Term
What are the measurements of the Cranial Rhythm Impulse? |
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Definition
1) Rate
2) Amplitude
3) Symmetry |
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Term
How do unpaired bones in the skull move? What about paired bones? How are their movements related |
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Definition
Flexion and extension if unpaired.
External and internal rotation for paired.
When unpaired bones flex, paired bones externally rotate.
When unpaired bones extend, paired bones interally rotate.
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Term
List the unpaired bones of the skull. |
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Definition
- Ethmoid
- Mandible
- Occiput
- Sphenoid
- Vomer
One of a kind! |
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Term
List the paired bones of the skull. |
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Definition
- Frontal
- Inferior Concha
- Lacrimal
- Maxilla
- Nasal
- Palatine
- Parietal
- Temporal
- Zygoma
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Term
List the physiological SBS strains. |
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Definition
- Flexion/Extension
- Torsion
- Sidebending/Rotation
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Term
What are the non-physiological SBS strains? |
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Definition
SBS vertical strains: inferior and superior
SBS lateral strains: right and left
SBS compression strains |
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Term
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Definition
For the superior greater wing of the sphenoid. |
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Term
How are sidebending strains named? |
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Definition
For the side of the convexity. |
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Term
How are SBS strains named? |
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Definition
Direction of basisphenoid movement, which is opposite of greater wing movement. |
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Term
The weight bearing line should normally pass through: |
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Definition
- Just anterior to the lateral malleolus
- middle of tibial plateau
- Greater trochanter
- Body of L3
- middle of humeral head
- external auditory meatus
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Term
The posterior static exam should check the following for levelness: |
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Definition
- Popliteal creases
- Greater trochanters
- Iliac crests/slopes
- Shoulders
- Mastoid processes
- Symmetry of foot rotation, arm length, arm distance from torso
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Term
What is the difference between a structural and functional scoliosis? |
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Definition
Structural: does not reduce with sidebending toward rib hump
Functional: reduces with sidebending toward rib hump |
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Term
Scoliosis is a curve of the spine that is greater than ________. |
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Definition
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Term
What are the two reversible causes of idiopathic scoliosis? |
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Definition
- Short leg syndrome
- Trauma to the spine in an immature skeleton, if treated before the skeleton matures.
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Term
How can you tell which leg is the short leg? |
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Definition
- Posterior standing exam
- Iliac crest height
- Medial maleolus levelness
- Lumbar side convexity points to short leg
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Term
How do you measure the Cobb Arngle? |
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Definition
- Draw lines from the top and bottom most tilted vertebrae away from the apex.
- Draw intersecting perpendicular lines from these newly-drawn lines
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Term
- How is the severity of scoliosis classified?
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Definition
- Mild: 5-15 deg
- Moderate: 20-45 deg
- Severe: >50 deg
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Term
What are the possible complications of other organ systems with sever scoliosis? |
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Definition
>50 deg = Respiratory impairment
> 75 deg = Cardiac impairment
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Term
What is the normal measurement of the Lumbosacral or Ferguson's Angle? |
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Definition
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Term
How do you measure the weight bearing line on a lateral X-ray? |
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Definition
- Bisect L3
- Draw a vertical line
- It should reach the anterior 1/3 of the sacral base
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Term
How do you treat scoliosis based on severity? |
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Definition
Mild (5-15deg) - Conservative, including OMT, exercises, & treatment of short leg
Moderate (20-45deg) - Same as "conservative" plus bracing and electrical stimulation
Severe (>50deg) - Surgical stabilization |
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Term
Describe heel lift orthotic treatments for a patient with a short leg. |
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Definition
1/8 inch lift and a lift increase at a rate no faster than 1/16 per week or 1/8 inch every 2 weeks.
Fragile patients: 1/16 inch lift, increase is no more than 1/16 inch per 2 weeks.
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