Naprapathic Clinical Evaluation 2

Front 1

What are components of vitaways?
1.
2.
3.
4.

Back 1

1. Nerves
2. Arteries
3. Veins
4. Lymphatics

Front 2

Definition of vertebond

Back 2

An assemblage of ligaments connecting two adjacent vertebrae

Front 3

Typical vertebond which consists of ___ ligaments.
How many ligaments are there on T-spine and L-spine?

Back 3

16
T-spine: 16
S-spine: 12

Front 4

What is the order of importance for spinal findings in thoracolumbar area?

Back 4

1. Hyperesthesia
2. Tension
3. OID
4. ISH
5. IST

Front 5

Hyperesthesia is the _____ reportage of the patient.

Back 5

subjective

Front 6

Description of superficial hyperesthesia.
1.
2.
3.
4.
5.

Back 6

1. Felt on or near the surface (just beneath your finger)
2. An acute sensitivity to touch (not necessarily more painful, just more immediately elicited)
3. May feel as if pressing a boil or pimple
4. "good" pain (more easily tolerated)
5. Stays the same or improves with continued pressure

Front 7

Description of deep hyperesthesia
1.
2.
3.
4.
5.

Back 7

1. Felt deeper inside (even at times radiating into the viscera)
2. Sensation requiring more pressure
3. A burning, penetrating, or aching sensation (though it can certainly feel sharper with continued pressure)
4. "bad" pain (not tolerated)
5. Worsens with continued pressure

Front 8

Tension is more ____ finding.

Back 8

objective

Front 9

OID (Opposite in Direction): _____ tension taken simultaneously on ___ adjacent vertebrae in diametrically opposite directions, recorded in direction yielding ___ tension to ___ tension.

Back 9

Lateral
two
soft
soft

Front 10

The OID is also a _____ finding elicited on every vertebond of the spine. A syndrome is not considered complete without the OID.

Back 10

Primary

Front 11

When a truly contradictory OID is elicited, it is always considered a ____ variant. Only when hyperesthesia and tension have elicited no conclusive syndrome will the _____ decide the syndrome and its subsequent treatment.

Back 11

major
OID

Front 12

ISH (Inferior Superior Hyperesthesia): a hyperesthesia finding taken on the _____ in infero lateral and supero lateral directions, recorded in the four corners of the _____.

Back 12

four corners of the spinous process
apebar (epispace)

Front 13

When is ISH taken?
1.
2.
3.
4.

Back 13

1. when findings indicate a treatment which proves to be uncomfortable to the patient.
2. when a syndrome is particularly confusing exhibiting contradictory factors.
3. when deep hyperesthesia is elicited in both lateral directions.
4. when an abnormally large or small sep is present above or below vertebra in question.

Front 14

Stretch and Buckle Rule
1.
2.
3.
4.

Back 14

1. Hard tension indicates stretchment.
2. Superficial hyperesthesia indicates stretchment.
3. Soft tension indicates bucklement.
4. Deep hyperesthesia indicates bucklement.

Front 15

In Naprapathic treatment we _____ work to _____ connective tissues in order to release interference to the nerves. Secondarily, we avoid _____ already _____ connective tissues, though further bucklement is not nearly as harmful as stretchment is beneficial.

Back 15

always
stretch shrunken
buckling
contracted

Front 16

Themic Syndrome:

Back 16

The simplest and commonest arrangement of spinal findings indicative of a certain type of connective tissue damage.

Front 17

Minor Variant Syndrome:

Back 17

Like the themic except that one or more of the symptoms is increased or decreased.

Front 18

Major Variant Syndrome:

Back 18

Consists of a collection of spinal findings resembling a themic except that one or more of the symptoms is completely contradictory in character.

Front 19

The _____ syndrome is not presented because no method of evaluating this condition has been discovered.

Back 19

Longin themic

Front 20

ANIN and POIN fibers are found in the disc only in the _____ and _____.

Back 20

lesect
risect

Front 21

Sinin and Dexin fibers are found only in the _____ and _____ in the intercentral ligament.

Back 21

ansect
posect

Front 22

In the POSINCO syndrome, the posect exhibits shrunken fibers running in a _____ which run continuously around the entire disc.

Back 22

sinin trend

Front 23

In the PODEXCO syndrome, the posect exhibits shrunken fibers running in a _____ which run continuously around the entire disc.

Back 23

dexin trend

Front 24

The final arbiter in any syndrome evaluation is whether the treatment is _______

Back 24

comfortable to the patient

Front 25

When a vertebond exhibits a contradictory OID, treatment of that vertebond will leave _____.

Back 25

the OID buckled.