Downward facing dog aka Adho Mukha Svasana. Re-invigorates the person who has settled into a slouch. Enlivens the gaze. Practice for at least five minutes after 4 hours of sitting. Ok to play with it, go into Wild Thing or whatever variation makes you happy. Try getting around on all fours--feet and hands, no knees. The dog knows how. The heart is the center for this asana.

Wow.

Thoracic Outlet Syndrome Tests have poor validity, as there is a false positive rate of 53-92%. So if someone does this test on you and you have a positive result (usually a + is elicited pain/numbness/tingling or loss of a pulse), it doesn't mean anything for sure. Positive tests should be "assessed cautiously".
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1) Observe pt, posture (standing)
2) Palpate c-spine (sitting)
3) Test ROM: (sitting) active (AROM), resisted (RROM)
4) MRS: muscle testing
5) MRS: reflex: DTR: deep tendon reflexes
6) MRS: sensory: sharp/dull and light touch to dermatomes
7) Spinal Percussion (still sitting)
8) Valsalva maneuver (to confirm suspicion of herniated disc or SOL in spinal cord or IVF)
9) Special orthopedic tests (cervical compression test & variations, cervical distraction test, shoulder depression test)
10) Passive ROM (PROM) (supine)
11) Soto Hall Test
12) Vertebral basilar artery insufficiency tests
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For this practical exam we may be asked to demonstrate assessments of VertebroBasilar Artery sufficiency, the Transverse Atlantal Ligament, the Alar Ligament and Lateral Flexion of the entire C-spine by segment. We are also covering strain/counterstrain of the cervical extensors, anterior and middle scalenes, SCM, upper trapezius, levator scapula, masseter and lateral pterygoid. We may have to demonstrate Positional Isometric Relaxation technique on the extensors, scalenes, SCM and traps, levator and masseter.
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Be prepared to perform grade IV - V manipulations from this list:
1) prone rib elevation
2) prone rib depression
3) upper thoracic rotation or extension (bedside move)
4) upper rib posterior to anterior manipulation prone (bedside move)
5) supine flexion ("anteriority" move)
6) alternative positioning supine flexion ("anteriority")
7) supine rotation
8) supine rib posterior to anterior manipulation
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Which condition demonstrates nonuniform joint space narrowing, osteophytes, subchondral sclerosis, & subchondral cysts?
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