OA to head pain LAB

Question 1

Whats in the suboccipital triangle

Answer 1

myodural bridges
GREATER OCCIPITAL N.
Cervical trigemnical complex C1-C3

Question 2

chronic neck pain is highly associated with decreased____

Answer 2

decreased balance

Question 3

benefits of scalp + cervical MFR

Answer 3

decreases sensitization; influence proprioceptive input

Question 4

scalp and cervical mfr:

Answer 4

palpate to fascial layer

take indirect or direct and follow tissue release (scalp MFR, cervical global myofascial)

Question 5

ST techniques you can use

Answer 5

suboccipital release + cervical traction

Question 6

what counterstrain points would you want to do for a pt with a headache?

Answer 6

PC1 inion (F STRA), pc1 occiput (E SARA), pc2 occiput (E SARA), pc2 (E SARA)

suboccipital rgn; 70% reduction in pain; hold 90 seconds; passively return to neutral, reassess

Question 7

diff bw a trigger point and a tender point:

Answer 7

trigger - knot in muscle belly; tight/taut band of tissue; radiating and referring pain; characteristic pain pattern; twitch response; dermographia = present

tender - tender in that area; no characteristic pain pattern; no radiating pattern; no twitch response; dermographia = NOT present

Question 8

trigger points dx:

Answer 8

listen to pain pattern + palpate suspected muscle

palpate for knot in muscular layer (twitch response; reproduces pain pattern)

Question 9

tx for trigger points

Answer 9

ischemic compression = soft tissue technique/deep inhibitory

thumbs over/pinch trigger point–> hold down w/ deep pressure (will hurt)–> feel for trigger pt to melt

Question 10

where is the most common trigger point?

Answer 10

trapezium

Question 11

Cervical facets orientation?

Answer 11

C2-7 joint: backward, up, medial

Question 12

Treatment of cervical techniques:

Answer 12

ME, articulatory, BLT, FPR, Stills

Question 13

TMJ assessment:

Answer 13

-palpate to TMJ joint (check for tenderness, clicking on opening closing) + assess for deviation

1. have pt clench jaw closed (evaluate function of temporalis, masseter, and medial pterygoid)
2. have pt open mouth slowly, note deviations (C or S)
3. have patient retract and protrude mandible
4. have pt move jaw laterally and forward on each side
5. have pt depress jaw against mild resistance (digastric + suprahyoid muscles)

Question 14

C-shaped deviation:

Answer 14

unilateral problem, deviates toward side of dysfunction

Question 15

S-shaped deviation:

Answer 15

bilateral problem

Question 16

Moving patients jaw to the right and forward evaluates what muscles?

Answer 16

left medial + lateral pterygoid

Question 17

moving patients jaw to left + forward evaluates what muscles?

Answer 17

right medial + lateral pterygoid

Question 18

TMJ treatments

Answer 18

palpate common irritated muscles (SCM + temporalis), ST technique, MFR (temporalis + muscles of mastification), ME (muscles of mastification)

Question 19

What is the ME technique you can use for TMJ?

Answer 19

mandibular depression restriction

Question 20

What ST techniques can you use for TMJ?

Answer 20

ST for hypertonic temporalis muscle, ST for mandible restricted to lateral translation , medial pterygoid ST (weird one with gloved hand in the oral pillar lol)

Question 21

position for medial pterygoid CS (+ @location):

Answer 21

mandible away from TP (@ medial aspect of ascending ramus anterior to angle of jaw)

Question 22

position for masseter CS (+ @location):

Answer 22

mandible towards TP ( @belly of masseter, inferior to zygoma)

Question 23

position for TMJ CS (+ @location):

Answer 23

rotate away (@TMJ opposite of mandibular deviation)