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Loss of what creates annular fiber problems?
- Loss of fluid.
- Annular fibers are connected via incomplete laminella.
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What percentage of disc herniation patients present without symptoms?
60%.
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Acute LB pain management:
- 1. Get patient prone & ice for 3-4 minutes.
- 2. Pump the disc by 'grabbing' the SP with your pisiform. Apply a little bit of pressure & hold, while gently increasing the pressure, until you reach 30-40 lbs of pressure... this should be relieving pain!
- 3. Slowly come off & reapply ice.
- 4. Come back & do it again.
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Which segment is adjusted with an acute LB?
- The segment below.
- (In side posture).
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What are the two instances you adjust a BP sacrum?
- 1. Acute LB.
- 2. Grade 2 spondylo.
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How many degrees of flexion & extension does L5 have?
- 20.
- L4 less, L3 less, etc, etc.
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How many degree of lateral flexion does L5 have?
2 (due to the illiolumbar ligament).
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How many degrees of rotation does L5 have?
- 10 total... 5 left & 5 right.
- -L4: 2 degrees per side = 4 total.
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What percentage of patients have a listing of just P?
80%.
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For thoracic ROM's simply divide the 12 segments into groups of 3:
- T1, 2, 3, 4: 4 f/e, 7-8 rot.
- T5, 6, 7, 8: 6 f/e, 6-7 rot.
- T9, 10, 11, 12: 12 f/e, 2 rot.
- (all of the above is per side).
- *L1 also has 12 degrees of f/e.
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Is there more flexion or extension in the upper thoracic?
- Flexion.
- Ex) 4 degrees total = 3 flexion, 1 extension.
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The thoracic curve is due to what structure?
VB height.
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What level is the cervical lordosis measured through?
T3.
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What level is the lumbar lordosis measure through?
T9.
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AND NOW, FS2 LAB STUFF FOR THE LECTURE MIDTERM...
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Single Hand:
C6-LL, BP sacrum.
Both simple & rotatory.
- Superman 42:
- -C6-T3: inferior hand.
- -T4-L2: superior hand.
- -L3-LL: inferior hand.
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Double Thenar:
T3-LL.
Rotatory only.
- This move is for when more power is needed!
- *T5-T9 = long spines, so go up & over 2 ISS's to find TP's.
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Which levels do you shoot it straight?
T4-T8.
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Which levels do you shoot for the thyroid?
T9-L3.
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Crossed Pisiform (there is an a/k/a...):
T3-11.
Rotatory only.
Crossed pisiform a/k/a double transverse.
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Thumb Pisiform:
T10-12.
Rotatory only.
Used on levels with small TP's.
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Diversified song (yay):
- "DP on the SP, reach over.
- MDP for the TP from the same side."
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Diversified Pisiform:
C7-T3.
Simple only.
Do not stand on the side of SCP.
*Diversified moves target the facets, not like the discs with Gonstead.
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Modified Diversified Pisiform:
C7-T3.
Rotatory only.
Same move as DP, but you set up on a TP instead of SP.
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A COUPLE OF THINGS FROM FS1...
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What are the 5 moves from FS1 in which the patient is ISD?
- 1. Illium ASEX Pull.
- 2. Illium EX Pull.
- 3. Illium PIEX Pull.
- 4. Sacrum Push (ISD).
- 5. Lumbar Pulls.
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What are the 3 moves from FS1 with a finger tip contact?
- 1. AS pull.
- 2. PI pull.
- 3. PIIN pull.
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