3- Lumbar ME Flashcards

1
Q

ME is ___ and ___-

A

active and direct

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2
Q

ME was first used by _____

A

Fred Michel Sr

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3
Q
  • Eye movements

* Contraction of cervical muscles and relaxation of antagonists

A

– Oculocervical Reflex

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4
Q

• Directing force of respiration while using a fulcrum to direct the SD through the barrier

A

– Respiratory Assistance

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5
Q

• Physician needs to resist the contraction and then take up the slack in the fascias during the relaxed refractory period

A

– Posisometric Relaxation

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6
Q

In Postisometric relaxation, there is increased tension in the _____ ____, and is followed by a ______ of relaxation

A

Golgi tendon, refractory period

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7
Q
  • Patient actively contracts muscles to cause movement, physician directs that muscle contraction to restore motion
  • Similar to HVLA
A

– Joint Mobilization using Muscle Force

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8
Q

• Contraction of an agonist to relax the antagonist (bicep/tricep)

A

– Reciprocal Inhibition

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9
Q

Absolute contraindications

A

Bad injury in which OMT will actually cause more harm (broken bone), uncooperative patient

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10
Q

Relative contraindications

A

muscle strain, osteoporosis, severe illness (post-surgical, or MI)

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11
Q

for ME the pt is put into the ____ and contracts into _____

A

restriction, freedom of motion

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12
Q

3 characteristics of a vertebral body

A

large, thick (more anteriorly), and L4= iliac crest

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13
Q

Send bending of the lumbar causes a

A

contralateral translatory slide

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14
Q

rotation is coupled with

A

disk compression

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15
Q

origin/insertion, function, and dysfunction of latissimus dorsi

A
  • T7-12, iliac crest, thoracolumbar fascia humerus
  • Adducts, extends, internally rotates arm
  • Extension & sidebending of lumbar spine
  • Hypertonicity = shoulder pain (BODY IS A UNIT)
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16
Q

origin/insertion, function, and dysfunction of glutues maximus

A
  • Thoracolumbar fascia, dorsal sacrum, sacrotuberous ligament, Ilium IT band, Greater tuberosity of femur
  • Extends hip and stabilizes torso
  • Low back pain and difficulty extending hip= must evaluate lumbar AND gluteal regions
17
Q

origin/insertion, function, and dysfunction of erector spinae

A

•Sacrum to cervical
lateral to medial ILS• Bilateral contraction = extension
• Unilateral contraction = extension + ipsilateral sidebending

18
Q

origin/insertion, function, and dysfunction of QL

A
  • 12th rib, lumbar transverse processes iliolumbar ligament, iliac crest
  • bilateral contraction= extension
  • unilateral contraction= extension with ipsilateral sidebending
19
Q

origin/insertion, function, and dysfunction of iliopsoas

A

• Transverse processes of T12-L5 lesser trochanter of femur

20
Q

postural muscles that stabilize individual vertebrae

A

multofodus and rotatores

21
Q

Runs from the base of the occiput to the anterior sacrum

A

ALL

22
Q
  • Narrows in the lumbar region

* Decreased support, increased risk of herniation

A

PLL

23
Q
  • First ligament to become tender with lumbar posture changes
  • Tender area 1” superior & lateral to PSIS on the crest
A

Iliolumbar ligament

24
Q

For a person with back pain the physician must____

A

take a good history

25
Q

neutral, S and R in opposite directions, group

A

Type I

26
Q

F/E, S and R in same direction, single

A

Type II

27
Q

How to treat N RrSl

A

pt in lateral recumbent, convex side up, lift legs, pt pushes down

28
Q

What muscles are utilized in Type I treatment when you flex the knees and hips until motion is felt

A

psoas and abdominals

29
Q

In FDR what muscles are utilized in lumbar extension and rotation and lifting the legs

A

Extension: bilateral erector spinae and QL
Rotation: multifidi and rotatores
Sidebend: unilateral erector spinae and QL

30
Q

In SUE what muscles are utilized in flexion, rotation, sidebending

A

Flexion: psoas and abdominal
Rotation: multifidi and rotatores
Sidebend: unilateral erector spinae