Random comprehensive OS

Question 1

When doing the upper rib 1-4 chin pivot HVLA technique which way does the head and neck SB and then which way is the head rotated in relation to the SD?

Answer 1

• First, take pt’s arm cupping chin on side of SD and pull elbow cephalad (SB head and neck away)
• Then rotate head toward SD into barrier

Question 2

When doing seated 1st rib inhalation HVLA (J stroke), the doc engages the barrier by SB the head (toward/away from SD; which direction is thrust?

Answer 2

• Engage barrier by SB head TOWARD the dysf. rib
• Thrust is applied inferiorly/medially on superior rib

Question 3

When doing HVLA for ribs 3-10 bucket handle exhalation dysf., the thrust is directed in which direction?

Answer 3

Slightly caudal

Question 4

Initital position of foot for anterior fibular head HVLA; direction of thrust?

Answer 4

• Invert + IR + plantarflex
• Rapid knee extension w/ downward and medial thrust thru fibular head

Question 5

Initital position of foot for posterior fibular head HVLA; direction of thrust?

Answer 5

• EVERT + dorsiflex + ER at ankle
• Thrust = anterior on fibular head while rapidly flexing knee