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The purpose of the NUCCA adjustment is to align the doctor's body with the necessary line of correction and to deliver an adjustic force that overcomes the resistance of the subluxation.
T/F
True
Which of the following is the objective of NUCCA protocol?
To restore the position of the head and neck to the vertical axis and to help the patient to hold their alignment for long periods of time
Ralph R. Gregory said which of the following?
Tractionization so affected to reticular formation fo the central nervous system as to cause far-reaching and damaging effects throughout the entire nervous system, causing spastic contracture and an over-loading of the motor units of the spinal cord.
Which of the following lists the 3 cervical spine x-rays taken in the NUCCA series?
Lateral
Nasium
Vertex
The purpose of the post x-ray is to evaluate the result of the adjustment given to the patient.
T/F
True
The term "contractured leg" denotes the presence of unilateral spastic contracture that has resulted from subluxation of the craniocervical junction.
T/F
True
Which of the following is one of the first historical figures recognized as evaluating the relationship between structure and function?
Hippocrates
An atlas laterality of as little as 0.75 degrees is enough to cause neurological involvement and neuromuscular stresses along the spine.
T/F
True
Posture distortion that results from the presence of the Atlas Subluxation Complex is due to:
Over-facilitation to the paraspinal extensor muscles
Tractionization of the brainstem
Inhibition of the inhibitory medullary reticulospinal tract
(ALL OF THE ABOVE)
The highest concentration of mechanoreceptors is located in:
The craniocervical junction
When atlas laterality is contralateral to the lower angle you know that the angular rotation is carrying C1 with it to create some or all of the atlas laterality.
T/F
True
Which of the following are the two primary misalignment factors found on the nasium x-ray?
Angular Rotation & Skull Turning
Positioning the patient's head so that the lateral canthas of the eye is positioned at the center of the square headpiece support will cause the skull to turn in a clockwise manner.
T/F
False
Which of the following is the defining characteristic of the Basic Type 3?
No lower angle
No matter the value of the C/A (condylar-axial relationship), it always represents the vector at which 50% of the adjustic force is distributed into the condylar circle and 50% of the adjustic force is distributed into the axial circle.
T/F
True
No matter the value of the C/A, it always represents the vector at which 50% of the force applied to the atlas vertebra is distributed into the condylar circle and 50% into the axial circle.
T/F
True
Which of the following lists the 4 elements used for calculation of the Height Vector in the NUCCA analysis of the Nasium x-ray?
C/A
HT
PL
ANG
A NUCCA doctor should select a height vector that is below the C/A when attempting to direct more of the force of the adjustment into the axial circle.
T/F
False
When do you utilize the HT element?
When the head tilt is contributing to atlas laterality
When do you utilize the C/A element?
Always because the condylar-axial relationship is an anatomical constant for each patient
When atlas laterality is ipsilateral to the lower angle you know that the angular rotation is not carrying C1 with it to create any of the atlas laterality, and thus there must be skull turning as well.
T/F
True
Which of the following are the two primary misalignment factors found on the nasium x-ray?
Angular rotation and skull turning
The difference between Basic Type 1 and Basic Type 2 is that the angular rotation does not carry C1 with it in the second basic type.
T/F
True
Which of the following is the defining characteristics of a Basic Type 1?
Contralateral acute angles with head tild not contributing to the atlas laterality
NUCCA is as simple as it is complex.
T/F
True
The Restoration Principle is the restoring to or toward normal the misalignment factors of the atlas subluxation complex (ASC).
T/F
True
What is the purpose of the S-Line?
-To identify the angle of the C1 posterior arch in the sagittal plane
&
-To achieve the best visualization of the C1 posterior arch attachments to the lateral masses in the Frontal plane
The Nasium film is the transverse plane view of the patient.
T/F
False
Which of the following lists of three cervical spine x-rays taken in the NUCCA series?
Lateral
Nasium
Vertex
Which of the following best describes an S3?
The central ray passes through both the inferior orbit and the point at which the C1 posterior arch attaches to the lateral mass
For every incremental increase in the deviation of the Atlas Plane Line above horizontal on the side of the atlas laterality, is a corresponding incremental increase in the height vector to reduce that factor of the misalignment.
T/F
True
How does one calculate the C/A?
-Subtract the diameter of the condylar circle from the diameter of the axial circle; divide the result by 2
C/A = (A-C)/2
The atlas laterality is measures as the acute angle between the Central Skull Line and the Cervical Line.
T/F
False
Which component of the Atlas Subluxation is measured at the intersection of the Atlas Plane Line and the Cervical Line?
Lower Angle
The C1 rotation is best measured on the Nasium film.
T/F
False
Any forces introduced into the patient's body during the adjustment, above that which is necessary to overcome the resistance offered by the subluxation, have the potential of causing damage.
T/F
True
The adjuster's line of correction is also known as which of the following?
The Notch-Transverse Resultant
The purpose of the 8 phases of the NUCCA adjustment is to align the adjustor's Notch Transverse Resultant with the Reduction pathway and to deliver only the required amount of force to adjust the atlas subluxation complex.
T/F
True
Which phase of the NUCCA adjustment has the purpose of the moving the adjustor's episternal notch directly over the patient's C1 transverse process?
Turn In
The principle of Functional Reversibility states that you can lock the insertion of a muscle, contract the muscle and cause movement at the origin.
T/F
True
NUCCA is considered by some to be a "full spine" technique.
T/F
True
Which of the following objective measurements are clinically indicative of the presence of the Atlas Subluxation Complex (indicating that the patient needs a NUCCA correction)?
Measurable regression since the previous appointment of both pelvic unleveling and leg length inequality
Standard protocol of NUCCA is to take imaging of the head and neck prior to and immediately after a new patient's initial NUCCA correction.
T/F
True
Which of the following best describes the NUCCA approach to chiropractic care?
It is a comprehensive system of chiropractic care for global realignment of the entire spine
What is the best way to continue to learn NUCCA?
-Take the NUCCA Elective
-Go to a NUCCA conference
-Go visit a NUCCA practitioner's office
The greatest value of the discovery of the location of the center of gravity of the skull is that it allows the NUCCA doctor to reduce the ASC more easily and with little depth of force.
T/F
True
Which of the following is the location of the center of gravity of the human skull?
A point equidistant between the lateral canthas on each side
The NUCCA adjusting vector is made up of 3 components, including the height vector, the rotation vector and the sagittal vector.
T/F
False
Which of the following headpiece settings would result in the most balanced position of the skulls center of gravity?
1 on B
Which of the 4 elements is used when the lower angle is larger than the atlas laterality?
ANG