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Year 3 > COMBANK OMM COMAT > Flashcards

COMBANK OMM COMAT Flashcards

1
Q

relation between L5 and sacrum

A

L5 and the sacrum always rotate in opposite directions.
— Sidebending of L5 engages the ipsilateral sacral oblique axis.

Forward sacral torsions are associated with type I (neutral) mechanics at L5 whereas backward sacral torsions are associated with type II (non-neutral) mechanics at L5

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2
Q

anterior Chapman point for the sinuses

A

between the clavicle and first rib (superior aspect 2nd rib at midclavicular line)

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3
Q

posterior Chapman point for the sinuses

A

at the C2 articular pillar.

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4
Q

anterior CP for prostate

A

posterior/lateral margin of IT band

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5
Q

sulcus sign

A
  • shows: glenohumeral joint ligamentous laxity

- pull humerus inferiorly.

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6
Q

HVLA of ankle

A

restrictive barrier engaged by dorsiflexing and applying traction to ankle until firm bony restrictive barrier is met (while pt is supine)
- traction maintained & force directed in an arcing motion posteriorly and towards the floor

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7
Q

pelvic floor and bladder connection

A

pelvic floor mm improves urethral sphincter’s ability to delay urination via reflex bladder inhibition

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8
Q

achilles reflex n root

A

S1

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9
Q

patellar reflex n root

A

L4

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10
Q

herniated disc effect on reflexes of n.

A

decreased/absent

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11
Q

pancreas VS reflex

A

T5-T9 bilaterally or R side

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12
Q

stomach VS reflex

A

T5-T10 on L

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13
Q

esophagus VS reflex

A

T3-T6

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14
Q

upper lungs CP

A

3rd intercostal spaces

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15
Q

post CP for gallbladder

A

R T6 transverse process

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16
Q

sacrum movement during inspiration and exhalation

A

inspiration - sacrum extends

exhalation - sacrum flexes

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17
Q

muscles involved in opening the jaw

A

lateral pterygoid m.

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18
Q

SD of lateral pterygoid presentation

A

chin deviates to contralateral side when opening the jaw

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19
Q

muscles involved in closing the jaw

A

masseter
medial pterygoid
temporalis

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20
Q

what does OMM to pterygopalatine fossa do

A

stimulation produces a parasympathetic reflex response

- helps with sinus congestion and pain (thins secretions)

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21
Q

AL5 TP s/cs treatment position

A

FSBaROTa

knees brought toward side of TP in order to rotate L5 segment away

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22
Q

tx for patellofemoral syndrome

A

strengthen VMO (vastus medialis oblique)

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23
Q

muscles used for costal muscle energy to treat rib exhalation SD (restricted on inhalation)

A 
I got up at 1 Am
2 Pee
because from 3-5 PM
I drank 6-9 Sam Adams
and from 10-11 I Laid Down 
Quietly until 12
1 anterior scalenes
2 posterior scalenes
3-5 pec minor
2-8 serratus anterior (but mainly ribs 6-8)
9-12 lat dorsi
12 QL
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24
Q

law of laplace

A

fluid mechanics

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25
Q

least splanchnic n carries

A

symp inn to hindgut (T12)

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26
Q

greater splanchnic n carries

A

symp inn to foregut (T5-T9)

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27
Q

lesser splanchnic n carries

A

symp inn to midgut (T10-T11)

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28
Q

percutaneous reflex of Morley means …

A

pain and/or guarding of abd upon palp in presence of visceral path

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29
Q

Wolff’s law

A

bone structure will remodel to help support patterns of stress

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30
Q

Sherrington’s law

A

neurophysiology

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31
Q

common SD after birth (for mom)

A

bilateral sacral flexion

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32
Q

how does inguinal lig affect pelvic SD

A

inguinal lig attaches to pubis and ipsilateral ASIS

- Tension causes pubis to be superior

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33
Q

loss of foot dorsiflexion and eversion caused by

A 
common peroneal (fibular) nerve
(lose both superficial and deep branches)
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34
Q

tibial n innervates

A

posterior thigh mm
plantar flexors
foot evertors

35
Q

superficial peroneal n inn

A

foot eversion

sensation to lateral leg and dorsal foot

36
Q

deep peroneal n inn

A

foot dorsiflexion

37
Q

S1 compression causes

A

posterior leg pain/decreased sensation
gastroc weakness
diminished/absent achilles reflex

38
Q

How to use FPR

A

Put area in neutral position, then aply a compressive or torsional force while placing the SD into its freedom for 3-5s

39
Q

Setup for typical cervical HVLA with sidebending focus

A

only placed into restrictive barrier of sidebending (not rotation)
flexion/extension restrictive barrier is always engaged

  • rotation for rotation focus
40
Q

cardiac CP location

A

L 2nd intercostal space near the sternum

41
Q

ME positioning for forward sacral torsion (R)

A

pt prone with arms off table
lateral recumbant
side of axis dysfunction down

42
Q

OMT for dysmenorrhea

A

sacral inhibition

43
Q

first line pharmacotherapy for dysmenorrhea

A

NSAIDs

44
Q

indirect treatment of backward sacral torsion

A

anterior force to anterior ILA (opp ILA from the posterior/inferior one used in dx)

45
Q

indirect treatment of forward sacral torsion

A

anterior force to deep side base

46
Q

most common type of scoliosis

A

thoracic curvature convex on the R

47
Q

where are the anterior thoracic tenderpoints located

A
  • upper 6 are on sternum
  • – AT2 = angle of Louis
  • – AT5 = 1in superior to AT6
  • – AT6 = xiphosternal junction
  • lower are bilaterally on abdomen (except AT12)
  • – AT7 = tip of xiphoid
48
Q

Thomas test

A

screen for iliopsoas tightening

49
Q

lumbar/sacral SD’s associated with psoas hypertonicity

A
  • flexed dysfunctions of upper lumbars
  • extended dysfunction of L5
  • variable sacral and innominate dysfunctions
50
Q

cranial SD often found with infant difficulty feeding

A

occipital condylar dysfunction

51
Q

parallellogram pattern of SBS is associated with …

A

lateral strain

52
Q

L4 innervation testing

A

patellar reflex
sensation at medial leg/foot
foot-ankle inversion/dorsiflexion

53
Q

L5 innervation testing

A
  • toe dorsiflexion (including great toe)
  • LE abduction at hip (glut med)
  • sensation to proximal lateral leg and middle dorsum of the foot
54
Q

S1 innervation testing

A
  • achilles reflex
  • ankle eversion & plantarflexion
  • hip extension (glut max)
  • sensation to distal lateral leg and foot, including lateral portion of digit 5
55
Q

cranial bones flex.
this is called nutation or counter-nutation?
what happens to sacrum?

A

counter-nutation

sacrum moves posterior and superior

56
Q

cranial bones extend.
nutation or counter-nutation?
what happens to sacrum?

A

nutation

sacrum moves anterior and inferior

57
Q

SD associated with Horner’s syndrome

A

elevated 1st rib

58
Q

anterior lumbar TPs

A 
L1 = medial ASIS pressing laterally
L2 = medial AIIS pressing laterally
L3 = lateral AIIS pressing medially
L4 = inferior AIIS pressing cephalad
L5 = superior pubic ramus 1cm lat to pubic symph
59
Q

treatment positions for ant lumb TPs

A 
L1 = stand on same side as TP, flex, SB towards TP
L2-3 = stand opposite, flex, SB away from TP
L4 = stand same, flex, SB towards TP
L5 = stand same, flex, SB and ROT towards TP
60
Q

pedal pump contraindications

A

DVT, fx to lower extremity, recent abd surg

61
Q

order of spencer technique

A 
Every Foolish Child Tries Aspirating In Pools
Extension
Flexion
Circumduction with compression
Circumduction with traction
abduction
internal rotation
pump
62
Q

external rotation of temporal bone causes

A

low-pitched roaring tinnitus

& ipsilateral mandible deviation

63
Q

internal rotation of temporal bone causes

A

high-pitched humming/buzzing tinnitus

& contralateral mandible deviation

64
Q

change to ipsilateral medial malleolus in unilateral sacral flexion

A

inferior (due to relative leg lengthening)

65
Q

parasympathetic stimulation effect on phlegm

A

decreases number of goblet cells
thins secretions

(symp does opposite)

66
Q

most common thing resulting in severe complication of cervical HVLA

A

vertebral artery problems (Ex/ pre-existing unilateral atresia)

67
Q

compensatory changes in short leg syndrome

A
  • sacral base lower on the short side
  • innominate rotated anteriorly on short side
  • L spine SB away and ROT toward short side
  • iliolumbar and SI joints stressed on ipsilateral side
68
Q

when and how to do heel lift for short leg

A

do for femoral head diff >5mm
work up to same as discrepancy if recent inj
max 10-12mm lift

69
Q

lateral winging of scapula caused by

A

trap paralysis

instead of medial winging by SA

70
Q

medial pterygoid TP

A

post surface of ascending ramus of mandible about 2cm above angle of mandible on the side opposite of jaw dysfunction

71
Q

C1 TP

A

posterior surface of angle of the mandible at the level of the earlobe

72
Q

what happens to cuboid in inversion or supination ankle sprain

A

typically internally rotated (dropped)

– downward rotation of cuboid on the calcaneus

73
Q

tx for dropped cuboid

A

Hiss plantar whip (direct force to cuboid dorsally)

  • other options: muscle energy, BLT
74
Q

Locke’s technique

A
  • treats 1st metatarsal dorsal glide.

- force applied to joint of 1st MT and 1st cuneiform

75
Q

treatments for talocalcaneal joint

A
  • talar tug

- talo-calcaneal crunch

76
Q

tx position for inion TP

A

flexion

77
Q

Morton foot

A
  • shortening of the first metatarsal in relation to the second metatarsal
  • pain in ball and arch of foot associated with excessive pronation of the foot with internal hip rotation and functional shortening of the leg
78
Q

bunionette deformity

A

abnormal bony protuberance on the lateral side of the 5th MTP joint with an overlying hard corn

79
Q

restricted forearm supination = _____ radial head

A

posterior

restricted pronation = anterior

80
Q

landmark used to calculate heel lift height

A

sacral base unleveling

81
Q

Scheuermann kyphosis

A
  • rigid curvature not corrected by changes in position
  • on XR, see anterior wedging of at least 3 adjacent vertebral bodies and endplate abnormalities
  • also see Schmorl’s nodes
82
Q

Schmorl’s nodes

A
  • small protrusion of intervertebral discs into adjacent vertebral bodies
  • seen in Scheuermann kyphosis
83
Q

In seated or standing, SD is on the side of

A

superior PSIS

Year 3 (15 decks)

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