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NUCCA: Torque . By: Patrick Lin. Understanding Torque. Atlas Subluxation Complex also includes the C2 spinous process To address it, one most understand and then correct axis spinous misalignment The degree & direction of axis spinous rotation is seen on the nasium film
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NUCCA: Torque By: Patrick Lin
Understanding Torque Atlas Subluxation Complex also includes the C2 spinous process To address it, one most understand and then correct axis spinous misalignment The degree & direction of axis spinous rotation is seen on the nasium film When a spinous has misaligned laterally more than the dens, it rides up the facet When adjusting the atlas laterality, a force must also move into the axis to correct the spinous down the articulation
The Inferior Axis Spinous Means the axis spinous have been displace more laterally than the axis odontoid on the same side of atlas laterality. A C2 spinous that has moved toward the atlas misalignment is considered inferior, because it moved toward the side of atlas “inferiority” meaning less than 90. ex. C1 is 3 to the right and the C2 spinous is 2 right, then inferior spinous
Correcting an Inferior Spinous Right-sided inferior axis spinous requires a counter-clockwise torque Left-sided inferior spinous requires a clockwise torque This works with vectors higher than zero, but not with low vectors
The Superior Axis Spinous Means the axis spinous has been displaced less than the axis odontoid on the side opposite of atlas laterality When adjusting the atlas laterality, a force must be applied on the opposite side of the atlas laterality, correcting the axis spinous down the articulation
Correcting an Superior Spinous So opposite torque for superior axis spinous Right-sided superior axis spinous requires a clockwise torque Left-sided Superior axis spinous requires a counter-clockwise torque
Another way to look at it… • Consider the torque in relation to extension and flexion of the head. • When using torque with an inferior C2 spinous, movement of your adjusting arm should follow extension of the head. • With a superior C2 spinous, the movement of your adjusting arm should follow flexion of the head.
In addition… • Due to the way the arm muscles are attached and works, the normal triceps pull automatically tends to correct an inferior spinous. • This is an advantage with type 1 & 4, as the C2 spinous often moves with the atlas.