Full Spine Lab Stuff

Question 1

Instrumentation

Answer 1

Nervoscope

Tytron

Question 2

Nervoscope

Answer 2

Look for break for C2-LL

Question 3

Tytron

Answer 3

Look for .4 degree difference

Question 4

Visualization

Answer 4

AS occiput
PS occiput
Lateral flexion head tilt
Rotation

Question 5

AS occiput

Answer 5

Head always up (in extension)

Question 6

PS occiput

Answer 6

Head stuck on chest (in flexion), tenderness

Question 7

Lateral flexion head tilt can be

Answer 7

C0 or C1

Question 8

Rotation can be

Answer 8

C0 or C1

Question 9

Static palpation

Answer 9

Feel over spinous processes for edema and swelling
Feel lateral to the spinous for high/tight musculature changes
Look for persistent redness over specific area (might indicate subluxation)
Look for child’s response when palpating
Atlas - feel for superior lateral TP

Question 10

For Atlas palpation

Answer 10

Swelling/edema is usually under the mastoid on side of laterality

Question 11

For Occiput

Answer 11

Edema/swelling anterior to the mastoid

Question 12

Motion palpation cervicals

Answer 12

C2-7 for infants
P-A and I-S glide with extension of head

Atlas - rotation a child does not like to rotate opposite laterality

Occiput - flexion and extension - restrictoin is side of laterality

Question 13

Thoracic motion palpation

Answer 13

P-A and I-S glide with extension of upper chest

Question 14

Lumbar motion palpation

Answer 14

P-A and I-S glide using the legs for extension

Question 15

Analysis of the pelvis - static palpation - edema

Answer 15

Superior = PI

Inferior = AS

Medial = EX

No palpable edema = IN

Question 16

Analysis of the pelvis - visualization

Answer 16

Lower glute = PI
Higher glute = AS
Flatter wide glute = IN
Rounded narrow = EX
External foot flare = IN
Internal foot flare = EX

Question 17

Lower glut

Answer 17

PI

Question 18

Higher glut

Answer 18

AS

Question 19

Flatter wide glute

Answer 19

IN

Question 20

Rounded narrow

Answer 20

EX

Question 21

External foot flare

Answer 21

IN

Question 22

Internal foot flare

Answer 22

EX

Question 23

Analysis of the pelvis motion palpation

Answer 23

Child prone lift the ipsilateral leg into extension

Press P-A using index finger or thumb over the SI joint

Question 24

The size of you CP needs to match

Answer 24

The size of the SCP

Question 25

PS occiput - seated

Answer 25

SCP - superior aspect of mastoid groove CP - thenar eminence or lateral aspect of the thumb SH - vulcan grip, split fingers, around the shoulder LOD - S-I and P-A

Question 26

PS Occiput - supine

Answer 26

SCP - superior mastoid groove CP - pisiform or index finger of the hand SH - cradles the occiput LOD - S-I and P-A

Question 27

AS occiput - seated

Answer 27

PP - seated with the cervical block DS - behind child, sometimes with the child on your lap CP - glabella SCP - middle finger using the pad LOD - S-I and P-A

Question 28

AS occiput - supine

Answer 28

PP - cervical block under neck DS - stands at the head of the table SCP - glabella CP - thumb same as the side of involvement SH - thumb over thumb with fingers cradling the parietal bones LOD - S-I and A-P

Question 29

Atlas

Answer 29

PP - wherever the child is happy SCP - atlas TP CP - pad of the correct size digit, match the size of the sCP SH - parietal bone opposite the side of involvement LOD - S-I and L-M using sustained pressure

Question 30

C2-C7

Answer 30

Primary subluxation will be posterior, P is a perfectly good listing PP - prone, seated, or supine SCP - spinous CP - pad of the correct size digit, match the size of the SCP or pinch the spinous SH - depending on the patients position, always keep stabilize the head LOD - I-S and P-A sustained contact or a light pulsing

Question 31

Rotation for C2-C7

Answer 31

Shouldn’t be used on your pediatric patients because their uncinate processes aren’t developed

Question 32

Thoracic-prone

Answer 32

Primary subluxation will be posterior, P is perfectly good listing PP - prone, supine or standing, on your lap, table or the parents stomach SCP - spinous or TP CP - pad of the correct size digit, match the size of the SCP SH - depends on the adjustment

Question 33

SH for thoracic prone

Answer 33

Single hand - pinky on pinky or thumb to thumb Double transverse - index and middle finger, peace sign, with a knife edge stabilization Thumb pisiform Jump move

Question 34

Lumbars prone

Answer 34

PP - on your lap, table or the parents stomach SCP - spinous or mamillary CP - pad of the correct size digit, match the size of the SCP SH - depends on the adjustment LOD - I-S and P-A

Question 35

SH lumbars prone

Answer 35

Single hand - pinky on pinky or thumb to thumb Double transverse - index and middle finger, peace sign, with a knife edge stabilization

Question 36

Lumbars side posture

Answer 36

PP - side lying SCP - spinous or mammillary CP - index finger backed by middle finger SH - childs arms LOD - I-S and P-A

Question 37

PI ilium prone

Answer 37

PP - prone on the table, parents chest or your lap SCP - inferior aspect PSIS CP - thenar, hypothenar or thumb SH - lifts the ipsilateral leg into extension DS - contralateral to involvement LOD - I-S and P-A

Question 38

AS ilium prone

Answer 38

PP - prone on the table, parents chest or your lap SCP - Ischial tuberosity CP - thumb SH - thumb, pisiform LOD - S-I and P-A

Question 39

EX ilium prone

Answer 39

PP - prone on the table, parents chest or your lap SCP - lateral aspect PSIS CP - thumb SH - thumb over thumb LOD - L-M add torque DS - same side

Question 40

IN ilium prone

Answer 40

PP - prone on the table, parents chest or your lap SCP - medial aspect PSIS CP - thumb SH - thumb over thumb LOD - M-L add torque DS - opposite side

Question 41

PI ilium side posture

Answer 41

PP - side lying involved side up SCP - inferior aspect PSIS CP - index finger SH - childs arms LOD - I-S and P-A

Question 42

AS ilium side posture

Answer 42

PP - side lying involved side up SCP - ischial tuberosity CP - index finger or pisiform SH - childs arms LOD - S-I and P-A

Question 43

EX ilium side posture

Answer 43

PP - side lying involved side down SCP - lateral aspect PSIS CP - index and middle finger SH - childs arms LOD - L-M add torque

Question 44

IN ilium side posture

Answer 44

PP - side lying involved side up SCP - medial aspect PSIS CP - index and middle finger SH - childs arms LOD - M-L add torque