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OS3 CPA3 > MET > Flashcards

MET Flashcards

1
Q

OA

A

supine, one hand under occiput one hand on chin

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2
Q

AA

A

supine, both hands under head and only rotate

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3
Q

C2-C7

A

supine, contact articular pillars with 1st MCP joint

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4
Q

cervical/upper thoracic seated

A

one hand on head, other hand on segment, flex or extend the head, pt uses 1 lb force

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5
Q

lower thoracic type 1 seated

A

stand opposite PTP, monitor TPs at apex of group dysfunction with thumb and index finger on, middle finger on inferior segment, pt uses 3-5 lbs force, arm goes under then over

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6
Q

lower thoracic type 2 seated

A

stand opposite PTP, monitor TPs at apex of group dysfunction with thumb and index finger on, middle finger on inferior segment, pt uses 3-5 lbs force, arm goes over over

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7
Q

rib 1 inhalation

A

pt supine, thumb ipsilateral to SD on anteromedial aspect of rib, other hand puts head in flexion, sidebent towards, and rotated away (FStRa), resist inhalation and push into exhalation, repeat 5-7x

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8
Q

ribs 2-6 inhalation

A

physician ipsilateral knee on table with pt’s SD leaning on it, SIDEBEND TOWARDS SD, web of ipsilateral thumb/index finger placed in ICS superior to SD, resist inhalation and push into exhalation, repeat 5-7x

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9
Q

ribs 7-10 inhalation

A

pt supine, stand ipsilateral, thumb and index finger on superior surface of SD (BITE: treat bottom rib), SIDEBENT TOWARDS SD, resist inhalation and push into exhalation, repeat 5-7x

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10
Q

ribs 11-12 inhalation

A

pt prone, LEGS SIDEBENT 15-20 TOWARDS SD, doc stand contralateral, cephalad hand hypothenar eminence medial/inferior to SD, caudad hand grabs ASIS, apply LATERAL/CEPHALAD traction to SD, resist inhalation and push into exhalation, repeat 5-7x

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11
Q

list the muscles that you’re treating in rib exhalation SD

A 
rib 1: anterior, middle scalenes
rib 2: posterior scalene
ribs 3-5: pec minor
ribs 6-8: serratus anterior
ribs 9-10: latissimus dorsi
ribs 11-12: quadratus lumborum
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12
Q

ribs 1-2 exhalation

A

pt supine, head rotation 30 away, hand ipsilateral to SD on forehead, doc stand contralateral, cephalad hand on pts hand on forehead, caudad hand reaching across patient under their shoulder at superior angle of SD, apply CAUDAD/LATERAL TRACTION w/ caudad hand and have pt flex head and apply counterforce

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13
Q

ribs 3-5 exhalation

A

pt supine, ipsilateral arm fully flexed, doc contralateral to SD, cephalad hand on patient’s arm, caudad hand reaching across patient under their shoulder at superior angle of SD, apply CAUDAD/LATERAL TRACTION with caudad hand, have patient push against cephalad hand

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14
Q

ribs 6-8 exhalation

A

pt supine, ipsilateral shoulder flexed to 90 degrees and forearm crossing over chest, doc ipsilateral to SD, cephalad hand under pt shoulder at superior angle of SD, caudad hand on elbow, CAUDAD/LATERAL TRACTION w/ cephalad hand and have pt push elbow towards ceiling

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15
Q

ribs 9-10 exhalation

A

pt supine, doc ipsilateral, cephalad hand abducts ipsilateral arm to 90, caudad hand under pt at superior angle of SD, have pt push their arm into adduction and resist

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16
Q

ribs 11-12 exhalation

A

pt prone, legs SIDEBENT 15-20 AWAY from SD, doc contralateral, cephalad hand reaches over pt placed inferior to SD, caudad hand grabs iliac crest, cephalad hand pushes cephalad and pt pulls iliac crest up while doc pushes against

17
Q

lumbar type 1 lateral recumbent

A

NUDR

  • neutral, PTP up, patient force down, recumbent
  • flex hip and knees until motion felt, lift pts ankles
18
Q

lumbar type 2 extended lateral recumbent

A

SUUE

  • modified sims, PTP up, pt force up, extended
  • flex hips and knees until at barrier, pts leg dropped off table, pt raises ankles up
19
Q

lumbar type 2 flexed lateral recumbent

A

FDDR

  • flexed, PTP down, pt force down, recumbent
  • pull bottom arm anterosuperiorly, have other arm grasp side of table behind pt, straighten bottom leg, lift top ankle and flex knee, pt pushes down
20
Q

lumbar type 1 seated

A

doc stands behind pt opposite PTP, caudad hand monitors apex, cephalad hand goes under then over, flex pts torso and rotate and sidebend

21
Q

lumbar type 2 seated

A

doc stands behind pt opposite PTP, caudad hand monitors apex, cephalad hand goes over then over, flex pts torso and rotate and sidebend

22
Q

sacral backward torsion seated (L on R)

A

pt seated, doc seated behind, rotate torso to the left, have pt cross left knee over right knee, have pt either 1) rotate left shoulder to the left or 2) push left knee to the left

23
Q

sacral backward torsion seated (R on L)

A

pt seated, doc seated behind, rotate torso to the right, have pt cross right knee over left knee, have pt either 1) rotate right shoulder to the right or 2) push right knee to the right

24
Q

sacral forward torsion seated (L on L)

A

pt seated, doc seated behind, rotate torso to left, stabilize knees together, have pt either 1) rotate left shoulder forward or 2) push left knee to the left

25
Q

bilateral sacral flexion

A

pt prone, doc standing beside pt, caudad hand thenar and hypothenar eminences on ILAs, cephalad hand on top, apply ANTERIOR/SUPERIOR FORCE, resist sacral flexion during exhalation

26
Q

bilateral sacral extension

A

pt prone in sphinx, doc standing beside pt, caudad index and middle finger on sacral sulci, cephalad hand on top, resist extension in inhalation and exaggerate flexion in exhalation

27
Q

unilateral sacral flexion

A

pt prone, doc standing on side, caudad hand abducts and ER ipsilateral hip, cephalad hypothenar eminence on ipsilateral sacral sulcus, caudad hand on top, exert ANTERIOR/INFERIOR force on sacral sulcus, resist extension in inhalation and encourage flexion in exhalation

28
Q

unilateral sacral flexion ART

A

pt prone, doc standing on side, caudad hand abducts and ER ipsilateral hip, cephalad hypothenar eminence on ipsilateral sacral sulcus, caudad hand on top, apply springing motion with heel of hand in anterior/inferior direction

29
Q

forward torsion (L on L or R on R) not seated

A

pt in modified sims with AXIS SIDE DOWN, hips and knees flexed to 90 with chest down on table, doc monitoring L5-S1, flex hip and knees until motion felt with knees on doc’s thigh, pt inhales and exhales 3 times and each time reaches down with top arm, lower pts legs towards floor by pushing at feet, have pt push their feet up

30
Q

backward torsion (R on L or L on R) not seated

A

pt in lateral recumbent with AXIS SIDE DOWN, flex top hip and knee to 90, pull pts lower arm anteriorly, have pt breath 3 times and reach back with top arm each time, monitor L5-S1, take top foot and put on doc’s thigh push pt’s knee towards floor, have pt push up against hand

OS3 CPA3 (3 decks)

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