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Instramentation
Palmer PCC Instramentation
67
Other
Graduate
04/12/2011

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Term
SOAP
Definition
Subjective: Chief compaint, requires patient input, case history.
Objective: Instrumentation
Assessment: Working or final diagnosis
Plan: Recommendations and/or care
Term
1898
Definition
Early Chiropractors describe "hot boxes" describing warmer spots along the spine. Name borrowed from a railroad term.
Term
1924
Definition
Neurocalometer introduced by B.J. at Lyceum. Developed by Dossa Dixon Evins. Nerve-heat-measure
Term
1930's
Definition
B.J. and Sherman develop pattern system of analysis
Term
1950's
Definition
Gonstead develops the "break system" analysis.
Term
1960's
Definition
Pierce and Stillwagon develp Dermathermograph. Single probe. Forerunner of the DT-25.
Also Agema develops first medical infra-red imager
Term
Currently
Definition
Sumio Uematsu, MD
"An asymmetry of heat greater than one degree centigrade is indicative of an underlying pathological state"
Term
Temperatures measured at corresponding bilateral sites on the body of a healthy human tend to be equal. This is reffered to as . . .
Definition
Symmetry
Term
What constitutes a positive (significant) observation in human thermographic analysis?
Definition
Asymetrical heat emission
Term
Function of galvinometer
Definition
an amplifier.
Term
Components of the dual probes
Definition
Thermocouples(2)
Galvinometer(1)
Increments(50)
Term
Thermocouples
Definition
Act as a transducer.
Term
Increments
Definition
Reveal amplitude of findings
Term
Time period before post reading in pattern analysis
Definition
10-20 minutes
Term
Time until post reading for break analysis
Definition
post-reading will be the patient's next pre reading
Term
In the viable free flowing and dynamic organism surface heat distribution. . .
Definition
is a constantly changing and dynamic phenomenon.
Term
In the subluxated state, the organism will display a . . .
Definition
static and repeatable pattern of heat distribution.
Term
Patterna analysis is used with
Definition
Palmer Upper cervical technique
Term
In pattern analysis the reading is taken between
Definition
C7 and the occiput.
Term
The instrament in pattern analysis will allways be
Definition
dual probe
Term
"A living organism is dynamic in response as it adapts to stresses on it's internal and external environments. Health is the ability to adapt."
Definition
The Dynamism theory deceloped by A.D. Speransky.
Term
Thermocouple instruments (i.e. nervoscope) read heat brought to body suurface by .. .
Definition
Processes of conduction and Convection
Term
Infared sensitive instraments (i.e. tytron) read . . .
Definition
heat radiated off the body in the form of infared radiation.
Term
Neurological Control Mechanism
Definition
Located on the hypothalamus
Action is carried out through the autonomic nervous system through two ganglionic chains of nerve fibers with connection of the spinal cord by gray and white rami communicans between first thoracic and second lumbar vertebrae.
Term
Conceptually the oldest system of instramentation
Definition
Break analysis
Term
Break
Definition
A rapid deflection of the needle over the distance of a single spinal segment.
A repeatable finding.
Term
Mean Heat Line
Definition
Low amplitude swings
Minor areas of heat differential
All the movements of the needle
Term
Heat Swing
Definition
Slow deflection of the needle, Occurs over a multisegmental area.
Term
C1-Occiput break
Definition
Break will occur slightly inferior to the occiput
Term
C2-T3 break
Definition
Break will be found inferior to the spinous process of the involved vertebra. This is the interspinous space immediately below the involved vertebra.
Term
T4
Definition
The reading will occur at its own spinous level
Term
T5-T9 break
Definition
Reading will occur in the interspinous space immediately above the spinous of the involved vertebra.
Term
T10-T12 Break
Definition
Reading will occur at its own spinous level.
Term
L1-L5 break
Definition
Reading will occur @ lower 25% of the spinous of the involved segment.
Term
Sacroiliac break
Definition
sup. boundary and sacroiliac articulation.
Term
In the cervical and lumbar regions of the vertebral column there are large numbers of intersegmental connections between the nerves supplying contiguous spinal segments. The same is not true of the thoracic spine. Skin temperature alterations, therefore, . . .
Definition
may be more directly related to the segmental level involved in the thoracic region.
Term
The process of rescanning suspected areas of break.
Definition
Confirmation.
Term
The single reason for the performance of confirmation
Definition
to determine if the skin temperature finding is persistent.
Term
Proper documentation in break analysis will include:
Definition
Level
Amplitude
Direction
Term
Thermal asymmetry is called a
Definition
temperature differential.
Term
The Delta-T reading is displayed in reference to:
Definition
the hottest fossa
Term
A diferential of ____ is an indication of neuropathophysiology.
Definition
.5 degrees centigrade
Term
Thermal asymmetries less than .5 degrees C but greater than .2 degrees C.
Definition
may still be considered significant.
Term
Is there a high degree of correlation between the low side of the mastoid fossa reading and the side of atlas laterality?
Definition
No.
Term
DT's represent
Definition
direct (actual) temperatures.
Term
IR or LCT require
Definition
1. Complete History
2. Preliminary consultation
3. Accomidation time (20 min)
4. Significant finding must be present in all images.
Term
Image
Definition
Involves reading the entire pain expressive area
Term
Study
Definition
Complete study involves 3 images. (IR or LCT)
Term
Temperature range on a set of LCT
Definition
Typically be 20-38 degrees C
Term
LCT yields qualitative or quantitative data on a single image?
Definition
Both sucka!
Term
Qualitative information
Definition
Reveals temperature difference involved in asymmetry in C.
Term
Quantitative information
Definition
Reveals the amount of surface area involved in asymmetry.
Term
1 degree C = ? F
Definition
1.8
Term
Documentation for LCT
Definition
Photographing image to color photograph, slide, or digital image.
Term
Infared Electronic Telethermography (IR) units cost
Definition
$40,000 and up
Term
10 color band mode yields
Definition
quantitative data
Term
Black and White mode
Definition
Isothermal
Yields qualitative data.
Term
Isothermal shades of gray are called
Definition
Isotherms
Term
Isothermal
Black is
Definition
warm
Term
Isothermal
Definition
white is cool
(this can be reversed by the opporator)
Term
Both IR and LCT are sensitive to
Definition
.1 degree centigrade.
Term
IR and LCT significant assyetrical finding
Definition
1 degree C or more between like points side to side at any location of the surface of the skin
Term
Lumbar thermography
Heat change at the nerve root
Definition
Heat at the sorce and cold in the sensory dermatome distal to the nerve root.
Term
Positive for lumbar nerve root irritation
Definition
one degree centigrade asymmetry over at least 25% of the dermatomal distribution of the affected dermatomal area.
Term
Mean temperatures for detector frames
Definition
11 different frames: 22,24,26,28,29,30,31,32,33,34,35
Term
Cool to warm colors
Definition
Black, very dark brown, brownish-red, orange, yellow, green, blue-green, Indigo
Term
75% should be what colors?
Definition
Orange and Yellow
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