Week 2

Question 1

Name the % of Pump and Bucket for Rib 1, Rib 2, Rib 3-6, Ribs 7-10, and Ribs 11 and 12

For inhalation dysfunctions, one should treat the ____ most rib and for exhalation dysfunctions one should treat the ____ most rib

Answer 1

1 = 50% bucket and 50% Pump
2 = Primarily pump
3-6 = Mixed pump and bucket but primarily pump
7-10 = Primarily bucket 
11 and 12 = caliper 

Inferior, Superior

Question 2

The spine of the scapula is at the level of ____ and the inferior angle of the scapula is at the level of ___

Answer 2

T3, T7

Question 3

For a rib 1 exhalation pump handle dysfunction, you contact the ___ aspect of the affected rib ___

Then during inhalation you apply an ____ force to the affected rib to put into inhalation barrier and a ___ force to the patients hand on forehead

The ___ muscle is activated during isometric contraction to correct the dysfunction

Answer 3

Superior, angle

Inferior, posterior

Anterior scalene muscle

Question 4

For a rib 1 exhalation bucket handle dysfunction, same stuff as pump handle except head and neck are rotated to ___ degrees ___ from the affected side

Also, the ___ muscle is activated to correct the dysfunction

Answer 4

30, away

Middle scalene

Question 5

To diagnose a rib 2-10 pump handle somatic dysfunction, you place your fingers on the ____ aspect for ribs 2-6 and the ____ junctions for ribs 7-10

To diagnose a rib 2-10 bucket handle somatic dysfunction, you place your fingers on the ____ for ribs 2-10

Answer 5

Parasternal, costochondral junctions

Midaxillary line

Question 6

For a rib 2-10 exhalation pump handle dysfunction everything is the same except ____ muscles are activated to correct the dysfunction

Answer 6

Pectoralis and Serratus Anterior

Question 7

For a rib 2-10 exhalation bucket handle dysfunction everything is the same except ____ muscle is activated to correct the dysfunction

Along with the patient raising their hand during the isometric contraction towards the ceiling AND ___ and a ___ degree angle

Answer 7

Lateral part of the serratus anterior

Laterally, 45

Question 8

To diagnose a rib 11-12 exhalation caliper dysfunction, have the patient lie ___ and contact the ___ of the 11th and 12th rib

Answer 8

Prone, body

Question 9

For a rib 11-12 exhalation caliper dysfunction, unlike the other 1-10 ribs you stand on the side ____ the dysfunction

You also pull the patients lower extremities ___ the physician to induce side-bending of the spine ___ from the dysfunctional rib

Then place patients arm over head in ___duction

Then contact ASIS on side of SD and pull ___ to induce spinal rotation ___ the side of the dysfunction and at the same time contact the ___ aspect of the involved rib, just ___ to the rib ___

Then a ___ distraction force is applied to the effected rib and patient is told to pull ipsilateral hip towards table for isometric contraction

The ___ muscles are activated to correct the dysfunction

Answer 9

Opposite

Towards, away

ABduction

Posterior, towards

Posterior, proximal, angle

Lateral

Lateral part of the latissimus dorsi and quadratus lumborum

Question 10

To diagnose a rib 1 Inhalation pump handle somatic dysfunction or Inhalation bucket handle SD, it is the same as in an exhalation SD

Question 11

For a rib 1 Inhalation pump handle dysfunction, you contact the ____/____ aspect of the dysfunctional rib with thumb (between the 2 heads of the ___ muscle) and then you __ the patients head and neck to engage the exhalation barrier

During exhalation you apply an __ force to the __ aspect of the rib into it exhalation position and resist motion during inhalation and encourage it during exhalation

Also, the ___ muscle is activated to correct the dysfunction

Answer 11

Superior/anterior, SCM, flex

Inferior, anterior

SCM

Question 12

For a rib 1 Inhalation bucket handle dysfunction, you contact the ____ aspect of the dysfunctional rib with thumb (lateral to the SCM) and then you __ the patients head and neck to engage the exhalation barrier and **along with sidebending the patient ____ the dysfunctional rib

During exhalation you apply a force to the __ aspect of the rib to follow the dysfunctional rib motion ___ into its exhalation position

Also, the ___ muscle is activated to correct the dysfunction

Answer 12

Lateral, flex, towards

Lateral, inferiorly

SCM

Question 13

To diagnose a rib 2-10 inhalation pump and bucket handle, it is the same as an exhalation SD

Question 14

For a rib 2-10 Inhalation pump handle dysfunction, you place your knee on the table at the level of the dysfunctional rib and this will flex the trunk to encourage the rib into its exhalation barrier

You contact the ___ aspect of the dysfunctional rib and apply a force to the ___ aspect of the rib to follow the dysfunctional rib motion inferiorly into its exhalation position

Also, the ___ muscles are activated to correct the dysfunction

Answer 14

Superior, anterior

Intercostal muscles and descent of the diaphragm

Question 15

For a rib 2-10 Inhalation bucket handle dysfunction, you place your knee on the table at the level of the dysfunctional rib and this will flex the trunk to encourage the rib into its exhalation barrier

You sidebend the patients rib ___ the affected rib until relief of tissue tension is felt at rib

Then contact the ___ aspect of the dysfunctional rib at the Midaxillary line and apply a force to the ___ aspect of the rib to follow the dysfunctional rib motion inferiorly into its exhalation position

Also, the ___ muscles are activated to correct the dysfunction

Answer 15

Towards

Superior/lateral, lateral

Intercostal muscles and descent of the diaphragm

Question 16

For a rib 11-12 Inhalation caliper dysfunction, unlike the other 1-10 ribs you stand on the side ____ the dysfunction

You also pull the patients lower extremities ___ the physician to induce side-bending of the spine ___ from the dysfunctional rib

Then place patients arms ___

Then contact ASIS on side of SD and pull ___ to induce spinal rotation ___ the side of the dysfunction and at the same time contact the ___ aspect of the involved rib, just ___ to the rib ___

Then a ___ distraction force is applied to the effected rib and patient is told to pull ipsilateral hip towards table for isometric contraction

The ___ muscles are activated to correct the dysfunction

Answer 16

Opposite

Towards, away

No where (leave them at side of table)

Posterior, towards, posterior, distal, angle

Lateral

Quadratus Lumborum

Question 17

For a modified Kirksville HVLA treatment you are treating a ____ rib head somatic dysfunction

The student stands on the ___ side of the SD

The patient places their arm on the side of the dysfunction towards the opposite ___ and the arm opposite of the SD grasps the opposite ___

You contact the posterior rib angle to act as a fulcrum via the thenar eminence and ___ the upper extremities at the shoulder closest to you to place patients elbow directly over posterior rib angle

Upon exhalation, you provide an ___ to ____ thrust to the SD rib angle into the thoracic cage

Answer 17

Posterior

Opposite

ASIS, shoulder

Flex

Anterior to posterior

Question 18

For the Chin Pivot HVLA treatment, you can treat ribs __-___

You stand at the head of the table towards the ___ side of the SD and the patient cusps their chin with the arm on the ___ side of the SD

Then, while on the rib angle of the SD rib, pull the patients ipsilateral elbow in the __ direction until motion is palpated at the dysfunction to gap the __ and ___

Then rotate head and neck ___ SD side and during the final exhalation apply an HVLA thrust into the SD rib in an ___ and ___ direction and also note you aren’t applying the thrust into the head and neck, you are only stabilizing it to maintain the ___ and ___ barrier

Answer 18

1-4

Opposite, same

Cephalad, rib and transverse process

Towards

Anterior and lateral, sidebending and rotational

Question 19

For an elevated rib 1 SD, you can perform the ___ HVLA treatment

An elevated rib 1 SD is diagnosed via loading and springing ____ onto rib 1 at the ____ line for bucket handle or on the ___ aspect for the pump handle component

The student places their foot on the ___ side of the SD rib

Then contact the SD rib with the ____ joint of the hand and place the other hand on top of their head and sidebend it ___ the SD side

During exhalation apply an ___ force onto the first rib and the final HVLA treatment during exhalation is a ___ and ___ force onto the superior 1st rib

Also make sure the ipsilateral shoulder is NOT held in a ___ position so that they can relax

Answer 19

J-stroke seated

Inferior, midaxillary, anterior

Opposite

2nd MCP joint, towards

Inferior, inferior and medial

Cephalad

Question 20

To diagnose a rib 1 exhalation pump handle somatic dysfunction, you place your thumbs on the ____ of rib ___ and index fingers are placed ___ to the ___ and over the ___ aspect of rib ___

To diagnose a rib 1 exhalation bucket handle somatic dysfunction, you place your thumbs on the ____ of rib ___ and index fingers are placed ___ to the ___ and over the ___ aspect of rib ___ On the ___ line

Answer 20

Angle, 1, posterior, clavicle, anterior, 1

Angle, 1, posterior, clavicle, lateral, 1, midaxillary? SHOULDN’T IT BE MID CLAVICULAR LINE?

Question 21

Name the DTR

1) Biceps
2) Triceps
3) Brachioradialis

They are graded on a scale of __-__ with +___/__ being normal

(No response, slight response, brisk, very brisk, repeating aka clonus)

Document this in the objective portion**

Answer 21

1) C5
2) C7
3) C6

0-4 with +2/4 (brisk response is normal)

Question 22

Spurlings maneuver consists of what three stages?

It is indicative of what?

Answer 22

Compression of head in neutral, compression of head in extension, SB away and then towards affected side with compression

Nerve root compression

Question 23

The OA joint is a ___ joint, AA is a ___ joint, and C2-C7 is a ___ joint

Answer 23

Modified type 1 (so flexion and extension component but R and SB are opposite), Rotation only, Modified type 2

^** Or is this type 2? IM SO FUCKING CONFUSED, i think it’s only type 2

Question 24

The primary motions of the OA joint are ___ and ___

To diagnose an OA joint SD, you can do the lateral translational test. Here if you have for example a restriction to LT to the right (aka from left to right) they are SB ___, R ___

You can also do the rotational test where you lift anterior on the right ridge, you induce ___ rotation and if you have for example an increased rotation during flexion, you have an ___ SD (aka it likes to live in flexion)

Answer 24

Flexion and extension

SB right, R left

Left, flexion

Question 25

For diagnosing AA joint SDs, contact the ___ of the atlas and ___ the C-spine to isolate it and then rotate to determine ease vs restriction of motion

Answer 25

Lateral mass, rotate

Question 26

For ME of the OA, you contact the ___ and extend or flex the patient through the occuput depending on barrier Then you rotate and SB in the ___ direction The student then pulls the chin towards the chest for a __ SD or pushes the head towards the table for a ___ SD

Answer 26

Occiput Opposite Flexion, Extension

Question 27

For the ME of the AA joint, flex head and neck to lock out the ___ of the ____ and thus isolate the atlas on the axis

Answer 27

Rotation, typical cervical vertebrae

Question 28

For HVLA of the OA joint, you stand at the head of the table, on the same side of the table as the ___ so your thrusting hand is whichever hand side is ___ too (Ex: if Rotated left, use left hand) You contact the occiput with the ___ joint and the other hand cradles the head and neck (zygomatic process) At end of exhalation, apply and HVLA thrust in the direction of the ___ of the ___ with the hand in contact with the ____, you DO NOT pull on the ____

Answer 28

Posterior occiput, rotated 2 MCP joint Top of the head, occiput, mandible

Question 29

For HVLA rotational focused C2-C7, stand at the head of the table on the ___ side of the table as the PTP and contact it with the ___ joint and cradle neck and head. ^** Make sure the hand contacting the PTP is the hand of the ___ side of the rotational PTP Engage the ___ restriction barrier first through the named segment and then ***side bend them _____ the ease of motion ___ the named segment*** Also make sure you engage the flexion or extension plane barrier called the ___ plane barrier Then apply HVLA thrust to segment in a rotational manner and note the proper direction of thrust is following the ___ anatomical position so more towards __ for upper typical segments and towards the ___ for lower typical segments

Answer 29

Same, 2nd MCP Same (so if RrSr, contact with right hand) Rotation, towards, To (notice NOT through) Sagittal Facet, eyes, opposite axilla

Question 30

For HVLA translation focused C2-C7, stand at the head of the table, on the ___ side of the table as the PTP and contact the __ aspect of the named segment in the ___ line with the ___ joint and cradle neck and head ^** Contact with the hand of the ___ side of the translational PTP Engage the ___ restriction barrier first through the named segment via a force directed towards the ___and then ***rotate them _____ the ease of motion ___ the named segment*** Also make sure you engage the flexion or extension plane barrier called the ___ plane barrier Then apply HVLA thrust to segment in a sidebending manner towards the ___

Answer 30

Opposite, lateral, midcoronal, 2nd MCP Same (So if you have a restriction of translation from left to right, it means you are SB right, but you are feeling a PTP on the left, so therefore use your left hand) Sidebending, sternal notch, towards, TO Sternal notch (or T1 spinous process in OSTE)

Question 31

Usually C2-C3 have ___ components predominating and C4-C7 has ___ components predominating

Answer 31

Rotational, SB

Question 32

THe articulation between the inferior facets of the axis and superior facets of C3 follow ___ mechanics

Answer 32

Modified type 2