Mopal module 1

Question 1

loss of normal motion within normal ROM in a joint

Answer 1

subluxation

Question 2

a way of referencing the subluxaiton as a bone in space and defining which way to correct it

Answer 2

listings

Question 3

models designed to give us a simple way of looking at it and documenting it clinically rather than an absolute biomechanical and physiological representation

Answer 3

systems

Question 4

within normal joint motion/limits

ligaments injured but intact - does not involve complete tear

alters the normal motion of vertebrae involved

can be visible or not on static imaging (x-ray)

Answer 4

chiropractic subluxation

Question 5

incomplete luxation

outside normal joint motioin/limits

ligaments/joint capsule torn/disrupted

always visible on static imaging (x-ray)

Answer 5

medical subluxation

Question 6

end range testing

Answer 6

dynamic

Question 7

the bone out of place model

palpation

spinous out of midline

taught ant ender fibers

LOC based on the model

Answer 7

static model

Question 8

biomechanically sound model

palpation end range testing

healthy joints have a springy end feel

fixated/subluxated joints have a hard or restricted end feel

LOC based on the direction that’s fixated

Answer 8

Dynamic model

Question 9

determine where lack of motion is

Answer 9

dynamic

Question 10

references the position of the spinous process

Answer 10

palmer/gonstead

Question 11

references the direction of restricted motion - the body

Answer 11

gillet/faye

Question 12

thoracic down to lumbar to pelvic

Answer 12

gonstead spinous listing

Question 13

cervical listings

Answer 13

body listing

Question 14

currently only uses the static palmer/gonstead model

Answer 14

the AVCA

Question 15

originated from the biped

easy to understand

it’s just a model

Answer 15

static

Question 16

based on the biomechanics of the patient

requires time to master some of the finer palpation skills

Answer 16

dynamic

Question 17

static palpation is used for

Answer 17

identifying landmarks

identifying specific vertebrae and other bony projections

Question 18

motion palpation is used when

Answer 18

identifying the location/direction of the subluxation

Question 19

superior

Answer 19

cranial

Question 20

inferior

Answer 20

caudal

Question 21

posterior

Answer 21

dorsal

Question 22

anterior

Answer 22

ventral

Question 23

medial

Answer 23

medial

Question 24

lateral

Answer 24

lateral

Question 25

end range ROM is ___ where chiropractic occurs

Answer 25

paraphysiologic space

Question 26

where chiropractic occurs

Answer 26

paraphysiologic space

Question 27

elastic barrier of resistance

Answer 27

crack

Question 28

limit of anatomic integrity

Answer 28

joint sprain

Question 29

created by muscles the smallest your joint can go

Answer 29

active ROM

Question 30

a little more motion - muscles stretchy and has more give mobilization technique - normal ROM - massage, PT anyone can do this

Answer 30

mobilization

Question 31

past passive little bit more

Answer 31

manipulation

Question 32

go past that spacy = injury

Answer 32

joint sprain

Question 33

you have to get to the end of passive motion (mobilization

Answer 33

at the paraphysiological space

Question 34

at the paraphysiologiccal space healthy joints

Answer 34

have a springy end feel (property of ligaments) - trampoline

Question 35

in paraphysiological space fixated/subluxated joints have

Answer 35

a hard or restricted end feel

Question 36

fiborous ligaments have both plastic and elastic properties

Answer 36

initial loading is elastic, followed by plastic resistance

Question 37

ligament crimp

Answer 37

little wave to them - push in, pushes back 1/8” would

Question 38

provide stability | connects bone to bone

Answer 38

ligaments

Question 39

motion palpation is when challenged healthy joints should

Answer 39

give at the paraphysiologic space (about 1/8” of final moevement/give)

Question 40

perceived as a spring which gives way, then pushes back…think trampoline

Answer 40

motion palpation

Question 41

fixated joints have little/no give and do not push back

Answer 41

the elastic nature of the ligaments has been replaced by stiffness/immobility

Question 42

3 types of fixation

Answer 42

articular ligamentous muscular

Question 43

hard end feel doesn’t go away with repeated cahllenges - block of wood adjust this bad boy!!!

Answer 43

articular joint capsule subluxation

Question 44

stiff end feel - cheese often resolves with short impulse thrusts adjust these…

Answer 44

ligamentous

Question 45

mushy end feel - soggy fries - repeated mobiliztion fixes often improves with repeated tesitng no adjustment required

Answer 45

muscular

Question 46

comprised of at least two segments and the tissues of the articulation

Answer 46

intersegmental motion palpation

Question 47

assessing a single joint

Answer 47

intersegmental motion palpation

Question 48

stabilize one segment and add motion ot the other

Answer 48

intersegmental motion palpation

Question 49

motion should be added through active and passive ROm until you reach

Answer 49

the paraphysiologic space

Question 50

chiropractors call this end play

Answer 50

intersegmental motion palpation

Question 51

your movement at this point should remain in approx

Answer 51

1/8” space

Question 52

learning to listen with our

Answer 52

fingers

Question 53

slow/low velocity technique patient has final control

Answer 53

mobilization

Question 54

remains within passive range of motion

Answer 54

mobilization

Question 55

fast/high velocity but low amplitude (shallow) HVLA

Answer 55

adjustment

Question 56

patient cannot control/resist = greater potential for harm occurs beyond passive barrier in paraphysiologi pscae

Answer 56

adustment

Question 57

Right PI ilium implies a contralateral

Answer 57

AS ilium

Question 58

references the base of the sacrum relative to both ilia

Answer 58

sacral base posterior

Question 59

imples a bilateral AS ilium relative to the sacrum

Answer 59

sacral base posterior

Question 60

always adjust the listing that motion palpates as

Answer 60

fixated/subluxated

Question 61

bilaterla AS ilium is a

Answer 61

rare finding

Question 62

references the lateral aspect of the sacrum relative to the ipsilateral ilium

Answer 62

sacral base posterior - R or L

Question 63

implies an ipsilateral AS iliium relative to the sacrum

Answer 63

sacral base posterior

Question 64

adjust the listing that palpates as

Answer 64

fixated/subluxated

Question 65

references the distal aspect of the sacrum shifted away from the midline

Answer 65

sacral apex