Double cervical lock
short leg; balances to both sides HR
palpate TN bilaterally at diff levels
OCCS
short leg ext; head balances to one side only
- TN and spinous rotation from C2-C7
- chronic C2 subluxation
- tight trap opposite spinous rotation
SCP- 1st rib on side of spinous laterality
SH- zygomatic arch
lift head and laterally rotate over SCP
LOC- P-A, L-M, S-I, SH hand goes I-S scissor action
Xception Derefield
legs balanced ext, HR no change, short leg in flexion that balances with HR to one side only
-thompson prone cervical
Bilateral Cervical Syndrome
- balanced in ext, leg short with both sides head rotation
- palpate for C2 spinous pain
- tilt headpiece, tuck chin
- CP- double thenar
- SCP- inferior nuchal line
- LOC- A-P, I-S, scoop
Posterior Cervical
- leg short in extension, HR balances both on both sides
- TN bilaterally on same segment
- SCP- bilateral LPJ
- CP- both thumbs
- LOC- P-A, slight I-S
-D
-leg short in extension, stays short on R/L HR, stays short in flexion
- check trigger points; if present AI
- no trigger points, check gastroc, if present its posterior rocked ischium
- if not gastroc check sacrum by doing prone leg raise, if one is higher then its AI sacrum
AI sacrum prone
PART 1
- fencer on side of SCP
- roll in toggle with inf hand
- SCP- ischial tube
- LOC P-A, I-S, slight M-L
PART 2
- stand opposite of SCP
- cross leg of SCP over other and lift in ext
- SCP- medial PSIS
- LOC slight P-A, M-L
AI sacrum spine
PART 1 deliver the baby get the elbow LOW SCP- ischial tube SH- ASIS with leg rested laterally LOC I-S, P-A, slight M-L
PART 2 think torque opposite knee bent -SCP- inguinal lig -LOC- A-P and CCW or CW
Rotated Sacrum
stabilize over sacrum and do prone leg lift. higher leg is side of apex rotation
SCP- sacral apex and medial PSIS on side of higher leg
LOC- apex hand L-M, and PSIS hand M-L scissor thrust with slight P-A
Posterior Rocked Ischium
- presents as -D but with no trigger points
- palpate tenderness in gastroc
- fencer stand toward feet
- CP- fleshy pisiform with fingers toward feet
- SCP- ischial tuberosity
- SH- roll in like toggle
- LOC- P-A, S-I
+D
1 leg short in extension, HR no change, flexion it goes long
-check for leg lag, and sartorious insertion and attachment, indicates PI ileum or possible EX
PI ileum prone
fencer stance, opposite side (arms like X)
SCP- medial PSIS
SH- fist on ischial tube
LOC- P-A, M-L, I-S
PI ileum supine
fencer stand same side
-arm fossa for inguinal contact
SCP-inguinal lig
CP- roll in like toggle
LOC- A-P, S-I, L-M
IN
-shows up as -D
challenge by int and ext rotation making it worse or better
muscle test by bending knee, pushing L to M to make IN better, should be strong
-make in worse by fig 4 muscle test
-stand on side of SCP, bend knee and push it L-M like the muscle test
SCP- lateral posterior distal thigh
SH- ASIS
LOC- slight A-P and M-L
EX
shows up as +D
ext and int rotation leg check
muscle tests
-stand straight away opposite SCP with pt in fig 4
SCP- ASIS of involved side
SH- ASIS of straight leg side
LOC- A-P, M-L
Rotated Lumbars seated
-visual, palpation, xray, only on simple listing or closed wedge side
SCP- mammillary on side of body rotation
CP- pisiform
-cross arms, slump patient, rotate to tension
LOC P-A, I-S, M-L
Anterior Dorsals
-palpate and visualize pottinger saucers
-use extra peice, slumps pt cross arms lay back
- contact inferior scapulas
SCP- body of vertebrae
LOC A-P
Spondylo
- xray and history
Contraindicationes:
pregnancy, AAA, abdominal surgery, greater than grade 2, asymptomatic
