-
The ASIS and PSIS should
be level or slightly forward if it is up
it is a posterior or anterior rotation
of the ilium.
-
Are the knees flexed or
hyperextended (and / or with respect to
each other).
-
Are the feet arched? Is
one foot being carried forward with
respect to the other? Is the
longitudinal arch exaggerated or
depressed?
Mark defined the following
terminology: |
Mark explained that:
Mark gave an example of
testing cervical range of motion using the
provided chart (see below) as a reference
for noting and recording any observations. |
|
A Structural Scoliosis
shows that the structure is abnormal.
A Functional Scoliosis
indicates that the muscles are
unbalanced and the muscles are pulling
things out of place.
Sherman's Disease or
condition is where the bodies of the
vertebrae collapse at the front so that
there is an increased lateral curve (usually
occurs in a growth spurt).
Osteoporosis' will have
a tendency to increase Sherman's Disease.
Mark continued the workshop
with Assessing and treating the Cervical
Spine. Mark emphasised the importance of
performing and recording Objective
testing and findings which includes
limitations of motion, guarding or more
serious conditions.
He identified two functional
regions in the Cervical Spine. The first
functional region is C1-2 and the second is
C3-7, the difference being in structure and
in movement. |
Mark then covered the
essentials of Compression, Distraction,
Adson's test, Scapular Approximation,
Bilateral grip strength, Consensual light
reflex and Vertebral Artery test.
Compression
is the application of pressure downward
with your hands on the clients head.
-
Indicates
possible cervical disc protrusions
particularly with neurological signs
such as paraesthesia, numbness or
causalgia radiation along the
distribution of the nerve.
-
Often reproduces local
pain in the cervical spine due to
inflammation of the local structures.
-
Note observations
whether positive or nil.
Distraction is the
application of light upward pressure via
occipital holding.
-
Often relieves pain
considerably in a true disc lesion.
-
Reproduces pain due to
ligament irritation.
-
Note observations
whether positive or nil.
Adson's test is
performed by holding the pulse medial to
radial condole while the arms abducted to 90
and the elbows are extended. Ask the client
to turn their head to the side of the pulse
and then slowly to the other side. Note any
reduction in pulse pressure. |
