Pregnancy and Pediatrics Week 4

Where do find the atlas TP on a baby?

Under the ear, behind the jaw

What test for atlas subluxation does Thompson use on babies?

Inversion test

What is the finding of subluxation for a Webster cranial suture?

Low medial canthus on the side of a large semi-cranium

How is the hemi-cranium measured for the Webster cranial suture?

Measure from the anterior fontanelle to the EOP

What is the patient position for the Webster cranial suture adjustment?

Supine (preferred) or seated on parent's lap

What is the doctor position for the Webster cranial suture adjustment?

Opposite the large hemi-cranium side

What is the doctor contact for the Webster cranial suture adjustment?

coronal/squamosal suture, between the frontal and parietal bones

What is the LOC for the Webster cranial suture adjustment?

Gentle scissoring motion of pinky's (like zooming in on a picture on your phone)

Repeat 3-4 times within 2 minutes, the previously observed abnormalities should be markedly decreased

What is the follow-up check for a Webster cranial suture adjustment?

Palpate the suboccipital muscles

What listing does restriction in atlas palpation on an infant indicate?

Lateral, superior, and slightly posterior

What is the purpose of the inversion test?

Confirms palpatory finding

What are the (12) contraindications to the inversion test?

Birth trauma (3)

- C section

- Forceps

- Vacuum extraction

Under 10 days old

old

Cranial shunt

Torticollis

Ear infection

Nervous parent

Nervous baby

facial/cranial trauma

Just fed

Dirty diaper

What is the main contraindication to adjusting an infant's atlas with a drop piece?

ear infection (it will be too loud)

What does the absence of a cervical nodule in the cervical syndrome check indicate?

Atlas subluxation

T or F: A child must be ambulatory in order to perform a cervical syndrome check on them

True

How much pressure is used in the seated drop piece atlas adjustment?

60 oz

How much pressure for how long is used for the sustained contact atlas adjustment?

2-6 oz for 12-15 seconds or until bone moves (in a seamless glide)