Adj Tech 4 Lecture notes test 1

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bbeckers88
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Adj Tech 4 Lecture notes test 1
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2012-01-17 15:43:12
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adj tech 4 test 1 notes
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  1. 4 things chiropractors successfully treat
    • acute, subacute, and chronic neck pain
    • headaches
    • cervicogenic vertico
    • postural abnormalities and syndromes
  2. normal head carriage
    • ear lines up with shoulder
    • head and neck act as a first class lever
    • designed for balance- held in place by anterior and posterior muscles while using little energy
  3. 3 causes of anterior head carriage
    • postural
    • traumatic
    • congenital
  4. how does posture cause anterior head carriage
    • either poor resting or poor working posture
    • causes inbalance between anterior and posterior muscles
    • shoulders roll forward
    • upper crossed syndrome
  5. what is upper crossed syndrome
    • tight neck extensors and pecs with weak deep cervical flexors, traps, and serratus anterior
    • causes elevated/protracted shouldser, winged scapula, and protracted head
  6. how does trauma cause anterior head carriage
    extension from car accident leading to facet syndrome
  7. how can anterior head carriage be caused congenitally
    hyperplastic cervical articular pillars changing the curve of the cervical spine
  8. what are the symptoms of anterior head carriage
    • neck pain
    • headaches
    • mid/upper thoracic pain
  9. what are the effects of anterior head carriage
    • muscle stress: spasms, strains, and trigger points in posterior muscles. Tightened/contractures in weakened muscles
    • Joint stress: upper cervicals, mid cervicals, T4
  10. treatment for anterior head carriage
    • postural retraining: visualizations, practice, training devices/braces
    • stretch tight muscles
    • strengthen weak muscles
    • massage
    • manipulation
    • redesign work environment
    • frequent stretch breaks
  11. types of primary headaches
    • muscle tension
    • migraine
    • cluster
    • paroxysmal hemicrania
  12. prevelance of muscle tension headaches
    • about 74% of population gets on in a year
    • 20-30% have more than 1 a month
    • if 15 or greater days a month considered chronic
  13. episodic muscle tension headaches
    • most common form of headaches
    • good response to conservative therapy
    • mild and infrequent
  14. diagostic criteria of episodic muscle tension headaches
    • at least 10 previous headaches (less than 15 days/month)
    • lasts from 30 min- 7 days
    • no nausea/vomitting
    • either photo/phonophobia or neither
  15. at least 2 of the following criteria must be met for an episodic muscle tension headache
    • bilateral location
    • pressing/tightening quality
    • mild/moderate intensity
    • not aggrevated by ADL
  16. chronic muscle tension headaches
    • continuous but seldom disabeling
    • fluctuates in intensity
    • might have mild migrainous features
    • may last for years without treatment
  17. diagnosis of chronic muscle tension headaches
    • headache for 15 or more days a month
    • lasts for hours/continuous
    • only 1: photo, phonophobia, or mild nausea
    • neither mod/severe nausea or vomitting
  18. 2 of the following criteria must be met for a chronic muscle tension headache diagnosis
    • bilateral location
    • pressing/tightening quality
    • mild/moderate intensity
    • not aggrevated by ADL
  19. treatment of chronic muscle tension headaches
    • soft tissue, MFTP work
    • correct posture (cervical and CT)
    • workplace modifications
    • patient education
    • CMT
  20. general migraine headache information
    • females 3:1
    • unilateral in adults
    • frontotemporal location
    • a single person may experiance different migraines
  21. possible phases of migraine headaches
    • premonitory
    • aura
    • headache
    • resolution
    • (dont need to experiance all phases)
  22. migraine without aura
    • twice as common as auras
    • idiopathic
    • recurring
    • 4-72 hours
    • throbbing
    • severe
    • aggrevated by ADL
  23. diagnosis of migraines without aura
    • at least 5 attacks
    • lasts 4-72 hours
    • at least 1:
    • a. nausea and/or vomitting
    • b. photo AND phonophobia
  24. at least 2 of the following criteria must be met for a migraine without aura
    • unilateral
    • pulsating
    • severe
    • aggrevated by ADL
  25. aura
    a complex of neurologic symptoms that occur just before/at the onset of a headache (headache may be absent)
  26. diagnosis of migraines with aura
    • at least 2 attacks
    • aura
    • other typical migraine features
  27. visual auras
    • most common
    • scintillating zig zag lines, spots, ect. (colorful or dull)
    • flashing lights
    • vision changes
    • scotomas (tunnel vision)

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