Week 12
Correlative Techniques I B (9)-1-1 ppt (continued)
Superior Vertebra translated posterior (all terms mean the same thing)
Reinert Diversified
Spinous process or body listing
Retrolisthesis (w/o inferiority)
Palmer/Gonstead
Spinous listing
P (posterior)
National
Vertebral body listing
P (posterior)
ACA Advisory Panel (1988) Medicare
Vertebral body listing
R (retrolisthesis)
Superior Vertebra’s SP rotated to the right, body open/wedged on the right, leaning to the left (all terms mean the same thing)
Reinert Diversified
Spinous process or body listing
Right open wedge w/spinous right typical
Palmer/ Gonstead
Spinous listing
PRS (posterior right superior spinous)
National
Body listing
LPI (left posterior inferior)
ACA advisory panel (1988) Medicare
LR (left rotational malposition)
LLF (left lateral flexion malposition)
Superior Vertebra’s SP rotated to the left, body open/wedged on the right, leaning to the left (all terms mean the same thing)
Reinert Diversified
Spinous process or body listing
Right open wedge w/spinous left Atypical
Palmer/ Gonstead
Spinous listing
PLI (posterior left inferior spinous)
National
Body listing
RPS (right posterior superior)
ACA advisory panel (1988) Medicare
RR (right rotational malposition)
LLF (left lateral flexion malposition)
Superior Vertebra’s SP rotated to the left, body open/wedged on the left, leaning to the right (all terms mean the same thing)
Reinert Diversified
Spinous process or body listing
Left open wedge w/spinous left typical
Palmer/ Gonstead
Spinous listing
PLS (posterior superior left spinous)
National
Body listing
RPI (right posterior inferior)
ACA advisory panel (1988) Medicare
RR (right rotational malposition)
RLF (right lateral flexion malposition)
Superior Vertebra’s SP rotated to the right, body open/wedged on the left, leaning to the right (all terms mean the same thing)
Reinert Diversified
Spinous process or body listing
Left open wedge w/spinous right Atypical
Palmer/ Gonstead
Spinous listing
PRI (posterior right inferior spinous)
National
Body listing
LPS (left posterior superior)
ACA advisory panel (1988) Medicare
LR (left rotational malposition)
RLF (right lateral flexion malposition
Abbreviations and Terminologies:
IND = Indication
PP = Patient Positioning
DP = Doctor Positioning
SCP = Segmental Contact Point on Patient
CP = Contact Point (Doctor’s hand)
IH = Indifferent Hand
VEC = Vector (line of drive)
Pelvis - Side Posture:
HypoThenar/ilium push (PI Ilium)
Restricted SI extension
Flexion malposition of ilium
Vector=
P→A (tissue slack M→L)
I→S
Hypothenar/ Sacral Base Push (PS Sacrum)
Posterior Superior unilateral malposition of sacrum
CP = Sacral Base
VEC=
P→A
I→S
Can be for left or right in this position
Hypothenar/ Ischium push (AS ilium)
Restricted SI flexion
SCP = Medial Inferior Ischium
CP = Hypothenar or forearm
VEC= P→A
Hypothenar/ Sacral Apex use ( AI Sacrum)
Restricted SI Extension or Unilateral Anteroinferior Malposition of Sacrum
SCP= Sacral Apex
CP = Hypothenar or Forearm
VEC= P→A
Hypothenar/ Ilium Sacral Apex Push (AI Sacrum)
Restricted SI extension - Left
Posterior Inferior malposition of ilium
SCP=
inferior hand- sacral apex
Superior hand - PSIS
CP = Hypothenar both hands
DP = Contralateral aside- modified fencer stance
VEC=
Inferior hand-
P→A
I→S
M→L
Superior hand-
P→A
S→I
M→L
Pelvis - Prone
Hypothenar/ilium Sacral Apex Push (PI ilium or AI Sacrum)
Posteroinferior malposition of the ilium or PI ilium
DP = COnralateral side
VEC =
Inferior hand -
support
Superior hand-
P→A
I→S
M→L
If using the inferior hand to make the adjustment, The DC would stand on the ipsilateral side
Hypothenar/ilium push with Hip extension )PI ilium)
Restricted iliac extension
PI malpositon of the ilium
CP = PSIS
DP = Fencer stance on the OPPOSITE side of Restriction
VEC=
P→A
I→S
M→L
Key points:
Cephalic hand= superior hand
Caudal hand = inferior hand
Anterior/ Inferior rotation Sacral Base = Nutation
Posterior/superior rotation sacral base = Counter Nutation
Flexion of the SI joint
incorporates Posterior/ inferior movement of the PSIS & Ipsilateral anterior inferior motion of the Sacral Base
Extension of the SI joint
incorporates anterior superior movement of the PSIS & posterior superior movement of the sacral base