Chapter 1 - Basics

Question 1

TART

Answer 1

Tissue texture change
Asymmetry
Restriction
Tenderness

Question 2

3 types of barriers

Answer 2

Anatomic (passive ROM)
Physiologic (active ROM)
RESTRICTIVE (pathologic ROM)

Question 3

Only subjective component of TART

Answer 3

Tenderness

Question 4

Acute or chronic…

Edematous, erythematous, boggy, increased moisture, hypertonic

Answer 4

Acute

Question 5

Acute or chronic…

Little edema, cool, dry, tense, flaccid, ropy

Answer 5

Chronic

Question 6

Acute or chronic…

Compensation

Answer 6

Chronic

Question 7

Acute or chronic…

Restrictive and painful with movement

Answer 7

Acute

Question 8

Acute or chronic…

Restrictive without pain

Answer 8

Chronic

Question 9

Acute or chronic…

Dull, achy, burning

Answer 9

Chronic

Question 10

Type 1 spinal mechanics (neutral) - does rotation or sidebending come first?

Answer 10

Sidebending (rotation occurs as a result)

Question 11

See Type 1 Mechanics…

Think ____ and ____

Answer 11

GROUP, OPPOSITE

Question 12

See Type 2 Mechanics…

Think ____ and ____

Answer 12

SINGLE VERTEBRA, SAME SIDE

Question 13

Type 2 spinal mechanics (F or E) - does rotation or sidebending come first?

Does every vertebrae that is F or E do this?

Answer 13

Rotation (SB occurs as a result)

NO, only 1

Question 14

Type 1 and Type 2 mechanics - think ___ or ___

Answer 14

THORACIC, LUMBAR

Question 15

Initiating motion in any 1 vertebral plane will (increase/decrease) the ability to move in the other 2 planes

Answer 15

DECREASE

Question 16

Describing motion in any 1 vertebra means its motion in relation to what other vertebra?

Answer 16

The one BELOW

Aka…L4 restriction means L4 on L5

Question 17

L4 PTP on the R
In flexion, the PTP goes away

Diagnosis?

Answer 17

L4 F RrSr

Question 18

SUPERIOR facet orientation

• Cervical
• Thoracic
• Lumbar

Answer 18

Cervical = BUM (backward, upward, medial)

Thoracic = BUL (backward, upward, lateral)

Lumbar = BM (backward, medial)

Question 19

Isolytic contraction

Answer 19

Contraction against resistance while forcing the muscle to lengthen (like failing to hold up a weight)

Question 20

Concentric contraction

How does this differ from isotonic?

Answer 20

Results in origin and insertion getting closer

Here, no opposing force that the muscle must overcome

Question 21

Eccentric contraction

Does this differ from isolytic?

Answer 21

“Negatives”

Isolytic is a specific form of eccentric used to lengthen fibrotic muscles

Question 22

Direct, Indirect, or Both…

• MFR
• Counterstrain
• FPR
• ME

Answer 22

MFR = BOTH
Counterstrain = Indirect
FPR = Indirect
ME = Direct

Question 23

Direct, Indirect, or Both…

• HVLA
• Cranial
• Lymphatics
• Chapman’s reflexes

Answer 23

HVLA = Direct
Cranial = BOTH
Lymphatics = Direct
Chapmans = Direct

Question 24

Elderly and hospitalized patients - treatments

Answer 24

Indirect, articulatory

Question 25

Acute neck strain/sprains - treatments

Answer 25

Indirect (prevent further strain)

Question 26

Sicker patients, limit OMT to ___

Answer 26

A few key areas

Question 27

Allow time between treatments for ____

Answer 27

The patient’s body to respond and recover

Question 28

Acute cases should have a (shorter/longer) time between treatments

Answer 28

Shorter

Question 29

Psoas syndrome - first treatment

Answer 29

Lumbar spine

Question 30

Order of treatment…C-spine, ribs, upper thoracics

Answer 30

1. Ribs/thoracics

2. C spine

Question 31

Order of treatment…thoracic spine, ribs

Answer 31

1. Thoracic spine

2. Ribs

Question 32

Order of treatment…acute area, surrounding areas

Answer 32

1. Surrounding areas

2. Acute area

Question 33

___ treatments can make patient relax prior to using OMT in other areas

Answer 33

Cranial

Question 34

Order of treatment…extremities, axial skeleton

Answer 34

1. Axial skeleton

2. Extremities