Final: Cardiopulm OMT Lab Flashcards
Inhalation SD Rib 1
Rib 1=Bucket/pump handle
-pt supine, SB head towards and rotate away, resist inhale and exaggerate exhale
Inhalation SD Ribs 2-6
Pump handle
-pt supine, SB towards, resist inhale and exaggerate exhale
Inhalation SD Ribs 7-10
Bucket handle
-pt supine, raise arm above, SB towards, resist inhale and exaggerate exhale
Inhalation SD Rib 11-12
Caliper
-pt prone, grasp ASIS w caudad, cephalad on inferior rib angle forcing rib up on exhalation
What rib groupings are treated by which muscle for Rib Exhalation SD?
Rib 1= A and M scalene Rib 2= P scalene Rib 3-5= Pec minor Rib 6-8=Serratus anterior Rib 9-10=Lat Rib 11-12=Q lumborum
Stills Technique for Rib/Thoracic Cage
Pt supine, doc at head of table
Cephalad hand at PTP and Rib jxn, caudad hand on ipsi elbow
Compress and ADDuct, test for internal/external rotation, then Tx
Which way do you bring the pts elbow in Stills Technique for Rib/Thoracic Cage internal rotation? External?
If internal=overhand throwing motion
If external=underhand throwing motion
What is pt set up if R/R or L/L sacral torsion?
Forward torsion
-Axis side down
Pts forward is hugging table (modified SIMs), both legs off table (since 2 letters same)
-ME with pt bringing legs up
What is pt set up if R/L or L/R sacral torsion?
Backward torsion
-Axis side down
Pts back is on table, only one leg off table (since only 1 letter same)
-ME w pt bringing leg up
What is the common zink patterns?
L/R/L/R or R/L/R/L
How do you decrease sympathetic tone of the lungs?
Paraspinal inhibition of T1-T6
How do you increase Psym tone to heart?
Suboccipital release
CP to heart?
2nd ICS
CP to lungs?
3rd (upper lobe) and 4th (lower lobe) ICS
What are some contraindications in someone with CHF?
Avoid mobilizing too much lymph to central circulation
-can cause high volume stress on heart
Avoid supine treatments
