Lab 2: OB/Gyn OMT Flashcards
1
Q
How is the seated thoracic articulation performed?
A
- Pt’s arms rest on doc’s chest; doc contacts TP’s or SP’s at segment to be treated.
- Pt is drawn forward into RB, and a LVMA (low-velocity/minimal amplitude) springing is applied until release is felt
2
Q
Describe the hand placement for both seated lower thoracic and lumbar BLT.
A
- Thumb ipsilateral to PTP contacts TP of inferior vertebral segment
- Thumb contralateral to PTP contacts TP of superior segment
3
Q
Describe the 7 stages of articulatory movement for Spencer’s technique of the GH joint.
A
- Pt is lateral recumbent
- Stage 1: Extension
- Stage 2: Flexion
- Stage 3: Compression/circumduction
- Stage 4: Traction/circumduction
- Stage 5A: ADduction and ER
- Stage 5B: ABduction
- Stage 6: IR
- Stage 7: Traction w/ inferior glide (big scoop)
4
Q
How to perform the ME for lumbar type 1 (neutral) SD, lateral recumbent (long lever technique)?
A
- NUDR = Neutral dysf.; PTP Up; Pt force Down; Recumbent
- Monitor apex of curve w/ cephalad hand; flex pt’s hips and knees until motion is felt
- Lift pt’s ankles, SB the lumbar spine into barrier. Pt gently pushes toward the floor against counterforce (3-5 seconds)
5
Q
How to perform the ME for lumbar type 2 (flexed) SD, lateral recumbent (long lever technique)?
A
- FDDR = Flexed dysf; PTP Down; Pt force Down; Recumbent
- Monitor dysf w/ caudad hand; grasp pt’s arm and pull anterior/superior, engaging R and SB barrier
- Straighten bottom leg, engaging ext. barrier
- Engage SB barrier by lifting ankle; pt pushes down towards floor agains resistance
6
Q
How to perform the ME for lumbar type 2 (extended) SD, lateral recumbent (long lever technique)?
A
- SUUE = Modified Sims; PTP Up; Pt force Up; Extension Dysf.
- Modified sims; use caudad hand to flex hips and knees thru dysf. segment, engaging flexion barrier
- Pt’s legs dropped off table to engage SB barrier; have pt raise both ankles Up towards ceiling against resistance
7
Q
How to perform the lateral recumbent scapulothoracic MFR?
A
- Pt LR w/ side being treated facing UP and doc at side of table facing pt.
- Doc contacts superior and inferior aspects of scapula; assess motion in sup./inf., med./lat., and rotary motions
- Take scapula into RB (direct)orease of motion(indirect) and monitored for tissue release
8
Q
How to perform supine HVLA “OB Roll?”
A
- Pt supine w/ both hands behind head and doc standing opposite side of PTP.
- Cephalad hand goes thru pt’s arms and dorsum of hand rest on sternum.
- Doc induces SB into RB while monitoring segment and then places caudad hand on contralateral ASIS to stabilize.
9
Q
How to perform pelvic SI joint articulation: Still’s?
A
- Pt supine w/ doc standing at side of pt to be treated.
- Doc flexes pt’s hip and knee to engage SI joint barrier. Compress into joint
- Hip is the ER and circumducted into extension
- Doc then flexes hip and knee again and compresses into joint. Hip is the IR and circumducted into extension.
- Repeat on opposite side and then reassess SI joint
10
Q
How to perform isciorectal fossa release: doming the pelvic diaphragm in pregnant pt?
A
- Pt is lateral recumbent; treatment side UP w/ hips and knees flexed
- Doc seated behind pt; find ischial tuberosity w/ outside hand; with fingers of other hand medial to ischial tuberosity, putting pads of fingers on medial surface of ischium
- Pt inhales and exhales; on exhalation encourage diaphragm to move superiorly w/ fingertip pressure in cephalad direction.
- Maintain position and resist with inhalation. Repeat on exhalation
11
Q
How to perform Round Ligament CS?
A
- Palpate most tender round lig. near iliacus TP (1-2 in. medial to ASIS); doc on ipsilateral side_._
- Flex hips and knees until motion is felt at monitoring hand.
- Cross contralateral ankle over top and spread knees into ER (“frog-leg’s)
- Hold 90 secs.; passively return to neutral and reassess
