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OS II > Keys to Dx > Flashcards

Keys to Dx Flashcards

1
Q

What muscle is used to treat rib 1 exhalation dysfunction?

A

ant/med scalene

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2
Q

What muscle is used to treat rib 2 exhalation dysfunction?

A

post scalene

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3
Q

What muscle is used to treat ribs 3-5 exhalation dysfunction?

A

pectoralis minor

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4
Q

What muscle is used to treat ribs 6-8 exhalation dysfunction?

A

serratus anterior

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5
Q

What muscle is used to treat ribs 9-10 exhalation dysfunction?

A

latissimus dorsi

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6
Q

What muscle is used to treat ribs 11-12 exhalation dysfunction?

A

quadratus lumborum

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7
Q

How do we treat ribs 1-10 inhalation dysfunction? ribs 11-12?

A
  1. depress key rib with exhalation

2. quadratrus lumborum

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8
Q

Steps in Rib DX

A
  1. Screening view of ribs
    a. Tenderness
    b. Static Asymmetry (place hands on ribs, and note if either side is superior/inferior, anterior/posterior)
    c. TTA
  2. Motion testing (with hands on ribs, have pt breath and check to see if one side or both moves better into exhalation or inhalation)
    a. Asymmetry
    b. Restriction of motion
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9
Q

How do you test bucket handle motion? pump handle?

A
  1. Move ribs side to side starting from bottom ribs up to axilla
  2. Check motion along the costal cartilages
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10
Q

What is the first step in innominate dx?

A

Standing Flexion test OR ASIS compression test

  1. hook up under PSISs, and have pt. bend forward to see which PSIS moves first +farther/superior
  2. Alternating posterior compression; + sign is when they don’t move as far posteriorly
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11
Q

What is something you need to do before you check the innominate when you have your pt lie supine?

A

reset the hips

*important for dx and re-asses

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12
Q

What are the steps, in order, of dx-ing an innominate?

A
  1. Lumbar flexion test OR ASIS compression test
  2. Evaluate for rotations and/or shears
    a. PSIS height
    b. ASIS height
    c. Iliac crest height
    d. Medial malleoli height
  3. Evaluate for inflates or outflares
    a. ASIS to midline
  4. Evaluate for pubic dysfunction
    a. Pubic tubercles
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13
Q

If the distance from ASIS to midline is longer on the left than the right, what do you have?

A

a left outflare

*distance shrinks –> inflare

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14
Q

For an anterior innominate rotation, you’d have what for the following:

  1. Standing flexion/ASIS compression
  2. PSIS heights
  3. ASIS heights
  4. Medial malleoli
  5. Iliac crests
A
  1. positive on side of dysfunction
  2. superior on side of dysfunction
  3. inferior on side of dysfunction
  4. inferior on side of dysfunction
  5. even
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15
Q

For a posterior innominate rotation, you’d have what for the following:

  1. Standing flexion/ASIS compression
  2. PSIS heights
  3. ASIS heights
  4. Medial malleoli
  5. Iliac crests
A
  1. positive on side of dysfunction
  2. inferior on side of dysfunction
  3. superior on side of dysfunction
  4. superior on side of dysfunction
  5. even
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16
Q

For a superior innominate shear, you’d have what for the following:

  1. Standing flexion/ASIS compression
  2. PSIS heights
  3. ASIS heights
  4. Medial malleoli
  5. Iliac crests
  6. Pubic tubercle heights
A
  1. positive on side of dysfunction
  2. superior on side of dysfunction
  3. superior on side of dysfunction
  4. superior on side of dysfunction
  5. superior on side of dysfunction
  6. superior on side of dysfunction
17
Q

For an inferior innominate shear, you’d have what for the following:

  1. Standing flexion/ASIS compression
  2. PSIS heights
  3. ASIS heights
  4. Medial malleoli
  5. Iliac crests
A
  1. positive on side of dysfunction
  2. inferior on side of dysfunction
  3. inferior on side of dysfunction
  4. inferior on side of dysfunction
  5. inferior on side of dysfunction
  6. inferior on side of dysfunction
18
Q

For an inflare of the innominate, you’d have what for the following:

  1. Standing flexion/ASIS compression
  2. ASIS to midline
A
  1. positive on side of dysfunction

2. shorter distance on side of dysfunction

19
Q

For an outflare of the innominate, you’d have what for the following:

  1. Standing flexion/ASIS compression
  2. ASIS to midline
A
  1. positive on side of dysfunction

2. longer distance on side of dysfunction

20
Q

For a superior pubic shear of the innominate, you’d have what for the following:

  1. Standing flexion/ASIS compression
  2. Pubic Tubercle
A
  1. positive on side of dysfunction

2. superior on side of dysfunction

21
Q

For an inferior pubic shear of the innominate, you’d have what for the following:

  1. Standing flexion/ASIS compression
  2. Pubic Tubercle
A
  1. positive on side of dysfunction

2. inferior on side of dysfunction

22
Q

Inhalation + sacrum

A

base moves posteriorly; apex moves anteriorly

aka: sacral extension

23
Q

Exhalation + sacrum

A

apex moves posteriorly; base moves anteriorly

aka: sacral flexion

24
Q

How do you determine the sacral axis?

A

if the left or right sacral sulcus is locked, that’s the side of the axis

*locked on right, right axis

25
Q

How do you determine forward or backward torsion?

A

for forward, the letters will match (R on R), and backwards they won’t (L on R)

*pretend the sacrum is looking, and that tells you direction

26
Q

What’s something to remember to do on a seated flexion test? what is it used for?

A

PUT THEIR FEET ON THE GROUND

to tell you which side is the problem of the sacrum

27
Q

For a forward torsion

A

anterior ILA and posterior sacral sulcus are on opposite sides, and not on the axis side

28
Q

For a backward torsion,

A

deep sacral sulcus, and anterior ILA is still opposite the anterior ILA, but are on the axis line

29
Q

If you see that your deep sacral sulcus, and your posterior ILA are opposite, you have a …

A

torsion

30
Q

What is the motto for the sacrum treatments?

A

push down whatever is sticking up at you

31
Q

How do you open the front of the SI joint? the back?

A
  1. externally rotate

2. internally rotate

32
Q

For torsion treatment, how do you end it?

A

YOU move them back to the table –> if the pt. does they’ll mess up their sacrum again

OS II (14 decks)

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