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OMM M1T1 test 1 > 2. Osteopathic Structural Examination > Flashcards

2. Osteopathic Structural Examination Flashcards

1
Q

Chiro. vs. OMT in somatic dysfunction

A

Chiro driven by position (i.e. alignment of spine) Osteo driven by function (restoring function)

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2
Q

What parameters used diagnose Somatic Dysfunction?

A

TART

TART usually does not present alone i.e can present along pain, etc

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3
Q

TART

A

Tenderness

Asymmetry ******important

Restriction of Motion*******important

Tissue Texture -abnormality******important

Ideally want to have 2 parameters to confidently diagnose somatic dysfunction

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4
Q

Tenderness vs. Pain

A

Pain elicited by palpation only, otherwise is just pain

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5
Q

Sequence of structural evaluation

(to determine Somatic Dysfunction)

A
  1. Screening Examination
  2. Scanning Examination
  3. Segmental Definition
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6
Q

What is Screening Examination?

(sensitive, not specific)

A

Looks at the whole body and identifies regions of concern

B R S

Spinal Curves assesment

Body Symmetry assesment

Regional ROMtesting

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7
Q

Body Symmetry

(part of structural examination)

A

Back Mid-Gravity line:

vertical line from back through Inion,midheel point, knees midway, gluteal cleft, spinal column.

Lareral mid-gravity line:

(in coronal plane)

External Auditory Meatus

Odontoid Process of C2*

Middle of L-3 Vertebra*

Greater Trochanter of Femur (palpable)

Sacral Promontory*

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8
Q

Spinal Curves

A

looking at patient from back and side and look for:

Scoliosis

Kyphosis

Lordosis

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9
Q

Causes of Somatic Dysfunctions for:

  • Increased Lordosis*
  • (Decreased Kyphosis)*

Vervical, Thoracic, Lumbar

A
  1. Cervical
  • Extended segmental dysfunction
  • Increased thoracic kyphosis
  1. Thoracic
  • extended segmental dysfunction
  • multiple exhaled ribs
  1. Lumbar
  • extended segmental dysfunction
  • bilaterally flexed sacrum
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10
Q

Somatic Dysfunctions for:

  • Increased Kyphosis*
  • (Decreased Lordosis)*
A
  1. Cervical
  • Flexed segmental dysfunction
  • flattened thoracic kyphosis
  1. Thoracic
  • Flexed segmental dysfunction
  • Multiple inhaled ribs
  1. Lumbar
  • Flexed segmental dysfunction
  • bilaterally extended sacrum
  • psoas hypertonicity or spasm
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11
Q

Somatic Dysfunctions for:

Scoliosis

A

Leg Inequality (lenght)-

  • Due to Innominate or Sacral Dysfunction

Cervical-

  • Segmental Sidebending
  • Long Muscle Hypertonicity or Spasm:
    • Levator Scapulae
    • Trapezius
    • Scalenes
    • Sternocleidomastoid

Lumbar-

  • Unilateral Psoas Spasm
  • Segmental Sidebending

Thoracic-

  • Segmental sidebending

Costal-

  • Rib Dysfunction Unilaterally (common in MVA where seatbelt can push lower ribs into exhale position permanently
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12
Q

Somatic Dysfunction can cause what 3 motion anomalies?

A

Restricted ROM (outside normal)

Assymetric ROM (normal ROM, but unequal bilaterally)

Altered quality of the motion

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13
Q

Normal Cervical Flexion angle

A

45-90 degrees

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14
Q

Normal cervical extension angle

A

45-90 degrees

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15
Q

Normal cervical sidebending angle

A

30-45 degrees

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16
Q

Normal cervical rotation angle

A

70-90 degrees

17
Q

Normal Thoracic T1-4 sidebending angle

A

5-25 degrees

18
Q

Normal Thoracic T5-8 sidebending angle

A

10-30 degrees

19
Q

Normal Thoracic T9-12 sidebending angle

A

20-40 degrees

20
Q

Normal thoracic T9-12 rotation angle

A

70-90 degrees

21
Q

Normal lumbar flexion ROM

A

70-90 degrees

22
Q

Normal Lumbar extension ROM

A

30-45 degrees

23
Q

Normal Lumbar Sidebending angle

A

25-30 degrees

24
Q

Test for range of motion of pelvis

(Innominate bone)

A

Standing Flexion Test

25
Q

Test of range of motion of sacrum

A
  1. Seated Flexion Test (checks unilateral sacral dysfunction)
  2. Sacral Rock Test (checks bilateral sacral dysfuntion)
26
Q

Scanning Examination?

A

Layer-by-Layer Palpation

(2nd stage of structural evaluation)

27
Q

Layer-by-layer

elements?

A
  1. Observation
  2. Temperature
  3. Skin Topography and Texture
  4. Fascia
  5. Muscle
  6. Tendon
  7. Ligament
  8. Bone
  9. Erythema Friction Rub
28
Q

What is Segmental Definition?

A

3rd stage of structural eval. look at a spinal segment to:

  1. define its motion characteristics
  2. assess end-feel
29
Q

OMM treatment modalities?

A
  1. Direct Techniques
  2. Muscle Energy
  3. Soft Tissue
  4. Direct Myofascial Release
  5. Articulatory
  6. High Velocity Low Amplitude Thrust
30
Q

Long muscles

Short muscles

A

OMM M1T1 test 1 (4 decks)

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