jimtrue.com : school : STT : STT: Body Reading

Posted by Jim True on January 24, 2007 10:05 PM. Last Updated January 29, 2007 9:42 PM

Disclaimer for all material noted here is at the bottom of this web page.

STT: Body Reading

Body Reading in AP View

• Are the feet laterally or medially rotated?
• Does the middle of the patella line up with the 1st or 2nd toe?
• Is the pelvis level (ASIS to ASIS)?
• Are the hands/arms forward?
• Is the inferior "Pec Line" level (males)? Bottom of Ribs?
• Are the clavicles level and visible?
• Is the AC joint higher than the SC joint
• by 1/2 to 3/4 inch?
• Are the ears level?
• Mid-sagital plane - does the apex of head liine up with the nose, sternum and pubic symphysis?

Body Reading in RL/LL

• Plumbline in Lateral View
• Anterior Lateral Malleolus to mid-point of knee, to 3rd finger on seam of pants, to high point of lliac crest, to AC join, to external auditory meatus
• Also check ASIS to PSIS
• PSIS depressed to ASIS = Posterior Pelvic Tilt
• PSIS Level with ASIS = neutral
• PSIS 1/2 higher than ASIS = neutral
• PSIS > 1/2 " higher than ASIS = Anterior Pelvic Tilt

Body Reading Posterior/Anterior View

• Check calcaneal tendon (Achilles): is it supinated/inversion or pronated/eversion?
• Is the popiteal region even or level?
• Is the Gluteal Fold level?
• Is the PSIS level?
• Is the scapula winged medial or inferior border?
• Is the spine of the scapula visible and level?
• Check for S Curve or C Curve, Do they have functional or Structural scoliosis?

Body Reading Rules

• Feet shoulder width apart
• Start @ Feet
• Global/Soft Focus
• 8-10 Feet away
• Use Professional Language

TX Protocol (pg. 33)

1. MFR
2. Decongestion
3. TrP's & TP's
4. MET's

Decongestion Protocol

1. Proximal -> Distal (always)
2. Lateral -> Medial (usually)
3. 2" to 3" Layers, approximate 9 strokes
4. Client's Pressure of 3 or 6 (if tolerated)
5. No return strokes
6. Maintain contact
7. Close w/vigorous petrissage

Drain Sites (Prone):

• Post Cervical -> C7 (T-shirt line)
• Upper Traps (U.T.) -> A/C Joint
• Scapula -> Axillary
• Mid-Thoracic/Lumbar -> Abdomen
• Glutes -> Greater Trochanter (GT)
• Hams -> GT
• Gastroc/soleus -> Popiteal

Drain Sites (Supine)

• SCM & Scalenes -> Clavicle
• PEC -> Axillary
• Quads -> GT
• Tibialis Ant -> Popiteal
• Upper Arm -> Axillary
• Forearm -> Subcubital
• Abdomen -> Rectum

Charting Symbols

R Right/ L Left / BL Both
> Greater than
< Less Than
Elevated
Depressed

Disclaimer: These are MY notes taken from classroom lectures while I'm in the classroom. While I'm perfectly happy to share my notes with my classmates and I know I take very good notes, you should still make every effort to attend the class and TAKE YOUR OWN NOTES. I will not transcribe everything the instructor says in the classroom, and I will NEVER post pre-exam reviews. My notes will not replace the value of actually attending class and taking your own class notes.I also cannot attest to their accuracy, other than they are what was provided in the lecture; you should not reference my notes as "expert opionion" by any means, and if you notice an error or omission, please do me the favor of e-mailing me with the correction and I will re-post my notes. End of Disclaimer.