Adjusting Techniques for Extremities Flashcards

Which contact point is used in a long-axis distraction technique for the glenohumeral joint?

Answer: Distal humerus with axial traction

Long-axis distraction of the glenohumeral joint applies traction along the shaft, contacting the distal humerus to gap the joint space.

When adjusting the proximal tibiofibular joint with an anterior-to-posterior thrust, the patient is best positioned in which way?

Answer: Supine with knee flexed to 90°

Supine with the knee flexed to 90° relaxes local musculature and positions the fibular head accessibly for an A-to-P thrust.

A 'loose-pack' position for the radiocarpal joint places the wrist in which configuration?

Answer: Slight flexion and ulnar deviation

The loose-pack (resting) position of the radiocarpal joint is slight flexion with ulnar deviation, maximizing joint capsule volume.

For a posterior-inferior calcaneal adjustment, the chiropractor's thenar contact is placed on the:

Answer: Posterior superior calcaneal tuberosity

The posterior superior calcaneal tuberosity is the primary contact for a posterior-inferior calcaneal adjustment thrust.

During a metatarsophalangeal joint adjustment for a plantar-restricted 1st MTP, the thrust direction is:

Answer: Dorsal with long-axis distraction

A dorsal thrust combined with long-axis distraction restores plantar restriction by gapping the 1st MTP joint and restoring dorsal glide.

Which adjustment technique uses a 'figure-4' (FABER) patient position to gap the sacroiliac joint while simultaneously adjusting a restricted hip?

Answer: Lewin-Gaenslen technique

The Lewin-Gaenslen technique places the patient in figure-4 (FABER) to stress the SI joint while the hip is moved into extension.

In the Thompson Drop technique applied to the knee, which table piece is typically lowered during the thrust?

Answer: Leg piece

The Thompson Drop leg piece drops during knee adjustments to add momentum and reduce the force needed by the practitioner.