Treatments Practical 1

Question 1

Gait inspection

Answer 1

1. length of stride/limp
2. shoulder heights
3. arm swing
4. feet orientation

Question 2

Gravitational line

Answer 2

• external auditory meatus
• lateral aspect of the head of humerus at the tip of the shoulder
• greater trochanter
• lateral condyle of the knee
• slightly anterior to lateral malleolus

Question 3

Side-to-side differences

Answer 3

1. head carriage (tilt)
2. acromion processes
3. angle of scapula
4. iliac crest
5. posterior superior iliac spine (PSIS)
6. greater trochanter
7. feet/ankles

Question 4

Standing flexion test

Answer 4

• fingers hooked underneath PSIS’s and motion is followed as patient bends forward
• test positive on side that moves farther
• ilio-sacral somatic dysfuntion

Question 5

Seated flexion test

Answer 5

• *feet must be on floor
• fingers hooked underneath PSIS and motion is followed as patient bends forward
• test positive on side that moves farther
• sacral-iliac dysfunction

Question 6

suboccipital tension release

Answer 6

• tension headaches
• prepare for cervical correction
• assess and stretch dural attachments at C2, C3, and occiput

Question 7

posterior cervical soft tissue

Answer 7

-treatment of short restrictor muscles of cervical spine

Question 8

cervical stretching

Answer 8

• address long restrictor muscles of cervical spine
• stretch myofascial elements of cervical and upper thoracic region
• promote venous and lymphatic drainage of tissues
• flexion or sidebending/rotation
• can use muscle energy

Question 9

rib raising-lateral recumbent

Answer 9

• *ask about shoulder pain
• aid respiration
• aid circulation of patient with congestion
• pre- and/or post-operative care

Question 10

rib raising-supine

Answer 10

• aid respiration
• aid circulation of patient with congestion
• pre- and/or post-operative care

Question 11

prone thoracic perpendicular stretch

Answer 11

• laterally stretch fascial restrictions withing the paravertebral musculature of thoracic spine
• free up any rib or thoracic restrictions
• *hold for 3 seconds then release

Question 12

pectoral traction

Answer 12

• *knees flexed
• increase A-P diameter of the thorax
• improve venous and lymphatic drainage of thorax
• release tension in clavi-pectoral fascia
• drain anterior axillary fold edema from the upper extremity
• provide drainage from head and neck

Question 13

clavi-pectoral stretch

Answer 13

• provide drainage from head and neck
• any illness that may cause edema to head or neck region
• anterior/rounded shoulders
• to be completed after the inlet has been addressed
• *hold for 20 sec

Question 14

posterior axillary traction

Answer 14

• *knees flexed
• increase A-P diameter of thorax
• improve venous and lymphatic drainage of thorax
• release tension in clavi-pectoral fascia
• drain congestion from posterior axillary fold, upper extremities, head, and neck

Question 15

thoracolumbar soft tissue-prone

Answer 15

• relax paravertebral and quadratus lumborum musculature
• free up motion of ribs 11 and 12
• therapeutic, as well as diagnostic, for somatic and visceral dysfunctions
• special attention may be given to those areas overlying the sympathetic nerve supply to organs physician wishes to affect through reflex mechanism

Question 16

upper, mid, and thoracolumbar soft tissue-lateral recumbent

Answer 16

• *ask about shoulder pain or dysfunction
• knees flexed
• relax paravertebral and quadratus lumborum musculature
• free up motion of ribs 4-12
• therapeutic, as well as diagnostic, for somatic and visceral dysfunction
• special attention may be given to those areas overlying the sympathetic nerve supply to organs physician wishes to affect through reflex mechanism

Question 17

thoracolumbar soft tissue- supine

Answer 17

• knees flexed
• relax paravertebral and quadratus lumborum musculature
• free up motion of ribs 11 and 12
• therapeutic, as well as diagnostic, for somatic and visceral dysfunctions
• special attention may be given to those areas overlying the sympathetic nerve supply to organs physician wishes to affect through reflex mechanism

Question 18

ischial tuberosity spread

Answer 18

• prone, knees flexed
• release fascia of pelvis
• treat the scrum
• separate the sacroiliac joints and allow for better motion of the sacrum between the innominates
• help sacrum to “seat” itself between the innominates
• improve function of urogenital-pelvic diaphragm
• treats: cystitis, proctitis, hemorrhoids, prostatistis, constipation, sacroiliac dysfunction

Question 19

sacral rocking

Answer 19

• improve sacral respiratory motion
• relieve strains of sacral fascia and related surrounding structures
• enhance primary respiratory mechanism
• improve function of urogenital pelvic diaphragm
• treat constipation
• 1-2 minutes

Question 20

sacral inhibition

Answer 20

• treat diarrhea
• treat dysmenorrhea
• 1-2 min
• *caution in patients with spodylolisthesis or stenosis of lumbar spine

Question 21

myofascial shoulder release via scapular lift

Answer 21

• *ask about should pain/dysfunction
• release myofascial restrictions of shoulder girdle
• address rib dysfunction

Question 22

trapezius pinch

Answer 22

• decrease congestion within thoracic inlet
• ease tension within trapezius musculature
• assist in treatment of headaches

Question 23

lymphatic pumping-dorsiflexion

Answer 23

• combat stasis, congestion, and pooling of body fluids which are the precursors to inflammation, symptoms of disease, and frank disease
• encourage natural venous return and circulation in pregnant patients
• good treatment for any infectious process
• patient should have their axial skeleton treated to open all diaphragms prior to any lymphatic pump techniques
• *feet flex 40-60X/min for 2 min, 2X per day