Palpation Final (Dexter)

DS

doctors stance

CH

contact hand

SH

stabilization hand

CP

contact point (hand numbers)

SP

stabilization point

SCP

segmental contact point (on pt)

SSP

segmental stabilization point

TP

tissue pull

LOC

line of correction

LOD

line of drive

What finger is Y axis

RIGHT thumb

what finger is X axis

RIGHT middle fingy

what finger is Z axis

RIGHT pointer fingy

What is CP #1(b)

hook of hamate

What is CP #5

Middle finger (3rd digit)

What is CP #6

Pointer finger (2nd digit)

What is CP #9

Thumb pad (1st digit)

where are the ischial spines in relation to the apex

2 inches LATERAL

where are the sacral notches in relation to the apex

1 inch superior and lateral

Knee raiser PP

standing supported

Knee raiser DS

standing/seated behind pt

Knee raiser CP

thumb pad #9

knee raiser SCP

BOTH inferior and medial PSIS

knee raiser findings ipsilateral

should move posterior, medial, inferior

knee raiser finding contralateral

should move superior anterior

If the L PSIS doesnt move as well in knee raiser... which side is fixed

L PSIS

Seated SI flexion PP

edge of chair

Seated SI flexion DS

seated behind pt

Seated SI flexion CP

thumb pad #9

Seated SI flexion SCP

inferior PSIS

Seated SI flexion- if your R thumb moves higher than your left...

the R side is fixed! (more excursion= fixed)

SI fluid motion PP

prone w ankles dangling off ends

SI fluid motion DS

modified scissor stance

SI fluid motion CH

superior hand (closest to head of pt)

SI fluid motion CP

Hook of hamate #1B

what is the direction of fluid motion

45% angle towards acetabulum

SI fluid motion SCP

superior PSIS

SI fluid motion TP

superior to inferior

AND

medial to lateral

SI fluid motion fixation

if both feet move, the side you are testing is fixed

What are the motion palpations of the X axis

knee raiser, seated sacroiliac FLEXion, and SI fluid motion

What are the motion palpations of the Y axis

seated sacroiliac ROTATION, seated lateral bend, leg fanning

what direction is the Z axis

APPARENTLY lateral bending, but that doesnt make sense bc seated lat bending is in Y axis... so idk. No motions we have done are mentioned...

Seated SI axial rotation PP

seated

Seated SI axial rotation DS

standing on side you're rotating towards

Seated SI axial rotation CP

Pads on digits 2,3,4 (doesnt have numbers on the sldies)

Seated SI axial rotation SCP

PSIS sacral interspace

Seated SI axial rotation IPSIlateral findings

should move lateral -> medial, if not well=fixed

seated SI axial rotation CONTralateral findings

should move medial-> lateral, if not well=fixed

Seated lumbopelvic lateral bend PP

seated

Seated lumbopelvic lateral bend DS

standing on side you're lat bending towards

seated lumbopelvic lateral bend CP

pads of digits 2,3,4

seated lumbopelvic lateral bend SCP

PSIS sacral interspace

seated lumbopelvic findings IPSIlateral

ipsilat should move lat-> medial

seated lumbopelvic findings CONTRAlateral

should move med-> lateral

Leg fanning PP

seated edge of chair, feet shoulder width apart

leg fanning DS

seated behind pt

leg fanning CP

thumb pads #9

leg fanning SCP

PSIS sacral interspace

leg fanning ABducting findings

abduct should move PSIS lateral-> medial

AND

sacral base ANTERIOR (aka nutation)

leg fanning ADDucting findings

ADDuct should move PSIS medial-> lateral

AND

sacral base POSTERIOR (aka counternutation)

T1 landmark

30-40% vertebral prominence

T3 landmark

root of spine of scapula

what is the MOST PROMINENT landmark of spine

T4

T5-9 landmark

'lumbricated' spinous processes

T6 landmark

inferior angle of scap WHEN PRONE

T7 landmark

inferior angle of scap WHEN SEATED (7 up!!)

T1-3 TVP

found one space above

T4 TVP

across from T3 SP

T5-9 TVP

up 2 spaces

T10 TVP

across from T9 SP

T11-12

up 1 space

L1-L5 landmark

have mammillary processes

L1-5 TVP

up 1 space

L4 landmark

iliac crest (technically 3-4 in females and 4-5 in males)

L5 landmark is the ___ spinous process

smallest

Gonstead Listing:

Extension fixation

P

Gonstead Listing:

Right Rotation fixation/restriction

R

Gonstead Listing:

Right Lateral Bending fixation

S

Gonstead Listing:

Left Lateral Bending fixation/restriction

I (L, T, or M)

Gonstead Listing:

When it is a Left Lateral Bending fixation and you use "I", what does L, T, and M refer to

L = Laminae (cervical)

T = Transverse process (Thoracic)

M = Mamillary (Lumbar)

What is the Palmer Spinal Evaluation Protocol (6)

1. Visualization

2. Instrumentation

3. Static Palpation

4. Motion Palpation

5. Leg Checks

6. Spinography

The doctor is standing on the left side of the patient and contacting the right transverse of atlas and axis. What motion procedure is the doctor performing?

Left atlas rotation

3 multiple choice options

When performing right cervical lateral bending, the spinous process should move in which direction?

Left and superior

3 multiple choice options

When performing Leg Fanning, what is the relative motion of the PSIS during abduction of the thighs?

Lateral - medial: sacral base rocks anterior

3 multiple choice options

Where is the T7 transverse process located in reference to the spinous process?

T5/T6 interspinous space

3 multiple choice options

When performing left Sacroiliac Fluid Motion, what side is the doctor standing on and what iliac crest are they checking

standing on the right side (of patient laying pronated) and checking for left SI

When performing left Sacroiliac Fluid Motion, what is your contact hand (CH) and segmental contact point (SCP)?

Right hand and left superior medial PSIS

3 multiple choice options

Your motion palpation findings reveal a decrease in extension, decrease right rotation and decrease RIGHT lateral bending?

PRS

3 multiple choice options

Your motion palpation findings in the THORACICS reveal a decrease in extension, decrease right rotation and decrease LEFT lateral bending?

PRI-T

3 multiple choice options