Clinic Entrance - Drop Table

Front 1

L5 Retrolisthesis

Back 1

*skin-to-skin
*Requires that Dr ask Pt to expose the area.
* L5 has gone posterior, & we want to push it back over sacrum
*grade 5 is worse
There are 3 hand contacts used for SP contact (Pt Prone):
1) Superior hand knife edge
2) Double thumb
3) Inferior hand palm contact, superior hand stabilize @ wrist
LOD: P

Front 2

L5 Spondylolisthesis

Back 2

*skin-to-skin
*Requires that Dr ask Pt to expose the area.
* L5 has gone Anterior, & we want to push it back over sacrum
*grade 5 is worse
*make sure Pt is Supine with the Knees bent
Containdications:
1) Pregnancy
2) IUD (interuterine device): female contraceptive
3) AAA (abdominal aortic aneurysm) if burst, Pt will die in 5 mins!
4) Peritonitis (Abdominal inflammation)
5) Full Bladder (don’t increase pressure in abdomen)
6) Asymptomatic (don’t mess w/ spondy, leave it alone!)
Set up:
1) Remember lumber drop piece
2) Pt bend knees, relax abdomen, ask Pt to expose skin
3) Palp. iliac crest landmark, come medial to L4, go 1 in. lower to L5
4) Inferior hand palm contact (in midline of Pt body)
5) Superior hand stabilize @ wrist
6) Ask Pt to take deep breath & exhale deeply. Move in on the exhale to
get closer to L5. Do this 3 X (3 breath total) The contact is the anterior
portion of the body of L5
LOD: I

Front 3

PI-ILIUM

Back 3

(+) D: short-long
1) Single-Hand Ipsilateral
a. Standing @Pt knees, inferior hand pisiform contact on PSIS,
superior hand stabilize @ wrist
2) Double-Hand Ipsilateral
a. Superior hand thenar contact on PSIS, inferior hand thumb pad
goes to opposite ischial tuberosity. (stabilize)
3) Single-Hand Contralateral
a. Superior hand pisiform contact on PSIS, inferior hand stabilize,
reach over to involved side
4) Double-Hand Contralateral
a. Inferior hand thenar to PSIS, superior hand thumb pad to ischial
tuberosity.
LOD: P

Front 4

AI SACRUM

Back 4

(-) D= short-short
(PRONE)
1) Ipsilateral (knees):
a. Inferior hand: knife-edge contact sacral notch (Point to Pt’s
head) I

Front 5

AI SACRUM

Back 5

(-) D= short-short
(SUPINE)
Part I
1) Pt bends knee on involved side
2) Dr stand on ipsilateral side
3) Inferior hand #8MCP contact ischial tuberosity
(thumb against 1st finger go under the knee)
4) Superior hand stabilize thenar @ ASIS on involved side
LOD: A

Front 6

Cervical
Syndrome

Back 6

R CS=BL, SR
L CS=BR, SL
1) Superior hand contact lamina/pedicle junction #8MCP
2) Inferior hand is stabilization hand on head (behind ear
traction)
LOD: P

Front 7

Bilateral Cervical Syndrome

Back 7

(PS Occiput)
1) Leg Check (all even): check 3x
2) Turn face R

Front 8

PLS
1st RIB

Back 8

1) Inferior hand tissue pull Trap away
2) Superior hand #8 MCP contact on the angle of 1st rib (stick
elbow’s out)
3) Inferior hand laterally flex head
4) Thrust (shoulders high)
5) Drop 1 X on thoracic drop piece (make to come @ shoulder
of table)
LOD: P

Front 9

PMS
RIB 2-10

Back 9

1) Come to head of table
2) Stand diagonal
3) Palpate SP rib 6, go up 1 SP rib 5, go lateral 1 inch to get
to rib 6
4) Fleshy pisiform contact on angle of rib
5) Superior/inferior hand contact does not matter
LOD: P

Front 10

CBP

Back 10

C5 SP
1) Superior hand knife-edge, inferior hand stabilize
2) Inferior hand web contact, superior hand stabilize
3) Double thumb contact
T2 SP
1) Do 6 rule on thoracic
2) Superior hand knife-edge, inferior hand stabilize
(start @ lower level & finally will end up @ T2)
Both
1) Superior hand knife-edge @ T2
2) Inferior hand thumb web contact @ C5
LOD: P

Front 11

Toggle Recoil

Back 11

1) Face paper
2) Bring head piece straight up
3) Pt down side-posture (head, ear, shoulder, trochanter)
4) Inferior hand (only for palp.) of mastoid is @ bottom of drop piece
5) If “P” listing: place feet all the way into table to get over Pt
If “A” listing: place feet away for A

Front 12

PLI/PRI
C7-T2
(MOD DIV PISI)

Back 12

1) Stand opposite side
2) Inferior hand pisiform contact TP (shove it toward midline)
shoulder over Pt to M

Front 13

PRS/PLS
C7-T2
(Thumb Move)

Back 13

Note: all facets are s

Front 14

PL/PR
PRS/PLS
T1-T5
(SINGLE-HAND CONTACT)

Back 14

Note: For single-hand use superior hand contact, except @ T1,
T2, T3, L4, L5: face head, lancer stance (use inferior
hand contact & superior hand stabilize)
1) Face feet
2) Fingers towards feet (superior hand pisiform against SPaka
the nail hand)
3) Inferior hand stabilizing is the driving force-aka the
hammer hand)
(may cross the spine w/ fingers @45)
4) Hip stance (take a step back L

Front 15

PLI/PRI
T3-T11
(Double Transverse)

Back 15

Inferior hand pisiform
Superior hand stabilizing
Lancer stance
LOD: P

Front 16

PLI/PRI
T9-L5
(Double Thenar)

Back 16

Superior hand thenar
Inferior hand stabilizing
Lancer stance
Make sure that you go that M