specific topography
TRANSCRIPT
License Review Class 3
Specific Topography
Star
License Review Class 3
Specific Topography
• When taking Specific Topography, we consider a group of five adjacent vertebrae in the spine at any given area depending upon the Naprapath’s discretion.
• We first palpate the crests for size– Max, med, or min in relationship to one another.
• The first one to be recorded would be the one in the middle of the five, otherwise known as the “Star”
• This is always our starting point
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StarAnterior Superior Posterior
Inferior
* Star
30
26
24
35
28
21
38
39
23
44
34
26
54
38
31
Max Crest
1st Suprastar
Min CrestMed Posterior
License Review Class 3
StarAnterior Superior Posterior
Inferior
* Star
30
26
24
35
28
21
38
39
23
44
34
26
54
38
31
Max Crest
1st Suprastar
Min CrestMed Posterior
2nd
Suprastar
Med CrestMin Anterior
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StarAnterior Superior Posterior
Inferior
* Star
30
26
24
35
28
21
38
39
23
44
34
26
54
38
31
Max Crest
1st Suprastar
Min CrestMed Posterior
2nd
Suprastar
Med CrestMin Anterior
Med CrestMax Posterior
Min CrestMed Anterior
1st Infrastar
2nd Infrastar
License Review Class 3
StarAnterior Superior Posterior
Inferior
* Star
30
26
24
35
28
21
38
39
23
44
34
26
54
38
31
Max Crest
1st Suprastar
Min CrestMed Posterior
2nd
Suprastar
Med CrestMin Anterior
Med CrestMax Posterior
Min CrestMed Anterior
1st Infrastar
2nd Infrastar
Max Sep
Max Sep
Med Sep
Med Sep
Min Sep
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Hyperesthesia Findings
• Now that we have completed our Specific Topography findings, our next step is the determination of our Hyperesthesia and Tension findings– Note that various pressures can be used to
take our findings• 4 pounds• 8 pounds• 20 pounds
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Hyperesthesia Findings
– Note the three types of hyperesthesia • Superficial • Deep• Negative
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Hyperesthesia FindingsLateral Findings
Apical Findings
4 8 20 20 8 4
20 8 4
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Tension Findings
• As is the case for hyperesthesia findings, tension can be taken at three varying pressures:– 4 pounds
– 8 pounds– 20 pounds
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Tension Findings
• Tension findings are recorded as follows:– Max Tension
• Drawn from the upper epiline to the lower epiline
– Med Tension• Drawn from the upper periline to the lower epiline
– Max Tension• Drawn from the upper periline to the lower periline
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Tension FindingsLateral Findings
Apical Findings
4 8 20 20 8 4
20 8 4
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OID
• OID is a comparative tension finding– Taken medial-ward on two adjacent vertebrae– OID is marked obliquely downward in the soft-
to-soft direction• Vertically if no difference in tension is noticed• The OID is marked through the tensobar
– Sinin running inferior to the left– Dexin running inferior to the right– Verin straight down
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OID
Sinin
Dexin
Verin
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ISH
• ISH (Inferior superior hyperesthesia) is taken on the four corners of the spinous process
• It is a supplemental finding – Will not necessarily change type of treatment
given– Will change the direction of your treatment in
a given area– Is recorded in corners of the epispace
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ISH
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IST
• IST (Inferior superior tension) is taken on the four corners of the spinous process– Is marked in the four stubby lines located at
each corner of the apebar
– The IST finding is recorded in three degrees of tension
• Max• Med• Min
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IST
Max IST
Med IST Min IST
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Orderage and Speedage
• Orderage is the term applied to the direction in which you treat– Up Supero– Down Infero
• Speedage is the type of treatment to be given in a particular area:– Dynamic– Intermediate– Stat
• This is marked on the right and lower corner of the right therapy column
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T7
T8
T9
T10
T11
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Specific Topography
• Star Max Crest, Med Sep• 1st Suprastar Min Crest, Med Post, Med
Sep• 2nd Suprastar Med Crest Min Ant, Max
Sep• 1st Infrastar Med Crest Max Post, Min
Sep• 2nd Infrastar Min Crest, Med Ant, Max
Sep
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Spinal Findings
• T7– T.R. Max– T.L. Min– T. A. Min– H.R. Sup– H.L. Deep– H.A. Deep– Dexin OID– ISH
• Up and Low Right – Neg• Up and Low Left – Deep
– IST• Up and Low R – Max• Up and Low L - Min
• T8– TR Max– TL Max– TA Max– HR Neg– HL Neg– HA Neg– Verin OID– ISH
• Neg all four corners– IST
• Max all four corners
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Spinal Findings• T9
– TR Min– TL Max– TA Max– HR Deep– HL Sup– HA Neg– Sinin OID– ISH
• Up and Low R – Deep• Up L – Sup• Low L – Neg
– IST• Up and Low R – Min• Up L – Max• Low L - Med
• T10– TR Max– TL Min– TA Max– HR Deep– HL Deep– HA Sup– Dexin OID– ISH
• All Deep– IST
• Up and Low R – Med• Up L – Med• Low L Min
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Spinal Findings• T11• TR Max• TL Min• TA Max• HR Sup• HL Deep• HA Sup• ISH
– Up R – Neg– Low R – Sup– Up L – Deep– Low L – Neg
• IST – Up R – Med– Low R - Max– Up and Low L – Min
• Orderage & Speedage – Dynamic Supero
License Review Class 3