1.) Confidence vs. Competence Flashcards Preview

8 - Extra Spinal Technique I > 1.) Confidence vs. Competence > Flashcards

Flashcards in 1.) Confidence vs. Competence Deck (47):
1

How are the structures of the upper extremity positioned?

Suspended

2

The upper extremity is driven by what system?

Force-couple

3

What is the function of ligaments in the upper extremity?

Connect the chain

4

True/False

Ligaments create stability in the upper extremity

False

Ligaments do NOT create stability in the upper extremity

5

What is the osseous pivot of the upper extremity?

Sternoclavicular (S/C) Joint

6

What are the innervations to the musculature that suspends the scapula?

Lower Cervicals

7

Commonly known as "knots" where is the trigger point type pain of the upper extremity most commonly found?

Between the Scapula & Upper Trapezius/Levator Scapula

8

According to A. Allen in Lephart & Fu chapter 10, what is the primary function of the shoulder?

"...to place the upper extremity in space so that the hand can perform its function."

9

Where do the scapular stabilizers attach?

Upper Extremity to the Spine

10

What is the function of the scapular stabilizers?

Keep the scapula back where it belongs

11

What are the 5 dynamic stabilizers of the scapula?

1.) Levator Scapulae

2.) Pectoralis Minor

3.) Rhomboids

4.) Serratus Anterior

5.) Trapezius

12

What are the 2 compensatory stabilizers of the scapula?

1.) Biceps

2.) Supraspinatus

13

What determines G/H efficiency?

Scapular efficiency

14

What is the ratio of G/H jpint motion to S/C joint motion?

2:1

15

What joint in the upper extemity is the intersection of forces with little force dissipation options?

Elbow

16

How many muscle bellies are there in the wrist?

0

17

What does the wrist function as in the upper extremity?

Bio-mechanical Responder

18

How do we use the whole upper extremity?

By selection

19

What gets affected if substitute patterns occur?

All areas of attachment

20

What is the first step in a substitute pattern?

 1.) Recruitment

21

What is the second step in a substitute pattern?

Abandonment

22

A contusion is an example of what type of injury?

Direct injury to the normal area

23

A leverage injury is an example of what type of injury?

Indirect injury to the normal area

24

What are the 4 postural signs of upper crossed syndrome?

1.) Rounded shoulders

2.) Forward Head Weight

3.) Elevated shoulders

4.) Winging scapulae

25

What is the cause of rounded shoulders in upper crossed syndrome?

Shortened pectoralis

26

What is the cause of forward head weight in upper crossed syndrome?

Kyphotic upper thoracic spine

27

What is the cause of elevated shoulders in upper crossed syndrome?

1.) Shortened Upper Trapezius/Levator Scapulae

2.) Weak Lower & Middle Trapezius

28

What is the cause of winging scapulae of upper crossed syndrome?

Weak Serratus Anterior

29

What are the 4 steps to healing & recovery?

1.) Chiropractic checks/protocols

2.) Safety, Stability, Muscle Testing

3.) Adjusting

4.) Rehabilitation

30

What are the 4 expected outcomes of rehabilitation?

1.) Decrease pain

2.) Increase motion

3.) Muscle balance

4.) Strength, power & endurance

31

Healing & recovery takes _____!

Time

32

What are the 3 S's of chiropractic extremity management criteria?

1.) Safety

2.) Stability

3.) Subluxation

33

What are 6 considerations when assessing safety of an area of injury or chief complaint?

1.) Fracture

2.) Dislocation

3.) Pathology

4.) Underlying condition

5.) Pain tolerance

6.) MOI

34

What are 3 considerations that affect the MOI?

1.) Forces involved

2.) Position of the Joint

3.) Time of Episode

35

What are 2 things that need to be considered when evaluating the position of the joint during the MOI?

1.) Closed pack or Open pack position

2.) Open or Closed kinetic chain

36

What are 3 ways to describe the time of the episode during the MOI?

1.) Quick/short

2.) Slow/insidious/gradual

3.) Long period of time

37

What is the first step in evaluating stability?

1.) Perform orthopedic evaluation of injured area or area or pain

38

What is the second step in evaluating stability?

2.) Determine the chiropractic implications for the positive orthopedic exams

39

Whether or not we adjust acute sprain/strains depends on what 2 things?

1.) Location

2.) Severity

40

What does a grade III injury mean?

Torn all the way

41

Do we adjust grade III injuries?

Generally NO

42

Evaluation for subluxation & fixation is _____ driven.

Technique driven

43

What theory is used when evaluating for the presence of subluxation with chiropractic extremity management criteria?

Mechanoreceptor theory

44

Mechanoreceptor theory is based on which law?

Hilton's Law

45

Hilton's Law states: "The same trunks of nerves whose branches supply the groups of muscles moving a joint, furnish also a distribution of nerves to the skin over the insertion of the same muscles, and the interior of the joint receives its nerves from the same source."

Put simply, what is Hilton's Law basically saying?

The joints & the muscles acting on them have the same nerve supply

46

Sensations transmitted from the joint include _____ & _____.

Pain & Position

47

What is the principle behind Hilton's Law?

A nerve supplying a joint also contains axons innervating muscles that cross that joint and the skin overlying the articular attachments of those muscles