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Gonstead 1st test
| Question | Answer |
|---|---|
| where was Clarence Gonstead raised? | in Wisconsin |
| Who was his Chiro who inspired him? | Dr Olsen |
| Where did gonstead graduate? | from Palmer school of chiro in Davenport Iowa in 1923 |
| Where was Gonsteads 1st office? | in Mt. Horeb Wisconsin in 1924 over a bank building |
| Gonstead was one of the first chiros to use what? | radiography and fluoroscopy |
| Where did Gonstead go to study human cadaver spines? | Lincoln chiro college |
| Why did Gonstead study human cadaver spines | to help understand func anatomy and biomechs of spine |
| What is the foundation of gonstead? | that the foundation of the spine starts @ the pelvic girdle |
| What does a stable pelvis ensure? | balance, durability, and stability. |
| Small changes in the foundation cause ______ | large deviations above |
| What is the facet joints main function according to gonstead? what are they not designed for? | is to guide andlimit movt of the motion segment, and they are not designed for wt bearing |
| For dysfunction to result in the facet joints, what must have occurred? | a positional dyskinesia must have occurred @ the disc |
| What does postural mm tone contribute to? | to minimal energy expenditure |
| What gives the most reliable info for the location of the subluxation according to gonstead? | the analysis of the dis, and the change it undergoes |
| When does Gonstead define a misalgnment as a subluxation? | only when this misalignment causes irritation to the neural structures, resulting in nerve dysfunction |
| What are the general indications of a subluxation? | pain, inflammation, swelling, palpatory tenderness, ischemia, neuro dysfunc, spasticity, hypomobility |
| What is fixation? And what may dysfunction be limited to? | limiation of intersegmental ROM, dysfunction may be limited to one axis of rotation |
| What are compensations usually? | Compensations are usually hypermobile, and moves within its normal elastic limits, or in a range beyond normal regional articulations. |
| What may a compensation involve? | may involve 1 segment, or many |
| Why do compensations occur? | in order to correct balance or equilibrium, they make up for lack of movt elsewhere in the spine |
| There may be many compensations in the spine, but few ___ | subluxations |
| What is the gonstead formula? | find it, fix it, leave it alone |
| What are the assessment tools to locate the subluxations? | visulaization, palpation (static and motion), instrumentation, xray, hx, pain sydromes, sx, exam findings |
| The thrust in gonstead is low ____, high ____ and _____ Through the plane line of the _____ | the thrust is low amplitude, high velocity and sustained, thru the plane line of the DISC |
| How is specificity accomplished in Gonstead? | by using lines of correction from line drawings, torque, accruate contacts, counts, and use of landmarks |
| Specific joint tensions @ ___ but not ____ | specific joint tension @ VCS but not locked |
| What are the 4 mechs of maintaining postural balance in the spine? | vestibular system visual relation to the horizon wt distribution around a central axis postural mm tone |
| how are pi and as determined by xray? | ilium ht |
| which has a larger ilium ht, pi or as? | pi |
| how are ex and in determined on xray? | ilium width |
| which has a greater ilium width, ex or in? | in |
| listed side of l5 lumbar body rotation may or may not be? | may or may not e subluxated side |
| Dot @ s2 and dot @ symph pubis and line made b/w two... if closer to the line it is as ____ and if it is further it is ___ | closer it is: ex further is it in |
| what is the actual distance? | the actual distance in the distance that would result after pelvic rotational corrections have been made to the femur head ht |
| pi and ex ilium listings have ___ femur head hts | lower |
| as and in ilium listtings have ___ femur head hts | raised |
| give an ex of the 5/2 rule | for every 5 mms of as or in correction, the femur head ht will lower 2 mms |
| Heal lift use: anatomical distance exceeds __mms lumb scolosis & vert body rot is to _____ as leg length deficient there are no major ____? the pt is neither too ___ or too ___ ___ and ____ of pt | -anatomical distance exceeds 6 mm -lumbar scolosis and vert body rot is to the same side as deficien -there are no major malformations or OA changes present - pt is neither too young or old -lifestyle & probable compliance of pt |
| What is the final decision on heal lift? | on what part the lef deficiency plays in the pts postural dysfunction and what benefits may be derived |
| what has a smaller obt foramen on xray? | as ilium |
| what has a larger obt foramen on xray? | pi ilium |
| what causes edema @ the post-inf and ant-sup margins of the si joint? | pi and as ilium |
| what leaves the sacrum psterior on the involved side? | as ilium |
| what leaves the sacrum anterior on the involed side? | pi ilium |
| what causes a decrease in the lumbar lordosis? | as ilium and in ilium |
| what causes an increased lumbar lordosis? | pi ilium and ex ilium |
| what has an obt foramen that is wider @ the base? | ex ilium |
| what causes edema @ the post margin of the si joint | ex ilium |
| what causes the ft to flare inwards? | ex ilium |
| what causes the obt foramen to appear narrower@ the base on xray? | in ilium |
| what causes edema @ the anterior margin of the si joint? | in ilium |
| what causes the ft to flare outwards? | in ilium |
Created by:
margaretrhager
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