Diversified
11/30/99
Comp Board Review for Diversified on Wed 1/5/00 at 7pm about
2 hours long in SB10—pending approval of the administration
Basic
- Start
w/assessment
- AP
and lateral weight bearing
- Shoulders,
arms, knees, hips
- Lordosis,
kyphosis
- Table
setup depending upon the lumbar Lordosis
- 5
signs
- H—high
crest
- E—erector
spinae tension
- L—lowest
freely movable vertebrae
- P—pain
in the SIJ—subjective finding
- S—sacrotuberous
ligament tightness—use both thumbs on bare skin—the one that doesn't go
up as high is tighter
- Normal
table position
- Pelvic
piece slightly raised
- Abdominal
piece unlocked
- Foot
piece up one notch
- Head
piece down or level
- Finally,
adjust to pt comfort
- Apex
- Primary
use—AI sacrum that is unilateral
- Palpate
down from PSIS to feel for the pocket
- Hand
position
- Elbow
down
- Get
good ceiling
- Full
spine adjusting
- LOD—line
of drive
- For
the cervical spine, point straight up to the occiput
- As
move down the spine, arc the LOD laterally and down
- Do
not cross the spine w/LOD
- Sit
just below the greater trochanter
- C/s
is towards the occiput
- T/s
is toward the shoulder
- L/s
and pelvis is toward the crest
- Axillary
contacts
- In
mid thoracic spine
- Use
the SP and TP to derotate
- Have
spinal nerves going to organs—refer to Meric System
- Notch
- More
force
- Affect
lumbar spine w/o axillary contacts
- Use
same side hand that you are adjusting
- Palpate
down from PSIS until fall into a pocket and then move a little further
down an out
- LOD
does not cross the spine
- Double
Notch
- LOD
crosses the spine at the base of the spine
- For
bilateral AI sacrum—hyperlordosis
- Table
positioning—abdominal piece up and locked
- Foot
piece all the way down to contract the hamstrings to help pull the
sacrum back
- Used
to affect the pelvis
- Ulnar
- Use
for obese pts or when need more force
- Use
for AS (Ankylosing spondylitis)
- Look
for dimples at PSIS for AI sacrum
- Dimple
will be deeper on the more prominent side of AI sacrum
- Scoliosis
- Muscle
contraction—hypertonicity of erectors or iliopsoas
- Muscle
pulling—functional scoliosis
- Piriformis
- External
rotation of the foot
- Muscle
location—anterior sacrum to highest aspect of the greater trochanter
- Contact—one
inch superior and anterior from the greater trochanter
- Use
inferior hand
- Ceiling
is upward
- Erector
spinae tension on the L—contact on the R
- Affect
insertion of the muscle—inferior LOD
- Affect
origin of the muscle—superior LOD
- Used
to affect the pelvis
- X-ray
- Leg
deficiency could be possible due to pelvis posterior bringing femur up
and this would be structural
Exams—gowns w/partners
3 minutes
One room
Diversified
One room
Basic