L2 - OMM Review

Question 1

Which techniques are direct?

Answer 1

Soft tissue, muscle energy, HVLA

Question 2

Which techniques are indirect?

Answer 2

BLT, FPR and counterstrain

Question 3

Which techniques are both direct and indirect?

Answer 3

MFR and Still’s technique

Question 4

Which technique is the only one to use an active activating force?

Answer 4

MET

All others are passive

Question 5

Describe soft tissue techniques

Answer 5

Passive
Direct and repetitive
Direction of force - duration of force
-longitudinal - usually 1-2 seconds and release
-perpendicular - usually 1-2 seconds and release
-inhibitory - hold tissue until release

Question 6

Describe myofascial release

Answer 6

Passive (active if INR is used)
Direct or indirect, non-repetitive
3D diagnosis in 3 planes
Add release enhancing maneuvers (breathing)
Add INR (activating related muscles to more quickly/effectively release myofascial restrictions)

Question 7

Describe articulation

Answer 7

Passive
Direct, repetitive
Direction of force
-into the restrictive barrier then release, repeat until physiologic motion is restored
-usually a second of force, a second of relaxation

Question 8

Describe MET

Answer 8

Active
Direct, repetitive
9 different types
Most common type = post isometric relaxation
Activation 3-5 seconds 3-5 times (patient force)
Remember to let pt relax to have the technique work

Question 9

Describe balanced ligamentous tension

Answer 9

Passive
Indirect, non repetitive
Place in position of ease
Activating force - breathe, inherent forces

Question 10

Describe FPR

Answer 10

Passive
Indirect, non-repetitive
Flatten the curve, add compression, place in an indirect position, hold for 5 seconds, release and return to neutral

Question 11

Describe Still’s technique

Answer 11

Passive
Indirect to direct, non repetitive
Place in indirect position, add compression or traction, move through restrictive barrier to physiologic barrier

Question 12

Describe Counterstrain

Answer 12

Passive
Indirect, non-repetitive
Find a significant tenderpoint, establish a pain scale, placed pt in position of ease, hold for 90 seconds, slowly return to neutral, recheck

Question 13

Describe HVLA

Answer 13

Passive
Direct, non repetitive
Direct into the restrictive barrier, quick thrust through restrictive barrier to the physiologic barrier

Question 14

What are the main body regions that can be diagnosed?

Answer 14

Cranial, cervical, thoracic, lumbar, innominates, sacrum, ribs, UE and LE, abd and diaphragm

Question 15

Which movements can the OA perform?

Answer 15

Flexion or extension

Sidebending and rotation occur in opposite directions

Question 16

Sidebending and rotation in C2-7 occur in the

Answer 16

Same direction

Question 17

Which movement can the AA joint complete?

Answer 17

Rotation only

Question 18

What is the rule of 3’s?

Answer 18

‣ T1-3 + T12: spinous process located at the level of the corresponding transverse processes
‣ T4-6 + T11: spinous process located 1/2 segment below the corresponding transverse process
‣ T7-9 + T10: spinous process located at the level of the transverse process of the vertebra one below

Question 19

Which ribs perform bucket handle motion?

Answer 19

1-2

8-10

Question 20

Which ribs perform pump handle motion?

Answer 20

3-7

Question 21

Which ribs perform caliper motion?

Answer 21

11-12

Question 22

What is anterior movement of the proximal fibular head associated with?

Answer 22

Foot pronation (dorsiflexion, eversion and abduction)

Question 23

What is posterior movement of the proximal fibular head associated with?

Answer 23

Foot supination