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16 Cards in this Set
- Front
- Back
L5 Retrolisthesis
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*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 |
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L5 Spondylolisthesis
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*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 |
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PI-ILIUM
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(+) 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 |
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AI SACRUM
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(-) D= short-short
(PRONE) 1) Ipsilateral (knees): a. Inferior hand: knife-edge contact sacral notch (Point to Pt’s head) I |
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AI SACRUM
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(-) 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 |
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Cervical
Syndrome |
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 |
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Bilateral Cervical Syndrome
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(PS Occiput)
1) Leg Check (all even): check 3x 2) Turn face R |
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PLS
1st RIB |
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 |
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PMS
RIB 2-10 |
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 |
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CBP
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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 |
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Toggle Recoil
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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 |
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PLI/PRI
C7-T2 (MOD DIV PISI) |
1) Stand opposite side
2) Inferior hand pisiform contact TP (shove it toward midline) shoulder over Pt to M |
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PRS/PLS
C7-T2 (Thumb Move) |
Note: all facets are s
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PL/PR
PRS/PLS T1-T5 (SINGLE-HAND CONTACT) |
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 |
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PLI/PRI
T3-T11 (Double Transverse) |
Inferior hand pisiform
Superior hand stabilizing Lancer stance LOD: P |
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PLI/PRI
T9-L5 (Double Thenar) |
Superior hand thenar
Inferior hand stabilizing Lancer stance Make sure that you go that M |