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ECOS IV > Midterm Extra Info > Flashcards

Midterm Extra Info Flashcards

(99 cards)

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1
Q

CRI rate

A

10-14 BPM

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2
Q

CRI direction

A

linear and symmetric

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3
Q

CRI characteristics (RRADS)

A

Rate, Rhythm, Amplitude, Direction, Strength

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4
Q

Function of dural folds (falx cerebri/cerebelli and tentorium cerebelli) in cranial movement

A

act as reciprocal tension membranes, springing the cranial bones

storing energy in flexion (stretch) and releasing in extension (rebound)

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5
Q

SBS flexion/inhalation

A

Sphenoid rotates anteriorly,
Occiput rotates posteriorly

head gets shorter and wider

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6
Q

SBS extension/exhalation

A

Sphenoid rotates posteriorly,
Occiput rotates anteriorly

head gets longer and narrower

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7
Q

Sacral motion in SBS flexion

A

counternutation : dural pull, sacral base moves posterior

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8
Q

Sacral motion in SBS extension

A

nutation : dural release, sacral base moves anterior

*moves towards the nuts

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9
Q

CNs that travel thru the optic canal (1)

A

Optic

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10
Q

CNs that travel thru the superior orbital fisure (4)

A

Oculomotor
Trochlear
V1 (opthalamic)
Abducens

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11
Q

CNs that travel thru the foramen rotundum (1)

A

V2 (maxillary)

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12
Q

CNs that travel thru the foramen ovale (1)

A

V3 (mandibular)

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13
Q

CNs that travel thru the internal acoustic meatus (2)

A

Facial

Vestibulocochlear

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14
Q

CNs that travel thru the jugular foramen (3)

A

Glossopharyngeal
Vagus
Accessory

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15
Q

SBS joint type

A

synchondrosis of hyaline cartilage

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16
Q

Paired bones in cranial motion (3)

A

Frontal, Parietals, Temporals

flexion and extension

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17
Q

Paired cranial bone movement in flexion

A

EXternal rotation in flEXion

flexternal

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18
Q

Paired cranial bone movement in extension

A

internal rotation

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19
Q

Ethmoid movement in cranial motion

A

rotates same direction as occiput (vowels move together)

  • moves like a gear against the sphenoid
  • sphenoid rotates forward in flexion, so ethmoid/occiput rotate backward
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20
Q

Vomer movement in cranial motion

A

rotates same direction as sphenoid (consonants move together)

*sphenoid rotates forward in flexion, so vomer rotates forward

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21
Q

Doc who invented cranial omm

A

William Garner Sutherland

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22
Q

Rotation axis of midline bones (occiuput, sphenoid, ethmoid, vomer)

A

transverse axis (F/E)

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23
Q

Rotation axis of paired bones

A

saggital axis (IR/ER)

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24
Q

Cranial vault contact

A 
Thumbs: Frontal
Index: Greater wing sphenoid
Middle: Anterior to ear
Ring: Mastoid process
Pinky: Occiput
Palms: Parietals
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25
Frontal occipital contact
Top hand: thumb and index finger on opposite greater sphenoid wings Bottom hand cradles occiput
26
Becker contact
thumbs on greater sphenoid wings
27
Left Torsion
Saggital axis (opposite) Air hands: rotate opposite directions w/ Lt index going up, Rt index going down
28
Right Torsion
Saggital axis (opposite directions) Air hands: rotate opposite directions w/ Rt index going up, Lt index going down
29
Right Sidebending Rotation
Saggital axis (same), 2x vertical axes (opposite) Air hands: spread and scrunch Rt hand gets wider, Lt hand gets narrower *named based on wide side
30
Left Sidebending Rotation
Saggital axis (same), 2x vertical axes (opposite) Air hands: spread and scrunch Lt hand gets wider, Rt hand gets narrower *named based on wide side
31
Superior Vertical Strain
Parallel transverse axes (same) Air hands: rotate same direction Lt and Rt hand rotate forward *named for base of sphenoid movement
32
Inferior Vertical Strain
Parallel transverse axes (same) Air hands: rotate same direction Lt and Rt hand rotate backward *named for base of sphenoid movement
33
Left Lateral Strain
Parallel vertical axes (same) Air hands: parallelogram Pinkies shift Lt, Index fingers shift Rt
34
Right Lateral Strain
Parallel vertical axes (same) Air hands: parallelogram Pinkies shift Rt, Index fingers shift Lt
35
Strain pattern caused by trauma at the temporal bone (DIRECTLY AT THE LEVEL OF THE SBS)
Sidebending rotation strain
36
Strain pattern caused by trauma at the pterion or asterion (anterior or posterior to the SBS)
Lateral strain
37
Strain pattern caused by downward force on top of the frontal bone, or upward force at the occiput
Inferior strain *both would cause the base of the sphenoid to move (relatively) inferiorly
38
Strain pattern caused by upward force on the mandible, or downward force at the saggital suture (parietal bones)
Superior strain *both would cause the base of the sphenoid to move (relatively) superiorly
39
Strain pattern caused by rotational force anterior or posterior to the SBS
Torsion strain
40
Rotator cuff special tests
empty can, apprehension, drop arm
41
Shoulder impingement special tests
Neer, painful arc, hawkins
42
AC joint pathology special test
cross arm
43
Inhaled rib MET/ART
Push bottom rib down into exhalation
44
Rib 1-2 Exhaled MET/ART
pt hand on forehead, flex head against force Rib 1 = ant/mid scalene Rib 2= post scalene
45
Rib 3-5 Exhaled MET/ART
pt arm above head and pull down against force Rib 3-5 = pec minor
46
Rib 6-8 Exhaled MET/ART
pt cross arm and push elbow towards ceiling Rib 6-8 = serratus anterior
47
Rib 9-10 Exhaled MET/ART
pt force elbow behind them Rib 9-10 = lat dorsi
48
Rib 11-12 Exhaled MET/ART
pt scrunch back (sidebend), physician push rib up Rib 11-12 = quad lumb
49
Spencer Technique
1. E 2. F 3. compression circumduction 4. traction circumduction 5. Add/ER or Abduction 6. IR 7. traction inferior glide
50
AC joint dx
step off = superior clavicle step on = inferior clavicle also assess ER/IR Tx w/ circulatory sweep or ER/IR MET
51
SC joint dx (clavicular head)
shrug = abduction = inferior/caudal movement lowered shoulders = adduction = superior/cephalad movement shoulder protraction = flexion = posterior movement shoulder retraction = extension = anterior movement
52
Sacral Diagnosis | bend, spring, sphinx, respiratory
SEATED forward bend test to lateralize + Lumbar spring test = resistance to springing = E sacrum + Backward bend test = worsened assymetry = E sacrum Respiratory motion = E on Inhale, F on exhale
53
Sacral torsion bases/ILAs
Same movement on same side Opposite movement on opposite side ``` i.e. L base posterior L ILA posterior R base anterior R ILA anterior ``` PA PA
54
Sacral unilateral flexion bases/ILAs
Opposite movement on same side Same movement on opposite side ``` i.e. L base posterior L ILA anterior R base anterior R ILA posterior ``` PA AP
55
Radial Head movement
Radial head moves posterior with pronation anterior with supination
56
Fibular head movement
Fibular head moves posterior with plantarflexion (also inversion) moves anterior with dorsiflexion
57
Viscerosomatic Levels: Head/Neck/Upper esophagus
T1-5
58
Viscerosomatic Levels: Heart
T1-6
59
Viscerosomatic Levels: Lungs
T1-7
60
Viscerosomatic Levels: Upper GI
T5-10
61
Viscerosomatic Levels: SI and Ascending colon
T9-11
62
Viscerosomatic Levels: Ascending/Transverse colon
T10-11
63
Viscerosomatic Levels: Descending/Sigmoid colon/rectum
T12-L2
64
Viscerosomatic Levels: Adrenals
T5-10
65
Viscerosomatic Levels: GU and Ureters
T10-L2
66
Viscerosomatic Levels: Upper extremities
T2-7
67
Viscerosomatic Levels: Lower Extremities
T11-12
68
Cranial technique that increases CRI amplitude
CV4
69
CV4 tx
thenar eminences on the occiput encourage extension of occiput (anterior rotation) hold still point
70
HA dx? Bilateral tight/achy/band-like pain that radiates from cervical region Due to trauma, strain, sedentary life, TRIGGR POINT
Tension HA (most common)
71
Smoking cessation helps reduce number of what type of HA?
Tension HA
72
HA dx? Unilateral throbbing/burning pain May have aura, N, photo/phonophobia Triggered by stress, hormones, sleep dist, etc
Migraine
73
Tx for medication rebound HA (most commonly due to use of chronic pain meds)
discontinue med
74
Tx for tension HA
biofeedback, NSAIDs
75
Tx for Migraines
biofeedback, triptans, propalolol
76
Tx for Cluster HA
Triptans, Oxygen
77
ADC VANDALISM for inpatient admission
``` Admit to Dx Condition Vitals Allergies Nursing instructions Diet Activity Labs IV fluids Special instructions Medication/Monitoring ```
78
How to avoid anchoring bias
dont get hooked on first thing heard from referring physician, do HPI and PE yourself
79
How to document assessment
order of importance
80
TMJ BLT worse while opening
compress mandible and push laterally to point of ease
81
TMJ BLT worse while closing
open mandible and push laterally to point of ease
82
Masseter CS
pt relax jaw, translate TOWARD tenderpoint
83
Medial pterygoid CS
TP on medial part of angle of mandible translate AWAT from tenderpoint
84
Temporalis/masseter/medial pterygoid MET for lateral deviation
RB is opposite of side of deviation, pt force toward side of deviation *i.e. left deviation = cant go right = right sided RB doc force right, pt force left
85
Temporalis/masseter/medial pterygoid MET for S curve deviation
depress jaw to engage RB, have pt try to close *these muscles close the jaw, so direct barrier will be found with opening jaw
86
Lateral pterygoid/digastrics/mylohyid/geniohyoid MET for S curve deviation
close jaw to engage RB, have pt try to open *these muscles open the jaw, so direct barrier will be found with closing jaw
87
Diagnostic criteria for FMS
Diffuse pain + >3 months + no other explanation
88
Tx for FMS
amytriptyline, gabatentin, cyclobenzaprine, tramadol, duloxetine, milnacipran, cannabinoids, Vitamin D (only if low) exercise, proper sleep OMT (mainly indirect txs)
89
Categories of nerve injuries focal damage to myelin fibers, sheath remains intact
1 degree (neuropraxia)
90
Categories of nerve injuries injury to axon itself with myelin remaining intact
2nd degree (axonotmesis)
91
Categories of nerve injuries disruption of axon + endoneurium
3rd degree neurotemesis
92
Categories of nerve injuries disruption of axon + endoneurium + perineurium
4th degree neurotemesis
93
Categories of nerve injuries disruption of axon + endoneurium + perineurium + epineurium
5th degree neurotemesis
94
Peripheral nerve damage broken proximal humerus, triceps dysfuntion, decreased sensation over dorsum of hand
radial nerve damage/entrapment
95
Peripheral nerve damage repetitive hand motions at job, nighttime numbness of digits 1-3
median nerve entrapment (carpal tunnel) other medial n compressions can cause medial forarm pain and weak pronation
96
Peripheral nerve damage parasthesia to 4th and 5th digits
ulnar nerve entrapment/damage
97
Peripheral nerve damage pain in proximal lateral leg, foot drop with slapping gait
fibular n compression
98
Peripheral nerve damage pain over dorsum of foot with extensor digitorum weakness
deep fibular nerve (anterior tarsal tunnel syndrome)
99
Peripheral nerve damage plantar foot weakness and decreased sensation
posterior tibial nerve (tarsal tunnel syndrome)

ECOS IV (10 decks)

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