Extra Flashcards
BLT is a ________
INDIRECT
-put them in the position of their dysfunction-
Older age, osteoporsis and a recent fall would be indicative of what kind of tx?
a indirect
FPR/BLT is contraindicated in patients with severe osteoporosis or those with fractures
FPR
Lymph nodes run with what?
superficial or deep veins
What is the origin of the thoracic duct?
Cisterna chyli–> distal dilation at L1-2
Can we use lymphatic tx for URI and inflammation?
YES
What lymphatic tx is contraindicated in pts with COPD?
thoracic pump with actication
Order of steps for lymphatic tx for ppl with lymphatic problems
thoracic inflet MFR,
dome diaphragm
LE–> ischiorectal fossa release
—then whatever LE tx you want–
Cervical chain drainage is done where?
along SCM
Why should cervical chain tx be done one at a time?
to avoid carotic sinus stimulation– can cause vasodilation and lead to drop in BP.
pregnancy is a _____ for lymphatic OMT
indication
during sacral rock, what should youdo during sacral rock
Inhalation–> sacral apex moves anterior
Exhalation–> sacral base moves anterior
pedal pump
100-120x/ min
thoracic pump time
110-120/min
scotty dog with color
spondylysis
MET activating force is where?
WHERE PT LIEKS TO GO
In SUUE,
how are the hips positioned?
flex hips and knees to engage barrier
FDDR describes what
Long lever
Type 2 flexion ME
In type 1 technique, you want to bring the patient INTO the barrier, not through it.
What about type 2?
Take patient THROUGH it
in ST/MFR, when do you stop?
hold until tissue and fascia is relaxed
+ test for compression and Spurling maneuver?
Pain radiating down the arm, indicating nerve root compression (cervical radiculopathy)
Ober test- MET
Doc flexes opposite leg, adducts the + Ober leg,
Activating force–> abduction of the R leg against counterforce for 3-5 seconds followed by 2 seconds of relation
Pronation SD–> _____ distal fibula —> how would we conduct ART
Pronation SD–> posterior distal fibula
–> engage plantarflexion RB, thumbs of lateral hand contracts the posterior aspect of distal fibula
Posterior fibular head–> _______ lateral mallelous –> supination or pronation
Posterior fibular head–>
ANTERIOR lateral mallelous–>
SUPINATION
Anterior fibular head–> ______ lateral mallelous–> supination or pronation
Anterior fibular head–> Posterior lateral mallelous–> pronation (dorsiflexion, abduction, eversion)
to treat any grouped dysfunction, where do you treat?
APEX OF THE CURVE (or the middle of the affected region)
in MET, what is the patients activating force?
THE SAME AS THE DIAGNOSIS
Cancer is a _____ contraindication to lymphatic OMT
RELATIVE
Respiration: the diaphrahmatic crura have a pump effect on the _______
cisterna chyli
Dx compensatory pattern
- -ease of motion while pushing posteriorly with your L hand at the cervicothoracic junction
- -restriction of motion while pushing posterioly with your R hand at the lumbosacral junction
- -ease of motion while posuhing anteriorly with your L hand at the occipitoatlantal junction
- RL
- RR
- RR
What is the 2nd step of lymphatic tx in LE
ischiorectal fossa release
What is the 2nd step of lymphatic tx in HEENT lymphatics
suboccipital relase
2nd step for lymphatic tx for problems inferior to diaphragm
dome diagphram
effleurage includes stroking in what direction
distal–> proximal
in FPR, for C3 F RR SR, what are the first two steps?
1. flex the neck
- compress at the head
- RR
Lumbar extended (type 2) prone
- Patient prone with pillow under abdomen
- Doc at contralateral side
- monitor TP of affected segment with cephalad hand, caudad hand will move LE
Stages of stress
- Startle response and orientation reflex– patient is aware of stress and physiologic response
- Learn to cope and solve problems: if succeed–> master and learn. if not–> step 3
- Depeletion of adaptive reserves and disappearing resistance to stress; point where pt coes to see you d/t SD
High levels of competitiveness, impatient, trouble dealing with anger and type A personality are linked to what?
increased stress and CAD.
Stress ca nworsen peptic ulcer dz
when you interact with other docs, you should do what
have a prediscussion about the patient and case and have awareness of each others knowledge an talaents
What do the rotator m do
extends THORACIC spine bilaterally
rotates the thoracic spine to the oppsite site
work up for spina bifidas
mom ultrasound
scoliosis is named for the ________ of the curve
convexity
any visveral somato reflex that involves L2 uses what nerve?
PELVIC SPLANCNIC N
All other are ____ N
Vagus N
upper GI (T5-T9) goes from where to where
mouth–> ligament of trietz
middle GI (T10-t11) goes from where to where
ligament of trietz to iliocecal valve
lower GI (T12-L2)
goes from iliocecal valve to anus
Upper GU goes from
T10-T11
kidneys–> upper 1/3 of ureter
hard end feel with rotation to the L means
Rotated R
vertebra 2-8 are held to the L means
N RLSR
5th lumbar vertbra will NOT rotate L in flexion
L5 E RR SR
Restricted to rotation to the L means
RR
