FINAL Added Material Flashcards

(78 cards)

1
Q

Causes of acute low back pain

A

Myofascial
Discogenic
Vertebrogenic

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2
Q

Category III

A

Lumbar discogenic subluxation

The acute low back patient

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3
Q

Cat 3 flow

A

Blocking 10 minutes
SOTO
Lumbar traction procedures
Lumbar subluxation analysis - gluteal fibers and cervical palpation
Lumbar adjustment - side posture or orthopedic blocking
Basic III cranial

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4
Q

Category 3 blocking effectsq

A
Removes iliac rotation
Relaxes low back muscles
Passive antalgia
10 minutes
Prone
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5
Q

The most important distinction in the differentiation of sciatic neuritis due to piriformis is

A

Lack of a true neurological deficit

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6
Q

Sacroiliac joint dysfunction with associated piriformis syndrome mimicking IVD syndrome

A

Disc surgery failed to give results

Chiropractic care worked. Pain free within 10 visits

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7
Q

SOTO better

A

Piriformis or hip jiont

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8
Q

SOTO worse/no change

A

Disc or subluxation

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9
Q

Traction is used before the

A

Manual adjustment

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10
Q

Most cat 3 patients are SB

A

+

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11
Q

Muscular compensation is automatic and neurologically controlled in the presence of

A

Pelvic or lumbar subluxation

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12
Q

Cervical and cranial musculature automatically compensates for

A

Pelvic and lumbar dysfunction, thereby protecting the functional integrity of the visual and vestibular reflexes

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13
Q

Relating especially or wholly to the psinal cord; specifically denoting those nerve cells and their fibers that connect the different segments of the spinal cord with each other

A

Propriospinal

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14
Q

R+C factors relate to

A

How sensitivity at the cervical vertebrae may relate to position of lumbar vertebrae.

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15
Q

Sensitivity at the cervical TP related to

A

An anterior rotation relating to the ipsilateral lumbar vertebrae’s TP

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16
Q

Effect of cervical spinal adjustments on lumbar paraspinal tissue compliance
Evidence for facilitation or intersegmental tonic neck reflexes

A

Conference paper by Nansel, Cooperstein and Waldorf
Lower cervical adjusting has a definite effect on muscle tone of the lumbar spine
Tissue compliance was measured with a compliance meter

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17
Q

Orthopedic block placement

A

Lumbar vertebra rotation

Lumbar vertebra inferiority

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18
Q

With lateral cervical TP sensitiviity a pelvic block is placed with the patient prone under the contralateral pelvis (between ASIS and greater trochanter) and pressure is applied to the ipsilateral lumbar SP

A

Lumbar vertebra rotation

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19
Q

Right C2 TP sensitivity

A

Pressure to L4 SP from R to L

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20
Q

With lateral cervical SP sensitivity pelvic blocks are placed with the patient prone under the both ASIS (at 45 inferior thorugh ASIS) and pressure is applied to ipsilateral lumbar lamina/mammillary process

A

Lumbar vertebra inferiority

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21
Q

Right C2 lateral SP sensitivity

A

Pressure to L4 lamina/mammillary process from I to S as if to decompress and lift the vertebra

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22
Q

Gluteal fibers give you

A

Side and level of lumbar body rotation

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23
Q

Cervical palpation gives the dr.

A

The level and listing of the lumbar subluxation

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24
Q

Styloid pain indicates

A

List of L5

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25
C1 TVP pain indicates
Spinous side of L5
26
When side posture might be dangerous | Discogenic pain syndrome indicators
No palpatory cervical pain in the presence of severe low back pain Bilaterally symmetrical palpatory pain in the presence of severe low back pain Atrophy of muscles of the lower extremities Flaccidity of the leg on performance of SOTO Other evidence of disc pathophysiology
27
Compensatory or primary change in cranial venous drainage, especially out of
Superior sagittal sinus
28
Cranial component of cat 3
Resulting hypersensitivity of the homonculus of the lumbar spine
29
Basic 3 cranial is used
At the end of the cat 3 visit
30
Reduces pressure in the superior sagittal sinus, thereby desensitizing the low back homonculus
Basic 3 cranial
31
Fingers on parietals 1 1/2” above the ear, separate sagittal suture as you lift parietals - don’t forget to avoid temporal bone
Basic 3 cranial
32
Category 1
Craniosacral dural dysfunction
33
The suboccipital muscles are connected to the upper cervical spinal dura mater via the myodural bridges. Recently it was suggested taht they might work as a pump to provide power for
CSF circulation
34
On the pulsatile nature of intracranial and spinal CSF circulation demonstrated by
MR imgaing
35
CSF circulation and associated intracranial dynamics
Radiologic investigation using MR imgaing and radionuclide cisternography
36
Temporal and spatial assessment of normal CSF fluid dynamics with
MR imaging
37
CSF mechanical pumping model created by
Marc Pick
38
Concept category 1
Normal dural function is essential to life and health
39
The 5 phenomena of the primary respiratory mechanism
Inherent motility of the brain and spinal cord Rhythmic fluctuation of the CSF Motion of dural membranes The articular mobility of the bones of the cranium The articular mobility of the sacrum between the ilia
40
Cat 1 flow
``` Basic 1 cranial Check heel tension and prone leg check Opposite sides = adjust atlas/ same side Block cat 1 prone (passive) S or # procedures Vasomotor adjustment Occipital fibers ```
41
Prepares the cranial vascular beds for blocking
Basic 1 cranial
42
Possibly relaxes teh trapezius and SCM muscles
Basic 1 cranial
43
Hold until pulsation is felt bilaterally and equally
Basic 1 cranial
44
Traction on the achilles tendon Will be tight in the presence of dural stress due to decreased inhibition of the gastroc/soleus muscle group secondary to PMRF dysfunction
Heel tension
45
___ must be the side of greater heel tension. If not, atlas must be adjusted
Prone short leg
46
Category 1 blocking
Look for balancing of legs | Disappearance of heel tension
47
Category 1 blocking procedure
``` Prone 6 minutes Mobilizes SI boots (non-weight bearing part) Breathing provides the motive force Patient passive during block placement ```
48
Since the SI joint has two separate functions
Support - CAt 2 | Motion - Cat 1
49
The most important part of category 1 procedure is
Mobilization of the synovial part of the SI joint
50
Dollar sign
Sacrum, CNS
51
Crest sign
Ilium | Proprioception
52
On a visit try to balance muscle ton ein. The ___ area
Crest OR dollar | NOT BOTH
53
Change tone on the ____ side first then change tone on the other side
Tighter
54
Never thrust into
A block
55
Dollar and sign corrections
Gluteal scoop | Ischial thrust
56
PSIS toggle and
Crest roll
57
Cough test
SB + or - etc
58
SB + blocking and ___ response
Vasomotor
59
The next step of cat 1
Don’t forget the visceral connection Always look for occipital fibers which will tell you if there is visceral irritation/pathology Learn CMRT, nutrition, diet, etc
60
De Jarnette meric chart | T1
Coronary arteries
61
De Jarnette meric chart | T2
Cardiac muscle
62
De Jarnette meric chart | T3
Lungs, respiration
63
De Jarnette meric chart | T4
Gallbladder
64
De Jarnette meric chart | T5
Stomach
65
De Jarnette meric chart | T6
Pancreas
66
De Jarnette meric chart | T7
Spleen
67
De Jarnette meric chart | T8
Liver
68
De Jarnette meric chart | T9
Adrenals
69
De Jarnette meric chart | T10
Small intestine
70
De Jarnette meric chart | T11-12
Kidneys
71
De Jarnette meric chart | L1
Iliocecal valve
72
De Jarnette meric chart | L2
Cecum
73
De Jarnette meric chart | L3
Reproductive glands
74
De Jarnette meric chart | L4
Colon
75
De Jarnette meric chart | L5
Prostate/uterus
76
``` Basic I cranial Adjust atlas if needed Block Dollar and crest Vasomotor subluxation adjustment Occipital fibers ```
Category 1
77
``` Foot, ankle, iliofemoral, psoas Sacral cup, anterior trap fibers C1 L5 UMS/LLL Blocking Basic II Long leg, short leg ```
Category II
78
``` Psoas Blocking for pain Cough test and traction Lumbar analysis Orthopedic blocking SOTO Posterior iliofemoral Sitting disc Basic III cranial ```
Category 3