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25 Cards in this Set
- Front
- Back
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If patient is swaying L-->R, what category?
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Category II
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How do you CHALLENGE for a Category II?
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Patient Standing or Prone
TL 1 SI joint then the other Test indicator muscle |
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If patient swaying A-P, what category?
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Category I
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How do you CHALLENGE for a Category I?
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-One hand on each SI joint.
-If indicator muscle goes weak then have pt TL with both hands to 1 SI joint then both hands to other SI joint. (this determines primary side) -Apply pressure anteriorly on PSIS and opposite Ischial Tuberosity (do both sides) |
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How do you CORRECT a Category I?
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-Place blocks OPPOSITE to positive challenge
-Pump unblocked, non-primary side 20x and re-test |
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What is the CHALLENGE for a Category III?
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Pull A-P on ischium and push on L5 spinous in the same direction as ischium, at same time. .
Test indicator muscle |
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How do you CORRECT a Category III?
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-Palpate spinous of L5, 5th sacral nerve & sciatic nerve for tenderness.
-Place block at 90 degrees under the ASIS on the side you pushed L5 spinous -Place 2nd block at opposite isch tub at angle that reduces pain the most. -re-challenge |
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When testing for a Sacral Wobble...if muscle tests weak with hands in prayer position on sacrum what do you do next?
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Have patient inspire & re-test then have patient expire & re-test
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If INSPIRATION abolished weakness of Sacral Wobble test how would you CORRECT it?
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-Contact sacrum on posterior lower 1/3 of opposite ASIS & approximate the two (4-5 respirations)
(do correction on side that strengthened indicator muscle on inspiration) -re-test |
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If EXPIRATION abolished weakness of Sacral Wobble test how would you CORRECT it?
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Pull posterior on sacral apex and push anterior on opposite sacral base (4-5 respirations)
(do correction on side that strengthened indicator muscle on held expiration) |
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If Sacral Wobble is present what else is often present?
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Occipital-Atlanto Counter Torque on same side
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What is the CHALLENGE for AOCT?
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Press mastoid & atlas in opposite direction
- Mastoid anterior & atlas posterior - fix on INSPIRATION - Mastoid posterior & atlas anterior - fix on EXPIRATION |
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Muscle weakness with L4 nerve root, L3-4 disc?
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Rectus Femoris, Tibialis Anterior
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Muscle weakness with L5 nerve root, L4-5 disc?
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TFL, Glut Med
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Muscle weakness with S1 nerve root, L5-S1 disc?
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Gastroc, Glut Max
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What is the CHALLENGE & CORRECTION for Lumbar Disc?
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Separate or approximate two vertebrae involved. The directions of involvement are then couple with the phase of respiration that negates the challenge. (10-15 cycles)
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With a Lumbar Disc what should you check? (2)
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Psoas & ileocecal valve
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What is the CHALLENGE & CORRECTION for Facet Imbrication
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CHALLENGE: quick tug on leg
CORRECT: slow rhythmic tractioning and/or sharp thrust to separate the vertebrae |
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What happens to the muscles in Piriformis Syndrome?
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Piriformis & Iliacus fail to inhibit in gait stance
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If Piriformis & Iliacus fail to inhibit during gait stance have patient TL spine for what? (4)
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1. Sacral Fixation (subluxation)
2. Iliac Fixation (subluxation) 3. L5 fixation 4. Iliolumbar ligament problem |
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Intraosseous Subluxation
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1) correct any prob in area and balance all related muscles
2) Palpate bone in question for tenderness 3) TL by using a finger from each hand to touch different parts of same bone then test indicator muscle and test for phase of respiration 4) Separate/approximate two parts of that bone 5) Treat by firmly thrusting in the direction found on phase of respiration found 6) re-palpate for reduction in tenderness |
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Iliolumbar ligament
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1) Press ends of ligament toward each other and test indicator muscle
2) Palpate I&O of GLUT MAX for presence of strain/counterstrain 3) Place patient in Strain/Counterstrain position for glut max and press ends of ligament together....hold for 20 sec while patient holds breath in full EXPIRATION |
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Why would someone need a Meningeal Release - Coccyx?
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Unexplained muscle tension of paravertebral muscles
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What is the CHALLENGE for Meningeal Release?
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Contact over coccyx and use skin stretch pulling cephalad. Vary angle of challenge and re-palpate paraspinals for reduction in palpable tenderness
- Have patient TL to coccyx and apply inferior pressure. Test strong muscle for weakening. |
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What is the TREATMENT for Meningeal Release?
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- Contact skin over coccyx and pull in challenge direction found.
- Apply this pressure in cephalad direction while patient INSPIRES - Simultaneously, pull INFERIOR on ATLAS (8-10 respirations) |
