Key points for level 1

rib raising vs sacral rocking, what is parasym and sym?

rib raising: symp

sacral rocking: para

What are the 3 things to take from a sacral dx for L5?

1. L5 rotates in the opposite direction of the sacrum

2. L5 sidebends to the same side as the sacral oblique axis

3. forwards sacral torsion is neutral, backward sacral torsion is non-neutral

if we see an increased carrying angle what is the SD?

abduction SD

How do we treat a decreased cranial rhythmic impulse?

compression of the 4th ventricle (helps vagus nerve)

viscerosomatic vs somatovisceral

viscerosomatic: problem with the organs is causing an issue with the body

somatovisceral: problem with the body is causing an issue with an organ

(1st part is what is messed up, second part is collateral)

OA decompression: symp or parasymp?

parasymp

a decreased carrying angle is what SD and restriction?

adduction SD → restriction in abduction

What levels are implicated with GI issues like ulcerative colitis or constipation? what ganglion?

T12-L2 → inferior mesenteric ganglion

What is the mechanism of counterstrain?

reduction of gamma gain and inappropriate proprioceptor activity in the muscle spindle

What is the mechanism of MET?

inhibition of alpha motor neurons through sustained stretch of muscle spindles

what is spencer’s technique for the glenohumeral joint?

“elephants fart constantly to annoy intelligent people”

extension, flexion, circumduction with compression, circumduction with traction, adduct/abduct, internal rotation, pumping/distraction

describe spondylosis, spondylolysis, and spondylolisthesis

spondylosis: normal age bone degeneration

spondylolysis: fracture of the pars

spondylolisthesis: slipping of vertebra

if the medial malleolus is caudad what should we think for the innominants?

inferior shear or anterior rotation

Where is the psoas tenderpoint and how to treat with CS?

2/3rd from ASIS to umbilicus → flex, adduct, externally rotate (iliacus is 1/3rd)

where is the iliacus CS?

1/3rd of the way from the ASIS to the umbilicus (the psoas is 2/3rds)

i the medial malleolus is cephalad, what should we think for the innominants?

superior shear or posterior rotation

if we see repetitive overhead work, what is the likely dx and what tests can we do?

subacromial impingement → neer or hawkin test

what are the rib levels and movements?

ribs 1-5: pump handle

ribs 6-10: bucket handle

ribs 11 and 12: caliper motion

describe an articulatory technique

repeatedly put into/engage the barrier (direct technique)

what test should we do if we have an AC joint issue and “step off” deformity?

cross body adduction test

when the paired bones of the cranium (frontal, temporal, and parietal) externally rotate, what is the craniosacral motion, the dura gets pulled ____, the sacral base moves ____ aka _____, the transverse diameter ___ and the AP diameter ____

external rotation → craniosacral flexion → dura gets pulled cephalad → sacral base moves into counternutation aka sacral base moves posterior through the superior transverse axis of the sacrum , transverse diameter increases and the AP diameter decreases

when the paired bones of the cranium (frontal, temporal, and parietal) internally rotate, what is the craniosacral motion, the dura gets pulled ____, the sacral base moves ____ aka _____, the transverse diameter ___ and the AP diameter ____

internal rotation → craniosacral extension→ dura gets pulled caudad→ sacral base moves into nutation aka sacral base moves anterior through the superior transverse axis of the sacrum , transverse diameter decreases and the AP diameter increases