TSAC Final Prac - Joint play

Question 1

Please demonstrate joint play in the following spinal region: Cervical (perform over any 3 spinal segments).

Answer 1

P-A Spinous joint play:
- Using hand to push the spinous process up and down (Posterior to anterior).

Rotation (Articular pillars) (L and R):
- One finger pressing down on the transverse process and the other moving the spinous process.

SP Lateral shear (L and R):
- Having one finger on each side of the spinous process, pushing it left to right.

Question 2

Please demonstrate joint play in the following spinal region: Thoracic (perform over any 3 spinal segments).

Answer 2

P-A Spinous joint play:
- Using palm to push the spinous process up and down (Posterior to anterior).

Rotation (Articular pillars) (L and R):
- One finger pressing down on the transverse process and the other moving the spinous process.

SP Lateral shear (L and R):
- Having one thumb on each side of the spinous process, pushing it left to right.

Question 3

Please demonstrate joint play in the following spinal region: Lumbar (perform over any 3 spinal segments).

Answer 3

P-A Spinous joint play:
- Using palm to push the spinous process up and down (Posterior to anterior).

Rotation (Articular pillars) (L and R):
- One finger pressing down on the mamillary process and the other moving the spinous process.

SP Lateral shear (L and R):
- Having one thumb on each side of the spinous process, pushing it left to right.

Question 4

Please demonstrate joint play in the following spinal region: Sacroiliac (perform over any 3 spinal segments).

Answer 4

P-A Spinous joint play:
- Using both thumbs to push down the PSIS (Posterior to anterior).

Rotation (Articular pillars) (L and R):
- Using palm to find rotation on the sacrum.

SP Lateral shear (L and R):
- Using hands in shape of triangle, move the sacrum left to right.