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OMM Lab M1 > Motion And Palpation > Flashcards

Motion And Palpation Flashcards

1
Q

Standing structural exam

A

Observes the overall configuration of the body and determines location of most significant anatomic asymmetries/areas of concern (Screening exam)

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2
Q

What landmarks do you assess posteriorly on a standing structural exam?

A

.Mastoid process, occipital, vertebral prominent, acromion processes, scapulae, spine of scapulae, inferior angle of scapula, iliac crests, PSIS, greater trochanter, lat. and med. malleoli

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3
Q

What position is normally used to palpate back region?

A

Prone position

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4
Q

How do you find L1?

A

. Palpate ribs 11-12 w/ fingertips and stretch thumbs medically like you’re touching them together
. Palpate iliac crests to identify L4 and then count up

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5
Q

In lumbar region are transverse processes even with spinous process?

A

YES

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6
Q

How do you find erector spinae muscles?

A

Find spinous process of L1 and move thumbs 2 inches laterally

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7
Q

Where are lumbar transverse processes?

A

Deep to erector spinae muscles

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8
Q

How hard do you press on palpation of lumbar vertebra?

A

Apply amount of pressure required to blanch the nail of your thumb

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9
Q

As you press anteriorly on the back what force are you applying?

A

Left rotation for ace to vertebral segment

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10
Q

As you press over left transverse process what force are you giving?

A

Right rotational force of vertebral segment

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11
Q

How do you find the PSIS?

A

Place fingertips over iliac crests and drop thumbs medically and inferiorly

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12
Q

How do you find trochanter?

A

Put thumb over PSIS and rotation your hand down onto their side with thumb still on PSIS

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13
Q

How to assess flexion/extension of thoracic spine?

A

. Stand behind seated patient where patient’s feet reach floor
. Patient drops chin to chest and slump forwards (flexion)
.Patient sit up straight and look at ceiling (extension)

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14
Q

How to assess side bending of thoracic spine?

A

. Stand behind seated patient

. Have patient bend at waist right and left (right and left side bending)

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15
Q

how to assess rotation of thoracic spine?

A

. Stand behind seated patient
. Patient twists to right and look over right shoulder (right rotation)
. Twists left and looks over left shoulder (left rotation)

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16
Q

How to assess flexion/extension of lumbar spine?

A

. Stand behind standing patient w/ no shoes
. patient stand shoulder-width apart and bend forward at waist to touch toes without bending knees (flexion)
. Patient bends backward at waist to pain-free limitation (extension)

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17
Q

Normal angles for lumbar flexion and exension

A

. Flexion: 70-90 degrees

. Extension: 30-45 degrees

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18
Q

How to assess sidebending of lumbar spine

A

. Patient standing bends at waist to right and left by sliding hand down leg in direction of knee

19
Q

How to assess rotation of lumbar spine

A

. patient standing twists at waist to right and left

. Not all this rotation is coming from back (hips, thoracic spine, and ribcage also involved)

20
Q

When to perform soft tissue treatment in general

A

. When tissue has restricted motion or are mildly tender

. To get diagnostic information

21
Q

What types of tissue are amendable in soft tissue treatment and which types are not?

A

. Chronic tissue texture changes (cooler, stringy, ropy) can be amendable
. Acute tissue changes (heat, erythema, spasm, tenderness, swelling) is not as much

22
Q

What do you want to contact in soft tissue treatment for vertebral regions and how do you do it?

A

Contact paraspinal muscles in groove between spinous process and the muscle
. Apply firm pressure to muscle mass and pull in lat. direction w/o overstretching skin

23
Q

How do you avoid overstretching skin?

A

Move fingers medically a short distance w/o losing contact w/ skin to gather excess skin and then apply deeper pressure and lat. traction on muscle

24
Q

Guidelines for soft tissue treatment

A

. Apply and release force slowly
. Never allow muscle to snap back
. Don’t slide fingers over / overstretch skin
. Spread forces out and avoid direct force on bony prominences
. Sensing approach (see how patient and muscles respond and adjust accordingly)
. Stop when muscle relaxes
. Obtain feedback from patient
. Use finger pads and not fingernails

25
Q

What is m99.03 ST

A

Lumbar-soft tissue- patient prone

26
Q

What dysfunction prompts soft tissue of lumbar spine treatment?

A

Tight/hypertonic lumbar paraspinal musculature

27
Q

What is objective of lumbar soft tissue treatment?

A

. Relaxation/softening of lumbar paraspinal musculature

. Increase available spinal motion

28
Q

Patient and physician position or soft tissue lumbar treatment?

A

. Patient prone on table w/ head turned toward physician

. Physician standing at side table opp. Tight paraspinal musculature

29
Q

Procedure of lumbar soft tissue treatment

A

. Place thumbs in groove between paraspinal musculature and spinal processes on side opp. You
. Apply force slowly anterolaterally (can move medically first to gather excess skin)
. Stop when barrier is reached
. Slowly release and repeat working cephalad to caudad
. Switch sides and repeat

30
Q

What is M99.02 ST

A

Thoracic soft tissue patient prone

31
Q

Dysfunction for soft tissue on thoracic spine treatment?

A

Tight/hypertonic thoracic paraspinal muscles

32
Q

Objective of thoracic soft tissue treatment

A

. Relaxation/softening of thoracic paraspinal musculature

. Increase available spinal motion

33
Q

Patient and physician position in thoracic soft tissue treatment

A

. Patient prone with head towards physician side

. Physician standing at opp. Side of tight paraspinal musculature

34
Q

Thoracic soft tissue treatment procedure

A

. Place thumbs between groove between paraspinal muscles and spinous process on opp. Side you
. Apply force anterolaterally (can go medial first to collect excess skin)
. Stop when barrier reached
. Slowly release and repeat working cephalad to caudad

35
Q

What is M99.01 ST

A

Cervical soft tissue method 1 patient supine

36
Q

Dysfunction to warrant cervical soft tissue treatment

A

Cervical soft tissue tension

37
Q

Objective of cervical soft tissue treatment

A

. Decrease cervical tissue tension and muscle spasm

. Reduce paraspinal muscle tension and increase spinal motion

38
Q

Patient and physician position for cervical soft tissue treatment

A

. Patient supine

. Physician seated or standing at head of table

39
Q

Procedure for cervical soft tissue treatment

A

. Place finger pads bilaterally in contact w/ paraspinal muscles
. Start in lower region of neck and work towards head
. Use left hand to roll patient’s head and neck to right to gather soft tissue into right hand
. Move right hand anterolaterally to stretch right paraspinal muscles while rolling head and neck to the left
. Reverse process w/ left hand stretching and right hand rolling patient’s head to the right

40
Q

What is M99.03 EXER

A

Lumbar constant rest position exercises

41
Q

Lumbar constant rest position exercise objective

A

Relieve muscle pain and tension by allowing muscles of hips, pelvis, and spine to relax
. Provides temp. Relief of aches and pains assoc. w/ hip, pelvis,and spine

42
Q

Procedure for lumbar constant rest position exercise

A

. Start in supine position on floor w/ head support on towel
. Drape legs over chair/ottoman
. Height of chair should allow knees and hips to bend at 90 degree angle
. Stretch arms out to sides at shoulder level palms facing ceiling
. Lie in position and let muscles relax (can put ice packs for acute situations)
. Relax for 3-10 minutes

43
Q

Which 2 DOs allowed COH to use their unlimited licenses until DOs got their full practicing rights in IL?

A

Dr Craske and Dr Kistner

OMM Lab M1 (18 decks)

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