Pregnancy and Pediatrics Week 2

What is the definition of Webster techique?

A specific chiropractic analysis and diversified adjustment

What is the goal of the Webster adjustment?

Reduce effects of subluxation and SI joint dysfunction

Which leg is the Webster positive side?

The more restricted side in the heel to butt test

What direction is the Webster positive sacrum?

Posterior (counternutated)

What do you check for in the prone Webster check?

Sacrum

Piriformis

STL

What do you check for in the supine Webster check?

Pubic bone

Psoas

Round ligament

What is the DR stance for the Webster sacrum adjustment?

Headward lunge on involved side

What is the DR contact for the Webster sacrum adjustment?

Inferior hand knife edge

What is the patient contact for the Webster sacrum adjustment?

Lateral S2 on the sublimated/involved side

What is the stabilization for the Webster sacrum adjustment?

Superior hand stabilizing the inferior hand at the wrist

What is the LOC for the Webster sacrum adjustment?

P-A (1 drop)

What is the DR stance for the piriformis sweep?

Headward lunge on either side of the table

What is the DR contact for the piriformis sweep?

Bilateral hands

What is the direction of the piriformis sweep?

Medial to lateral from the sacrum out to the greater trochanter

How many times do you sweep the piriformis?

3-5 sweeps bilaterally, if one side is tighter, sweep that out a few more times

What is the DR stance for the STL release?

Headward kneeling or lunge on the side opposite the positive webster

What is the DR contact for the STL release?

Inferior thumb

What is the LOC for the STL release?

A-P

Aiming towards patient shoulder on the same side of your contact

Flick off once you feel the release

How long do you hold the STL release?

30 seconds - 3 minutes

Which STL do you release?

The one opposite the Webster positive side

What is the Dr stance for the pubic symphysis adjustment?

Forward lunge on involved side (determined by the short leg on supine leg check)

What is the Dr contact for the pubic symphysis adjustment?

Superior hand with activator / SLI

Inferior hand, knife edge if using vibration

What is the stabilization for the pubic symphysis adjustment?

DC's inferior thumb or patient's thumb on superior pubic symphysis for activator/SLI adjustment

Superior hand stabilizing the inferior hand at the wrist if using vibration

What is the LOC for the pubic symphysis adjustment?

S-I

How do you determine the tight psoas?

Hand check

Which side should be the tight psoas side?

The Webster + side

What is the red flag for the psoas?

When it is on the Webster - side

How do you determine how much pressure to put on the psoas?

Flinchy face

What is the DR stance for psoas release?

Headward lunge on the involved side

What is the DR contact for psoas release?

Inferior hand, lateral aspect of the head of the 5th metacapal (knife edge), wrapped around the ASIS at the superior edge with the patient's knee at hte DC's sternum

What is the LOC for psoas release?

I-S in a gentle scooping motion

How do you find the round ligament?

Lateral and inferior 45 degrees form Belly button

Medial and inferior 45 degrees form ASIS

What is the DR stance for the round ligament release?

Headward lunge on either side of the table

What is the DR contact for the round ligament release?

Thumb on the affected side (check both ligaments)

What is the LOC for the round ligament release?

I-S

How much pressure do you use for the round ligament release?

Meet the patient's tone and hold contact until round ligament releases - 1-3 minutes

Which round ligament do you check?

Both