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40 Cards in this Set

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somatic dysfunction definition
change in function diagnosed by texture, asymmetry, restriction of motion,and tenderness (TART)
what is required to move the restiction of barrier from the physiologic barrier to the anatomic barrier
passive ligamentous stretch
How do you name a somatic dysfunction?
by its freedom of motion
A lesion is C3 F Sl Rl. What does this mean?
C3 is flexed, sidebent to the left, and rotated to the left on C4
Fryette's Type I dysfunction- definition
group curves of more than one vertebra - rotation is opposite to the side bending
Fryette's Type II dysfunction- definition
dysfunction of one vertebra -
rotation is the same direction as side bending
Cervical spine lesions are Type I or II
type II
myofascial technique - definition
gentle stretching or use of physiologic muscle reflexes through guided patient muscle contraction
counterstrain technique - definition
"tender points" are identified and eliminated by positioning of the body part
facilitated positional - definition release
joint or muscle is placed into its ease-of-motion position, held, and then released
High velocity, low amplitude technique - definition
joint is placed agaist restrictive barrier and a thrust moves the barrier
myofascia release - definition
placed against or away from barrier until release of tension or restriction
Right vertebral rotation and sidebending - palpation finding
the right transverse process becomes more prominent posteriorly
Vertebra flexion causes right vertebral rotation and sidebending - why
the vertebra turns away from a flexion restriction to allowable freedom of motion -right SB, and right rotation
Name the dysfunction when the left transverse process of T3 is most prominent in flexion
T3 E Rl Sl
In muscle energy technique, what are the restriction barriers in a C4 E Sr Rr lesion
flexion, and L SB and L Rot
Muscle energy technique for C4 E Sr Rr lesion
Patient is placed into C4 flexion, L SB & L Rot. Patient moves in the opposite direction of the restrictions against operator's resistance.
Direct technique - definition
Direct technique moves into the restrictive barrier
Indirect technique - definition
Indirect technique moves away from the restrictive barrier
Spinal levels with distinct intersegmental evalation operator positions
OA to C2-7, T1-4, T5-T12, Lumbar, etc
OA to C2-7 intersegmental evalation operator position
Operator seated at head of table, elbows on table palpating and cupping neck
T1-4 intersegmental evalation operator position
Operator behind and to one side. Hand on head. Fingers span vertebra.
T5-T12 intersegmental evalation operator position
Operator behind and to one side. Hand on opposite shoulder. Fingers span vertebra.
Operator behind and to one side. Hand on opposite shoulder. Fingers span vertebra.
Thoracolumbar regional testing patient and operator position
Patient standing. Operator behind patient introducing flexion extension, SB, rotation. Add hip drop.
Lumbar intersegmental evalation patient and operator position
Patient lateral recumbent. Operator facing patient. Palpates transverse processers.
Patient lateral recumbent. Operator facing patient. Palpates transverse processers.


Cervical spine gross motor testing
Operator standing introducing flexion extension, SB, & rotation.
OA dysfunction technique. OA F Sr Rl
Operator standing introducing
extension, L SB, & R rotation. Patient moves against resistance at these restrictive barriers.
AA joint dysfunction treatment. Joint is pure rotation.
Operator seated palpating AA. Carry head to rotation restrictive barrier and have patient resist.
Cervical Vertebral Dysfunction C2-7 - ex. C4 E Sr Rr - treatment? gets worse more prominent with extension then it is an extension lesion
Operator seated palpating C4. Introduces flex, L SB, L Rot. Patient moves against operator's malar hand resistance away from this barrier.
Thoracic Spine Vertebral Dysfunction T1-4 ex. T4 E Sr Rr - treatment?
Operator standing behind and to side. Hand on chin. Palpating T4. Introduces flex, L SB, L Rot. Patient moves against operator's hand on chin resistance away from this barrier.

Thoracic Spine Vertebral Dysfunction T1-4 ex. T4 E Sr Rr - treatment?

Sit on the side you want to rotate towards “listening hand” on transverse processes Stabilizing hand across chest to opposite shoulder Sidebend towards you Rotate towards you

Thoracic Spine Vertebral Dysfunction T5-12 ex. T12 E Sr Rr - treatment?
Operator standing behind and to side. Arm spans shoulder on side of motion barrier. Palpating T12. Introduces flex, L SB, L Rot. Patient moves against operator's shoulder resistance away from this barrier.
Lumbosacral examination for intersegmental dysfunction.
Patient prone. Operator applies firm, equal pressure in a ventral direction. Ex. ease of R. ventral motion means R restrictive barrier.
Lumbosacral examination for intersegmental dysfunction.
Patient lateral recumbent, Operater facing. Palpates lumbar vertebrae. Introduces flexion. Introduces SB by raising upper leg.
Lumbosacral Spine Vertebral Flexion Dysfunction ex. L3 F SL RL - flexed, prominent transverse process on left - lat recumbent with prominence ( left ) to table



treatment?

L lateral recumbent. (L posterior transverse process to table.) R shoulder back. Operator facing. Palpates L3. Introduces L SB by raising R leg. Patient moves R ankle to floor against operator's resistance.
Lumbosacral Spine Vertebral Extension Dysfunction ex. L3 E Sl Rl - treatment?
L lateral SIMS position. (R posterior transverse process away from table.) Upper shoulder flexed forward. Operater facing. Palpates L3. Introduces R SB by raising ankle. Patient moves ankle to ceiling against operator's resistance.
Lumbosacral Spine Vertebral FLEXION Dysfunction - treatment
Posterior transverse process DOWN to table. R shoulder BACK. Patient moves legs DOWN against resistance
Lumbosacral Spine Vertebral EXTENSION Dysfunction- treatment
Posterior transverse process UP away from table. R shoulder FORWARD. Patient moves legs UP against resistance
Lumbosacral Group Curve Dysfuction - tx
lateral recumbent with concavity to floor. flex, SB to apex. Patient pushes his feet to floor against resistance.
Thoracic Treatment
Patient inhales then exhales. Operator presses down on rib as the patient takes a breath.