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COMLEX - OMED > Chapter 1 - The Basics > Flashcards

Chapter 1 - The Basics Flashcards

1
Q

Somatic Dysfunction definition

A

impaired skeletal, arthrodial, myofascial structures, blood supply, lymph, & nervous function may be altered

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2
Q

TARt

A

TTC + Asymmetry of structure + Restriction of motion + tenderness

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3
Q

TTC

A

edematous, tender, fibrosed, atrophied, rigid, or hypertonic

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4
Q

Physiologic barrier

A

point to which pt can actively move joint

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5
Q

Anatomic barrier

A

point to which a physician can passively move joint

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6
Q

Movement beyond the anatomic barrier

A

will cause ligament, tendon, or skeletal injury

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7
Q

Restrictive (Pathologic) Barrier

A

lies before the physiologic barrier & prevents full ROM

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8
Q

Pathologic Neutral

A

If SD is present, the neutral position will not be at midline

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9
Q

The only subjective component of TART

A

tenderness

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10
Q

TTC of acute SD

A

edematous, erythematous, boggy, moisture, hypertonic

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11
Q

Asymmetry of acute SD

A

present

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12
Q

Restriction of acute SD

A

present, painful

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13
Q

Tenderness of acute SD

A

severe, sharp

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14
Q

TTC of chronic SD

A

decreased or no edema, no erythema, cool dry skin, slight tension, decreased muscle tone, flaccid, ropy, fibrotic

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15
Q

Asymmetry of chronic SD

A

present w/ compensation in other areas of the body

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16
Q

Restriction of chronic SD

A

present, decreased, or no pain

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17
Q

Tenderness of chronic SD

A

dull, achy, burning

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18
Q

Year of Fryette’s laws

A

1918

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19
Q

Fryette Law I

A

Neutral, group curve, side bending proceeds rotation & SB and R occur in opposite directions

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20
Q

Fryette Law II

A

Flexed or Extended, rotation proceeds SB, SB and R occur in same direction, single segment

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21
Q

Fryette Law III created by

A

CR Nelson in 1948

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22
Q

Fryette Law III

A

motion in one plane decreases motion in the other 2 planes

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23
Q

When naming dysfunctions, always use which segment as a reference?

A

segment below (i.e. SD of T2 is described as restriction of T2 on T3)

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24
Q

Facet orientation of the cervical spine

A

Backward, upward, medial

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25
Q

Facet orientation of the thoracic spine

A

Backward, upward, lateral

26
Q

Facet orientation of the lumbar spine

A

Backward, medial

27
Q

Flexion/Extension of the spine occurs in which plane?

28
Q

Flexion/Extension of the spine occurs about which axis?

A

transverse

29
Q

Rotation of the spine occurs in which plane?

A

transverse

30
Q

Rotation of the spine occurs about which axis?

31
Q

Sidebending of the spine occurs in which plane?

32
Q

Sidebending of the spine occurs about which axis?

33
Q

Isotonic Contraction

A

origin & insertion approximate, but muscle tension is constant; operator F < patient F

34
Q

Isometric Contraction

A

Muscle tension increases, but no change in muscle length; operator F = patient F

35
Q

Isolytic Contraction

A

Muscle contraction against force, forcing muscle to lengthen; operator F > patient F

36
Q

Concentric Contraction

A

origin & insertion approximate (mm shortens)

37
Q

Eccentric Contraction

A

muscle lengthens

38
Q

Direct OMT

A

engages the restrictive barrier

39
Q

Indirect OMT

A

moves away from the restrictive barrier

40
Q

Passive technique

A

patient is relaxed & physician moves body tissues

41
Q

Active technique

A

patient assists usually w/ isometric or isotonic contraction

42
Q

Direct or Indirect? Active of Passive?

Counterstrain

A

Indirect - Passive

43
Q

Direct or Indirect? Active of Passive?

FPR

A

Indirect - Passive

44
Q

Direct or Indirect? Active of Passive?

Muscle Energy

A

Direct - Active

45
Q

Direct or Indirect? Active of Passive?

HVLA

A

Direct - Passive

46
Q

Direct or Indirect? Active of Passive?

Cranial

A

Direct and/or Indirect - Passive

47
Q

Direct or Indirect? Active of Passive?

Lymphatic Tx

A

Direct - Passive

48
Q

Direct or Indirect? Active of Passive?

Chapman’s reflexes

A

Direct - Passive

49
Q

Direct or Indirect? Active of Passive?

Myofascial release

A

Indirect and/or direct; passive and/or active

50
Q

Elderly & hospitalized patients best tolerate?

A

indirect techniques or gentle direct (ART)

51
Q

Contraindications of osteoporosis or metastatic cancer pts?

A

HVLA - could lead to fractures

Primarily a concern for rib fx

52
Q

Acute neck strains best tolerate?

A

indirect techniques

53
Q

For sick pts limit OMT to

A

a few key areas

54
Q

Pediatric pts may need to be treated

A

more frequently

55
Q

Geriatric pts may need to be treated

A

less frequently - require longer time to respond

56
Q

Acute cases should be treated how with regards to frequency?

A

shorter intervalas b/w treatments; increase interval as they respond to treatment

57
Q

Before treating psoas syndrome, treat ? or ? 1st.

A

lumbar or thoraco-lumbar 1st

58
Q

Before treating cervical spine, treat ? and ? 1st

A

ribs & upper thorax 1st

59
Q

Before treating ribs, treat ? 1st.

A

Thoracic spine

60
Q

For acute SD, treat ? 1st to allow access to acute areas.

A

peripheral areas 1st

61
Q

What is a good technique to relax the pt so future OMT is more successful?

62
Q

For extremity SD, treat ? , ? and ? 1st.

A

spine, sacrum, & ribs 1st (axial skeleton)

COMLEX - OMED (20 decks)

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