Pediatrics Toggle (Bhogal)

Pediatrics Toggle (Bhogal) - All intellectual property...

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: All intellectual property within this PowerPoint Presentation , including but not limited to, images, text, code, graphics, tutorials, and design are the property of John W. Strazewski, D.C., and/or the publications for which the photograph or images were originally made and reproduced are protected under United States and International Copyright laws. All elements of this PowerPoint Presentation are not to be downloaded, other than the normal viewing process, nor copied, linked to, reproduced, manipulated, altered in any way, shape or form electronic or otherwise, or used in any manner without prior written consent from John W. Strazewski, D.C., and payment for such use is received in full. All images on this PowerPoint Presentation are NOT part of the public domain. Use of an image for the basis of another derivative work is a violation of U.S. and International copyright laws. Violation of these terms will result in industry standard payment of three times the normal usage fee. Infringements of these terms will be pursued to the maximum extent of the law, which includes a $150,000 penalty per infringement. Viewing this PowerPoint Presentation constitutes explicit agreement with the terms of this copyright declaration. Palmer Upper Cervical Specific (Pediatric Applications) “HOLE” HIO Technique (1930) “ONE” Why The Upper Cervical Spine? • Neurology • Dura / Attachments • Muscles Nuclei Of Origin • All or some of the nuclei for the following cranial nerves are located in the medulla: • V, VII, IX, X, XI, XII Gary D. Hack, DDS Gwendolyn Dunn DDS Mi Young Toh, MS, MA Chiropractic Evaluation Procedures • X-ray • Instrumentation • Leg Check • Palpation • Symptomatology Pediatric Considerations In Radiography • • • • Clinical judgement in taking x-rays?? Initial presentation / case history. Progression of care. Radiologic Anatomy – C1 ossification by 2nd year – C2 Odontoid ossification 6th-9th year • Establishing a listing otherwise…… Palmer Upper Cervical Line Analysis Four Films Required for Analysis • Lateral • Nasium • Base Posterior • A-P Open Mouth Instrumentation •Pattern Analysis •Tytron •Spot Checks •Dual Probe •Mastoid/Styloid Fossa Readings •Significant Temp?? Temperature measuring devices 1. Direct skin temperature 2. Relative skin temperature. Direct Skin Temp. Chirotherm BTI (Handheld Chirotherm) Leg Check Protocol • Can be done at any age • Weight bearing age will reveal more information about structure • Be consistent – Shoe / Skin Fold / Malleolus • Don’t “even them out”!!!!! Static and Motion Palpation • Static: Structural recognition and muscle tonicity. • Motion: Fixation may or may not accompany a subluxation. – Natural Hypermobility – Laterality is major component Symptomatology • Good Case History – Exam – Gestational History • Use symptoms as a physiological manifestation of the subluxation complex. • Adjust the subluxation not the symptom. Toggle Recoil Pediatric Setups Toggle: A knee-like joint that transmits pressures at right angles. It has two arms that are hinged together at an angle. A force applied at the hinge, causing the angle to straighten, produces a much greater force at the end of the arms. Recoil: The vibratory or oscillatory motion of a system, due to the innate elasticity of that system in response to the application of a force until a new equilibrium is realized. Adjusting Procedures Adjusting Procedures Adjusting Procedures Adjusting Procedures Adjusting Procedures Birth-Six Months Birth-Six Months • CP #5 of superior hand • Stabilize distal joint with thumb and index • Minimize elbow bend EVEN MORE!!!! • No TQ, Triceps “flic” • No “Tissue Pull” • Straight Away Stance! Six Months-2/3 years Six Months-2/3 years Six Months-2/3 years • CP # 9 (Thumb Tip) • Stabilize distal joint with thumb and index • No TQ, Triceps “flic” • No “Tissue Pull” • Straight Away Stance! 3-5 years of age CP #3 with alternate stabilization. No torque Six to Adult • Normal Procedures – X-ray – Instrumentation – Leg Checks – Symptomatology Contraindications • • • • • Hypermobilty of the articulation Malignancies or Fracture Inability of patient to assume position Immediately following CVA/Stroke Immediately following retinal surgery Contraindications • • • • • Hypermobilty of the articulation Malignancies or Fracture Inability of patient to assume position Immediately following CVA/Stroke Immediately following retinal surgery Cautions • • • • • • • • Cardiovascular insufficiencies (+ George’s) Detached retina/recent cataract surgery Foraminal spurring (DJD) Prosthesis Certain medications (blood thinners) Recent head trauma Hysterical or depressed patients Inebriated or drug influenced patients ...
View Full Document

This note was uploaded on 01/07/2012 for the course TECHNIQUE 62603 taught by Professor Bhogal during the Winter '11 term at Palmer Chiropractic.

Ask a homework question - tutors are online