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Gonstead Analysis

LCCW Gonstead Analysis Class

A subluxation will always have what 2 things? A fixation and a hypo-mobile vertebra
A hyper-mobile segment: should NOT be adjusted
Generally, adjust the ______ vertebra in a section of 2+ hypo-mobile vertebrae The LOWER
Oxford dictionary defines Subluxation = ? a sprain, less than a dislocation
CCR defined subluxation as: a motion segment in which alignment, movement integrity, and/or physiologic function are altered although contact between the join surfaces remains intact.
What are the 3 components in the "3 component model"? Misalignment, fixation, and neurological dysfunction. ALL 3 must be present.
Misalignment: positional dysrelationship of vertebral segments
Fixation: hypomobility of functional spinal until
Neurological dysfunction: Usually associated with some kind of neurophysiological dysfunction (pain, sensory disturbances, end organ dysfunction
What are the 5 components in the "5 component model"? Kinesiopathology, Neuropathology, Myopathology, histopathology, and pathophysiology (biochemical abnormalities)
Kinesiopathology: Hypo/hypermobility, compensation reaction, loss of joint play, etc
Neuropathology: Compressive lesion: disc lesion, degeneration, Facilitated segment (DRG), Articular neurology (alteration of proprioception is spinal joints), somatoautomomic relationship (visceral dysfunction), and pain.
Myopathology: Hyperactivity (mm spasm, hypertonicity), hypoactivity (loss of mm tone, atrophy)
Histopathology: inflammation, edema, vacular changes
Pathophysiology (bio-mechanical abnormalities): CT changes, bony remodeling, toxins of tissue injury causing damage to surrounding soft tissue
How do you find a LISTING? X-ray
What are the 5 objective findings? motion visualization, static visualization, motion palp, static palp, instrumentation
what are the 2 (3) instruments used for OBJECTIVE findings? go scope, nervescope, and dermatherma-graph
6 components of the spinal examination: histroy, motion visualization, static visualization, motion (and static) palpation, Instrumentation, Xray examination and other imaging studies
History: of chief complaint. Onset. Provacation. Quality. Radiation/Referral. Severity. Timing.
SHARP = Swelling, Heat, Altered function, Redness, Pain
Swelling: "edema" - both acute and chronic problems. Sign of tissue damage in acute injudies and a sign of fication dysfunction in chronic problems.
Heat: Skin temp changes due to vasodilation of subcutaneous tissue. Chronic irritation of ANS, or acute tissue injury
Altered Function: Spinal dysfunction, peripheral dysfunction, end organ dysfunction,
Redness: "errythema" - often seen with skin temp changes. Thought to be due to chronic irritation of the ANS
Pain: Subjective signal to the patient that something isn't right. It may not always be present with chronic problems.
Pain vs. Tenderness: Pain - the subjective sensitivity that the patient reports. Tenderness - the expressed pain in response to pressure
Created by: walkingbyfaith09