Sacral Center line
falls to the
opposite side= IN
AS lowers 2
IN lowers 2
Net- lowers 4
list the left
MD/AD Scoliosis/Heel Lift
Set the slideshow up to click through before
getting the answer. Practice drawing the scenario
just as the power point does. This will help you
on your test. If you can navigate these practice
slides, the test wil
-82% chance that the misalignment of atlas is compensation
-Differences: No Intervertebral Disc. Capsular ligament protrudes
and compressed adjacent Nerve fibers.
-Chapter 9 puts atlas in perspective
X-Ray Physics Review
Dr. Deb Roche
An X-Ray Trick!
Three main characteristics
Density Mass per unit volume of black
metallic silver. (In Deb talk blackness on
Contrast the shades of gray
Atlas and Occiput
Atlas can be compensatory
Righting reflex aka
Pain /soreness in upper cervical musculature
due to upper thoracic or lower cervical
subluxation (anterior head carriage)
Can you list
the causes of
Causes of Structural Scoliosis
infantile, juvenile, adolescent
upper motor neuron lesions, cerebral palsy, spinal cerebellar degeneration,
syringomyelia, spinal co
The optimal relationship
between two bones is level on
the A-P and on the Lateral.
This allows complete range of
motion on all planes.
Meyerdings Grading Scale
D1 Disc - Acute / Swollen
Getting a Listing
Only draw lines on
the vertebra that
you need a listing
Start with the
vertebra you have
analyzed on your
patient and compare
to the one below it.
Scan the film for ABCS
Look on both A-P and Lateral
Break in Georges line
Head neutral over pelvis
Scan the film for ABCS
B Bony Structures
Each correct answer is
worth 1 point
Name the bony landmark
that is indicated
12 points WOW!
9-11 points Respectable.
(A little study time on landmarks will make you a Genius!)
Overview of the Digital X-ray Program
The program on the CD is the lite version of the program available on campus. There are
several options not available on this version, however it does contain enough of the features to
get you familiar with how to mar
NOTES FOR LECTURE & LAB
November 1996/ Revised December 06
AP LUMBOPELVIC VIEW (APP)
L1- 5, pelvis (do not cut off the ischial tuberosities), 5 lumbar vertebrae,
coccyx, femur heads, and acetabulum.
Segmental levels T3-L5
1. Decreased extension. High musculature on the left. Upon lateral flexion spinous deviates
more to the right.
2. Decreased flexion and extension. Larger pedicle on the right. Upon lateral flexion spinous
processes deviate equally.
The alar ligaments limit which range(s) of motion
rotation and flexion
rotation and lateral flexion
extension and rotation
lateral flexion only
The vertebral arteries always pass through the transverse foramin of the upper cervical s
The thoracic spine
has the largest disc/body ratio
has the least frequency of disc herniations
has the fewest disc herniations
has the greatest amount of extension due to the elongated spinous processes
The tp of T9 is located 2 inte
Thoracic spine motion evaluation. The following evaluation is for levels T3-12.
T1-T2 will be motioned as done in the cervical spine.
Thoracic flexion SCP: 3 spinous processes or interspinous spaces. CP: Dr's fingertips
NORMAL EXPECTED MOVEMENT: the spino
Outline from NCMIC article required for MoPal II
A sexual boundary violation is not always a clear-cut.
One reason is that the patientnot the doctorsets the boundaries
In addition, chiropractors may be at greater risk due to the
Primary care provider
AKA portal of entry
Must determine if the patient is a
candidate for care.
Once you accept them you cant
Establish the Doctor-patient relationship
The x-rays are the most important aspect of the first consultation/examination
must determine whether the patient is a candidate for care
should demonstrate empathy towards the patient
needs a referral from