Practices Flashcards

1
Q

Gonstead listings are named how?

A

how the subluxated segment misaligns to the segment below

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2
Q

first letter of a Gonstead listgin

A

P

refers to the posteriority

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3
Q

second letter of a Gonstead listing?

A

R or L

spinous rotation

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4
Q

third letter of a Gonstead listing?

A

S or I

refers to lateral flexion/wedging of a segment on the side of spinous rotation

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5
Q

if the wedge is on the right, what is torque?

A

clockwise

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6
Q

if the wedge is on the left, what is torque?

A

counterclockwise

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7
Q

national listings refer to?

A

body rotation

first letter is R or L

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8
Q

second letter of national listings?

A

P

for posteriority

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9
Q

third letter of national listings?

A

S or I

refers to lateral flexion or wedging on the side of body rotation

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10
Q

dynamic listings

A

from motion palpation

also called kinetic listings

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11
Q

dynamic listings always reference what?

A

vertebral body

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12
Q

fixated

A

segment is STUCK IN THAT POSITION being described

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13
Q

restricted/decreased

A

segment CAN’T MOVE TO THE POSITION being described

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14
Q

malposition

A

what is seen off of xray

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15
Q

flexion malposition

A

increased interspinous space between teh involved semgnet and the segment below with decreased interspinous space between the involved segment and the segment above

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16
Q

extension malposition

A

decreased interspinous space between the involved segment and the segment below with increased interspinous space between teh invovled segment and the segment above

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17
Q

what is referenced in an adjusting question unless otherwise noted?

A

body
“L5 is rotated to the right”
=
“L5 BR”

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18
Q

what side do you contact?

A

side of open wedge

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19
Q

if scoliosis is present, where do you contact?

A

side of convexity

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20
Q

where does doctor stand for an adjustment?

A
on the side of contact except:
seated cervical (depending on if Gonstead or Diversified)
Diversified: doctor stands opposite side of contact
Gonstead: doctor stands behind patient
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21
Q

If the Gonstead listing is PRS, this correlates to what Dynamic listing?

A

restricted R rotation and fixated L lateral flexion

fixated L rotation and restricted R lateral flexion

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22
Q

Restricted L body of L2 also has fixation in R lateral flexion. What is the Gonstead listing?

A

PLS

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23
Q

R laterally flexed vertebral body with L body rotation. What is the Dynamic listing?

A

PRI-M
L lateral flexion restriction with L body rotation fixation
R lateral flexion fixation with R body restriction

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24
Q

Palpation of the vertebra shows R TVP is posterior and inferior and spinous is L and superior. Static body listing?

A

PLS

R rotation and R lateral fexion malposition

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25
What is the static listing of superior vertebra in this drawing? (o ) ( o ) >
R rotation malposition, R lateral flexion malposition
26
If T9 and T10 internspinous space is increased, then T8 and T9 interspinous space is what?
decreased
27
Segmental fixation in L rotation and Left lateral bend. Listing?
PRS RPI left rotation and left lateral flexion malposition
28
What is the SCP for a thoracic vertebra in L lateral flexion and R spinous rotation?
PRS | spinous right
29
Dynamic listing: L3 body fixated in L lateral flexion with R body rotation. What is the SCP for side posture?
PLI-M | right mamillary
30
Prominent L mamillary at L2 in L sectional convexity is corrected by using side posture push. The ___side of patient should be up, doctor's CH is ____ and ____ is contacted.
PR-T patient's left side is up doctor's CH: right SCP: L mamillary
31
Restriction in R body rotation and L thoracic convexity. What is the CH, SCP, and DS if you are doing DTV?
CH: R SCP: L TVP DS: L
32
Dynamic listing: T8 restricted L body rotation. Reinforced pisiform spinous contact with patient prone, doctor stands on ___side and utilizes a ___line of contact.
stand on L | L-R line of drive
33
Correct PRS at C5, patient seated, doctor stands posterior to patient. SCP=?
spinour R
34
C6 prominent L articular pillar. Seated, doctor stands posterior to patient. CP?
index contact on R spinous
35
Doctor's stance in front of and slightly R. SCP- L lamina of C2, CP= R index, LOD=?
L-R, I-S
36
Dynamic listing: restricted R body rotation with restricted R lateral flexion in lumbar spine is best corrected with lumbar push. SCP=, CH=, TQ=
``` SCP= R spinous CH= L thigh= R TQ= CW ```
37
Patient is on the L side, doctor contacts L spinous of L4 with digital contact and pulls L-R with CCW TQ. Procedure would be used for?
R rotation, R lateral flexion | PLS
38
when sacrum drops anterior and inferior on L, the L5 spinous will do what according to the Lovett positive classification?
rotate to the R
39
Lovett Positive Classification of Scoliosis
Normal compensatory deviation the side of anterior sacrum is on the same side as the PI ilium (short leg) spinouses deviate away from the convexity
40
which side should a heel lift be used according to the lovett positive classification?
on the side of PI
41
Lovett Negative Classification of Scoliosis
simple scoliosis | spinouses rotate toward the convexity
42
absolute contraindicatioins to adjusting
``` malignancies tumors infections fracture (except Clay Shoveler's) AAA recent surgery ```
43
relative contraindications to adjusting
``` osteoporosis spondylolisthesis RA cardiovascular predisposing factors congenital anomalies acute spastic muscle region ```
44
balanced pelvis
the ASISs are in the same vertical plane as the symphysis pubis
45
anterior pelvic tilt
ASISs move anterior to the pubic symphysis | hyperlordosis
46
lengthened/inhibited muscles in an anterior pelvic tilt
hamstrings gluteals abdominals
47
hypertonic/facilitated muscles in an anterior pelvic tilt
psoas quadriceps erector spinae
48
should you use a heel life or a sole lift for anterior pelvic tilt?
sole lift
49
posterior pelvic tilt
ASISs move posterior to the pubic symphysis | hypolordosis
50
lengthened/inhibited muscles in a posterior pelvic tilt
psoas quadriceps erector spinae
51
hypertonic/facilitated muscles in a posterior pelvic tilt
hamstrings gluteals abdominals
52
hypertonic/facilitated muscles in upper cross syndrome
``` levator scapulae pectoralis major upper trap SCM scalenes suboccipitals teres major subscapularis anterior deltoid ```
53
lengthened/inhibited muscles in upper cross syndrome
``` rhomboids lower and middle traps serratus anterior teres minor longus coli longus capitus ```
54
closed packed position occurs when..
the joint capsule and ligaments are maximally tightened | "strongest position"
55
closed packed position for fingers
DIP, PIP- maximal extension | MCP- maximal flexion
56
closed packed position for hands
intermetacarpal joints-maximal opposition
57
closed packed position for wrist
intercarpal joints- maximal dorsiflexion
58
closed packed position for forearm
radio-ulnar joint- 5 degrees of supination
59
closed packed position for elbow
ulno-humeral joint- extension in supination | radio-humeral joint- flexion in supination
60
closed packed position for shoulder
glenohumeral- abduction and external rotation AC joint- 90 degrees of abduction sternoclavicular joint- maximal elevation
61
closed packed position for toes
DIP, PIP, MTP- maximal extension
62
closed packed position for foot
intermetatarsal joints- maximal opposition
63
closed packed position for ankle
tarso-metatarsal- maximal inversion | tibio-talar- maximal dorsiflexion
64
closed packed position for knee
tibiofemoral joint- maximal extension and external rotation of tibia
65
closed packed position for hip
coxafemoral joint- maximal extension, internal rotation and abduction