Exam I Flashcards
For ANY disease state, the patient must be before performing OMT
STABLE
somatic dysfunction can occur anywhere in the body at
sympathetic levels
parasympathetic levels
soma
viscero somatic reflexes occur at
sympathetic and parasympethetic levels
facilitated segments ONLY occur at
sympathetics (red)
convexity to the right = side bending to the
left
greatest motion in the thoracic spine is
rotation
least motion in the thoracic spine is
extension
how is rib 10 categorized
typical or atrypical
what is the muscle in the back most likely involved with type II dysfunction
rotatores
Anterior T1-T6 counterstrain tender points are treated with
flexion
people with COPD are more likely to have a ______ diaphragm and diminished _______ ____ ______
flattened; zone of appostion
what does treatment of a COPD patient improve
diaphragmatic excursion which improves the pressure gradient between abdominal cavity and thoracic, which improves lymphatic flow
which direction do vertebral bodies tend to rotate
the side of dysfunciton
if you have LLL pneumonia, which way do you expect the vertebrae to rotate
left
if you have cholecystititis, which way will the vertebrae rotate
right
movement in a transverse plane about a vertical axis
rotation
movement in a coronal plane about an anterior-posterior axis
side bending
anterior movement in a sagittal plane about a transverse axis
flexion
posterior movement in a sagittal plane about a transverse axis
extension
T2 N SLRR is an example of what law
fryette law 1
is there a sagittal component in fryette type I
NOI
In type I, side bending ______ rotation
preceedes
In a type I dysfunction, side bending occurs ______ the convexity
towards
in type II, rotation _____ side bending
precedes
Type II usally applies to how many vertebrae
one
T4 E SLRL is what type
type II
where do the spinous processes of T1-3 project
posteriorly, spinous process is in the same plane as the transverse process of the vertebrae
where do the spinous process of T4-6 project
downward, the tip of the spinous processs is in a plane halfway between the vertebrae’s transverse process and the transverse process below it
where do the spinous process of T7-9 project
moderately downward, spinous process is in a plane with the transverse process below it
what rule of 3 does T10 follow
T7-9
what rule of 3 does T11 follow
T4-6
what rule of 3 does T12 follow
T1-3
an indirect technique takes the dysfunction into the the position of ______
injury
what technique uses compressive, tractional, torsional component
indirect
what technique uses external forces
direct
Counterstrain, FPR, BLT, functional technique are all examples of
indirect techniques
describe FPR
- indirect technique
- body in neutral position
- compression applied to shorten muscle, muscle fibers and place area into ease of motion
where are the three hiatus at on the diaphragm
IVC -8
Esophagus- 10
Aoprta- 12
what is the bony attachment of the diaphragm
there is none
soft tissue, articulatory, ME, HVLA, springing art all examples of
Direct Techniques
Orientation of superior facets
BUM, BL, BM
orinetation of inferior facets
AIL, AIM, AL
what leads to tissue texture changes such as hypertonicity, moisture, erythema, etc.
post ganglionic sympathetic fibers
what are the sympathetic levels of the head and neck
T1-T4
what are the sympathetic levels of the heart
T1-T5/6
what are the respiratory sympathetic levels
T1-T7
what are the sympathetic levels of the esophagus
T2-T8
what are the sympathetic levels of the upper GI tract
T5-T9
what are the sympathetic levels of the middle GI
T10-T11
what are the sympathetic levels of the lower GI tract
T12-L2
what are the sympathetic levels of the arms
T2-T8
what are the sympathetic levels of the legs
T11-L2
what is the parasympathetics to the ovaries/kidneys
both vagus nerve and S2-S4
what is the order from top to bottom of the collateral ganglia
celiac, super mes, inf mes
where is the sympathetic preganglionics
T5-L2
where is the celiac post ganglion
T5-T9 (stomach, gallbladder)
where is the sup m,es ganglion
T10-T11
where is the inf mes ganglion
T12-L2 (sigmoid)
where does the greater splanchnic nerves originate
T5-T9
where does the lesser splanchnic nerves originate
T10-T11 (appendix
where does the least splanchnic and lumbar splanchnic originate
T12; L1-L2
where is mcburney’s point
tip of right 12th rib; appendicitis
what has to be treated before any other lympohatic treatment
thoracic outlet syndrome
you have to open myofascial pathways at the ______ _____
transition zones
Anterior cervical fascia release
Thoracic inlet myofascial release
Pectoral Traction
are examples of
transition zones
what is the effects lymphatics have on the diaphragm
flattening
what are the effects of COPD on the diaphragm
restriction
- flattened (diminished zone of apposition)
- decreased lymphatic drainage
which ribs are pump handle
ribs 1-5
what ribs are bucket handle
6-10
what ribs are caliper
ribs 11, 12
pump handle ribs move in predominantly what plane and where are they best palpated
anterior/superior (sagittal)
mid clavicular
where do bucket handle ribs move and where are they best palpated
laterally (coronal)
mid-axillary
inhaled ribs are prominent
anterior
anterior rib counterstrain points are associated with ______ rib somatic dysfunciton
exhaled
patients pain increases with inhales indicates
exhalation rib somatic dysfunciton
Flexion occurs in what plane
Saggy tail
Flexion occurs in what axis
Transverse
What is done first in FPR
Put in neutral position
What ganglia is associated with gastritis
Celiac
What ganglia associated with cholecystis
Celiac
What ganglia associated with appendicitis
Superior messenteric
Which nerve gastritis
Greater splanchnic
Which nerve scholecystis
Greater splanchnic
Which nerve appendicits
Lesser splanchnic
Which levels associated with gastritis
T5-T9
Which levels associates with cholecystis
T5-T9
Which levels are associated with appendicits
T10-T11
Which levels are associated with sigmoid colon
T12-L2
What ganglia are ass. With sigmoid colon
Inf messenteric
What nerve ass. With sigmoid colon
Least and lumbar splanchnic
Anterrior counter strain is for what dysfunction
Exhalation
What attaches to rib 1
Ant and mid scalene
Posterior CS is for what type of dysfunciton
Inhalation
What attaches to rib 2
Post scalene
What attaches to ribs 3-5
Pec minor
What attaches to ribs 6-8
Serratus anterior
What attaches to ribs 9-11
Last Doris
What attaches to rib 12
Quad
What are the common entrapment sites
- Scalene triangle
- Costoclavicular space
- Sbcoracoid space
If a patient experiences pain in exhalation, what is the dysfunction
Inhalation, bottom rib
What muscle attaches to the 10 rib
Lat Dorsi
What attaches the 5 rib
Pec minor
Where is the Chapman point LLL pneumonia
Between T4-T5
Bucket handle motion is best palpated at
Mid auxiliary line
Pump handle is best palpated at
Mid clavicular line
On a physical exam ribs 3-7 were prominent posteriorly on the right. What is the key rib in this group dysfunction
3
Somatic dysfunction affecting the thoracic-abdominal neurologically would be found at
C3, C4, C5
Which somatic dysfunction may be contributing to symptoms by decreasing the biomechanical efficiency of the respiratory diaphragm
T12- L3 neutral, side bent right, rotated left
Cholecystitis would have tissue texture abnormalities located at which level
T7-T9 on right
Appendicitis is associated with which ganglion
Inf messenteric
Facilitation in the sigmoid colon would be most closely associated with which nerve
Least splanchnic
