase 2 occur of the 4 phase model
Chronologically in young adults, ages 20-40
31
What can be seen during phase 2 of the 4 phase model
- there is motion dysfunction, possible misalignment - fibrosis in soft tissues - early bone changes seen ex: exostosis, sclerosis
32
What is the biomechanical response to care in phase 2 of the 4 phase model
- significant improvement, longer-term care over several YEARS required to halt degeneration - reversal/ changes may be possible
33
True or False There was an 84 Y/O female in phase 2 for biomechanical changes for maintenance
true
34
When does phase 3 occur of the 4 phase model
chronologically in mature adults 30-60 Y/O
35
What can be seen during phase 3 of the 4 phase model
- motion dysfunction, possible misalignment ; chronic soft tissue effects - major bone and joint changes ex: beginning ankylosis or fusion
36
What is the biomechanical response to care in phase 3 of the 4 phase model
minimal; care may slow or retard progression; LIFETIME CARE required
37
When does phase 4 of the 4 phase model occur?
chronologically in elderly adults, 60+ Y/O with significant trauma
38
What can be seen in phase 4 of the 4 phase model
- ALL CHANGES / earlier phases - major bone and joint changes ex: fusion or ankylosis complete
39
What is the biomechanical response to change in phase 4 of the 4 phase model
NONE - care is directed to segments in earlier phases or those subject to compensation
40
The 3 phase unified model is described by who? In what text?
- Sandoz & Kirkaldy- Willis - The Chiropractic Theories book
41
What is the phase 1 in the 3 phase unified model
segmental dysfunction - pre-radiologic - kinesio-pathology
42
What is phase 2 in the 3 phase unified model
Instability - cartilage, ligament histopathology "true" subluxation
43
What is phase 3 in the 3 phase unified model
Stabilization - significant DJD ankylosis
44
In version 1 of the 3 phase unified model, Leech describes phase 1 segmental dysfunction as
significant trauma involved - resulting articular overstress - proceeds to phase 2
45
In version 1 of the 3 phase unified model, Leech describes phase 2 Instability as
cartilage, ligament histophathology "true" subluxation- radiographically demonstrable with episodic fixations
46
In version 1 of the 3 phase unified model, Leech describes phase 3 stabilization as
significant DJD - ankylosis
47
In version 2 of the 3 phase unified model, Leech describes phase 1 segmental dysfunction if IMMOBILIZATION is the primary initiating factor without severe trauma, as
- a facilitative lesion/ chronic muscle contracture - impaired circulation/ joint & muscle - hypomobility
48
In version 2 of the 3 phase unified model, Leech skips phase 2 and goes straight into phase 3 stabilization, which is
- severe DJD without significant displacement - NO TRUE subluxation
49
A localized spinal lesion that exhibits asymmetry or reduction in motion, associated with disturbed muscular activity, sensitivity to percussion & sensitivity to pressure is the definition of
segmental dysfunction
50
VSC relies on _____ ______ for the diagnosis to be established
radiographic criteria
51
Clinically, when is the diagnosis of SDF (segmental dysfunction), established
when the practitioner locates the tender "taut" erector spinae muscles and isolates restriction in joint motion
52
What is the main question regarding the Vertebral Subluxation Hypothesis Tree
does joint dysfunction lead to neurologic dysfunction or does neurologic dysfunction lead to joint dysfunction
53
What is the Inflammation/ Immobilization model
a conceptual model for degenerative joint disease
54
What is the IVF Encroachment/ DRG Irritation/ Neurologic model
a conceptual model for degenerative joint disease RELATIONSHIP with intervertebral foramen encroachment and a consequence of intervertebral subluxation
55
True or false Palmer used rabbits for experimentation for surgically damaged IVD
true
56
Who protested the use of rabbits during this experiment done by Palmer
Peta (one of the authors of the Chiropractic Methods book)