Term
| With Websters leg check, the side with increased resistance is... |
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Definition
| the side of posterior sacral rotation (P-L or P-R) |
|
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Term
| Thompson Sacral leg check is >6 inches higher on the R; interpret! |
|
Definition
| Higher leg indicates the side of apex deviation, so SAR |
|
|
Term
| How did Dr. Webster suggest we set the tension on the drop? |
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Definition
|
|
Term
| Once the legs are balanced... |
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Definition
| find the trigger point on the side opposite the original side of increased resistance. |
|
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Term
| Where do you apply pressure on the psoas? |
|
Definition
From ASIS, draw a line 45 degrees inferior-medially
From umbilicus, draw a line 45 degrees infero-laterally
Where the two lines bisect should be the trigger point. |
|
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Term
| How much pressure and what direction should the pressure be applied for psoas? |
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Definition
| light pressure (3-6 oz) held in an I-S contact over the trigger point for 1-2 minutes. |
|
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Term
| According to Dr. Webster should you adjust any other segments that day? |
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Definition
| No, schedule them the next day if necessary. |
|
|
Term
| How often should you schedule the webster patient? |
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Definition
| every 2-3 days. Only adjust if the check is positive. |
|
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Term
| What are some conditions that may prevent the fetus from turning? |
|
Definition
Twins
Oligohydramnios (low amniotic fluid)
Placenta previa (low lying placenta)
Short umbilical cord
uterine anomolies (bicornate uterus) |
|
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Term
| Things to try for turning baby, prevention. |
|
Definition
Acupuncture, Myofacial release, craniosacral therapy, ironing board tilt,
pelvic rock, handstand in pool, music, fathers voice near pubic bone, heat or cold compress, visualisation, limit time on couch, ECV |
|
|
Term
| What are the risks of ECV? |
|
Definition
active labor
ruptured membranes
fetal compromise requiring C section
umbilical strangulation |
|
|
Term
|
Definition
| alters the vascular supply to the motor unite (decreases smooth muscle tone) in pregnant women |
|
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Term
|
Definition
| Relaxes the joint capsule; allows for more "play in joints |
|
|
Term
|
Definition
| contributes to the "relaxation effect" allowing the pelvis to open |
|
|
Term
| Cervical, thoracic, and lumbar changes during pregnancy |
|
Definition
Anterior head carriage (kypholordosis)
Thoracics-increased kyphosis (breast enlargement)
Lumbar-hyperlordosis and increased sacral base angle |
|
|
Term
| How will the toes flare on a pregnant woman? |
|
Definition
| bilateral toe out (but not bilateral IN ilium) |
|
|
Term
| Why limit time on back during last trimester? |
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Definition
| pressure of uterus on vena cava impedes blood return to the heart. |
|
|
Term
| Standard recomendations for frequency of adjustments for pregnant woman. |
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Definition
1st tri= 1/month
2nd tri= 2/month
3rd tri= 1/week |
|
|
Term
| When should morning sickness improve? |
|
Definition
|
|
Term
| Why would a pregnant woman consider sleeping on her right side instead of the usual left? |
|
Definition
| Preferred in cases of heartburn an indigestion |
|
|
Term
| Who can Webster's be used on? |
|
Definition
| all weight baring individuals |
|
|
Term
| What is the goal of a Webster's adjustment? |
|
Definition
| Reduce the effects of subluxation and/or SI joint dysfunction. NOT Breech turning. |
|
|
Term
| Preferred mode of adjusting for Websters |
|
Definition
| low force, posterior-anterior drop |
|
|
Term
| Doctor stance for websters |
|
Definition
| ipsilateral to the involved side of heel to buttock resistance |
|
|
Term
|
Definition
|
|
Term
| What is the alternate mode of adjusting for Websters, when is it used? |
|
Definition
Side posture
When patients cannot assume prone position |
|
|
Term
| Expected sequence of motor development |
|
Definition
2 months raise head (prone)
4 months rolls from prone to supine
6 months sits using tripod position
9 months begins creeping
12 months stands without support |
|
|
Term
|
Definition
Erb's Palsy (C5C6)
Most common brachial plexus injury |
|
|
Term
| Pes planus should last... |
|
Definition
until about 3 years of age.
Longitudinal arch is obscured by a fat pad |
|
|
Term
|
Definition
Forefoot adduction
Most common congenital foot deformity |
|
|
Term
| What is it called when there is a slight varus curvature of the tibia and when will it resolve? |
|
Definition
Tibial TOrsion
6 months of weight bearing |
|
|
Term
| What does Allis sign test for? |
|
Definition
|
|
Term
| What does Ortalani test for? |
|
Definition
| hip subluxation/dislocation |
|
|
Term
|
Definition
club foot
contracted triceps surae |
|
|
Term
|
Definition
Exagerated dorsiflexion
most resolve sponaneously (weightbearing) |
|
|
Term
| How long should an infant hold hands fisted? |
|
Definition
|
|
Term
| How do you test CN II,III,IV, and VI in an infant? |
|
Definition
Optical blink (shine light in infants eyes, they should close them)
Doll's eye (CN VIII) eyes go opposite way head is turned (also tests CN VIII) |
|
|
Term
|
Definition
Rooting Reflex
Sucking reflex |
|
|
Term
| Testing CN VII in infants |
|
Definition
observe facial expressions when infant crying.
Note forehead wrinkles |
|
|
Term
|
Definition
Acoustic blink reflex
clap by their head, it will should make them blink. |
|
|
Term
|
Definition
|
|
Term
|
Definition
coordinated sucking and swallowing
Pinch infants nose, mouth opens and tongue rises midline |
|
|
Term
| What muscle reflex is present at birth? |
|
Definition
|
|
Term
|
Definition
fanning of toes and dorsiflexion of great toe
Retained until 16-24 months |
|
|
Term
|
Definition
|
|
Term
| How long does plantar grasp last? |
|
Definition
|
|
Term
|
Definition
hold infant prone in your hand
stroke from shoulders to buttocks (paraspinal)
Trunk should curve toward the side stroked |
|
|
Term
|
Definition
Infant prone in hand
Stroke over the spinous process from sacrum to occiput
Infant extends head and brings knees to chest; urinates |
|
|
Term
|
Definition
Disappears by 6 months
(about 3) |
|
|
Term
|
Definition
Neck Righting reflex
Infant turns whole body in direction head is turned |
|
|
Term
|
Definition
Infant prone in hands
infant lifts head and extends spine on horizontal plane
disappears by 3 years |
|
|
Term
| Signs and symptoms of meningitis in young infant |
|
Definition
irritable and inconsolable
fever
diarrhea
poor appetit
toxic appearance
Infants do not have nuchal rigidity |
|
|
Term
| What should you do before performing a reverse fencer? |
|
Definition
|
|
Term
| What ages can you use the reverse fencer? |
|
Definition
| Only with infants under 6 months |
|
|
Term
| Reverse fencer: interpret |
|
Definition
| Restricted or twitches turning to one side compared to the other indicates a subluxation comples between the atlas-axis or atlas-occ on that side. |
|
|
Term
| What is the main cause of congenital muscular torticollis? |
|
Definition
| Birth trauma with hematoma formation followed by muscular contracture |
|
|
Term
| Clinical presentation for torticollis |
|
Definition
head is tilted and flexed to the side of the fibrosis.
Painless, hard mass (1-3 cm) |
|
|
Term
| Parental Physiotherapy for congenital muscular torticolis |
|
Definition
Passive stretching (90% respond in 1st year)
More tummy time |
|
|
Term
| Secondary effects of untreated torticollis |
|
Definition
plagiocephaly
Facial hypoplasia
muskuloskeletal effects |
|
|
Term
Nonsynostotic plagiocephaly (oblique head)
VS.
Synostotic plagiocephaly |
|
Definition
Non= positional head deformity
Synotic= premature closure of lambdoidal suture |
|
|
Term
Fysh's recommendations for spinal scheckups
school age
pre-school age
infant |
|
Definition
School age: at least every 3 months
Preschool age: al every 2 months
Infant-2 year: al every month |
|
|
Term
| Chiropractic role in "well child care" |
|
Definition
participate in developmental surveillance
utilize parental report tools
provide for adequate follow-up
refer to appropriate programs |
|
|
Term
What is the most prevelant PDD?
(Pervasive Development Disorders) |
|
Definition
|
|
Term
| Difference between Asperger's and Autism |
|
Definition
| Children with Asperger's often grasp language quickly |
|
|
Term
|
Definition
Retards growth/reproduction of bacteria/Viruses
Enhances neutrophils and t-lymphocytes
Aids in acute phase reaction
Speeds recovery |
|
|
Term
Is there a clearly established relationship between high fevers and seizures, brain damage, or death?
Is there any evidence that reducing fever reduces morbidity or mortality from febrile illness. |
|
Definition
|
|
Term
| At what temperature do adverse affects from hyperthermia begin? |
|
Definition
|
|
Term
| 6 qualities in assessing the febrile child |
|
Definition
1. quality of cry
2. reaction to parent stimulation
3. state variation
4. color
5. hydration
6. response to social overture
Qualities are scored, if > 12 should be referred |
|
|
Term
| High risk fever in newborn |
|
Definition
Temp>100.4
may be meningitis, bacteremia, or UTI |
|
|
Term
| Estimation of fluid intake that indicates dehydration |
|
Definition
Ingesting <50% of normal fluid
<4 wet diapers in 24 hours |
|
|
Term
| Red Flags associated with Fever |
|
Definition
Core body temp elevated
altered state of arousal
breathing effort
state of peripheral circulation
dehydration |
|
|
Term
| Diagnosing Acute Otitis Media |
|
Definition
1. middle ear inflamation
2. MEE and bulging tympanum, air bubbles, decreased tympanic motility |
|
|
Term
| When are antibiotics most beneficial in association with otitis media? |
|
Definition
<2 years with bilateral disease
Otorrhea (any age) |
|
|
Term
| Risk factors for Otitis Media |
|
Definition
supine bottle feeding
non breast fed
pacifier use
day care
tobacco smoke |
|
|
Term
| Fluid in middle ear without signs or symptoms of ear infection |
|
Definition
Otitis media with effusion
cloudy tympanic membrane
watch and wait for 3 months |
|
|
Term
Normal stress response
6 steps |
|
Definition
1. Stressors activate neurons on hypothalamus. CRF and AVP released
2. CRF and AVP stim. ant. pit. to secrete more ACTH
3. ACTH enters bloodstream
4. ACTH stim. zona fasciculata
5. Cortisol released
6. Cortisol promotes vasoconstrictin, energy and alertness |
|
|
Term
| Circadian Rhythm of cortisol |
|
Definition
Higher levels in the morning
highest 6-8 am
lowest 12-2 am |
|
|
Term
| Signs and symptoms of chronically elevated cortisol |
|
Definition
Increased appetite
Increased anxiety
Deposition of abdominal fat
Fatigue |
|
|
Term
|
Definition
plays a role in the "intrinsic" immunity in the gut
Decreases when cortisol is chronically elevated
Increased immune response to antigens |
|
|
Term
|
Definition
leads to food allergies
increased likelihood of dysbiosis |
|
|
Term
| Intolerance vs sensitivity vs allergy |
|
Definition
Food intolerance is non immunological (lactose intolerance)
Food sensitivity is an immune response, delayed reaction
Food Allergy is IgE antibody response, can be immediate and severe |
|
|
Term
|
Definition
most popular allergy test
Enzyme linked immunosorbent assay
requires a blood draw |
|
|
Term
|
Definition
foreign body aspiration
cystic fibrosis
heart disease |
|
|
Term
|
Definition
Infancy: food allergy
Early childhood: allergic rhinoconjunctivitis
Later childhood: asthma |
|
|
Term
|
Definition
Crying for more than 3 hours per day
for more than 3 days a week
for longer than 3 weeks
in an infant who is well fed and otherwise healthy
usually begins at 2 weeks and resolves by 4 months |
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