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. . Integrate Chiropractic Technique: Chiropractic Subroutines. Robert Cooperstein, MA, DCPalmer-West Continuing EducationOctober 8, 2005. Pelvic torsion: Frontal plane. Pelvic torsion: Sagittal plane. Pelvic Torsion: Principal Contacts. . . . A Basic Distortion (not same as Logan's). AS-EX. PSIS palpation for torsion.
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1. Bare-Bones Chiropractic Technique: Back to Basics Technique Compendium
Robert Cooperstein, MA, DC
Palmer West Continuing Education
October 9, 5, 2004
3. Pelvic torsion:Frontal plane
4. Pelvic torsion:Sagittal plane
5. Pelvic Torsion:Principal Contacts
6. A Basic Distortion(not same as Logan’s)
7. PSIS palpation for torsion
8. Pelvic Contacts
9. Side-Posture: Extension
10. Side-Posture: Flexion
11. Side-Posture Body Drop:PSIS Contact
12. Modified Pettibon:PSIS Contact
13. The Big Ugly
14. How much force to cavitate?
15. Side-Posture Pelvic moves (I) In extension, eg. classic Gonstead
indications: disc herniation, extension restriction, loss of lumbopelvic lordosis
contraindicated: pain on extension, hyperlordosis, facet syndrome
In flexion, modified Pettibon
indications: doctor arm problem, flexion restriction, hyperlordosis, facet syndrome
contraindications: IVD syndrome, hypolordosis
Body neutral, body drop
most typical move used
16. Side-posture moves and rotation Seem safe, data scant
If PI side up
especially well-tolerated, reduces helical distortion
If AS side up
less tolerated; cf “Farfan torsion test”
Forearm stabilization can hurt sensitive rib cages, esp. with much rotation
17. Sacral apex move: Special clinical applications Retrolisthesis, anterolisthesis
range: L4-5
mechanism: tension on PLL
Anterior coccyx
side-specificity depends on AP deviation of coccyx, if any
global distortion not a factor
done in inspiration
18. Coccygeal subluxation
19. LOD for correcting anterior coccyx
20. Anterior coccyx: internal method
21. Diversified coccygeal adjustment
22. Sacral apex move:Swiss army knife of moves Lumbar hyperextension
Spondylolisthesis
Retrolisthesis
Anterior coccyx
side-specificity depends on AP deviation of coccyx, if any
global distortion not a factor
done on inspiration
23. Anterior coccyx: internal method
24. Pelvic floor muscles and coccygeal movement
25. Spondy and LBP:Causation or association?
26. Spondy correction with inversion therapy
27. Sacral base Sacral base palpation
Which SI joint deeper? (innominate reference point)
Which side relatively posterior?
Which side lacking springiness?
Manipulative strategy
Posterior (shallow) side primary
PA sacral base thrust, involved side down
Anterior (deep) primary
PSIS pull move, involved side up
28. PSIS pull move for anterior sacral base
29. Sacral base push for posterior sacral base
30. Traditional sideposture move
31. Side-Posture Body Drop: Segmental Lumbar Contact
32. Side posture pull move
33. Lumbopelvic decision making
34. Lumbar spine lumbar spine analysis
global ROM, observing “kinks”
lateral curvature
hand placement
fingers across spine
segmental contact: side of spine
35. Which side up for side-posture manipulation?
36. Which side up for side-posture manipulation?
37. Assisted/resisted example
38. Which lumbar motion unit is primarily affected? Resisted adjustment
Above contacted bone
eg, using P-A thrust on crossed elbows or shoulder
Assisted adjustment
Below contact hand
eg, using significant body drop and lateral-medial LOD
39. Integrating curvature and restriction into adjusting protocol
40. Which curvature is structural?
41. Thoracolumbar JunctionPre-Stressed Anterior