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OMM > COMAT > Flashcards

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
Q

Common peroneal nerve

Deep fibular

Superficial fibular

A

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

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26
Q

Tissue texture change at T12 on the left
Tenderpoint slightly medial to the left ASIS
L1–L5 neutral, sidebent left, rotated right

A

Psoas issues
Thomas test

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27
Q

FABER

A

hip + sacroiliac (SI) joint
anterior portion of the hip pain

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28
Q

FADIR

A

tension on the femoroacetabular joint
stresses the labrum

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29
Q

T12

Left colon
Pelvis
lower half of ureter
bladder
genitalia

A

Inferior mesenteric ganglion

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30
Q

Masseter TMJ TP

A

inferior aspect of the zygoma on the side of the TP

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31
Q

Medial Pterygoid TMJ TP

A

away from the TP ( posterior surface of the ascending ramus of the mandible about 2 cm above the angle of the mandible)

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32
Q

Torsion ME positions

A

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

Forward sacral torsions are patient’s torso facing the table
Backward sacral torsions are patient’s back on the table

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33
Q

Restricted forearm supination and tenderness over the radial head indicates a

A

Posterior radial head

34
Q

What would indicate the short side

A
  • Sacral base will be lower towards
  • Innominate rotated anteriorly towards
  • Lumbar rotated towards
35
Q

the recommended time before increasing the heel lift is

A

1-2 weeks

36
Q

is a useful mnemonic to remember facet orientations

A

BUM = Cervical
Posterior Superior medial

BUL = Thoracic
Posterior Superior lateral

BUM = Lumbar
Posterior Superior medial

37
Q

Affected nerve → poor latching & occipital condylar compression

A

hypoglossal nerve (cranial nerve XII)

38
Q

Rib 1 ME

A

Anterior and middle scalenes

Lift head anteriorly against resistance

39
Q

Rib 2 ME

A

Posterior scalene

Lift head anteriorly with 30° of contralateral rotation against resistance

40
Q

Ribs 3-5 ME

A

Pectoralis minor

Bring ipsilateral elbow toward opposite ASIS against resistance

41
Q

Ribs 6-8 ME

A

Serratus anterior

Bring ipsilateral flexed elbow anteriorly (ie, scapular protraction) against resistance

42
Q

Ribs 9-10

A

Latissimus dorsi

Bring ipsilateral upper extremity into adduction against resistance

43
Q

Ribs 11-12

A

Quadratus lumborum

Bring ipsilateral hip superiorly against resistance

44
Q

pain, numbness, and tingling in the UE that worsens w/ activity requiring the arm to go above the head

A

Thoracic Outlet Syndrome = Adson test (radial pulse ∆)

45
Q

T2 landmark

A

Suprasternal notch

46
Q

T3 landmark

A

Spine of the scapula

47
Q

T7 landmark

A

Inferior angle of the scapula

48
Q

T9 landmark

A

Xiphisternal joint

49
Q

L4-L5 landmark

A

Iliac crest

50
Q

Left greater wing of the sphenoid: superior
Right greater wing of the sphenoid: inferior
Left occiput: inferior
Right occiput: superior

A

Left crainal torsion

1 anteroposterior (AP) axis

51
Q

long thoracic nerve is comprised of nerve roots

A

C5-C7

52
Q

Shoulder pain
adduction + internal rotation

A

posterior dislocation of the shoulder

53
Q

Patrick test

A

assess disorders of the sacroiliac joint, such as sacroiliitis

FABER test

54
Q

thessaly test

A

detect meniscal tears in the knee

55
Q

A child with a radial head subluxation will be holding the arm

A

in a slightly flexed position at the elbow & pressed up against his body

56
Q

Tx of nursemaid’s elbow (radial head subluxation)

A

full flexion = elbow
supination = forearm

57
Q

iliacus muscle tenderpoint

A

1/3 from ASIS

F + ER

58
Q

OA resists left translation

A

so its SB Left

59
Q

posterior fibular head dysfunction

A

initial positioning = restrictive barrier (dorsiflexion, eversion, and external rotation)

patient’s force = ease/dx (plantar flexion, inversion, and internal rotation).

60
Q

the only muscle involved in opening the jaw, and somatic dysfunction

A

lateral pterygoid muscle

61
Q

Transverse plane
Vertical axis

A

Rotational

62
Q

Sagittal plane
Transverse axis

A

Flexion
Extension

63
Q

Coronal plane
AP axis

A

SB

64
Q

rotated right & SB left
positive Adams forward bend test = resolves w/ right SB

A

functional dextroscoliosis

65
Q

HVLA for

cuboid vs cuneiform vs navicular

A

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
Q

short leg syndrome sacral dysfunction

A

forward sacral torsion

left on left or right on right

67
Q

Counterforce

A

Ease

68
Q

A common somatic dysfunction in the post-partum period is

A

B/L sacral flexion

69
Q

Positive Thomas test

A

the flex leg = the side psoas is affected

70
Q

Lateral vs Medial winging of scapula

A

Lateral = Trap (Long thoraic)

Medial = Serratus Anterior (Spinal accessory)

71
Q

flexed lumbar segment involves

A

IR & adduction

72
Q

Positive Trendelenburg sign

A

the side the leg is standing on is the affected glut medius

Superior Gluteal Nerve

73
Q

————- medial malleolus will be more inferior

A

ipsilateral

74
Q

balanced ligamentous tension (BLT) technique’s physiologic mechanism

A

proprioceptive feedback

75
Q

Crohns Chapmans point

A

Right Proximal Femur (ileocecal junction)

76
Q

parasympathetic ganglion tx is useful for

A

Sinusitis & TMJ

77
Q

percutaneous reflex of morley

A

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
Q

Sherrington’s law

A

↑ innervation to a muscle is accompanied by ↓ innervation to its antagonist

79
Q

Inherent (craniosacral) and respiratory motion occur along the

A

superior transverse axis of the sacrum

80
Q

Pronator Teres Spasm dx

A

entrapment of the median nerve by the pronator teres muscle

pain in the volar forearm region, aggravated by resisted pronation w/ flexion
Tinel sign over proximal edge of PT

OMM (1 decks)

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