Lab: OMM Treatments

Question 1

Anterior and posterior glide of the radial head: coupled motion

Answer 1

Anterior: supination
Posterior: pronation

Question 2

Ulnar abduction vs adduction HLVA: thrust direction

Answer 2

Abduction: medial to lateral thrust
Adduction: lateral to medial thrust

Question 3

Anterior vs posterior radial head pt position and thrust

Answer 3

Anterior RH: arm flexed and pronated, hyperflexion force

Posterior RH: arm extended and supinated, hyperextension force

Question 4

Posterior vs anterior fibular head HVLA position and thrust

Answer 4

Posterior: evert foot, dorsiflex, and externally rotate leg -> flex the knee and create anterior thrust on head
Anterior: internally rotate distal leg -> posteromedial thrust on fibular head

Question 5

Dorsiflexed vs plantarflexed talotibial joint HVLA

Answer 5

Dorsiflexed: plantarflex ankle
Plantarflexed: dorsiflex ankle

Question 6

Whcih lymphatic technique is a COPD risk?

Answer 6

Thoracic pump: Vacuum/atelectasis modification

Question 7

Normal width of aorta + abnl

Answer 7

Normal: 2-3 cm
Abnl: >3 cm

Question 8

Anterior vs posterior rotated innominate MET

Answer 8

Anterior: pt hip and knee flexed towards barrier
Posterior: pt leg extended off table

Question 9

Superior vs inferior innominate shear MET **

Answer 9

Superior: internally rotate, slightly flex, and abduct leg to gap SI joint -> gently pull leg
Inferior: internal rotate and abduct leg -> gently push leg towards pt

Question 10

Innominate inflare vs outflare MET

Answer 10

Inflare: knee bent, foot on other side of other knee, physician pushes knee to abduct and externally rotate hip
Outflare: knee bent, foot on other side of other knee, physician pushes knee to adduct and internally rotate hip

Question 11

Superior vs inferior pubic shear MET

Answer 11

Superior: abduct and slightly extend leg
Inferior: significant adduction and flexion

Question 12

Anterior vs posteriorly rotated innominate BLT

Answer 12

Anterior: pull down ipsilateral + push up contralateral leg - pt rotates contralateral
Posterior: push up ipsilateral + pull down contralateral - pt rotates to ipsilateral side

Question 13

Innominate HVLA: what Side is the SD on?

Answer 13

Lateral recumbent with SD side up

Question 14

innominate HVLA: anterior vs posterior rotated

Answer 14

Anterior: lateral recumbent, legs flexed, thrust by pulling PSIS inferior
Posterior: lateral recumbent, legs more extended, thrust by pulling PSIS superior/anterior towards umbilicus

Question 15

Superior vs inferior innominate shear HVLA

Answer 15

Superior: grab ankle: internally rotated, slightly flexed leg -> thrust inferior
Inferior: lateral recumbent: legs extended, thrust PSIS superiorly

Question 16

Piriformis counterstrain position

Answer 16

F Abd ER

Question 17

Piriformis MET position

Answer 17

Pt supine or prone, flex pts knee and hip on side of SD, gently move knee towards midline and have pt push against hand

Question 18

Gapping the anterior vs posterior SI joint - how and why

Answer 18

Anterior gapping: external rotation; to facilitate flexion

Posterior gapping: internal rotation; to facilitate extension

Question 19

Bilaterally extended sacrum MET setup vs bilaterally flexed sacrum

Answer 19

Extended: prone, abduct and externally rotate legs, anterior/inferior force towards sacral base + resist inhalation
Flexed: prone, abduct leg and internally rotate, anterior/superior force on ILA region + resist exhalation

Question 20

Unilaterally flexed left sacrum MET vs unilaterally extended left sacrum MET

Answer 20

Same as bilaterally, except you apply force on the posterior sacral base or posterior ILA instead of force being midline

Question 21

Flexed sacral torsion MET (L on L or R on R) vs extended sacral torsion

Answer 21

Flexed: Pt lays lateral recumbent and facing table (modified sims), flex pts hips and knees and lower ankles towards floor - pt lifts feet towards ceiling
Extended: pt lays lateral recumbent and facing up, flex top knee and drop off table, extend bottom knee, gently force top knee towards floor and pt lifts knee towards ceiling

Question 22

In treating sacral torsion, what side does the pt lay on?

Answer 22

Axis-side down