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44 Cards in this Set
- Front
- Back
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ME: forward torsion sacrum |
pt lies w/ deep sacral side facing up you face pt monitor sacrum pull up on lower arm --> rotate thorax to barrier flex BOTH hips/knees to RB lift up lower legs to RB have pt push feet down against R |
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ME: anterior innominate |
pt prone flex affected leg off table to RB put their foot in your thigh have them push their foot into your thigh against R |
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ME: upslip innominate |
pt supine slightly flex, abduct, internally rotate hip apply traction tell pt: "pull your hip towards your ear" against R |
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ME: unilateral extension sacrum |
pt prone monitor affected side of sacrum have pt inhale/exhale deeply -on inhale: sacrum extends --> prevent extension by pushing down sacral base -on exhale: sacrum flexes --> follow flexion by pushing down on sacral base |
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ME: outflare sacrum |
pt supine flex affected hip/knee grasp PSIS --> pull laterally to RB push knee medially (Adduct) to RB Have pt abduct their leg against R |
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Articulatory: |
pt supine flex leg up to 30 --> brings innominate posteriorly internally rotate to gap SI joint have pt inhale/exhale on end of exhale: TT |
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ME: |
pt prone flex hip/knee lift up knee to extend hip --> brings innominate anteriorly have them push their knee back down against R |
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ME: backward torsion sacrum |
pt lies in lateral recumbent position - w/ deep sacral side facing up monitor sacrum rotate lower arm to RB straighten lower leg flex upper hip/knee to RB; push knee down off table --> have pt bring knee back up against R |
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ME: inflare innominate |
pt supine Do FABER position, but knee fall off table; one hand on C/L ASIS Externally rotate leg to RB Push down on knee to RB Have them push their knee up against R |
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Articulatory: Traction Tug for upslip innominate |
pt supine flex leg to 15 to keep innominates in neutral I.R. to gap SI jt inhale/exhale --> tug |
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ME: |
pt seated: feet together; knees apart heel of hand on sacral base: push it forward to RB extend the pt's back to extend L spine to RB have pt lean forward to sit up straight against R |
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ME: bilateral flexion sacrum |
pt seated: feet apart; knees together heel of hand on sacral apex --> push on it to extend the sacrum to RB flex pt forward to flex L spine to RB Have pt sit up straight against R |
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Articulatory TT: posterior rotated innominate |
-pt supine -keep legs at 0 = keeps innominates anteriorly -I.R. to gap SI joint -inhale/exhale --> tug |
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CS: Glut med |
pt prone externally rotate, abduct thigh, extend (flex knee) |
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CS: high ilium |
pt prone; extend hip; E.R. |
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ME: L spine type II extended lesion |
pt seated u sit beside pt on C/L side of lesion one hand across chest to I/L shoulder (used to rotate opposite dx) axilla on C/L shoulder to SB oppos dx flex down to level "sit up straight" against R |
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ME: L spine type II flexed |
SB L R L pt lies w/ side of dysfunction down (this induces SB oppose of dx) take lower arm --> rotate to B straighten lower leg; flex upper leg unit feel motion at segment keep foot in popliteal fossa 1. one hand on shoulder --> rotate to B & have pt grasp edge of table to stabilize 2. lift up ankle/lower leg to B --> put knee on thigh and have pt push ankle down against R
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ME: L spine type I lesion |
pt lies on the side of dysfunction monitor segment rotate arm to B flex both hips/knees to B stabilize knees on ur body lift up both ankles to B --> have pt push ankles down against R |
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ME: |
A rib is more prominent on 1 side than other Want to push it back Pt seated On rib angle posteriorly, pull on it posterolaterally to RB I/L arm across chest; elbow on same level have pt push arm laterally against R while you still apply posterolateral force on rib angle |
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ME: posteriorly subluxed rib |
Pt seated on rib angle: push anteromedially to RB to put rib anterior pt i/l arm across chest have pt push their arm medially against R while u still apply force on rib |
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ME: inhaled 1st rib |
pt seated C/l arm over thigh SB/R toward dysfunctional rib push rib downwards (& anteriorly) on inhale & follow on exhalation |
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ME: exhaled 1st rib |
pt supine u stand on C/l side; contact the posterior aspect of rib 1; pull down on it to make anterior aspect of rib move up dorsum of hand on forehead u put ur hand on their palm --> have them lift their head up slightly |
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ME: inhaled 2-5 ribs |
Pt supine tx lowest rib flex head/neck until feel motion at rib on inhale: push down on the rib on exhale: follow the rib |
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ME: exhaled rib 2-5 |
pt supine hand over cheek contact posterior aspect of rib 2; pull down to RB have pt push elbow towards opposite hip against R |
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ME: inhaled 6-10 & caliper ribs |
pt supine contact lowest rib SB to rib level to ease tension off rib on inhale: prevent it from moving up; push down on exhale: follow the rib down |
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ME: |
pt supine contact most superior rib on posterior side pull down on that rib 90 degree shoulder/elbow w/ arm up at same time: pull down on rib and have pt push their arm up |
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CS: PT 5-12 where is TP? tx? |
inferolateral aspect of SPs of ribs 5-12 pt prone head turned away from dysfunctional side pull down c/l shoulder to SB away |
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CS: AT3-6 where is TP? tx? |
TP: along sternum at corresponding rib level pt seated arms I.R. flex head and shoulders down to segment --> lean back against ur body |
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CS: LAT 5-8 where is TP? tx? |
TP: lateral to midline; along costal cartilages of ribs -pt seated -i/l arm I.R. -flex to segment --> SB toward, rotate away |
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CS: AT 1-2 where is TP? tx? |
TP: on suprasternal notch or angle of Louis -supine; flex down to segment |
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CS: MPT: 1-12 where is TP? tx? |
TP: on or between Isps tx: pt prone; prop on fists/elbows to extend or supine and extend off table |
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CS: LPT: 5-10 where is TP? tx? |
TP: on TPs near costotransverse articulation -pt prone -i/l arm abducted (put over their head) -u stand on c/l side -monitor TP; and pull on abducted arm to further abduct it |
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CS: depressed rib 1-2 where is TP? tx? |
1: lateral to manubrium 2: mid-clavicular line; rib 2 supine; flex neck; SB/R toward |
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CS: depressed ribs 3-6 where is TP? tx? |
TP: anterior axillary line; on appropriate rib level -seated; c/l arm on thigh; i/l behind their back; flex to segment; SB/R toward |
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CS: elevated rib 1 where is TP? tx? |
TP: 1st rib close to articulation w/ T1 supine; extend head/neck; SB away & rotate toward |
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CS: elevated ribs 2-6 where is TP? tx? |
TP: if cross arms over chest to move scapulae away, TPs are on rib angle -pt seated -I/L axilla on thigh -flex to segment, rotate & SB away |
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CS: AC 2-6 where is TP? tx? |
TP: anterior aspect of TPs Supine cradle occiput, flex neck to 45, SARA |
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how do u set up for lumbar HVLA - type II flexed lesion? |
Lie w/ posterior TPs facing up |
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how do you set up for lumbar HVLA for type I lesion? |
lie w/ SB side up and posterior TPs down --> to flatten smiley face |
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BLT: sacral (LS) decompression |
-pt supine -cephalad contacts both PSIS --> pull them together medially -caudad hand contacts sacrum --> lift anteriorly and superiorly to disengage and balance |
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sacrum/ pelvis myofascial release |
-pt supine -one hand underneath sacrum -other arm compress ilia together -follow the tension of ligaments under sacrum |
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innominate BLT |
-pt standing sideways -you get on the level of hip -hold ASIS with one hand -hold ischial tuberosity with other hand -to unload the SI joint --> pt lifts I/L leg & crosses it over C/L leg -BLT on SI joint -have pt slowly flex C/L leg --> lowers the pelvis 1. feel ASIS lower into hand first = anterior rotated innominate 2. feel ischial tuberosity lower into hand first --> posteriorly rotated innominate 3. feel both ASIS & ischial tuberosity lower into hand at same time --> downslip innominate 4. don't feel anything lower into hand at first --> upslip innominate |
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Lumbar spine type II BLT |
-pt supine -contact SP of both the affected vertebrae & the lower vertebrae -direct the affected vertebrae using SP into position of ease & balance --> induce small amounts of F, E, SB, R |
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pelvis BLT |
-pt seated -hold ankles of both legs --> slightly flexed at knee -test motion of SI joint by compressing one leg and distracting other to pivot innominate on ischial tuberosity -note which side has greater ease -tx: have pt turn away from the long leg --> turn until point of balance is achieved -have pt turn back to neutral slowly |
