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COMAT Flashcards

1
Q

Seated flexion test: positive on the right
Sacral sulcus: deep on the right
Inferolateral angle: posterior on the left
Sacral base: springs freely

A

Left on Left Torsion

Left = b/c Ps on the left
Left = positive seated flexion on right
Torsion= Ps on the same side

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2
Q

To tx Left on Left ANTERIOR Torsion sacral dysfunction with an indirect technique in the prone position, gentle anterior force should be applied toward the

A

right sacral base

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3
Q

L3 vs L4 dermatones

A

L3 doesnt go below the knee

L4 = Medial leg & foot

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4
Q

J sign = pain worsens when using the stairs + improves w/ rest

positive patella grind test = Clarke test

A

Patellofemoral syndrome

x-ray =
- ↓ patellofemoral joint space
- lateral patellar tracking on sunrise view

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5
Q

IR of the talus & foot inversion

A

posterior fibular head dysfunction

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6
Q

T10–T11 - SANS

Upper GI = pancreas/duodenum, jejunum

Right colon

Adrenals

Gonads

Kidneys

upper ureter

A

superior mesenteric ganglion

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7
Q

stellate ganglion

A

level of C7 in front of the neck of the 1st rib - SANS

Head/neck + heart

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8
Q

celiac ganglion

A

T5–T9 - SANS

stomach, liver, gallbladder, spleen, pancreas/duodenum

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9
Q

Electromyography = nerve conduction study

A

confirm the dx of carpal tunnel syndrome

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10
Q

Post-isometric relaxation

A

a direct form of muscle energy (active)

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11
Q

FPR

A

Facilitated positional release = indirect and passive technique

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12
Q

Indirect OMT Techniques

A

MFR
Counterstrain – passive
Facilitated Positional Release (FPR) – passive
Balanced Ligamentous Tension (BLT)/Ligamentous Articular Strain (LAS) – passive

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13
Q

Direct OMT Techniques

A

MFR
Muscle Energy - active
HVLA – passive
Soft tissue – passive

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14
Q
  • excessive pronation of the foot = pain in the ball and arch
  • internal hip rotation
  • functional shortening of the leg
  • elongated 2nd toe
A

Morton foot (also known as Morton’s toe)

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15
Q

posterior radial head tx position

A

forearm extended and supinated

Dx = ease (pronation moves radial head posteriorly)

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16
Q

inversion, or supination, ankle sprain the cuboid is typically internally rotated (dropped)
Tx

A

Hiss Whip

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17
Q

tenderpoint halfway between the ILA of the sacrum and the greater trochanter of the femur

A

piriformis → Sciatica

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18
Q

Piriformis counterstain

A

Prone
F-Abdut-ER

Peeing dog

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19
Q

Spencer technique

A

muscle energy = direct tech

extension, flexion, circumduction w/ compression, circumduction w/ traction, abduction, internal rotation, pump

Tx: adhesive capsulitis

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20
Q

To calculate the necessary heel lift height, one must measure

A

sacral base unleveling difference

Heilig formula

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21
Q

parallelogram head

child is not feeding well and often spits up food after eating

A

Lateral strain w/ condylar compression

CN 9,10, 11, 12

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22
Q

L5 somatic dysfunction knowing the examination finding of the sacrum

A

L5 always

rotate in opposite directions

SB is ipsilateral sacral oblique axis

Type 1 Fryette’s

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23
Q

Dalrymple pump

A

Pedal pump

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24
Q

Miller pump

A

Thoracic pump

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25
Common peroneal nerve Deep fibular Superficial fibular
Common peroneal = slits off into fibular nerves Sole deep peroneal nerve injury = complete loss of dorsiflexion (i.e. a foot drop) Sole superficial peroneal nerve injury = affect foot eversion and sensation of the lateral leg and dorsal foot
26
Tissue texture change at T12 on the left Tenderpoint slightly medial to the left ASIS L1–L5 neutral, sidebent left, rotated right
Psoas issues Thomas test
27
FABER
hip + sacroiliac (SI) joint anterior portion of the hip pain
28
FADIR
tension on the femoroacetabular joint stresses the labrum
29
T12 Left colon Pelvis lower half of ureter bladder genitalia
Inferior mesenteric ganglion
30
Masseter TMJ TP
inferior aspect of the zygoma on the side of the TP
31
Medial Pterygoid TMJ TP
away from the TP ( posterior surface of the ascending ramus of the mandible about 2 cm above the angle of the mandible)
32
Torsion ME positions
lay on axis & rotate opposite Anterior: R on R or L on L = face down Posterior: L on R or R on L = face up | Rotation on axis ## Footnote Forward sacral torsions are patient's torso facing the table Backward sacral torsions are patient’s back on the table
33
Restricted forearm supination and tenderness over the radial head indicates a
Posterior radial head
34
What would indicate the short side
- Sacral base will be lower towards - Innominate rotated **anteriorly** towards - Lumbar **rotated** towards
35
the recommended time before increasing the heel lift is
1-2 weeks
36
is a useful mnemonic to remember facet orientations
BUM = Cervical Posterior Superior medial BUL = Thoracic Posterior Superior lateral BUM = Lumbar Posterior Superior medial
37
Affected nerve → poor latching & occipital condylar compression
hypoglossal nerve (cranial nerve XII)
38
Rib 1 ME
Anterior and middle scalenes ## Footnote Lift head anteriorly against resistance
39
Rib 2 ME
Posterior scalene ## Footnote Lift head anteriorly with 30° of contralateral rotation against resistance
40
Ribs 3-5 ME
Pectoralis minor ## Footnote Bring ipsilateral elbow toward opposite ASIS against resistance
41
Ribs 6-8 ME
Serratus anterior ## Footnote Bring ipsilateral flexed elbow anteriorly (ie, scapular protraction) against resistance
42
Ribs 9-10
Latissimus dorsi ## Footnote Bring ipsilateral upper extremity into adduction against resistance
43
Ribs 11-12
Quadratus lumborum ## Footnote Bring ipsilateral hip superiorly against resistance
44
pain, numbness, and tingling in the UE that worsens w/ activity requiring the arm to go above the head
Thoracic Outlet Syndrome = Adson test (radial pulse ∆)
45
T2 landmark
Suprasternal notch
46
T3 landmark
Spine of the scapula
47
T7 landmark
Inferior angle of the scapula
48
T9 landmark
Xiphisternal joint
49
L4-L5 landmark
Iliac crest
50
Left greater wing of the sphenoid: superior Right greater wing of the sphenoid: inferior Left occiput: inferior Right occiput: superior
Left crainal torsion ## Footnote 1 anteroposterior (AP) axis
51
long thoracic nerve is comprised of nerve roots
C5-C7
52
Shoulder pain adduction + internal rotation
posterior dislocation of the shoulder
53
Patrick test
assess disorders of the sacroiliac joint, such as sacroiliitis | FABER test
54
thessaly test
detect meniscal tears in the knee
55
A child with a radial head subluxation will be holding the arm
in a slightly flexed position at the elbow & pressed up against his body
56
Tx of nursemaid's elbow (radial head subluxation)
full flexion = elbow supination = forearm
57
iliacus muscle tenderpoint
1/3 from ASIS F + ER
58
OA resists left translation
so its SB Left
59
posterior fibular head dysfunction
initial positioning = restrictive barrier (dorsiflexion, eversion, and external rotation) patient's force = ease/dx (plantar flexion, inversion, and internal rotation).
60
the only muscle involved in opening the jaw, and somatic dysfunction
lateral pterygoid muscle
61
Transverse plane Vertical axis
Rotational
62
Sagittal plane Transverse axis
Flexion Extension
63
Coronal plane AP axis
SB
64
rotated right & SB left positive Adams forward bend test = **resolves** w/ right SB
functional dextroscoliosis
65
# HVLA for cuboid vs cuneiform vs navicular
cuboid = thrust the foot laterally toward the floor cuneiform = thrust the foot straight toward the floor navicular = thrust the foot medially toward the floor
66
short leg syndrome sacral dysfunction
forward sacral torsion | left on left or right on right
67
Counterforce
Ease
68
A common somatic dysfunction in the post-partum period is
B/L sacral flexion
69
Positive Thomas test
the flex leg = the side psoas is affected
70
Lateral vs Medial winging of scapula
Lateral = Trap (Long thoraic) Medial = Serratus Anterior (Spinal accessory)
71
flexed lumbar segment involves
IR & adduction
72
Positive Trendelenburg sign
the side the leg is standing on is the affected glut medius | Superior Gluteal Nerve
73
**-------------** medial malleolus will be more inferior
ipsilateral
74
balanced ligamentous tension (BLT) technique’s physiologic mechanism
proprioceptive feedback
75
Crohns Chapmans point
Right Proximal Femur (ileocecal junction)
76
parasympathetic ganglion tx is useful for
Sinusitis & TMJ
77
percutaneous reflex of morley
direct transfer of inflammatory irritation from the viscera to the parietal peritoneum & ab wall w/o reflex through the visceral afferent nerve on a somatic afferent near the mesentery
78
Sherrington's law
↑ innervation to a muscle is accompanied by ↓ innervation to its antagonist
79
Inherent (craniosacral) and respiratory motion occur along the
superior transverse axis of the sacrum
80
Pronator Teres Spasm dx
entrapment of the median nerve by the pronator teres muscle ## Footnote pain in the volar forearm region, aggravated by resisted pronation w/ flexion Tinel sign over proximal edge of PT

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