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Gonstead Analysis
LCCW Gonstead Analysis Class
| Question | Answer |
|---|---|
| A subluxation will always have what 2 things? | A fixation and a hypo-mobile vertebra |
| A hyper-mobile segment: | should NOT be adjusted |
| Generally, adjust the ______ vertebra in a section of 2+ hypo-mobile vertebrae | The LOWER |
| Oxford dictionary defines Subluxation = ? | a sprain, less than a dislocation |
| CCR defined subluxation as: | a motion segment in which alignment, movement integrity, and/or physiologic function are altered although contact between the join surfaces remains intact. |
| What are the 3 components in the "3 component model"? | Misalignment, fixation, and neurological dysfunction. ALL 3 must be present. |
| Misalignment: | positional dysrelationship of vertebral segments |
| Fixation: | hypomobility of functional spinal until |
| Neurological dysfunction: | Usually associated with some kind of neurophysiological dysfunction (pain, sensory disturbances, end organ dysfunction |
| What are the 5 components in the "5 component model"? | Kinesiopathology, Neuropathology, Myopathology, histopathology, and pathophysiology (biochemical abnormalities) |
| Kinesiopathology: | Hypo/hypermobility, compensation reaction, loss of joint play, etc |
| Neuropathology: | Compressive lesion: disc lesion, degeneration, Facilitated segment (DRG), Articular neurology (alteration of proprioception is spinal joints), somatoautomomic relationship (visceral dysfunction), and pain. |
| Myopathology: | Hyperactivity (mm spasm, hypertonicity), hypoactivity (loss of mm tone, atrophy) |
| Histopathology: | inflammation, edema, vacular changes |
| Pathophysiology (bio-mechanical abnormalities): | CT changes, bony remodeling, toxins of tissue injury causing damage to surrounding soft tissue |
| How do you find a LISTING? | X-ray |
| What are the 5 objective findings? | motion visualization, static visualization, motion palp, static palp, instrumentation |
| what are the 2 (3) instruments used for OBJECTIVE findings? | go scope, nervescope, and dermatherma-graph |
| 6 components of the spinal examination: | histroy, motion visualization, static visualization, motion (and static) palpation, Instrumentation, Xray examination and other imaging studies |
| History: | of chief complaint. Onset. Provacation. Quality. Radiation/Referral. Severity. Timing. |
| SHARP = | Swelling, Heat, Altered function, Redness, Pain |
| Swelling: | "edema" - both acute and chronic problems. Sign of tissue damage in acute injudies and a sign of fication dysfunction in chronic problems. |
| Heat: | Skin temp changes due to vasodilation of subcutaneous tissue. Chronic irritation of ANS, or acute tissue injury |
| Altered Function: | Spinal dysfunction, peripheral dysfunction, end organ dysfunction, |
| Redness: | "errythema" - often seen with skin temp changes. Thought to be due to chronic irritation of the ANS |
| Pain: | Subjective signal to the patient that something isn't right. It may not always be present with chronic problems. |
| Pain vs. Tenderness: | Pain - the subjective sensitivity that the patient reports. Tenderness - the expressed pain in response to pressure |
Created by:
walkingbyfaith09
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