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Hgf Flashcards

1
Q

Pedriac patients

A

Dr. Nichols

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2
Q

Children do not have SD bc more mobility in joints

A

False

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3
Q

Are kids small adults

A

No

Infants, school age kids, adolescents

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4
Q

Very young kid

A

May be held by parent while doing technique or exam

More calm and relaxed better evaluation

Warm your hands

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5
Q

Treatment modalities for young kids

A

No HVLA
ME difficult to perform in young kids
Articulately, stills, fpr, cs, cranial

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6
Q

Red flags kids

A

Neck pain, fever, hip pain, ortalni barrlow test do

Not for meningitis or heal broken bones

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7
Q

Kid issues

A

Torticollis, colic, poor sucking, sinusitis , gerd growing pain,

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8
Q

Cranial treatment

A

Poor suckle, infant constipation, birth trauma

Condylar decompression
BMT

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9
Q

Msk pain OMT

A

Examine joint above and below
Ortho exam too

Send home with exercise!
Stretch, strength training

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10
Q

Infants spinal curvature

A

C spine has slight lordosis, which increases as baby can support his/her own head
Thoracic kyphosis and lumbar lordosis have yet develop

Spinal curvature is very immature

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11
Q

Infants joints

A

Articulations are cartilagoinous

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12
Q

Bones infants

A

Maximum flexibility

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13
Q

Sutures infants

A

Not formed , freest

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14
Q

6 week baby wont stop crying, bloated and gassy

A

Posterior cervical muscle hypertonicity, compression of occipital condylar, incomplete lactose absorption, increased stress during gestation

Alllll-treat neck cranially, look at abdomen so have more open hiatus and get and spit up, but can still check it and see if restrictions also maybe gas drops for baby

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15
Q

Helmets baby

A

Decrease cranial rhythm and head has fluctuations dont wanna lock down will effect them

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16
Q

Hard baby head

A

Had premature closing of sutures

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17
Q

Babies heads are

A

Squishy and have movement , lots of cartilaginous connections, OA decompression bc nerves come out of here

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18
Q

Cranial dysfunctions infants resolve

A

With crying and suckling

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19
Q

At 6 weeks if not better

A

Occipital is the cranial bone most susceptible to dysfunction

Infants head accommodates to pelvic outlet during birth -usually birt trauma

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20
Q

Cranial SD

A

Birth trauma MCC

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21
Q

Occiput

A

Most commonly dysfunctional

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22
Q

Cnxii, ix occiput

A

Poor suck

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23
Q

Cnx occiput

A

Reflux, vomiting, colic

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24
Q

Cnxi occiput

A

Colic, muscular dysfunction

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25
Q

Temporal bones

A

Affects the most cranial nerves

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26
Q

Internally rotated temporal bone

A

Increase likelihood of OM

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27
Q

Operative vaginal delivery (forceps)

A

Cnxi-.lateral rectus palsy

Cnvii->facial palsy

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28
Q

2 month old boy bald spot on back of head difficulty following you to left

Left occiput no hair

A

Spasm of the left sternocleidomastoid

Left trapezium in spasm

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29
Q

Which is most likely cranial strain parter

A

Right lateral strain

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30
Q

Synostotic vs positional plagiocephaly

A

Sternocleidomastoid issue-positional, see with baby in car seats a lot , bald spot

Synostotic-

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31
Q

OMT infant

A

Indirect please , short but frequent, sessions

BMT onc ranial SD, condylar decompression, BLT, MFR to diaphragms and junctions
-suboccipital release

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32
Q

Toddler 1-4

A

Ossification increases
-some bones become fused

Increased falls, learning to walk

Lots of bands to the noggin

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33
Q

School age

A

Cranium ossified fully

Epiphyseal plates still open 
-rapid growth ->growing pain
Leg length discrepancy
-short leg syndrome
-functional scoliosis
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34
Q

Scoliosis screening

A

Against screening asymptomatic kids

D-fair evidence is ineffective or that harms outweigh benefits

No significant disease better than screening only

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35
Q

American academy of PEDS

A

Do not support any recommendation against scoliosis screening

-do forward bending test

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36
Q

Adolescents

A

Epiphyseal plates closing/closed

Innominate fuse by age 20

Sacrum fuse in late adolescents

Adolescent athletes are susceptible to somatic dysfunction

  • watch for hypermobility
  • what contraindications?
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37
Q

Abdominal complaints

A

Para OA, AA, pelvic splanchnic

Sympathetic

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38
Q

Chapman apppendix

A

Tip of 12th, tp of t11

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39
Q

Intestine chapman

A

Below Asia

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40
Q

Colon chapman

A

It band

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41
Q

Rectum

A

Inner thigh

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42
Q

Poor sucking feeding

A

Cranial-condylar decompression

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43
Q

Gerd

A

Cranial may be useful, esp if gerd

Viscerosomatics-oa, aa, T5-t9

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44
Q

Constipation omt

A

Treat dysfunction at viscerosomatic levels

Treat pelvic dysfunction

Mesenteric release

Paraspinal inhibition

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45
Q

Head neck symp

A

T1-4

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46
Q

Chapman respiratory
Nasal sinuses

Larynx, pharynx, tonsils

A

Ok

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47
Q

Nasal sinuses

A

Ant-inferomedial clavicle, lateral to SC jucntion, superior second rib at midclavicular line

Posterior-mastoid process

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48
Q

Larynx

A

Ant-superior second rib, just medial to sinuses CR

Post-just lateral to spinous processes of C2 (larynx, pharynx, tongue, all sinuses)

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49
Q

Pharynx

A

Anterior-inferior first rib at sternocostal junction

Post-juts lateral to spinous process of C2 (larynx, pharynx, tongue, all sinuses

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50
Q

Tonsils

A

Ant-lateral manubrium

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51
Q

Middle ear

A

Ant-superior clavicle, about 2 -3 cm lateral to SC jucntion

Post-base of occiput at OA joint

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52
Q

Lymphatics

A

Always open the thoracic duct first

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53
Q

Upper respiratory

A

Many techniques

-sinusitis-sinus milking techniques, cranial lifts

Otiti mmedia-ear pull, galbreath, muncie technique

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54
Q

Lower respiratoy

A

Asthma-rib raising, myofascial , assess for and treat any inhalation or exhalation dysfunctions

Pneumonia-similar to asthma treatment..at least from an omt standpoint

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55
Q

9 year old male ab pain, 2-3 bowel movement per week hard a painful. Decreased appetite. Where TTA

A

Constipation in kids is common.

T10-l2 colon

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56
Q

11 year old female asthma using inhaled daily and rescue inhaled daily. What sad

A

Inhalation dysfunctio. Ribs 2-10

If using rescue inhaler-step up therapy

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57
Q

14 month old male crying and fever right tympanic membrane inflamed, T 103

A

Lymphatic, galbreath,cranial, check for internal rotated temporal bone, ear pull,

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58
Q

17 year old male runner complaine knee pain . Tender calcaneous. What have .. positive ober

A

Plantar fasciitis and it band restriction

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59
Q

11 year old less active, inhaler, SOB in winter, voice sounds like whale. Tart for sympathetic

A

T2-T6

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60
Q

Ribs?

A

2-6 pump handle inhalation dysfunction

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61
Q

What rib treat

A

Bottom rib six treat first

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62
Q

Asthma neuro

A

B2 agonist->sm m bronchodilation

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63
Q

Immune asthma

A

Blunt airway inflammatory response

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64
Q

Biomechanical asthma

A

Treat rib dysfunction->improve thoracic cage respiratory mechanics
-rib and t spine me BLT fpr

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65
Q

Behavioral asthma

A

Avoid triggers, use meds prior to known exposure

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66
Q

Resp circ asthma

A

Ribraise, lymphatic tax-> improved pressure differentials in thoracic cage
-rib raising , thoracic pump

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67
Q

3 year old runny nose, fever congestion, tugging on ears, tired, not sleeping

Bulging tympanic membrane, puss bottom of ear. What describe

A

Erythematous, bulging with purulent effusion

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68
Q

Most likely diagnosis

A

Acute suppurative otitis media

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69
Q

Otitis media micro

A

Pneumonia
HI

Moraxella cat

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70
Q

Antibiotics acute otitis media

A

Give it a few days

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71
Q

4 year old boy clear running nose congestion, HA, cough, less appetitie, no fever, throat red ,ears are

A

Pearly translucent intact with effusion-look good just with fluid

Galbreath

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72
Q

Diagnosis

A

Viral uri with serous effusion

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73
Q

Younger age Eustachian tube

A

Decreased Eustachian tube angle and shorter and have mor gerd and spit up why they have ear infections

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74
Q

OMT otitis media

A

Reduced recurrence of titis media

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75
Q

OMT for it

A

Sinus drainage, galbreath, submandibular walking, pre post auricular drainage, cervical drainage, ear pull, BMT cranial,

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76
Q

Kid pain and do what

A

Nothing and observe-its normal growth pain

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77
Q

Percentage of pregnant women report low back pain

A

60%

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78
Q

Why pregnant back pain

A

Changes in maternal structure and biomechanics

Body fluid circulation

Hormonal changes

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79
Q

Treating SD

A

Adapt to structure and hormone changes, discomfort and better functionality

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80
Q

Scoliosis

A

Do not increase with preg but may get pain and premature birth

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81
Q

RA

A

Improved symptoms with preg

-increased cortisol

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82
Q

Anklylosing spofylitis

A

Aggravated by preg due to increased stress on SI joints

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83
Q

Low back pain

A

Exaggerated lordosis, forward neck, ligament laxity, down shoulder, weakness and separation of abdominal msucles, widening and increased mobility SI joint, anterior tilt of pelvis, compression due to fluid

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84
Q

Pelvis preg

A

Anterior tilt leads to lordosis which increase thoracic kyphosis to forward head

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85
Q

29 yo pref at 37 weeks . Back pain for months but unbearable. Worse with activity better with rest. Can radiate down thighs, less sleep, worse pain at night . What find

A

Decreased ROM of lumbar spine

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86
Q

Back pain etiologies

A

Postural, msucle week, si joint laxity,

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87
Q

Posterior pelvic pain

A

Distal and lateral to lumbosacral jucntion

Don’t find neuro

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88
Q

Visceral disease and low back pain

A

Uti and nephrolithiasis

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89
Q

Alarm finding

A

Severe paint hat interferes with function, particularly non positional persistent pain at night

Increased pain w cough, sneezing, valsava
Neuro
-by history or on exam
—like bladder REFER ON

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90
Q

Radicular pain

A

Usually herniated disc from mechanical pressure from baby

Lightening pains, numbness along ilioinguinal and genitofemoral

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91
Q

Risk factors lbp

A

History back pain

Multiparity

Higher BMI

Smoking

Age

Strenuous work

Pain during menstruation

92
Q

Increase in interstitial fluid

A

6.5 L over course of prednisone and metabolic demand

93
Q

Hormone

A

Increase estrogen, progesterone and adrenal hormones promotes fluid retention

94
Q

What increase

A

CO blood volume

Plasma volume

95
Q

What decrease

A

Systemic vascular resistance

Blood pressure
Hematocrit

96
Q

First trimester

A

SVR decreases

CO increases

97
Q

Second trimester

A

SVR drops 35-40% until mid second trimester

CO continues to increase

98
Q

Third trimester

A

Supine position get decrease CO, SV< and increase HR

BP returns to pre pregnancy levels

99
Q

19 yo preg 34 weeks. Soft bumps over her vulvar region that are non tender. What’s happening

A

Recommend patient sleep in left lateral recumbent position and apply pressure to the area she has varicose vein

If supine enlarging uterus compress ivc and lower venous return to heart and cause varicosities

100
Q

Lymphatic stress

A

Decrease in efficiency caused by fascial torsion, organ hypertrophy and diaphragm restriction leading to less effective pressure gradient

Third trimester, varicosities

May also need stool softener

101
Q

19 year old 37 weeks low back pain awakens her at night why does back hurt more at night that day. What causes it

A

Stagnant hypoxia of neural and vertebral tissues at night

She’s compressing ivc since waking up on back…getting pelvic congestion leading to stagnant hypoxia of neural and vertebral tissues

102
Q

Venous

A

Pulse and respiration change pressure gradients between abdomen and thorax

  • change in volume of ab organs
  • increase ab cavity pressure

Cns congestion
-HA< nausea, light headed

103
Q

Resting minute ventilation

A

Increases 50% from large tidal volume.

104
Q

RR

A

Unchanged f

105
Q

Progesterone

A

Stimulates respiration and respiratorydrive

106
Q

Big picture

A

More fluid to tissue and not coming back

107
Q

Dependent edema

A

Moves back into the vasculature due to osmotic gradient and direct pressure on ivc by uterus

108
Q

Decrease flow in pelvis

A

Stagnant hypoxia of neural and vertebral tissue

Delayed low back pain that wake up in middle of night

109
Q

Relaxin

A

Elevate 1st trimester then decline and stable

Widening of SI joints and pubic symphysis start week 10

110
Q

Women back ain’t and relaxin

A

Have more

111
Q

Progesterone

A

Respiration!!!

Drive mechanical change in thoracic change
Subcostal anlge up

Ap diameter up and circumference up

Compensat for 4 cm raise in diaphragm so total lung capacity not down

Fluid retention also

112
Q

Indications

A

SD, scoliosis or structural condition associated with reggedema

113
Q

Contraindications

A

Premature labor or rupture of membranes

Labor premature-before 37 weeks and contraction of uterus and soft cervix

114
Q

Absolute contraindications

A

Undiagnosed vaginal bleeding, prolapsed umbilical cord, placental abruption, ectopic preg, placenta previa, threatened or incomplete abortion, severe pre eclampsia/eclampsia(low seizure threshold)

115
Q

biomechanical

A

Postural and structural

116
Q

Neuro

A

Viscerosomatic and nervous system

117
Q

Resp circ

A

Arterial venous lymphatic using msk

118
Q

Met energetic

A

Energy body

119
Q

Behavioral

A

Exercise, Renata, eating well, stretching

120
Q

Exercise

A

Better for back pain

121
Q

What is appropriate

A

Fascial diaphragms

-thoracic inlet, thoracoabdominal diaphragm,

122
Q

First trimester

A

History, PE,

Treat-SD and hyperemesis gravidarum treat areas C2 and T5-t9

Postural exam, thoracic inlet, thoracic cage, pelvic

123
Q

Biomechanical

A

Spine, ribs, pelvis, sacrum

124
Q

Neuro

A

T10-l2 pelvic organs

S2-s4 pelvic organs

125
Q

Behavioral

A

Smoking alcohol, sexual behavior

126
Q

Metabolic energetic

A

Prenatal vitamins

Hyperemesis gracidarum
C2, T5-t9

127
Q

Second trimester

A

Monthly visits

Evaluate for SD

Pelvis rotating anterior about right and left axis (forward torsion)

Increased pelvic tile, increase lumbar lordosis, compensatory increase of thoracic kyphosis, may give cervical strain

128
Q

Treat second trimester

A

Fascial release
Treat sacrum and pelvis

Carpal tunnel! From edema

  • palliative tratment
  • stretches, night time splinting
129
Q

Biomechanical

A

Spine, low back pain, sacral pelvis, abdominal wall MFR

130
Q

Neuro

A

CTS myofascial release

131
Q

Rep circ

A

Rib raising , diaphragm

132
Q

Metabolic energetic immune

A

Prenatal vitamins

Constipation-pelvic diaphragm release, stool softener, laxatives

133
Q

Behavioral

A

Self care home stretches, exercise as tolerated

134
Q

Can treat supin through second trimester

A

Yup

135
Q

Third trimester

A

Mechanical and structural

Back pain, gait, constipation, gerd,

Increase interstitial fluid

Uterus size up
-edema, hypotensive when supine***, diaphragm working overtime

136
Q

Treat

A

Edema with MFR, ST< lymphatics (effleurage and pet)

Upper gi T5-9
Adrenal ovaries t10-l2

Avoid cv4 -cause contractions , but can do cranial

Pelvic diaphragm for constipation

137
Q

Biomechanical

A

Low back pain, gait changes, feet innovate, sacrum

138
Q

Neuro

A

T5-9
T10-l2 ovaries/uterus
S2-4 bladder

139
Q

Resp circ

A

Lymphatic emphasis-effleurage/petrissage

140
Q

Metabolic energetic immune

A

GERD-sucralfate, ranitidine, cimetidine

141
Q

Behavioral

A

HoTN-drink fluids
GERD-elevate head of bed, dietary modifications
Build psychological support for delivery

142
Q

Preparatory stage last 4 weeks have weekly visits

A

Structural balance and lymphatic flow, build support

Evaluate inlet: iliopectineal line/pube to sacrum
Mid pelvis: structures between inlet and outlet
Outlet: pubic bones, iscial tuberosities
——this is to evaluate pelvic diameter to anticipate delivery problems

143
Q

Labor

A

Lumbosacral region and pelvis and use MFR soft tissue

Thoracic spine soft tissue for sympathetic innervation

144
Q

Expect labor dysfunction

A

Innominate, sacrum, pubic symphysis

145
Q

Biomechanical

A

Pelvic/sacrum/lower T/lumbar

146
Q

Neuro

A

Seizure activity clonus

Pain control

147
Q

Resp circ

A

Making sure pt is up and moving-blood clot protection monitor swelling BP

148
Q

Metabolic energetic immune

A

Liquid diet
Monitor fluids
Blood sugars

149
Q

Behavioral

A

Make sure pt is in control

Movement as tolerated

150
Q

Labor prob

A

Rupture pubic symphysis

151
Q

Rupture pubic symphysis

A

Separation greater than 1 cm

<1%

Audible crack

Acute pain to back or thighs have waddeling gait and feel gap

152
Q

Treat

A

Bed rest in lat recumbent
Pelvic binder to reduce
OMM indirect myofascial

May cause pain in subsequent pregnancies

153
Q

Post partum first visit

A

SD, treat prior to resolution of hormonal Chang’s
-relaxin (stay for 6 weeks) so treat before go away

Sacrum-anterior sacral base and cranial extension!!! Fatigue depression

154
Q

Second visit 4-6 weeks

A

Structural, SD, assess contraception,

155
Q

Exercise in preg benefits

A

Cardiorespiratory function
Enhances psychological well being
Decrease risk of comorbidities due to sedentary lifestyle

156
Q

Exercise preg

A

30 min or more moderate most days

157
Q

Avoid preg

A

Falling, high risk, hot yoga valsava maneuver (increase BP)

Don’t go above 6000 feet

158
Q

Contraindications to aerobic exercise relative

A

IUGR

Unevaluated maternal cardiac arrhythmia

159
Q

Absolute contraindications xercise

A 
Incompetent cervix
Multiple gestation (triplets)
IUGR
Persistent second or third trimester bleeding
Placenta previa
Premature labor 
Ruptured membranes
Preeclampsia/HTN
160
Q

Dr Hansel low back pain 3rd trimester

A

OMT safe and effective to improve pain functioning third trimester 12 step protocol

161
Q

Muscle imbalance and exercise prescription

A

Dante

162
Q

17 yo achy and deep left hip pain . Softball pitcher and pain month after returning to play father right ankle sprain. Worse running and pitching, better rest. At a 5 and sharper and more severe during exarcbating factors . Is this muscle imbalance ?

A

Yup

163
Q

Postural balance

A

Condition of optimal distribution of body mass in relation to gravity

164
Q

Postural imbalance

A

Ideal body mass distribution not acheived

165
Q

Tensegrity

A

Body is a System within even minor changes in one body region may affect significant biomechanical, tensile, and ergonomic changes elsewhere

Have continuous tension members and discontinuous compression members

166
Q

OPP and tensegrity

A

Bone held together by CT and muscles which balance strength and stability.

167
Q

Hypomobility

A

Hypermobility elsewhere

168
Q

Hypermobility

A

Results in compensatory hypomobility elsewhere

169
Q

Hypomobility example

A

Spine fixed in one spot, Moe movement above and below

170
Q

Example hypermobility

A

Pitcherhave anterior shoulder capsule weakness shoulder pulled forward and stabilized

Right shoulder lower then left pulled forward

171
Q

Postural decompensation scoliosis

A

Coronal plane-scoliosis changes

Horizontal-rotational changes

Sagittarius plane-kyphosis and/or lordotic Changes

172
Q

Risk factors for postural decompensation

A 
Gravitation strain
Congenital 
Alternated Proprioception input
Stress
Hormonal imbalance
Nutritional
Aging
173
Q

Gravitation strain

A

Spinal curve increase in response to the vertical load imposed by gravity

Change 10% a year

174
Q

Trauma: positioning and/or tasks

A

Bend over studying

Factory working

Truck driver

175
Q

Aging

A

Altered response to gravity forces, injury and healing

176
Q

Physician stress: insufficient healing response to injury

A

Muscular splitting while tissue heals may continue after healing

Damage to Proprioception

Altered firing pattern-need to retrain balance

177
Q

Homeostatic mechanism

A

Postural compensation

178
Q

Homeostatic reserve overwhelmed

A

Postural imbalance

Postural strain

Increase over time

179
Q

Homeostatic compensation: static dynamic relationship

A

Center of gravity shifts with changes of position

Posture compensates to keep us upright

Postural change in one plane modifies posture in the other two plane

———needs to be balance in dynamic motion

180
Q

Chronic postural strain

A

Asymmetric stress

Early functional symptoms and structures change during remodeling to accommodates postural change

Eventually bones start to change become compressed in from and bigger in back

181
Q

Ventilation different with scoliosis

A

Yea! Structural

182
Q

Where are segmental facilitation

A

Cross over sites-zinc patterns

Spices of curves-mid thoracic problem , mid lumbar where balance point is

183
Q

Sherrington law

A

When a muscle receives a nerve impulse to contract, its antagonists receive, simultaneously , an impulse to relax

184
Q

Pseudoparesis: postural msucles and movement muscles

A

Postural-shortening, hypertonicity, facilitation

Movement-inhibited, stretched, hypotonic

185
Q

Commmon compensatory

A

80% of healthy

LRLR

186
Q

Uncommon compensatory

A

20% healthy RLRL

187
Q

Lower crossed syndrome

A

Tight erector spinae and iliopsoas and weak abdominals and inhibited gluteals

Kinda flexed
Flexor tight extensors inhibited

188
Q

Signs lower cros symptoms

A

Increase sacral flexion, increased lordosis, increased flexion of hip and knees, hypermobility in sagittal and coronal planes in l4-l, L5-a1 levels, sitting up from C-Spine and forward bending test are dysfunctional

189
Q

Hypertonic muscles of lower cross

A

Iliopsoas, rectus femoris, QL, TFL, hamstrings, piriformis, LE short adductors

190
Q

Hypotonic lower cross

A

Anterior tibialis, gluteus, vastus medialis, perineal, abdominals,

191
Q

Iliopsoas

A

Inability to stand straight-knees flexed l1-2 SD, pain referral to back and groin; positive Thomas test

192
Q

Quadratics lumborum

A

Pain referral to groin and hip; exhalation 12th rib SD; diaphragm restriction

193
Q

Hamstring

A

Pain sitting or walking; pain disturbs sleepl pain referral to posterior thighs; limited straight leg raising

194
Q

Piriformis

A

Pain down posterior thigh; may entrap sciatic nerve; perpetuated by SI dysfunction; associated with pelvic floor dysfunction, dyspareunia, prostadynia

195
Q

Adductors

A

Pain referred to inguinal ligament , inner thigh and medial knee

196
Q

Gastroc soleus complex

A

Nocturnal leg cramps; pain referral to upper calf instep and heel

197
Q

Gluteus minimis

A

Pain when arising from a. Chair, pain referral to butt, lateral and or posterior thigh, pseudosciatica, antalgic gait and + trendelenberg sign

198
Q

Gluteus mediums

A

Pain with walking ; pain referred to posterior iliac crests and SI joints + trendelenberg

199
Q

Gluteus Maximus

A

Restlessness; pain sitting or walking up hill; antalgic gait

200
Q

Vastus medialis

A

Buckiling knee; weakness going upstairs; thigh and knee pain; chondromalaxcia

201
Q

Rectus abdominis

A

Increased lordosis; constipation

202
Q

Tibialis anterior

A

Pain referral to the great toe and anteromedial ankle; foot may drag or trip when tired

203
Q

17 yo pitcher how determine if decompensated

A

Biomechanical-visual inspection, ROM, gait

Neuro-balance and strength

Respiratory/circulatory: zinc pattern; lymphatic palpation exam

Metabolic: history and PE

Behavior/psych: history and PE

204
Q

Pseudoparesis-patient perception

A

Lay on back flex one leg at the hip 12 inches and put down

Then repeat other side
Do side to side and compare for difference

One side heavier

205
Q

Self locking mechanism

A

Form closure-bones how fir together

Force-muscle gravity fascia ligaments

Communicate perceived change to examiner

206
Q

Pseudoparesis: patient perception with SI joint stabilization

A

Repeat same test, except introduce medial compression through iliac crests midway between the iliac crests and the greater trochanters
And the greater trochanter

Communicate perceived change to examiner

207
Q

At iliac crest

A

Usually structures above the iliac crests=multifidus, latissimus dorsi, levator scapula, lumbar vertebrae and structures above and including the lubosacral junction

208
Q

Midway between iliac and greater trochanter

A

Gluteus, SI joints, sacrum, innominate

209
Q

Threough grater trochanter

A

Pelvic diaphragm, hamstrings, STL and structures below the pelvic diaphragm

210
Q

In balanced

A

No pseudoparesis

211
Q

Unbalanced

A

External stabilization necessary to eliminate signs

212
Q

Firing pattern test

A

Touch muscle and extend leg and order of firing

Ipsilateral hamstring, ipsilateral gluteus maximus, contralateral erector spinae, ipsilateral e spinae

Most common see inhibited gluteus maximus

213
Q

Abduction test

A

Lay side lift leg firing pattern
Ipsilateral gluteus medius, ipsilateral TFL, ipsilateral QL, ipsilateral e spinae

TFL fire and gluteus medius doesnt* most common

214
Q

IT band chapman

A

Colon,

215
Q

26 yo lbp after triathlon what lower cross finding for pseudoparesis

A

Left hypertonic rectus

216
Q

Upper cross syndrome

A

Forward head posture increased lordosis (upper and mid cervical spine)and kyphosis (cervicalthoracic junction), protraction shoulders, internal rotation of humerus, c4-c5 cervicocranial and cervicothoracic junctions

217
Q

Hypertonic postural muscles

A

Levator scapula, upper trapezius, pectorals, last, scm, scalenes, subscapularis, UE flexors

218
Q

Movement hypotonic muscles (weak)

A

Deep neck flexors, serratus anterior, deltoid, UE extensors, rhomboids, supraspinatus, infraspinatus, mid and lower trapezius

219
Q

SCM

A

Headache

220
Q

Bilateral shoulder flexion

A

Check resting length latissimus and influence on thoracic and lumbar spines

Check pectorals

221
Q

5 model muscle imbalance

A

Biomechanical-osteoarticular, ROM repair

Neuro-SD from pseudoparesis

Respiratory-optimize flow

Metabolis-OMT function, nutrition OMT, hydration sleep

Behavior-exercises and healthful living prescriptions

222
Q

Hamstring normal

A

> 80 degrees flexibility

223
Q

12 weeks stretching for 180 s

A

Stretching program was equally effective in terms of absolute improvement values for males with normal and limited hamstring flexibility

224
Q

How long hold stretch

A

90s

225
Q

Stretching

A

Increase ROM and joint mobility but 90 and 9 10 s no change

2-3 30 s

226
Q

Aerobic exercise prior to stretching

A

Improve a lot vs static stretching

227
Q

When evaluate CV and or respiratory systems when patient has what

A

Extreme fatigue after doing exercise

Pain above waist

Inability to maintain a conversation due to SOB

A strong CV disease family history or risk factors

Other (17 decks)

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