Specific Topography

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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

StarAnterior Superior Posterior

Inferior

* Star

Max Crest

1st Suprastar

Min CrestMed Posterior

Inferior

* Star

Max Crest

1st Suprastar

Suprastar

Med CrestMin Anterior

Inferior

* Star

Max Crest

1st Suprastar

Suprastar

Med CrestMax Posterior

Min CrestMed Anterior

1st Infrastar

2nd Infrastar

Inferior

* Star

Max Crest

1st Suprastar

Suprastar

Med CrestMax Posterior

Min CrestMed Anterior

1st Infrastar

2nd Infrastar

Max Sep

Med Sep

Min Sep

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

Hyperesthesia Findings

– Note the three types of hyperesthesia • Superficial • Deep• Negative

Hyperesthesia FindingsLateral Findings

Apical Findings

4 8 20 20 8 4

20 8 4

Tension Findings

• As is the case for hyperesthesia findings, tension can be taken at three varying pressures:– 4 pounds

– 8 pounds– 20 pounds

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

Tension FindingsLateral Findings

Apical Findings

4 8 20 20 8 4

20 8 4

• 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

• 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

• 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

Max IST

Med IST Min IST

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

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

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

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

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

Specific Topography

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