MS2 - Flexed and Extended Vertebrae Periosteum Flashcards
PERIOSTEUM SCAN
At STL in Bone Row -
Periosteum (A/P) - Can Bias
Cervical btwn mid-frontal ridge and coronal suture
Scar 30 degree P/A
CSS1 TX
C1F - Ipsi Spinal / Rib Periosteum
C1F
TP: Over post med arch of C1
App post to ant
Cervical: Flex, marked to level, SB twd, Rot Twd, mild to mod, compress inf and contra
C1 Lateral Cervical Dysfunction
C1L(P)-MS
TP: Inf-Med Mastoid process
App med to lat on inner surface Mastoid
Cervical: SB Away, Rot twd
Glide: Contra post arch Atlas in ant and slightly contra
Flexed Periosteal Cervical 1 Dysfunction
C1F(P)-MS
TP: Med arch C1
App post to ant
Upper Cervical: Flex Marked, SB Twd, Rot Twd Mild to Mod
Compress: Head / Neck inf and contra-lat direction (twd opp elbow)
Flexed Periosteal Cervical 2-7 Dysfunction
C2F-C7F(P)-MS
TP: Under post aspect of Biceps Brachii from prox to distal musculotendinous junctions
Lift and pinch Biceps
Upper Cervical: Flex Marked, SB Twd Mild to Mod, Rot Twd Mild to Mod
Compress: Head / neck inf and contra (twd opp elbow)
Flexed Periosteal Cervicothoracic (T1-T6) Dysfunction
T1F-T6F(P)-MS
TP: Under post aspect of Biceps Brachii from prox to distal musculo-tendinous junctions
Lift and pinch Biceps to identify
Upper Cervical: Flex Marked, SB Twd Mild to Mod, Rot Twd Mild to Mod
Compress: Head / neck inf and contra (twd opp elbow)
Flexed Periosteal Cervicothoracic (T7-T8) Dysfunction
T7F-T8F(P)-MS
TP: Under / lat to post aspect of mid forearm flexor mass
Lift and pinch flexor mass
TX: Cervicothoracic Flex Mark, SB twd mild to mod, Rot twd mild to mod
Compress: Involved rib / thorax inf-med direction involved side / utilize ipsi rotary motion to fine tune
Note: Involved spinous processes will be prominent
Flexed Thoracic T9-T10 Periosteal Dysfunction
T9F-T10F(P)-MS
TP: Under / ant mid calf flexor mass
Lift and pinch mid-Soleus mass
TX: Side lying in hook lying on uninvolved side, grasp both lower legs and feet
Glide: Ipsi corresponding rib in post and inf direction
Translation: Table side femur in post direction, exaggerate lumbar flex deformity (using hip pressure)
Note: Involved spinous processes prominent
Flexed Lumbar T11-L5 Periosteal Dysfunction
T11F-L5F(P)-MS
TP: Under / ant to mid hamstring mass
Lift and pinch flexor mass
TX: Side-lying in hook lying on uninvolved side, grasp both lower legs and feet / Lumbar Flex via hip flexion to level, SB twd by lifting feet toward ceiling
Translation: Table side femur in post direction exaggerating lumbar flex deformity (using hip pressure)
Note: Involved spinous processes prominent
C1 Extended Periosteal Dysfunction
C1E(P)-MS
TP: Over ant aspect C1 transverse process
TX: Client seated or supine
Cervical Ext: Mild to mod
Cervical Rot and SB: Twd direction of ease, mod to marked
Compress/Translate: Inf and contra
C2-C7 Extended Periosteal Dysfunction
(C2E-C7E(P)-MS)
TP: On ant attachment of Post Deltoid to humerus from inf to Greater Tuberosity to Deltoid Tuberosity
Lift and pinch Deltoid mass
TX: Client seated or supine
Cervical Ext: Mild to moderate
Cervical Rot and SB: Direction of ease
Compress/Translate: Inf and contra direction
Extended Periosteal Torsions T1-T8
T1E-T8E(P)-MS
TP#1: Over post-lat tip of T1-T8 transverse processes. App post-lat to ant-med
TP #2 Alt T1-T6(P): Ant to (under) Triceps Brachii from prox to distal musculo-tendinous junctions. Lift and pinch Triceps mass
TP #2 Alt T7-T8(P): Med (under) mid forearm extensor mass. Lift and pinch under extensor mass (adjacent to radius)
TX: Supine or seated (client maintaining extension actively), rot head ipsi for segments T1-T4. Ext, rot and SB twd
Glide: Involved rib post, inf and med to rot involved vertebral segment ipsi
Extended Periosteal Torsions T9-T10
T9E-T10E(P)-MS
TP#1: Over post-lat tip of T9 and T10 transverse processes. App post-lat to ant-med
TP#2: Post to (under) mid, lat Tibialis Anterior muscle. Lift and pinch
TX: Supine or seated (with client maintaining extension actively)
Glide: Legs SB twd involved side with ipsi knee flex. Add ipsi knee and glide iliac crest (or ribs below involved segment) ant, sup, and med
T11-L5 Extended Osseous Torsions
T11E-L5E(P)-MS
TP: Over post-lat tip of T11 to L4 transverse processes. App post-lat to ant-med
TP L5E(P): Over inf aspect of PSIS. App inf to sup
TP Alt. T11E-L5E(P): Under, post to mid Quadriceps / Rectus Femoris mass. Lift and pinch Rectus Femoris mass
TX: Supine or seated with client maintaining ext actively
Seated Technique: Ext, rot and SB twd. Compress shoulder girdle inf, post-med direction to fine tune
Supine Technique: Legs ext and SB toward. Therapist lifts ipsi iliac crest ant, med, and sup
