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TS LINE - T1-11,12; L1-5
T1-neck flexors;
T2-subscap;
T3-deltoid;
T4-Popliteus;
T5-Pec Clavicular;
T6-Lat;
T7-Middle Trap;
T8-Pec Sternal;
T9-Sartorius/gracilis;
T10-Quads;
T11&12-psoas
L1-Hamstring
L2-QL
L3-Glut Max
L4-TFL
L5-Glut Med, piriformis, adductors
How do you CHALLENGE an Inspiration Assist Pattern
Push mastoid P-A; test strong muscle for weakening or weak muscle for strengthening
How do you CORRECT an Inspiration assist pattern?
4-5 respirations, push mastoid into direction of challenge that produced max strength with 2-3lb of pressure during inspiration.
How do you CHALLENGE an Expiration Assist Pattern?
Push mastoid A-P; test strong muscle for weakening or weak muscle for strengthening
How do you CORRECT an Expiration Assist Pattern?
Push mastoid A-P for 4-5 expirations
How do you CORRECT a Sphenobasilar Forced Inspiration?
Contact hard palate in superior direction and mastoid in anterior direction and simultaneously apply pressure on 4-5 inspirations
What is the CHALLENGE for Sphenobasilar Forced Inspiration Assist?
-Superior force on hard palate and
-Anterior force on mastoid
How do you CORRECT a Sphenobasilar Forced Inspiration Assist?
Contact hard palate in superior direction and mastoid in anterior direction simultaneously.
-Pressure applied on 4-5 inspirations
What is the CHALLENGE for Sphenobasilar Forced Expiration Assist Pattern? And CORRECTION?
CHALLENGE
-Press anterior on hard palate near central incisors
-Press posteriorly on mastoid at same time, spreading them apart.
CORRECT
-same direction as challenge, spread on expiration for 4-5 respirations
What is the TL & CHALLENGE for a glabella fault
Glabella & EOP
On what cycle of respiration is a glabella fault corrected?
always on INSPIRATION
What conditions is glabella fault associated with?
BP (hypo- or hypertension)
What is the indication for an Interosseous Cranial Fault (Universal Fault)?
Strong muscle weak on breathing in 1 nostril
What is the CHALLENGE for the Interosseous Cranial Fault?
Patient prone.
Press 1 mastoid inferior & other superior (rotating clock- or counterclockwise)
How do you CORRECT an Interosseous Cranial Fault?
Whichever direction the indicator muscle stayed STRONG!!! (4-5x) (usually you correct faults on the challenge that caused a strong muscle to go weak. NOT THIS ONE!)
What is the CHALLENGE for an Internal Frontal Cranial Fault?
Malar surface of zygomatic bone - medial & posterior
How do you CORRECT an Internal Frontal Cranial Fault?
1) Pressure superior & laterally on posterior of hard palate. On side of internal rotation (20-40sec)
2) Pull inferior on pterygoid (same side)
3) Push superior on opposite pterygoid
What is the CHALLENGE for an External Cranial Fault?
Pull central incisors inferiorly and test indicator muscle
How do you CORRECT an External Cranial Fault?
1. On side opposite ER, Pressure superior on hard palate (until soreness relieved)
2. superior and medial pressure of pterygoid on side of ER (20 sec)
How do you CHALLENGE for a Naso-Sphenoid Fault?
Pressure medially to upper medial border of orbit
Test indicator muscle
If Naso-Sphenoid Fault found how is it corrected?
Find other cranial fault and have patient put finger on upper medial orbit while doctor corrects other faults
Cruciate Suture TL, CHALLENGE, CORRECTION?
TL - midline of hard palate
CHALLENGE - Separate/approximate suture (test strong muscle for weakening)
CORRECTION - separate (usually) or approximate at center of alveolar arch moving backward then to the anterior portion next to canines.
Relationship of digital pulse with Lambdoidal Suture
Approximation causes increased amplitude; separation causes diminished amplitude
Indications for Squamosal Suture imbalance
Pain on side of skull
How is the Squamosal Suture imbalance CORRECTED?
Approximate/separate suture on phase of respiration that negated the challenge
How do you test Auricularis?
Pull ear and test strong indicator muscle for weakening
How do you test Procerus?
TL at bridge of nose or wrinkle nose while testing strong indicator muscle for weakness
Mneumonic for Temporal Bulge & Parietal Descent...
1) goes weak on
2) Fix on
1) "TEX" (1/2EX) & "PIN" (1/2IN)
2) opposite... TIN & PEX