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OMM OMS Year I - Block II > Innominates I - Exam V > Flashcards

Innominates I - Exam V Flashcards

1
Q

The pelvic girdle is composed of what three structures?

A
  1. Sacrum
  2. Coccyx
  3. Two hip bones - “innominates”
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2
Q

The hip bones AKA “innominates” can be further subdivided into what three structures?

A
  1. Ilium
  2. Ischium
  3. Pubis
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3
Q

What structures form the pelvis?

A

The 2 innominates

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4
Q

The ilium contains what 3 parts?

A
  1. Iliac crest
  2. ASIS
  3. PSIS
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5
Q

The ischium contains what:

A

Ischial tuberosity

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6
Q

The pubis contains what?

A

Pubic tubercle

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7
Q

The hip socket is known as the ____________ and is composed of what?

A
  1. Acetabulum
  2. All three bones
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8
Q

The hip joint AKA the ____________ joint is very mobile, making it a true, “____________”

A
  1. Femoro-acetabular
  2. Ball-and-socket joint
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9
Q

What are the two structures crossed out?

A
  1. Linea Aspera
  2. Adductor Tubercle

landmarks of the femur

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10
Q

The 2 main landmarks of the tibia/fibula are the:

A
  1. Fibular head
  2. Pes Anserine - proximal medial surface
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11
Q

The 4 major hip flexors are the:

A
  1. Psoas Major
  2. Psoas Minor
  3. Iliacus
  4. Rectus femoris (part of quads)
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12
Q

The 3 ligaments of the hip joint are the ________femoral joints.

A
  1. Ilio-
  2. Ischio-
  3. Pubo
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13
Q

The ligaments of the hip joint are important because they can be addressed with:

A

OMM!

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14
Q

What anatomical structures of the hip joiont contribute to the fibrous portion of the joint capsule?

A

The ligaments of the hip

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15
Q

Which muscle does mostly knee flexion and is a minor hip flexor muscle, commonly known as the “hacky sack” muscle?

A

Sartorius

Two minor hip flexor muscles =
1. Sartorius
2. Tensor Fasciae Latae

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16
Q

Which muscle does mostly hip abduction and internal rotation, but is also a minor hip flexor muscle?

A

Tensor Fasciae Latae

Two minor hip flexor muscles =
1. Sartorius
2. Tensor Fasciae Latae

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17
Q

The major hip extensor is the:

A

GLUTEUS MAXIMUS!

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18
Q

The 4 muscles of the hamstring are the ____________. Their function is in hip ___________

A
  1. Biceps femoris - LH
  2. Biceps femoris - SH
  3. Semimembranosus
  4. Semitendinosus
  5. Extension
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19
Q

The 5 ADductor muscles are the:

remember mneumonic!

A
  1. Gracilis
  2. Adductor Longus
  3. Adductor Magnus
  4. Adductor Brevis
  5. Pectineus

ADductors fill in the “GAAAP”

Remember they bring the leg toward midline - think in the gym!

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20
Q

The general rule for structural exams is when you are assessing tension in a muscle group, that muscle is moved in the (same/opposite) direction of their action?

A

OPPOSITE

Think Piriformis muscle - you test it by internal rotation but it’s actual action is external rotation

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21
Q

The 3 ABductors and Internal rotators of the hip are the:

A
  1. Gluteus Medius
  2. Gluteus Minimus
  3. Tensor Fasciae Latae
22
Q

Clinical Correlation: A positive ________________ sign is when a patient stands on one leg and the other hip drops. This is due to weakness of the ____________ muscle or the ________________ nerve

A
  1. Trendelenburg Sign (Gait)
  2. Gluteus Medius
  3. Superior Gluteal Nerve
23
Q

The 2 external rotators of the hip are the:

A
  1. Piriformis
  2. Gluteus Maximus
24
Q

Practice Question: Assessing tension of the gracilis muscle would require you to move the thigh in what direction?

A

ABduction

remember you move the muscle in the OPPOSITE direction of its usual action

25
Q

If the ASIS is superior that equates to (anterior/posterior) innominate rotation?

A

Posterior

Learning Objective = Innominate motions of sacrum, walking cycle, LPFR

26
Q

If the ASIS is inferior, that equates to (anterior/posterior) innominate rotation?

A

Anterior

Learning Objective = Innominate motions of sacrum, walking cycle, LPFR

27
Q

When walking, the leg that is in the forward position, the innominate on that side is in (anterior/posterior) rotation?

A

Posterior

28
Q

When walking, the leg that is behind, the innominate on that side is in an (anterior/posterior) rotation?

A

Anterior

29
Q

According to the Lumbo-Pelvic-Femoral Rhythm concept, the innominate follows the _______________

A

Thigh

They follow each other!

think when you swing your thigh up when stretching for leg day, the innominate is moving with it

30
Q

According to the Lumbo-Pelvic-Femoral Rhythm concept, the sacrum and the lumbar spine move in (same/opposite) directions.

A

OPPOSITE

31
Q

According to the Lumbo-Pelvic-Femoral Rhythm concept, you can move the lumbar spine by moving the _____________

A

Thigh

32
Q

Applying the Lumbo-Pelvic-Femoral Rhythm concept, if the thigh is flexed or extended past the innominate rotation, what will flex or extend with it?

A

The lumbar spine

33
Q

Applying the Lumbo-Pelvic-Femoral Rhythm concept, ABducting the thigh past the innominate rotation will cause the lumbar spine to ____________

A

Sidebend to the same side

34
Q

Inflare of the innominates is when the ASIS is (closer/farther) from midline?

A

Closer

35
Q

Outflare of the innominates is when the ASIS is (closer/farther) from midline?

A

Farther

36
Q

Upslip of the innominates is (inferior/superior) translation of the innominate on the sacrum?

A

Superior

37
Q

Downslip of the innominates is (inferior/superior) translation of the innominate on the sacrum?

A

Inferior

38
Q

What is the correct answer?

A

A

39
Q

Somatic dysfunction of the pubic symphysis: When the pubic tubercle is higher on one side that is called ____________________

A

Superior pubic shear

40
Q

Somatic dysfunction of the pubic symphysis: When the pubic tubercle is lower on one side that is called ___________________

A

Inferior pubic shear

41
Q

The Standing Flexion Test is positive relative to the side that the PSIS moves _____________

A

FARTHER

Learning Objective = Diagnosing innominates

42
Q

The ASIS compression test is positive relative to the side that is (more/less) compressible?

A

LESS

Learning Objective = Diagnosing the innominates

43
Q

Practice Question: On an exam you find the following:
- StFT positive on the right
- ACT positive on the right
- Superior pubic tubercle on the right

What is the diagnosis of the pubic somatic dysfunction?

A

Right Superior Pubic Shear

Learning Objective = Diagnosing the innominates

44
Q

Counterstrain technique is (direct/indirect) and (passive/active)

A
  1. Indirect - taking tender muscle where it WANTS to go
  2. Passive - Patient does not do any work
45
Q

Muscle Energy technique is (direct/indirect) and (passive/active)

A
  1. Direct - taking tender muscle where it DOES NOT want to go
  2. Active - Patient is participating

Bringing patient to 4 barriers!

46
Q

Clinical Correlation: Lymphedema is a manifestation of what somatic dysfunction?

A

Pelvic

47
Q

Lymphedema is the congestion of ________________ return leading to ____________ of the limb

A
  1. Lymphatic
  2. Swelling

Elevation, compression stockings, low salt diet, OMT, massage, proper hygiene to avoid cellulitis = all treatments

48
Q

Treating Lymphedema with OMM allows the swelling to decrease by treating the _________________

A

Innominate bones

49
Q

The goal of treating lymphedema is decreasing restrictions under the ____________ ligament and improve ________ and ________ return of the lower extremities.

A
  1. Inguinal
  2. Venous
  3. Lymphatic
50
Q

What is the correct answer?

A

C

OMM OMS Year I - Block II (2 decks)

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