Chiropractic Spinal Manipulation
The Adjustment
The Thoracic Spine
Presented by Dr. E. Dubarry
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1
The Use of the Arc of Tension in the thoracic
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Introduction to the different themes explored during this course.
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The concept of the Arc of Tension is described in this video, using the cervical spine as a model.
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Common points between different techniques (Examples taken from the lower cervical spine)
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2
Generalities on Hands-on Techniques
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How to read the "flash card " describing a technique's characteristics.
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A quick overlook on how HVLA techniques are named
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3
Anatomical Review
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Anatomical Review of the thoracic spine
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Relation between transverse and SP in the thoracic
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The anatomical thoracic contacts at work during a sitting to supine protocol
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Anatomy review quiz
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4
Standing thoracic hands-on
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Dr Standing back, Patient standing, Mid thoracic
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Dr standing back, Patient standing, upper Thoracic
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Dr Standing back, Pt Standing, Thoraco-Lumbar Junction
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Explaining the segmental extension
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Doctor standing back to the patient
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The " doctor standing back" technique
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Facilitate the outcome of the standing back thoracic
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Wall upper thoracic
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Wall middle thoracic
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Wall Thoraco Lumbar Junction
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Patient wall Standing
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Tools to treat thoracic against wall
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The different areas treated with the patient against the wall
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Modifying your office to treat your patients easily against a wall
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Post Neural facilitation (PNF) when using a wall technique
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5
The seated techniques
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Upper Thoracic seated
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Patient seated arms crossed
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Upper thoracic faciltated with pillow
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Sitting on low Stool
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Patient Sitting on a Low Stool
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Seated Upper Thoracic with Index Contact
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Seated Upper thoracic index push (modified gonstea)
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Seated upper thoracic ( modified Gonstead)
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Buns lift
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Wall seated thoracic
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6
The Supine techniques
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Supine Upper thoracic
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Supine Middle thoracic
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Supine Lower Thoracic & Cervico-Thoracic Junction
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Supine and patient with Arms Crossed
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Technique B Patient’s hands on Neck with Single Contact
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Sitting to Supine tech C
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General mobilisation with cavitation of the thoracic on a hard floor
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7
The Prone Techniques
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Prone thumb move 1
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Upper thoracic Prone
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Prone Thoracic Adjustment with Thenar Contact
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Knee-chest thumb contact
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8
Nosology
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introduction to the chiropractic nosology
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Contraindication and nosology associated with the standing back technique
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Intercostal neuralgia
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Intercostal neuralgia
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Rib adjustment made simple
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Intercostal neuralgia
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Intercostal neuritis
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Pressure point to treat IN
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Rib tx
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Inter costal N supine facilitation with pillow
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Scoliosis
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Scoliosis tx
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De-rotate the scoliosis prior to an adjustment supine
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Epicondylitis Tennis Elbow
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Tennis Elbow
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Compression Fracture of the Thoracic
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9
Documentation of a technique
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A technical chart can have the same function as the menu of a restaurant.
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Understanding how to read the name of a Hands-on technique on a technical chart
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How to give a name to a hands-on technique.
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Example of a technical chart to view and download
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Final Test
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10
Marketing/explaining your services to your patient
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Posture affects the shoulders
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Effects of meningeal tension
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