Logan Basic
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1916
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HB Logan and Mini graduate from Universal chiropractic college At the time 18 month study
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1923
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HB moves to California, got into straight mixer fued
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1927
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Vinton graduates Universal Chiropractic College Now a 2 year program
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1931
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Universal Basic first taught
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1933
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International Chiropractic Research Foundation (ICRF) formed Very first full spine X-ray by Dr. Warren Sausser 14x36
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1935
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Founding of ICRF college of chiropractic soon became Logan basic college of chiropractic (Lindell campus), 4 yr. 9 month Started with 7 students, Andrew Murray joins late making it 8 BOT (board of trustees)=Dr. John Craven
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1936
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College moved from Lindell campus to Normandy campus Old Main housed most of the college (built before American Civil War) -1st floor clinic -2nd floor technique -3rd floor mens dorms
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1939
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First graduating class of 8 people Logan Alumni joined the IBTRI, which supported the College with students and financial support
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1944
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Vinton took over because HB died suddenly of heart attack (Wed. May 31st)
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1949
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HB memorial building was built, housed clinic and administration
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1958
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Carver College of Chiropractic of Oklahoma city merged with Logan college -Carver considered the constructor of Chiropractic
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1961
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Vinton died (July), BJ Palmer (May), Coggins became president (Coggins administration builidng), Dr. D.P. Casey as new dean -Vinton and HB's ashes in their busts in the main entrance
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1964
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Missouri college merged with Logan -Conditions -Basic is dropped from name -New diversified department created -Reinhert became head Vinton F. Logan Memorial building dedicated
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1973
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Logan College moved to this campus 1.8 million deal of century -Original asking price was $3.5M
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1978
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Start of the out-patient clinic to be named after Dr. Dale C Montgomery
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1979
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Coggins retired, Morter took over as president (former president of the Logan Alumni Assn.) Developed BEST
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1980
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Dr. Beatrice Hagen took over -First woman Chair of the board of trustees -First woman of a CCE accredited College -Became the first woman President of CCE -Dedication of Dale C. Montgomery clinic
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1982
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Dale C. Montgomery memorial clinic opens
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1988
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Science research center was dedicated, Ergonomic, Science & Research Building dedicated Was first dedicated to Dr. Rice, but then name was sandblasted off because of financial reasons
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1992/3
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Dr. Hagen retires Dr. Goodman took over
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6 Presidents in Order
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1. B.F Logan '35-'44 2. Vinton Logan '44-'61 3. William N. Coggins '61-'79 4. Ted Morter '79-'80 5. Beatrice Hagen '80-'92 6. George Goodman '92- present
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1997
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William Harris complex was opened
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1998
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Pavillion was built
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2004
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LRC was rededicated
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2007
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Purser Center
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2008
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Standard process center
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Discs in spine
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23
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Many vertebra
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24
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Erectorspinae
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1.Illiocostalis 2.Longissimus 3.Spinalis
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Illiocostalis
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Lumborum Thoracis Cervicis -Only one w/o CAPITIS -Attaches mostly on the ribs
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Longissimus
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Thoracis Cervicis Capitus -Mostly attaches to TPs
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Spinalis
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Thoracis Cervicis Capitus -Mostly attaches to SPs
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Longest muscle in the body
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Sartorius O: From the ASIS -Crosses the thigh obliquely to the medial side of the knee I: Pes anserine
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Piriformis
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O: Front of the Sacrum and from the sacrotuberous ligament I: Posterior border of the greater trochanter A: External rotator and abducts, Extrinsic muscle
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R foot takes step what happens same side
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R. Sacrum -Nutate R. Inomminate -Eccentric rotations L. Sacrum -Counter nutates L. Inomminate -Concentrically rotates
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1/8th of an inch
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An acute subluxation anterior-inferior
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What is most commonly subluxated
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95% of acute sacral subluxation occur on the R. side
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Lumbar vertebral body taller in front or back
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Front
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Lumbarizations
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1.TP larger -A on one side, B on Both 2. Psudoarthorsis -A on one side B on Both, most likely disc herniation 3. Bone bridge -A on one 4. Bone bridge on one side pseudoarthrosis on the other
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Diarthrodial
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SI joint kind
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Sacral sciatic ligaments
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1.Sacrotuberous 2. Sacrospinous
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Bones make up pelvis of young child
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15
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Bones make up pelvis of adults
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4 2 innomanates, sacrum, coxxyx
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Logan opened
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Sept. 1 1935
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Date Chiropractic started
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Sept. 18 1895 (DD Palmer)
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Disc height loss during the day
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2cm
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Most commonly subluxated vertebra
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L5
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Joints of von Luschcka
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Extra joints on the lateral aspect of the bodies (uncinate or unciform processes) Cervicals
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Mammilary process
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Lumbars
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Piriformis contracture
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Causes toeing out
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Sartorius
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Causes knee flexion
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Chronic sacral subluxtation on R. side which side tight hamstring
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Left because of concentric rotation
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Long head of biceps femoris
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Stops the nutation of sacrum during the gait cycle
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Lowest freely movable vertebra
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Always rotates to the comparatively HIGH iliac crest when sacrum is subluxated to the anterior at its articulation with the innominate
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3 primary and 1 secondary subluxations, rotations, and curves
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Anterior subluxation Inferior subluxation Structural deficiencies of one leg Atony of soft tissue
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Ligaments of sacroiliac joint
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-Anterior (ventral) SI joint -Interosseous SI -2 parts, superficial and deep -Superior band unites the superior articular process plus the lateral crest of the sacrum to the ilium (short posterior SI ligament) -Posterior (dorsal) SI joint -Lower fibers joining the S3-S4 to the PSIS
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14 different physical findings with subluxation (acute and chronic)
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1. Anterior Sacrum (same side) 2. Taut Erector Spinae MM (same side) 3. Prominent PSIS (same side) 4. High Iliac Crest (early chronic- same side) (late chronic- opposite side) 5. Sacrosciatic Ligament (sacrotube and sacrospin) Tension (same side) 6. Tip of the Coccyx (same side) 7. Fifth Lumbar Body Rotation (same side) 8. Increased Gluteal Dimple (acute piriformis spasm) 9. Toeing Out/Foot Flare 10. Knee-flex (same side) 11.Taut Hamstring MM (usually opposite side) 12. Short Leg--Functional (same side) 13. Gluteal Line Deviation (same side) 14. Moderate to Severe Pain (same side)
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5 Signs of AI Subluxation
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H- High Crest (same side) E- Erector Spinae Tension (same side) L- Lowest Freely Movable Vertebra Rotation P-Pain S-Sacrotuberous Ligament Tension
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Kyphosis
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Primary curve of spine Thoracic and Sacrum
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Lordosis
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Secondary curve of spine Cervical and Lumbar
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1995
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60th anniversary, Debt paid off from Science building, DP Casey drive dedicated
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Ligaments of SI joint
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Anterior SI ligament Interosseous SI ligament -Ilium to Sacrum Posterior SI ligament -From S3-S4 to PSIS
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Sacrosciatic ligament
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Sacrotuberous ligament -PSIS to lower part of sacrum and upper part of coccyx Sacrospinous ligament -Lateral margins of sacrum and coccyx to Spine of Ischium
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Ligaments of Pubic Symphysis
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Superior pubic ligament Arcuate pubic ligament Interpubic disc Subarcuate angle -Male: ~equal to the largest angle made by digits 2 and 3 -Female: ~equal to the largest angle made between thumb and index finger
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Intrinsic Muscle
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Muscle that runs across 1 joint
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Extrinsic Muscle
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Must that runs across 2 or more joints
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Gluteus Maximus
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O: Ilium and lower part of sacrum I: Fascia lata and gluteal tuberosity of femur A: Rotates the thigh and fixes the bone
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Coccygeus Muscle
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O: Spine of ischium and Sacrospinous ligament I: Coccyx and Lower sacrum
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Psoas Major
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O: TPs of Lumbars I: Lesser Trochanter
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Psoas Minor
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O: Sides of 12th thoracic and IVD I: Pectin pubis and iliopectineal eminence
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Iliacus
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O: Iliac fossa, inner lip of iliac crest, ventral SI and iliolumbar ligaments and upper surface of lateral part of sacrum I: Lesser Trochanter
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Head rotated and not subluxated
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Drops about 2mm
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Pace Sign
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Weakness in resisted abduction and external rotation Tests for piriformis dysfunction
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Beatty Sign
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Patient lying painful side up, leg flexed, knee resting on the table, buttock pain is produced when the patient lies and holds the knee off the table Tests for piriformis dysfuncton
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Water imbibtion in nucleus pulposes, disc thinner
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2cm
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Nutation
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Sacrum rotates, the promontory moves inferiorly and anteriorly while apex of sacrum and tip of coccyx move posteriorly and superiorly Unlocking
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Counter-nutation
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Promontory moves superiorly and posteriorly while apex of sacrum and tip of coccyx move anteriorly and inferiorly Locking
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Eccentric Rotation
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Innominate bone rotates in a counterclockwise direction, in which the PSIS of ilium moves posterior
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Concentric Rotation
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Ilium on opposite side of sacral subluxation, will rotate clockwise, in which PSIS of ilium moves anterior
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Acute Unilateral Anterior-Inferiority of the Sacrum
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Degree is limited to 1/8 of an inch Remains in acute stage as long as the muscles and ligaments of the articulation retain sufficient ton to hold it there Result of trauma, occupational position, or excessive stress Self correcting most of the time Primary direction of sacral subluxation
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Lumbopelvic Rhythm
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High hamstring muscle tension is frequently found in low back pain patients, which affects the rhythm In healthy patients, when they bend forward, there is a specific coupled motion existing btw the pelvis and lumbar spine
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Sacrum Shape
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Inserted like a wedge btw the 2 innominate bones Wide base, narrow apex Dorsal surface is convex, anterior surface is concave Ear-shaped or L-shaped Extend from 1st sacral segment to the 3rd
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Ferguson's Angle
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Average is 40\" For every 5 degrees, move tube 1\" closer to patient
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1938
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The International Basic Technique Research Institute (IBTRI) founded by supporters of Dr. Logan
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Dr. William N. Coggins
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President when Logan got CCE accreditation
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Field Day
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Vinton Logan administration, create since of family, softball, basketball, tennis, flag football
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Primary Premise of Logan Basic Technique
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The body is built from the ground up The sacrum up (base)
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Form closure
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Gives stability how sacrum is firmly wedged between the inomminant
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Force closure
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When subluxation happens and ligaments have to be used to connect and help stabilize
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Type 2a,b
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NO side posture Pseudo joint Herniation likely 12% population
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Type 3a,b
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Bone bridge CAN adjust (because move together)
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Type 4a,b
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CAN adjust Bone bridge w/pseudo joint on other side
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Biceps Femoris
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O: Long Head-Posterior surface of ischial tuberosity Short Head-Lateral supraconylar ridge of femur I: Styloid process of head of fibula, lateral colateral ligament, and lateral tibial condyle
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B.F Logan
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'35-'44
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Vinton Logan
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'44-'61
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William N. Coggins
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'61-'79
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Ted Morter
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'79-'80
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Beatrice Hagen
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'80-'92
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George Goodman
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'92- present
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Osteitis Pubis
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Disorder of the pubic symphysis characterized by pubic pain and joint disruption. 2nd to inappropriate biomechanical forces
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Gravity Line AP
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Bisects the body into two lateral halves, according to weight and dimention
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Gravity Line Lateral
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Tip of mastoid process Through the front of the shoulder GREATER trochanter BACK of patella 1\" anterior to the external malleolus
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Upper portion of the innominate
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Ilium
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Lowest portion of the innominate
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Ischium
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Anterior portion of innominate
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Pubis
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Filum Terminal
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Attached to the coccygeal segment
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HB and Vinton Logan
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Ashes found in bust
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Old Main
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Name of the large classroom/clinic/men's dormitory on the Normandy campus
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Trailer town
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Faculty and students lived here for the overflow do to the small amount of space in Old Main
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ICRF (International Chiropractic Research Foundation)
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Promoted Logan Basic Technique and encouraged H.B. Logan to found Logan College
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Superficial back line of fascia
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A train of fascia that starts at the plantar foot and follows the posterior aspect of the person and ends at the brow line
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Spiral line of fascia
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mastoid process, through Splenius capitus and cervicis, onto the Lower cervical/ upper thoracic SP's, Rhomboids major and minor, connects to the Medial border of scapula, on to the Serratus anterior, then Lateral ribs, External obliques, Abdominal aponeurosis/ linea alba, Internal obliques, Iliac crest/ ASIS, Tensor fasciae latae/ iliotibial tract, Lateral tibial condyle, Tibialis anterior, 1st metatarsal base, Peroneus longus Fibular head, Biceps femoris, Ischial tuberosity, Sacrotuberous ligament, Sacrum, Sacrolumbar fascia/ erector spinae, and finally back to the Occipital ridge.
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Ankylosis
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Obstructs normal restoration of the spine by holding the vertebrae in their distorted position
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SI joint measurements
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Superior to inferior length of 63-64mm (2 3/4 \") Anterior to posterior length of 29mm (over one inch)
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Lower Cervical Vertebrae
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C3-C7 typical vertebrae
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Upper Cervical Vertebrae
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C1-C2 (Atlas and Axis) Atypical vertebrae
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Thoracic Vertebrae
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Height smaller on the anterior than posterior Facets resemble the area above and below Angle of facet: Posteriorly and slightly superior and laterally(Superior articular facets) Laterally and anteriorly and slightly convex transversely (Inferior articular facets)
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Lumbar Vertebrae
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Height greater on the anterior than posterior Absent of transverse foramina and costal facets
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Sacrotuberous Ligament
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PSIS to lower part of the sacrum and the upper part of the coccyx Attached to the inferior fibers of the gluteus maximus and the long head of the biceps femoris
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Sacrospinous ligament
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From the lateral margins of the sacrum and coccyx to the spine of the ischium
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Ligaments of lumbosacral Joint
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Iliolumbar ligaments -From the L5 to L4 to the pelvis -Lower band: runs from inferior aspect of the TP of L5 to the anterior part of the upper surface of the lateral part of the sacrum -Upper part runs from teh TP of L5 and L4 to crest of the ilium immediately in front of the sacroiliac joint
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Anterior Longitudinal Ligament
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Anterior surface of the vertebral bodies, connects the adjacent vertebrae, extends onto the anterior surface of the sacrum
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Posterior Longitudinal Ligament
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Inside the vertebral canal, runs along the posterior surfaces of the vertebral bodies, attached to the IVDs and margins of the bodies of the vertebrae, extends onto the anterior surface of the sacral canal of the sacrum
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Intervertebral Disc (IVD)
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Nucleus pulposus -semifluid mass of mucoid material, embryologically a remnant of the notochord Annulus fibrosus -consist of 10-20 concentric circumferential lamellae, orientation of the fibers alternates in successive lamellae, but their orientation with respect to the vertical is always the same and measures about 65-70 degrees
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Lumbar and Cervical IVD
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Thicker in the front than in the back
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Thoracic IVD
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Same thickness front to back
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Ligamenta flava
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Connect the lamina Yellow elastic fibers Thickest in the lumbar spine
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Mennell's Sign
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Ganglionic cyst due to longstanding sacroiliac strain
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Superficial front line
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One on each side
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Lateral line
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Deep lateral line One on each side
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Spiral lines
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One on each side
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Chronic or Advanced Unilateral Anterior-Inferiority of the Sacrum
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Most common ordinary or usual sacral subluxation seen Degree of atony in teh sacroiliac muscles and ligaments; allows innominate bone to rotate in a counterclockwise direction, in which PSIS moves posterior Ilium rotation will temporarily reduce the inferior \"effect\" on the spine Sacrum will continue to move more and more anterior and inferior, having an effect on the rest of the pelvis and the spine
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Rotation of subluxation and Distortion of spine
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\"body of lowest freely moveable vertebra will rotate to side of least support, indicated by the low side of the sacrum\" \"body of lowest freely moveable vertebra will rotate to the side of high crest, such crest is high as a result of sacral subluxation\" Produce 9 distinct distortions and a 10th with 5th lumbar vertebra
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Anteriority of the Apex of the Sacrum
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Provides for the apex of the sacrum to move forward from its normal position The sacral base angle is reduced (if the interspinous line angle is zero) If not corrected, can cause vertical-anterior wedging of the lumbar bodies
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Anteriority of the Sacral Base
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The base of the upper portion of the sacrum moves anterior and slightly inferior to the same degree in relation to both innominates The sacral base angle is increased (if the interspinous line angle is zero)