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Cunningham Tech III

NYCC Tech III written exam

QuestionAnswer
what is the foundation of NYCC's technique assessment? P.A.R.T.S.
which is true when performing an active ROM assessment? check for: QUALITY - QUANTITY - SYMMETRY - PAIN PROVOCATION (QQSP
What assessment is useless when looking from a P-A view? forward head carriage
Static concept of chiropractic principle is described by DD Palmer as bone out of place? true (DD static bone out of place)
NYCC model of chiropractic principle is DYNAMIC
What are the 2 components to chiropractic application? Analysis + Treatment
Joint play is done in what position? seated
the ENDPOINT of passive motion is end feel
Accessory Joint movements are INVOLUNTARY accessory to the crime, earrings you forgot to take off, a good looking man or woman on your arm...these are accessories that are practically involuntary
Accessory joint movement in NEUTRAL positon is evaluated by Joint PLAY (you play with your accessories, don't you? He would get bored if you didn't pay attention once in awhile - you should, however, remain Neutral).
Joint cavitation false - definitive indicator?
ConCAVE on Convex: Roll and Glide in the SAME direction (more joint travel)
ConVEX on concave: Roll and Glide in OPPOSITE direction (less joint travel) VEX/OPPOSITE/LESS
VEX/OPPOSITE/LESS means conVEX on concave: roll and glide in OPPOSITE directions so LESS joint travel
what is kinematics the study of joints WITHOUT CONSIDERING FORCES (ie, joint angles, joint diplacement, joint velocities, joint accelerations)
Arthrokinematic refers to a motion that occurs between joint surfaces, ie, glide or spin
5th MCP/laminar push adjusment is best for flexion/restriction
performing seated endfeel palpation for RIGHT rotation in T8/T9 motion, you apply the vector to? Right side of T8 spinous process
What are the 3 categories of motion classifications? MOTION(orthogonal), Static, Gonstead
flexion restriction ("O" will be used instead of theta, since no way to represent theta on studystack) +OX restriction (orthogonal), extension misalignment (static)
extension restriction -OX restriction (motion/orthogonal), flexion misalignment (static)
right lateral flexion restriction +OZ restriction (motion/orthogonal), left lateral flexion misalignment (static)
Left lateral flexion restriction -OZ right lateral flexion misalignment (motion/orthogonal), right lateral flexion misalignment (static)
right rotation restriction -OY restriction (motion/orthogonal), left rotation misalignment (static)
left rotation restriction +OY restriction (motion/orthogonal), right rotation misalignment (static)
Gonstead for Right rotation restriction/-OY restriction/left rotation misalignment? PR
Gonstead for Left rotation restriction/+OY restriction/right rotation misalignment PL
P-A Glide restriction +Z translation restriction/retrolisthesis
A-P glide restriction -Z translation restriction/anterolisthesis
Right to Left Glide restriction +X translation restriction/Right laterolisthesis
I-S glide restriction/distraction +Y translation restriction/decreased disc space
S-I glide restriction/compression -Y translation restriction/ compression of disc space
monopausal theory one cause, one cure
static model bone out of place (DD Palmer)
2 parts of chiropractic technique analysis (evaluation) + adjustment (treatment)
motion segment a functional unit made up of two adjacent articulating surfaces and the connecting tissues binding them to each other
spinal motion segment two adjacent vertebrae, and the connecting tissues binding them to each other
subluxation a motion segment in which alignment, movement integrity, and physiological function are altered, although contact between joint surfaces remains intact
manipulable subluxation a subluxation in which altered alignment, movement and function can be improved by MANUAL THRUST PROCEDURES
subluxation complex a theoretical model of motion segment dysfunction (subluxation) which incorporates the complex interaction of pathological changes in nerve, muscle, ligamentous, vasculature and connective tissue
the lesion treated by chiropractors subluxation
4 treatment procedures utilized by chiros Mt.MMA:-manual therapy--mobilization-manipulation--adjustment-
on the motion spectrum, two bones fused can be referred to as total restriction
difference between increasing motion and decreasing motion increasing: hypermobility decreasing: restrictions needing adjustment
when evaluating the patient, 5 things: 1-history, 2-observation, 3-physical exam, 4-neuro evaluation, 5-chiropractic evaluation
3 questions about pain history: Location, Quality, Intensity on a scale
active vs. passive vs. resisted ROM's active-patient performs motion, passive-doc induces motion, resisted-pt performs but doc adds resistance
the amt and direction of joint or region movement can be called Osteokinematic motion (amount and direction)
assessing what with active ROM: quantity, quality, symmetry, pain provocation
cervical active ROM (AROM's) are: Flexion 60, Extension 70, Lateral Flexion 45, Rotation 90
60.70.45.90 60 flexion.70 extension.45 lateral flexion.90 rotation
a subluxation can also be called a joint dysfunction
goal of chiropractic evaluation determine the chief complaint and if any joint dysfunction/subluxuation needs treatment
evaluation chiro ideas open mind, scan first
components for physical scanning evaluation for joint dys/subluxation are: posture and gait, ROM, motion scan, pain scan
posture and gait is evaluated by activities of the musculoskeletal system
difference between pain and tenderness pain: present even when not touching patient
is pain specific to one joint? no
what's used to isolate, id and define the specific joint dysfunction and specific tissues involved? PARTS
PARTS stands for Pain, Asymmetry, Range of motion, Tone & texture, Special tests
motion palpation is a skill depends not only on psychomotor training but also understanding functions of anatomy, biomechanics, path mechanics of spine, pelvis and extremities
authors of text we use Bergmann and Peterson
Accessory joint movements are _________, and they represent the _______necessary for normal function involuntary joint play, give
an adjustment occurs in Paraphysiological space
annular fiber disruption with nuclear migration into the tear is known as what type of block intradiscal block
joint manipulation is done to increase hypo-mobility (low mobility)
joint manipulation is done in what direction direction of primary joint restriction
a restriction is a component of subluxation, not the subluxation itself? true
not every restriction needs adjusting? true
a restriction may or may not cause a malpostion? true
static model of subluxation based on what concept bone out of place
dynamic model of subluxation based on mobility of a MOTION SEGMENT
flexion restriction is also known as extension malpostion
what coordinate system do we use Cartesian
characteristics of cartesian system 3D system/3 axes (XYZ) all at 90 degrees to one another/describes a point in space describes rotation and translation movements of an object
moving forward and backward (glide) alone in the X-axis translation
rotating alone on an axis rotation
flexion restriction (remember we are using "O" for theta symbol - it is not used when marking translation movements) +OX restriction or extension misalignment
left lateral flexion restriction -OZ restriction or right lateral flexion misalignment
right rotation misalignment left rotation restriction, +OY restriction, PL
right lateral listhesis +X translation restriction, R-L glide restriction
extension misalignment flexion restriction, +OX restriction
A-P glide restriction -Z translation restriction, anterolisthesis (stuck anteriorly) "A" for anteriorlisthesis, A to P, and stuck anteriorly
where does cavitation occur? paraphysiological space
right lateral flexion restriction +OZ restriction, left lateral flexion misalignment
which term refers to the study of movement without consideration of forces? KINEMatics
which term describes the type of motion between joint surfaces arthrokinematic motion
what happens when you have pure glide impingement
pure roll? dislocation (ie, glenohumeral)
kinetics is the study of static and dynamic forces
a mechanical disturbance or load is known as force
Force= magnitude and direction
force may ______an object deform or change its state of motion
6 common forces on the body are: TEnsile(stretching), compression, bending, shear, torsion (twist), combined loading
stress is amt of load per crossectional area (y axis) from above
strain is change of shape (x axis) from sides
stress is measured as N/m2, or megapixels
with little deformation before it fails, this type of material can be peiced back together to its original form brittle
this type of material cannot be glued back together once it breaks, but it has a lot of deformation capacity before then ductile (think duct tape)
most common lever in body 3rd class
joints are named by function
3 types of joints synarthroses (no movement), amphiarthroses (some movement), diarthroses (moveable -TRUE SYNOVIAL JOINT)
which type of joint is a true synovial joint diarthroses
4 types of non-moveable synarthroses sutures/cranial, synchondrosis/epiphysis, schindylesis/bone in cleft, gomphosis/tooth
2 types of amphiarthroses symphysis/pubis & vertebral bodies, syndesmoses/bones attached by fibrous tissue (tibio-fibular joint)
2 bones that end with cartilage, are connected by ligaments, and lined with synovial membrane are diarthrosis
4 types of diarthrotic joints 1-uniaxial/ginglymus/hinge joint (ulnohumeral and trochoid/pivot (atlantoaxial), 2-Biaxial/ellipsoid/oval head in socket (MCPS) and sellar/saddle (thumb), 3-Multiaxial/spheroidal/ball and socket (hip), 4-PLANAR JOINTs=glide along axis=spinal facet/zygopop
what is the only type of diarthrotic joint for this class zygapophyseal/Planar/facet of spine
types of bone cortical and traebecular
bone can ______ itself with bone! repair
what is most brittle: glass, bone, metal glass
adult cortical bone can withstand _______ compression and ______ tension. 190Mpa compression, 130Mpa tension
adult orbicular bone can withstand how much compression 50Mpa (traebecular is spongy)
3 types of cartilage elastic, fibrocartilage, hyaline
elastic cartilage found in external ear, epiglottis, larynx (EELs are elastic)
where is fibrocartilage found edges of joint spaces like Menisci and annulus fibrosis of ivd
hyaline cartilage is found in diarthrodal (synovial) joints
ligaments and joint capsule connect what bone to bone
tendons attach muscle to bone
what is most abundant tissue in body skeletal muscle
concentric contraction muscle shortened, contracts
eccentric contraction muscle lengthened but contracts anyway
ISOmetric muscle stays same length (iso=same)
kinetic muscle contraction movement of joint in constant motion
4 factors contributing to muscle force cross sectional area, heat, fatigue, fiber type
how many fiber types I,IIA,IIB
type one I slow twitch, slow fatigue, red (dark meat) chewy
type two IIA fast twitch, intermediate fatigue, red muscle (less chewy)
type three IIB I'll have the IIB, please! white meat, fast twitch, tires easily
what allows limited motion and actually restricts excessive motion? IVDs
hysteresis reversible? no
creep defined where in ELASTIC curve, reversible!
cavitation effects increased ROM, joint space, 20 mn refractory period
cavitation represents 3 physical events: joint separation, stretching issues, stimulating joint receptors
what type of joints behave as though in refractory period? hypermobile
Created by: Heather Cutler Heather Cutler on 2010-03-03



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