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33 Cards in this Set
- Front
- Back
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Hyperfunction: characteristcs
1. 2. 3. 4. 5. 6. |
1. "Tight" musculature
2. Hypertrophies and fixations 3. Joint stress 4. Exercise - need for stretching 5. Extreme - circulatory imbalance and muscular atrophy 6. slang - "muscle-bound", "stiff-jointed" |
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Hypermobility: characteristics
1. 2. 3. 4. 5. 6. |
1. "Loose" musclature
2. Rib cage rotations and subluxations 3. Joint lack of support 4. Exercise - need for isometrics 5. Extreme - capsular imbalance and joint atrophy 6. Slang - "lax ligaments", "double-jointed" |
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Muscle tend to tighten in a manner that ___ ligament tension
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opposes
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Unlike muscles, ligaments don't get ___
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tired
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Proprioception: The awareness of ___, ___, and changes in ___ (___).
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posture
movement equilibrium Afferent |
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Muscle proprioception: The major ability of muscle proprioceptors is in ___.
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tension detection
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Ligament proprioception: Te major ability of ligament proprioceptors is in ___.
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pain detection
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Fascia - no ___.
Like muscles, fascia is more ___ than ligaments. |
propriocetion
contractile |
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The upper lumbar is frequently a cite of a tension shift in myofacia from one side to the other. When one finds a shit in tension from right in the upper lumbar to left in the lower lumbar the left tension usually carries into the left gluteal, hip and often the leg. such a tension shift in myofascia anywhere in the body is termed "___".
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cross tension
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Cervical correction by ligamentous impact
- find cervical ___ ___ on one side - contact ___ to transverse on that side - turn head ___ apical tension side - apply ___ "___ ___" force on the spinous after reaching end feel by stressing the neck fully w/ other hand on pt's ___ cranial side, done supine or prone. |
apical tension
posterior towards anteromedial "not rotary" opposite |
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Cervical correction by muscular stretch:
Lower cervicals - utilize the "___ ___ ___" - stretch the ____________ |
"prone cervical stretch"
side of lower cervical apical tension last |
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Cervical correction by muscular stretch:
Upper cervicals - Utilize "___ ___" - trun head ___ apical tension side last |
"cervical break"
toward |
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This is a name given to a situation in which there is both inner and outer muscle tension on one side.
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The cervico-thoracic interlocking spastic syndrome.
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Arthritis - tendency toward ___ of a normally freely movable joint.
Reported Sx indicating cervical arthriteis: 1. 2. 3. |
ossification
1. Loss of cervical rotation 2. Severe stiffness and/or hyperesthesia 3. Loss of lateral flexion |
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Cervical dichotomy
In cases of ___ ___ ___ pathology the lower cervical segments tend to reveal tension on the side ___ the upper cervical tension. |
primary upper cervical
opposite |
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Cervical dichotomy
in cases of ___ ___ ___ tension the upper cervical segments tend to reveal tension on the ___ ___ as the lower cervical tension |
primary lower cervical
same side |
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Reported Sx of upper cervical pathology
1. 2. 3. |
1. headache
2. nausea 3. little or no restriction of motion, unless lower cervical is also involved |
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Identification of upper cervical pathology
- palpation of ___ cervical prominence - max tension on the ___ ___ ___ - on this side the cervical musculature is ___ and the TP in ___, the spinous being displaced ___ the side of max tension |
2nd
side of pathology tighter anterior toward |
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Treat upper cervical muscle pathology by turning the pt's head ___ the side of upper cervical tension.
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toward
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Treatment of upper cervical pathology
Pt. supine - transverse pressure - turn head ___ max spinous tension - operator's ___ hand (hand on side toward which pt's head is turned) supports pt's ___ side parietal area - operator's ___ hand contacts ___ aspect of ___ of C1,2, or 2 on the side ___ cervical spinous tension - head is tilted at appox. a ___degree - directo applies pressure ___ on ___ aspect of ___ while other hand holds cranium in place. slight rotary |
toward
lead tension following posterior TP opposite 45 antero posterior transverse |
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Treat upper cervical pathology by traction
1. 2. 3. |
1. pt. supine - use of towel
2. pt. supine - manual - cradle occiput 3. pt sedentary - manual - cradle occiput while holding pt's shoulders down w/ operator's elbows. |
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Lower cervical
1st rib involvement A superior 1st rib on one side is generally indicative of 1. 2. 3. |
1. lower cervical tension on the opposite side
2. scalene muscle tightness on that same side 3. TP (lower cervical and upper thoracic) posteriority on that side |
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Lower cervical
1st rib involvement Tx 1. scapular infero stretches on ___ side on 1st rib 2. Prone - direct heavy ___ on affected 1st rib, best done w/ pt's hand behind his back. 3. Sedentary - ___ hand contacts pt's superior 1st rib and forces infero while operator's ___ hand forces ___ toward ___ side by contracting the pt's ___ side parietal area. 3. |
1. affected
2. infero 3. following lead affected non-affected |
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Lower cervical lateral rotation
Identification 1. 2. 3. |
1. Max spinous tension on rotated side
2. Superior 1st rib on other side 3. Trapezius contraction on rotated side |
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Lower cervical lateral rotation
Tx Prone cervical muscular diadjacent - w/ pt. prone turn head ___ non-affected side - w/ the lead hand the operator applies pressure superolaterally ___ the pt's affected side by contacting the pt's parietal area - at the same time w/ his other hand the operator applies pressure in ___ direction by contracting the pt's medial scapular border and/or 1st rib region on the affected side. |
towards
away from inferolateral |
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Prone cervical ligamentous diadjacent
- turn head ___ affected side - w/ the lead hand, the operator applies pressure supero laerally ___ the pt's affected side by contacting the parietal area. - at the same time w/ the other hand, the operator applies pressure in ___direction by contacting the pt's medial scapular border and/or 1st rib on the affected side |
away from
away from infero lateral |
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AO Tx
Identification - pt supine - To reach this joint you must apply ___ ___ and ___ of the head simultaneously. ___ hand is under chin while other hand applies palmar contact on pt's mastoid area of ___ side. W/ neck fully stressed take AO tension findings by forcing ___ ___ in ___ direction. More resistance may become apparent on one side. Next ___ the head the opposite way and repeat the procedure. You will find that the direction of resistance (in lat. flexion) will be ___ that of the previous finding, confirming your diagnosis. In addition, the tension side AO is revealed by ___ ___ and ___ ___ when the head is roated in that direction during diagnosis. |
firm traction
rotation lead opposite lateral flexion each rotate opposite less mobility more discomfort |
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AO Tx
Tx - turn head __ the side of AO tension. Stress the neck by __ __ and ___. Apply lateral flexion ___ non-tension side to "open up" the tension side. Apply hard directo in the above ___ directions simultaneously. |
toward
full traction rotation toward three |
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Naprapathic Motion Analysis - Cervical
Head Rt (L) - No Change Head Rt (R) - (R) leg shortens in extension |
MR (R) cervical
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Naprapathic Motion Analysis - Cervical
Head Rt (L) - (L) leg shortens in extension Head Rt (R) - (R) leg shortens in extension |
MR Bilateral Cervical
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Naprapathic Motion Analysis - Cervical
Head Rt (L) - (L) leg shortens in extension Head Rt (R) - No change |
MR (L) Cervcal
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Naprapathic Motion Analysis - Cervical
Head Rt (L) - (R) Leg shortens in extension Head Rt (R) - (R) leg shortens in extension |
Total (R) Cervical
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Naprapathic Motion Analysis - Cervical
Head Rt (L) - (L) leg shortens in extension Head Rt (R) - (L) leg shortens in extension |
Total (L) Cervical
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