Chiropractic Teaching Video #2

 

This video helps answer the question, “Why should we perform any muscle testing or exam at all?” It teaches the importance of blending functional neurological testing with the patient’s examination. It explains tests and applications that other doctors in our profession are not doing. These newer techniques involve a more wholistic approach focusing on the muscles, the spine, and involved nerves, etc. Many doctors concentrate on the area of complaint, but the area of complaint may not be the focus of the cause.

As with everything in life there are patterns, so watching any patient for a while helps you observe the patterns they display. Are the patient’s muscles globally inhibited or is there a single muscle involvement? Are the muscles inhibited on one side of the body, or one half on the upper torso and the other half on the lower body? What happens when you integrate the tonic neck reflex by having the patient turn their head to the right or left? How does the examination differ when you add in the primitive reflexes, like the flexor withdrawal, Galant or deep tendon reflexes? This video will help you understand more about the functional relationships of one area of the body to other areas and how to deliver treatment that will address the cause rather than the area of discomfort or pain.

Exam Questions:

  1. It can be more difficult to use your upper body after cervical fusion because:
    1. The upper dorsal spine must take up the slack of the cervical fusion
    2. The limited cervical motion can enhance the experience of pain
    3. Fatigue becomes an issue with repetitive use
    4. All the above

 

  1. Transneural degeneration relates to
    1. Neuronal degeneration
    2. Muscle fatigue
    3. Structural breakdown
    4. All the above

 

  1. Transneural degeneration
    1. Is a deafferentation syndrome
    2. Makes neuron pools more susceptible to cell death
    3. Leads to the release of glutamate and deadly calcium ions
    4. All the above

 

  1. The right sided muscles relate to
    1. The right cerebellum
    2. The left cerebellum
    3. Metabolic breakdown
    4. None of the above

 

 

 

  1. A patient with cervical fusion should never
    1. Receive a rotatory adjustment
    2. Bend and twist for long periods
    3. Have a lower back adjustment
    4. Should avoid lateral bending movements

 

  1. Adenosine triphosphate
    1. Is a short-term energy molecule
    2. Normally inhibits muscle performance
    3. Is not normal to mammalian tissue
    4. Is unique because it contains no amino acid

 

  1. Cranial manipulation
    1. Allows better suture articulation
    2. Changes proprioceptive input
    3. Helps the brain communicate with the muscles more appropriately
    4. All the above

 

  1. Which of the following should not facilitate when a patient turns their head to the right?
    1. Left latissimus dorsi
    2. Right gluteus medius
    3. Left pectoralis major
    4. Right deltoid

 

  1. Turning the head to the right should cause facilitation of the
    1. Right pectoralis major
    2. Left latissimus dorsi
    3. Left gluteus medius
    4. Left rectus femoris

 

  • After examination and treatment, it is a good idea to
    1. Look for patterns
    2. Render a treatment
    3. Stress the system and reevaluate their condition
    4. All the above

 

  • The left cerebellum fires into the
    1. Left red nucleus
    2. Right red nucleus
    3. Right thalamus
    4. Inhibits the right hip flexor

 

  • Reciprocal inhibition should cause
    1. Facilitation of the hip flexors contralateral to head turn
    2. Inhibition of the hip flexors contralateral to head turn
    3. Excitation of hip extensors contralateral to head turn
    4. Excitation of hip flexors ipsilateral to head turn

 

  • A bilateral hamstring inhibition indicates manipulation of the
    1. Ilium
    2. Cervical spine
    3. Lumbar spine
    4. Sacrum

 

  • Too much adjusting has a high probability of exceeding the patient’s metabolic capacity sending it into a state of transneural degeneration. This causes
    1. Increased secretion of glutamate
    2. Calcium flows into the extracellular space
    3. Inhibits NMDA receptors on other neurons
    4. Facilitates cortical performance

 

  • A subluxated foot bone can cause
    1. Abnormal proprioceptive input with each step
    2. Modified stability in the foot
    3. Enhanced stability of the involved extremity
    4. The reduction of pain in that area

 

  • The goal of chiropractic care is to
    1. Find areas of dysfunction
    2. Fire involved pathways to enhance original design
    3. Enhance nervous system function
    4. All the above

 

  • 90% of the brain’s output flows to autonomics
    1. Improving cortical input helps the brain calm down
    2. Through the pontomedullary reticular formation
    3. Inhibits the intermediolateral cell column to inhibit the stress response
    4. All the above