COMLEX OMM Flashcards
Primary motions of the following regions of the C-spine
OA
AA
C2-7
OA: flexion/extension
AA: rotation
C2-7: side-bending
Short-leg syndrome treatment
Lift to the level of the sacral base. Start by 1/8” and increase by 1/16” each 2 weeks.
In elderly, start with 1/16”. With trauma, replace full length.
Pump handle ribs
T1-5
Bucket handle ribs
T6-10
Muscle target: rib 1
Anterior/middle scalene mm.
Muscle target: rib 2
Posterior scalene m.
Muscle target: ribs 3-5
Pectoralis minor m.
Muscle target: ribs 6-8
Serratus anterior m.
Muscle target: ribs 9-11
Latissimus dorsi m.
Muscle target: rib 12
Quadratus lumborum m.
Sacral axes motion:
Superior transverse axis
Middle transverse axis
Inferior transverse axis
Superior transverse axis: respiratory
Middle transverse axis: postural (F/E)
Inferior transverse axis: LE motion
Radial head dysfunctions
Anterior RH associated with supination
Posterior RH associated with pronation
Increased Q angle
Decreased Q angle
Increased: genu valgus
Decreased: genu varus
3 paired motions/phases of cranial flexion
Inhalation
ER of paired structures
Counternutation
3 paired motions/phases of cranial extension
Exhalation
IR of paired structures
Nutation
Axes: lateral strain
2 vertical axes
Axes: vertical strain
2 transverse axes
Axes: torsion
1 AP axis
Axes: SB/rotation
1 AP (same) 2 vertical (opposite)
Anterior cervical CS
AC1: Ra
AC2-6: FSaRa
AC7: FStRa
AC8: FSaRa
Posterior cervical CS
PC1 inion: FStRa
PC1 occiput: ESaRa
PC2: ESaRa
PC3: FSaRa
PC4-8: ESaRa
Anterior thoracic CS
AT1-6: F
AT7-12: FStRa
Posterior lumbar CS
PL1-5: ESaRa
Anterior lumbar CS (and locations)
AL1 (ASIS): FStRa
AL2 (medial AIIS): FSaRt
AL3 (lateral AIIS): FSaRt
AL4 (inferior AIIS): FSaRt
AL5 (pubic symphysis): FSaRa
Anterior ribs CS
Posterior ribs CS
Anterior: FStRt
Posterior:
PR1: ESaRt
PR2-10: FSaRa
Eyes CP
Surgical neck of humerus
Middle ear CP
Superior to proximal 1/3 of clavicle
Nasal sinuses CP
Below proximal 1/3 of clavicle
Pharynx CP
Below 1st rib/manubrium jct.
Larynx CP
2-3 cm. lateral to strenocostal jct.
Tonsils CP
1st ICS
Tongue CP
On 2nd rib
Appendix CP (A vs. P)
Ant.: tip of 12th rib
Post.: TP of T11
Increased carrying angle
Decreased carrying angle
> 15 deg. = cubitus valgus and abduction of ulna
<3 deg. = cubitus varus and adduction of ulna
What type of mechanics do compensation of forward vs. backward torsions follow?
Forward: type 1 (N SR same)
Backward: type 2 (F/E SR opposite)
VS head/neck
T1-4
VS heart
T1-5
VS lungs
T2-7
VS esophagus
T2-8
VS upper GI, middle GI, lower GI, appendix
Upper: T5-9
Middle: T10-11
Lower: T12-L2
Appendix: T12
VS kidney
T10-11
VS adrenals
T10
VS upper ureter, lower ureter
Upper ureter: T10-11
Lower ureter: T12-L1
VS bladder
T11-L2
VS gonads
T10-11
VS uterus/cervix
T10-L2
VS erectile tissues
T11-L2
SNS nerve and ganglion: upper GI
Greater splanchnic n.
Celiac ganglion
SNS nerve and ganglion: middle GI
Lesser splanchnic n.
Superior mesenteric ganglion
SNS nerve and ganglion: lower GI
Least splanchnic n.
Inferior mesenteric ganglion
VS prostate
T12-L2
VS UE, LE
UE: T2-8
LE: T11-L2
PSNS of GI
CN X until distal half of transverse colon
Pelvic splanchnic n. past distal half of transverse colon
Fibular head mechanics
Posterior fibular head is paired with supination (adduction, PF, inversion)
Anterior fibular head is paired with pronation (abduction, DF, eversion)
CS and location: psoas m.
2/3 from ASIS to midline; F St
CS and location: iliacus m.
1/3 from ASIS to midline; F ER w/ knees flexed
CS and location: low ilium
Anterior and superior aspect of pubic ramus; IL flexion
CS and location: inguinal
Lateral to pubic tubercle; F Add IR
CS and location: piriformis m.
Anywhere from lateral sacrum to greater trochantor; F Abd
CS and location: UPL5, LPL5
UPL5: superior PSIS; E Add IR/ER
LPL5: inferior PSIS; F Add IR
CS and location: gluteus medius m.
2/3 from PSIS to TFL; E Abd ER
