Part 4 Adjusting

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Author:
dcmommy13
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243710
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Part 4 Adjusting
Updated:
2013-11-03 19:59:07
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  1. Rules for adjusting:
    • 1. Did you mess something up? Say "I'm going to demonstrate this one more time."
    • 2. Show where you're counting, but no need to verbalize.
    • 3. For cervical adjustments: keep the nose midline, only 15 degrees of rotation. 
    • 4. Write down LOD & which side you need to have up before you get into the room. 
    • 5. "Top 3, bottom 3 hand by the knee."
    • 6. Single hand adjustmentsSuperman 42... SP contact w/ sup hand, crossing the spine... hand parallel if contacting TP or MP.
    • 7. Be obvious with showing tissue pull & LOD.
  2. Listings on part 4...
    Motion palpation restriction listings: referencing VB... ex) right rotary restriction = body cannot move right (SP cannot move left), left LF restriction = body cannot move into left LF (OW on left).
  3. Digital Pad "Seated Rotary Break"
    • PP: seated. 
    • DP: on the side opposite of contact. 
    • CP: digital pad contact of middle finger on TP (C1) or AP (C2-T1). 
    • SH: pal of hand cups the ear. 
    • PRO: rotate head away from the side of contact & LF the head over the contact point. 
    • LOD: PA LM IS (C1 is SI).
  4. Distal Lateral Index - SP Contact
    • PP: seated. 
    • DP: post to the pt w/ a slight shift to the side you are contacting. 
    • CP: lat aspect of the distal index finger on the post inf SP on the side of SP rotation. 
    • SH: contralateral side. 
    • PRO: P-A tissue pull, rotating the head away from the side of contact & LFing the neck over the contact. 
    • LOD: PA LM IS.
  5. Distal Lateral Index - Lamina/AP Contact
    • PP: seated. 
    • DP: post to the pt & shifted slightly lateral to the side of contact. 
    • CP: lat surface of the distal index finger @ the LPJ opposite the side of SP rotation. 
    • SH: contralateral side of the occiput w/ fingers point toward the spine. 
    • PRO: P-A tissue pull, rotating the head away & LF the head over the contact. 
    • LOD: PA LM IS.
  6. Pisiform - Mastoid Contact (Post occiput)
    • PP: supine. 
    • DP: @ the head of the table & slightly lateral toward the side of the contact. 
    • CP: pisiform on the MP. 
    • SH: contralateral side of occiput. 
    • PRO: Dr LFes the pt's head toward the side that the dr is standing on & rotates the head away from the contact.
    • LOD: PA LM IS.
    • *Only 1" rotation!!  
  7. Lateral Index - TP/AP Contact (C1-6)
    • PP: supine, w/ head rotated 45 degrees to the contra side.   
    • DP: ipsilateral 90 degree angle to the pt.
    • CP: lateral index contact on the post aspect of the art. pillar on the SS as SP rotation. 
    • SH: contra occiput. 
    • PRO: tissue pull from P to A & rotate the pt's head away from the side of contact. 
    • LOD: PA LM IS.
  8. Prone Lateral Index - AP Contact (C2-6)
    • PP: Prone w/ head rotated 45 degrees away from the side of contact. 
    • DP: Either side of the contact point, using a fencer stance, facing cephald. 
    • CP: Lat index contact over the art. pillar on the side opposite of SP rotation.
    • SH: Palm cups the ear w/ fingers pointing along the head.
    • PRO: Rotate head away from side of contact & LF the head over contact.
    • LOD: PA LM IS.
    • *Show that you're on the art. pillar in neutral, then when you rotate the head move your elbow with it.
  9. Prone Thumb - SP Contact (C7)
    • PP: Prone, head turned away from the contact.
    • DP: Fencer stance facing cephalic on the side of SP rotation.
    • CP: Thumb tip on the lat aspect of the SP of C7. 
    • SH: Palm of hand cups the ear. 
    • PRO: Thumb pad on the C7 SP, doctor rotates the face away & LF the head toward the side of contact.
    • LOD: PA LM IS.
  10. Prone Pisiform/Hypothenar - TP w/ Head Stabilization
    • PP: Prone. 
    • DP: Dr stand on the same side of contact in a fencers stance.
    • CP: Pisiform contact on the TP w/ M-L tissue pull & arms straight. 
    • SH: Palm of hand cups ear. 
    • PRO: Dr leans cephalad above the contact so that the thrust would be I & A. 
    • LOD: PA LM IS.
  11. Unilateral Reinforced Pisiform/Hypothenar - SP Contact (T1-12).
    • PP: Prone.
    • DP: Fencer stance on SS as contact point, perpendicular to the spine, w/ straight arm slightly angulated. 
    • CP: Tissue pull M-L w/ a pisiform/hypothenar contact on the lat side of the SP.
    • SH: Reinforces the contact.
    • PRO: L-M tissue pull, grasping the wrist of contact hand. 
    • LOD: PA LM IS.
  12. Prone Unilateral Reinforced Pisiform/Hypothenar - TP Contact (T1-12)
    • PP: prone.  
    • DP: Fencer stance on the SS of contact point, perpendicular to the spine; straight arm perpendicular to the body surface.
    • CP: TP on the opposite SP rotation.
    • SH: Reinforces contact hand.
    • PRO: Grasping wrist of contact hand.
    • LOD: PA LM IS.
  13. Prone Bilateral Crossed Pisiform/Hypothenar - TP Contact
    • PP: Prone.  
    • DP: Fencer stance, facing cephalad on the side of contact; lean directly over the contacts; hand closets to the DR is the one that induces rotation. 
    • CP: Pisiform contact on TP, tissue pull M-L. 
    • SH: Contralateral TP @ level of affected segment. 
    • PRO: M-L tissue pull
    • LOD: PA LM IS.
  14. Unilateral Reinfoced Pisiform/Hypothenar - TP Contact (T1-12)
    • PP:  
    • DP
    • CP
    • SH
    • PRO
    • LOD: PA LM IS.
  15. Bilateral Crossed Pisiform/Hypothenar - TP Contact
    • PP:  
    • DP: 
    • CP: 
    • SH: 
    • PRO: 
    • LOD: PA LM IS.
  16. Knife Edge - TP (T3-12)
    • PP:  
    • DP: 
    • CP: 
    • SH: 
    • PRO: 
    • LOD: PA LM IS.
  17. Bilateral Thenar - TP Contact (T3-12)
    • PP:  
    • DP: 
    • CP: 
    • SH: 
    • PRO: 
    • LOD: PA LM IS.
  18. Thenar/Index (Cupped Hand / Clinched Fist) - TP Contact (T3-12)
    • PP:  
    • DP:
    • CP
    • SH
    • PRO
    • LOD: PA IS.
  19. Unilateral Reinfoced Pisiform/Hypothenar - SP Contact (L1-5). 
    *L3-5 = Superman.
    • PP:  
    • DP
    • CP
    • SH
    • PRO
    • LOD:
  20. Unilateral Reinfoced Pisiform/Hypothenar - MP Contact (L1-5)
    • PP:  
    • DP
    • CP
    • SH
    • PRO
    • LOD: PA LM IS.
  21. Bilateral Thenar/Thumb - MP Contact (L1-5) 
    • PP: 
    • DP: 
    • CP: 
    • SH: 
    • PRO: 
    • LOD: PA, IS.
  22. Digital - SP Contact Pull (L1-5 kick)
    • PP:  
    • DP: 
    • CP: 
    • SH: 
    • PRO: 
    • LOD:
  23. Digital - MP Contact Pull (L1-5 Kick)
    • PP:  
    • DP: 
    • CP: 
    • SH: 
    • PRO: 
    • LOD: PA.
  24. Pisiform - Hypothenar - SP Contact Push (L1-5)
    • PP:  
    • DP: 
    • CP: 
    • SH: 
    • PRO: 
    • LOD:
  25. Pisiform/Hypothenar - MP Contact Push (L1-5)
    • PP:  
    • DP: 
    • CP: 
    • SH: 
    • PRO: 
    • LOD:
  26. Reinfoced Pisiform/Hypothenar - PSIS Contralateral Contact Push (Ilium) 
    *Sup hand contact. 
    • PP: Prone. 
    • DP: Standing on opposite side of contact. 
    • CP: Pisiform/hypothenar contact on the inferomedial aspect of the PSIS on the contralateral side of the body. 
    • SH: Reinforces the wrist of the contact hand. 
    • PRO: Inferior to superior & medial to lateral tissue pull… angle the straightened arm anterior, lateral, superior. 
    • LOD: PA LM IS.
  27. Pisiform/Hypothenar - PSIS Contact Push
    • PP:  
    • DP: 
    • CP: 
    • SH: 
    • PRO: 
    • LOD:
  28. Digital - PSIS Contact Pull (Ilium Kick)
    • PP:  
    • DP: 
    • CP: 
    • SH: 
    • PRO: 
    • LOD:
  29. Pisiform/Hypothenar - Ischium Contact Push
    • PP:  
    • DP: 
    • CP: 
    • SH: 
    • PRO: 
    • LOD:
  30. Pisiform/Hypothenar - Sacral Base Push
    • PP:  
    • DP
    • CP
    • SH
    • PRO
    • LOD: PA.
  31. Pisiform/Hypothenar - Sacral Base Contact ISU Push
    • PP:  
    • DP
    • CP
    • SH
    • PRO
    • LOD: PA.
  32. Digital Sacral Base Contact ISU Pull
    • PP:  
    • DP
    • CP
    • SH
    • PRO
    • LOD: PA.
  33. Pisiform/Hypothenar - Sacral Base Contact ISD Push
    • PP:  
    • DP
    • CP
    • SH
    • PRO
    • LOD: PA.
  34. Reinforced Palmar Olecranon Contact AP Glide Pull
    • PP:  
    • DP
    • CP
    • SH
    • PRO
    • LOD: AP along the humeral axis.
  35. Thumb Radial Head Contact PA Glide Push (Post Radius)
    • PP:  
    • DP
    • CP
    • SH
    • PRO
    • LOD: PA.
  36. Reinforced Thumb - Carpal Contact PA Glide Push (Post. Carpal)
    • PP:  
    • DP: 
    • CP: 
    • SH: 
    • PRO: 
    • LOD:
  37. 35
    PP:  DP: CP: SH: PRO: LOD:
  38. 36
    PP:  DP: CP: SH: PRO: LOD:
  39. 37
    PP:  DP: CP: SH: PRO: LOD:
  40. 38
    • PP:  
    • DP: 
    • CP: 
    • SH: 
    • PRO: 
    • LOD:
  41. 39
    • PP:  
    • DP: 
    • CP: 
    • SH: 
    • PRO: 
    • LOD:
  42. 40
    • PP:  
    • DP: 
    • CP: 
    • SH: 
    • PRO: 
    • LOD:
  43. 41
    • PP:  
    • DP: 
    • CP: 
    • SH: 
    • PRO: 
    • LOD:

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