Stage 2 Fear of the Future Flashcards
(17 cards)
What characterises a Stage 2 ?
If there is a short leg, it’s not a Crossover or Stage 1, and there is cervical radiation, it could be Stage 2
What is the personality of a Stage 2?
Fear, Anxiety or Projection into the future, Overwhelmed, Life will be OK “when I get”, “if only I had”, “as soon as”…. Life as it is not good enough
What are the requirements of a Stage 2?
Short leg
Radiation Transverse tip or posterior ridge of atlas (C1) , mandible, lower cervicals C5 (C4,C6)
What is the anatomy of the Atlas??
The cervical spine includes the first 7 vertebrae following the skull down the upper back. The atlas is the first of these 7 cervical vertebrae and is also referred to as the 1st cervical vertebrae or C1.
Its name derives from the Greek God Atlas, famous in mythologies for being condemned to bear the weight of the Earth on his shoulders for eternity. Similarly, the atlas supports the weight of the skull or the globe-like cranium.
Where is the Atlas Located?
As mentioned above, the atlas is the first vertebral bone, located between the skull base and the axis (C2), the second cervical vertebrae.
What is special about the cervical vertebrae?
They support the head’s weight and allow a wide range of head and neck movements, like nodding and rotation.
They protect the spinal cord as it passes through the hollow space encircled by the 7 bones.
The C1 to C6 vertebrae contain small holes that allow the vertebral artery, vein, and sympathetic nerves to pass through and carry blood to the brain. This is a unique feature of the cervical vertebrae as no other spine bones have such holes.
What is the anatomy of C1?
Atlas (C1): Located at the top of the spine, the atlas forms an articulation with the occipital bone, connecting the skull and spine. Its primary difference from the other vertebrae in the cervical region is the absence of a vertebral body and spinous process. Its lateral masses are connected by the anterior and posterior arches.here are also articulations between the axis’s superior articular facets and the atlas’ inferior articular facets.
https://www.theskeletalsystem.net/spine-vertebral-column/cervical-vertebrae.html
How do you do the Head Turning test??
Hold feet, observe short leg and ask receiver to turn head to one side and lay it down, wait, back to centre, wait, lower, turn head to other side and lay it down, wait, back to centre, lower.
* If the short leg becomes equal or longer in either or both directions it is Stage 2
* If the short leg stays short in both directions, it is not Stage 2
What is the difference between a brush and a sweep??
Brush
* To determine general location of contact
* Brush fingers along vertebra posterior surface, then do leg length check
Sweep
* To find specific location of contact
* Thumb on specific location, torque 180o down and back
* Choose specific location from radiation +/ critical point sensation
Contact the challenge(s) that gave the best release of the short leg / same degree of response as the challenge or the Head Turn Test
What is the indication for a 2A?
During head turn test, short leg becomes equal or longer with counterpressure, ( like pistoning, with no delay) one or both directions
Where is the radiation for a 2A?
transverse process or posterior ridge atlas
+/or along the mandible
Where is the challenge for a 2A?
transverse tip of Atlas
+/or posterior ridge Atlas
on opposite side to positive head turning test (ie on the side the ear went down with the positive indication )
* Brush – for general confirmation
* Sweep – for specific location
Choose according to radiation, critical point +/or alert response
How to treat a 2A?
Contact posterior ridge Atlas
+/or transverse tip of Atlas on opposite side to positive head turn test.
Torque to secondary radiation
What is the indication for a 2B?
During head turn test the short leg becomes equal or longer with delay in either or both directions. No counterpressure/pistoning
Where is the radiation for a 2B?
C5 (C4,C6) in the crease at back of neck
Where is the challenge for a 2B?
C5 (C4,C6) anywhere on vertebra
* Brush – for general confirmation
* Sweep – for specific location
How to treat a 2B?
Contact C5 (C4,C6) anywhere on vertebra
Torque to secondary radiation
What are the contacts for a 2B?
May be a series of different contacts to clear a stage. Sequence determined by
* Most dynamic Head Turn Test response OR
* Strongest radiation OR
* Alert Response OR
* Critical Point sensation OR
* One or several of the above !!
Look for the same degree of release as the Head Turn Test or the challenge
