OMM Flashcards
What are the somatic levels of the head and neck?
T1-T4
What are the somatic levels of the heart and lung?
T1-T4
What are the somatic levels of the foregut?
***Stomach, liver, gallbladder, spleen, pancreas
T5-T9
What are the somatic levels of the midgut?
***distal half of the duodenum, small intestine, ascending colon, hepatic flexure, 2/3 transverse colon
T10-T11
What are the somatic levels of the hindgut?
***distal 1/3 transverse colon, splenic flexure, descending colon, sigmoid colon, rectum
T12-L2
What are the somatic levels of the kidney?
T10-T11
What are the somatic levels of the appendix?
T12
What are the somatic levels of the upper extremity?
T2-T8
What are the somatic levels of the Lower extremity?
T11-L2
What are the somatic levels of Upper ureter and gonads?
T10-T11
What are the somatic levels of Lower ureter and All other GU
T12-L2
What are the primary motions of the OA?
Flexion and Extension
Type 1 like: Sidebending and rotation are opposite
What are the primary motions of the AA?
Rotation
What is the primary motion of C2-C7?
Sidebending
Type 2 like
What is the facet orientation of the portions of the spine?
Cervical: BUM: backwards, upwards, medial
Thoracic: BUL: backwards, upwards, lateral
Lumbar: BM: Backwards and Medial
What are the characteristics of a typical rib?
Head neck and body
One facet articulates with the same numbered vertebrae
One facet articulates with the above number vertebrae
What are the characteristics of the atypical ribs?
***(ribs with either a 1 or a 2 in the numbers)
Rib 1: one facet and two subclavian grooves
Rib 2: rough area for serratus anterior
Rib 10: one facet
Ribs 11 and 12: no neck, one facet
In treating exhalation dysfunctions, what muscles are utilized for rib(s) 1?
Anterior and middle scalenes
In treating exhalation dysfunctions, what muscles are utilized for rib(s) 2?
Posterior Scalene
In treating exhalation dysfunctions, what muscles are utilized for rib(s) 3-5?
pectoralis minor
In treating exhalation dysfunctions, what muscles are utilized for rib(s) 6-9?
Serratus anterior
In treating exhalation dysfunctions, what muscles are utilized for rib(s) 10-12?
Latissimus dorsi
What is the anatomic and spacial relationship between the spinous and transverses processes of T1-T3?
SP and TP are in line
What is the anatomic and spacial relationship between the spinous and transverses processes of T4-T6?
TP is half a segment above the SP
What is the anatomic and spacial relationship between the spinous and transverses processes of T7-T9?
TP is one full segment above SP
What is the anatomic and spacial relationship between the spinous and transverses processes of T10?
TP is one full segment above the SP
**TP of 10 is actually in line with T9 SP
What is the anatomic and spacial relationship between the spinous and transverses processes of T11?
TP is a half a segment above the SP
What is the anatomic and spacial relationship between the spinous and transverses processes of T12?
SP and TP are equal
_______ is the age related or wear and tear degenerative changes in the spine
Spondylosis
What are the findings that are associated with spondylosis?
Osteophytes
Disc space narrowing
Pain with movement that resolves with rest
Obesity and overuse are common risk factors of ________
Spondylosis
________ refers to the anterior slippage of one vertebrae relative to the one beneath it
Spondylolisthesis
What will the Xray of a patient with spondylolisthesis demonstrate?
Step off
_______ is a fracture in the pars interarticularis of a vertebrae
Spondylolysis
What will the Xray of a patient with spondylolysis show?
Scotty dog: pars interarticularis is the neck
What is a positive straight leg raise indicative of?
Lumbar disc herniation
L5 and S1 is the most common with a posterolateral displacement of the disc from a weak posterior longitudinal ligament
What are the 3 structures that can be narrowed and cause spinal nerve impingement in lumbar spinal stenosis?
Central spinal canal
Lateral spinal recess
Spinal intervertebral foramen
In ______ ________ ________ the back pain is worse with extension and better with flexion
***shopping cart injury and wide gait
Lumbar spinal stenosis
In a functional short leg length discrepancy (acquired, usually from a hip replacement), what is the innominate somatic dysfunction typically?
Anterior innominate rotation
In an anatomical short leg length discrepancy, what is the innominate somatic dysfunction?
Posterior innominate rotation
What is the treatment for a short leg in an older patient?
1/16 inch every 2 weeks
What is the treatment for a short leg of a younger patient?
1/8 inch every 2 weeks
What is the MAX short leg treatment?
1/2 inch every 2 weeks
The _______ ligament stabilizes the anterior motion of L5 on the pelvis and is the FIRST ligament injured in an innominate SD
Iliolumbar
What are the attachments, action, and innervation of the piriformis muscle>
Anterior sacrum and greater trochanter attachments
ABduction and EXternal rotation
S1 and S2 innervation
What is the main hip flexor?
Iliopsoas
Name the SD:
positive seated flexion on the ipsilateral side
ASIS is inferior
PSIS is superior
Quads are tight
anterior innominate rotation
Name the SD:
positive seated flexion on the ipsilateral side
ASIS is superior
PSIS is inferior
Hamstring tightness
Posterior innominate rotation
Name the SD:
Positive seated flexion test on the ipsilateral side
ASIS is superior
PSIS is superior
Superior innominate shear
Name the SD:
Positive seated flexion test on the ipsilateral side
ASIS is closer to the umbilicus
Ischial tuberosity is more lateral
Inflare
Name the SD:
Positive seated flexion test on the ipsilateral side
ASIS is further to the umbilicus
Ischial tuberosity is more medial
Outflare
During craniosacral flexion, the sacral base rotates ______ and is in ________
Posteriorly
Counternutation
During craniosacral extension, the sacral base rotates ______ and is in _______
Anteriorly
Nutation
