M1T2 OMM Midterm Flashcards
Normal physiological motion does not apply to the cervical region due to the ________ of OA and AA, the ________ of the facets of C2-C7, and the ________ of the vertebral bodies, ligamentous attachments, and muscular insertions.
Atypical facets, oblique plane, shape
Dysbiosis and intestinal hyperpermeability can lead to a ________, ________, and ________.
Hyperactive immune system, allergic reactions, increased HPA axis activity
Sensory fibers are composed of two types. ________ are activated in slow and rapid lengthening of muscle spindle fibers. ________ are activated only during slow lengthening.
Primary endings (annulospiral), secondary endings
In an allostatic response, compensation is usually through ________, ________, and ________.
Posture, mechanics, metabolism
Aδ fibers alone can localize within ________, but coupled with ________ receptors, the pain can be nearly exactly localized.
10 cm, tactile
Aδ fibers use ________ as their neurotransmitter and terminate in the ________.
Glutamate, lamina marginalia of the dorsal horns
The upper extremities innervated by what spinal cord level(s)? (sympathetics)
T2-T6
What are indirect options for cervical injury?
Cranial manipulationCounterstrainMFRBLT/LASFPR
Hyperextension occurs within the first ________ seconds following impact.
0.25
The volatile oil found in peppermint (menthol) has what property? What is this most likely due to?
AntispasmodicCalcium channel blockade
Probiotics are particularly helpful for treating ________.
Antibiotic associated diarrhea
What are some examples of tonic/postural muscles in the pelvic/hip region?
HamstringsIliopsoas PiriformisTensor fascia lataRectus femorus Thigh adductors
When a greater noxious stimulus is required to tigger an action potential but pain shoots directly to maximal intensity and lasts longer than normal, it is known as ________.
Hyperpathia
An important aspect of integrative medicine is that it is informed by ________.
Evidence
Muscle spindles have few or lack ________.
Actin or myosin filaments
________ are receptors responsible for touch and pressure.
Free nerve endings
TCM originated in China and evolved over ________ years ago
2500
Muscle spindles are located in the ________ of the muscle and give info about muscle ________ and ________.
Belly, length, rate of change of length
Fast, sharp pain from mechanical or heat stimuli travels on ________ rapidly.
Aδ fibers
A ________ strain or sprain is a ________ injury that consists of complete tissue rupture, severe bleeding/swelling, spasm/hypertonicity, unstable joints, and 6-8 weeks of recovery. This type usually requires ________.
Third, macroscopic, surgery
Opioid substances bind to ________ in the brain and spinal cord.
μreceptors
________ point tenderness is likely to be associated with a more serious injury than posterior element pain.
Anterior
Due to its antispasmodic properties on smooth muscle in the GI tract, peppermint may actually make someone with ________ worse.
Acid reflux
Medicine that views the physical, mental, and spiritual aspects of life as closely interconnected is known as ________ medicine.
Holistic
What are 4 safety factors impacting MVA-related cervical strain/sprain?
1) firm seat back2) seat belt/shoulder strap3) high stiff headrest4) inflatable airbag
A noxious stimulus that is more painful than expected is known as ________.
Hyperalgesia
When did board certification by the American Board of Integrative Holistic Medicine start?
2000
What year did the American Holistic Medical Association start?
1978
In the GI system, fennel has ________ effects and probably acts as an ________ and ________.
Antispasmodic, anticholinergic, calcium blocker
How are upper and lower crossed syndrome treated? (In what sequence)
1) Core retraining2) Stretch and lengthen hypertonic postural muscles3) Activate and strengthen inhibited dynamic muscles4) Maintenance (home exercises)
Homeopathy became popular with physicians in Philadelphia in what year(s)?
1830s
What are some herbs/nutritional medicines that can be recommended for irritable bowel syndrome?
PeppermintFennelProbioticsSaccharomyces boulardii
The lower ureters are innervated by what spinal cord level(s)? (sympathetics)
T12-L1
The upper ureters are innervated by what spinal cord level(s)? (sympathetics)
T10-T11
“Vital dynamis” is disease caused by deterioration of an immaterial vital principle in individuals and is associated with ________.
Homeopathy
In the ALS, the primary neuron synapses in the ________, the secondary neuron synapses in the ________ and the tertiary neuron synapses in the ________.
Dorsal horn, thalamus, cortex
Contraction of a muscle involves reciprocal inhibition of the ________ antagonist and ________ agonist.
Ipsilateral, contralateral
The Golgi tendon reflex occurs when ________.
Stress on a tendon becomes too great
The adrenal medulla is innervated by what spinal cord level(s)? (sympathetics)
T10
What are direct options for cervical injury?
Soft tissueMFRME (PIR)HVLA
Upper crossed syndrome involves weak ________ and ________, and tightened ________ and ________.
Neck flexors, middle/lower trapezius, upper trapezius/levator scapulae, SCM/pectorals
When did the first fellowship in Integrative Medicine begin?
1997
The primary motion of AA is ________ and accounts for the first ________ of this motion.
Rotation, 50%
Dysfunctions in hip extension can lead to ________ pelvic tilt, lumbar ________, and a number of other issues.
Anterior, hyperlordosis
The appendix is innervated by what spinal cord level(s)? (sympathetics)
T12
What are two other names for the “joints of Luschka” and what do they prevent?
Uncinate processes, uncovertebral jointsPrevent posterolateral disc herniation
The downward spiral is a combination of ________, ________, and ________ and leads to maintenance and exacerbation of somatic dysfunction.
Chronic inflammation, vasoconstriction, muscle spasm