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HVLA > HVLA > Flashcards

HVLA Flashcards

1
Q

Normal Coupling - C0-1

A

Type 1

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2
Q

Normal Coupling - C1-2

A

Complex primary rotation, technique uses ligamentous myofascial q

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3
Q

Normal Coupling - C2-T7

A

Type 2

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4
Q

Normal Coupling - C7-T3 (prone)

A

Type 1 or Type 2

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5
Q

Normal Coupling - T3-L5

A 
Flexion = type 2
Extension = type 1
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6
Q

Spine positioning - C1-2

A

Ligamentous myofascial

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7
Q

Spine positioning - C2-7 Upslope

A

Type 1 (facet apposition)

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8
Q

Spine positioning - C2-7 Downslope

A

Type 1 (facet apposition)

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9
Q

Spine positioning - C7-T3

A

Type 1 or Type 2

Prone: Facet apposition
Seated: Ligamentous myofascial

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10
Q

Spine positioning - T4-9 extension (seated)

A

Ligamentous myofascial

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11
Q

Spine positioning - T4-9 flexion (supine)

A

Ligamentous myofascial

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12
Q

Spine positioning - L1-5 neutral/extension

A

Type 2 (facet apposition)

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13
Q

Spine positioning - L1-5 flexion

A

Type 1 (facet apposition)

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14
Q

Normal Coupling L1-5 (Flexion)

A

Type 2

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15
Q

Normal Coupling - C7-T3 (seated)

A

Ligamentous myofascial

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16
Q

Normal Coupling L1-5 (Neutral/extension)

A

Type 1

17
Q

Substantive reversible impairment - Lumbar

A
  • Disc herniation or prolapse
  • Minor vertebral body compression
  • Posterior element fracture without lost of structural integrity
  • Nerve root compression
  • Lumbopelvic region strain
18
Q

Substantive non-reversible Cervical

A
  • Unresolved disc herniation

- Unresolved radioculopathy

19
Q

Substantive non-reversible Thoracic

A
  • Significant vertebral body compression fracture

- Posterior element fracture with disruption to the spinal cord

20
Q

Substantive non-reversible Lumbar

A
  • Significant vertebral body fracture
  • Unresolved disc herniation/prolapse
  • Unresolved radioculopathy
  • Posterior element fracture with disruption to the spinal cord
21
Q

Serious non-reversible Cervical

A
  • Stroke

- Spinal cord compression

22
Q

Serious non-reversible Thoracic

A
  • Spinal cord compression
23
Q

Serious non-reversible Lumbar

A
  • Cauda equine syndrome
24
Q

Vertebrobasilar insufficiency signs/symptoms

A
  • Overt loss of balance in relation to head movements
  • Facial lip paraesthesia, reproduced by active or passive neck movement
  • Bilateral or quad-lateral limb paraesthesia either constant or reproduced by neck movement
  • Nystagmus produced by active or passive neck movement
25
Q

Cardinal cervical instability signs/symptoms

A
  • Overt loss of balance in relation to head movements
  • Facial lip paraesthesia, reproduced by active or passive neck movement
  • Bilateral or quad-lateral limb paraesthesia either constant or reproduced by neck movement
  • Nystagmus produced by active or passive neck movement
26
Q

Vertebrobasilar insufficiency signs/symptoms

A

Signs:

  • Nystagmus
  • Gait disturbances
  • Homer’s syndrome

Symptoms:

  • Headache/neck pain
  • Dizziness/vertigo
  • Nausea/vomiting
  • Facial paraesthesia
  • Tingling upper limbs
  • Blurred vision
  • Light headed
27
Q

Relative contraindications

A
  • Previous adverse reactions to treatment
  • pregnancy
  • Hypermobile/ligamentous laxity
  • Osteoporosis
28
Q

Absolute contraindications

A
  • Any bone pathology that has lead to significant bone weakening (tumour, severe rheumatoid arthritis)
  • Cord compression
  • lack of consent or diagnosis
29
Q

Tests for upper cervical instability

A
  1. Transverse (translate occipital and atlas are moved posteriorly from the pressure on the forehead)
    - positive symptoms with head and neck flexion
  2. Alar (same hand hold and passive rotate the atlas to the right & left
30
Q

Things to include

A
  • cracking sound from movement
  • symptoms may persist but should subside in 24-72hrs if not, please contact me
  • this treatment approach has caused or aggravated a disc injury or a pinched nerve. If you feel any discomfort at any time please tell me
  • thoracic, rib or vertebra fracture
  • lumbar, damage to the nerves which can cause permanent bladder/bowel issue
  • from my assessment today I believe the benefits outweighs the risk associated
  • do you have any questions
  • am I okay to proceed?

HVLA (1 decks)

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