OMM Flashcards
Cranial flexion/extension: axis + motion of paired bones for each
Axis: sagittal.
Motion of paired bones: IR during extension, ER during flexion
Cranial torsion: axis and motion
Sagittal axis, opposite motions around it
Sidebending rotation cranial: axis and motions
Axes: 1 sagittal, 2 vertical
Motion: same around sagittal, opposite around vertical
Lateral and vertical strain axes and motion
Lateral strain: 2 parallel vertical axes.
Vertical strain: 2 parallel transverse axes.
Motion: same direction around both axes.
MC Zink pattern
LRLR
Foramen transversarum
Holes for vertebral A
What makes C1 and C2 unique?
C1: no SP or vertebral body
C2: dens, which articulates with C1
OA main motion + S/R motion
Main: F/E. S/R in opposite directions
AA main motion
Rotation
C2-7 main motion & S/R motion
Main motion: sidebending. S/R in same direction
The _____ ligament can narrow, causing weakness and herniation of the nucleus pulposus
Posterior longitudinal***
Pain in L spine worse with flexion vs extension: two major DDx
Worse with flexion: herniated disc
Worse with extension: spinal stenosis
What does L spine do to compensate for a short limb?
SART
Psoas symptom signs
- Extension restricted / pain standing up straight
- Pelvic side shift
- Positive Thomas test
- SD in L1 or L2
Why are R1, 2, 10, 11/12 abnormal?
R1: no angle
R2: extra tuberosity
R10: Only articulates with 1 vertebra
R11/12: no tubercles
True, false, floating rib #s
True: 1-7
False: 8-10
Floating: 11,12
Rib motions in three groups 1
Pump handle: 1-5
Bucket handle: 6-10
Caliper: 11-12
The _____ ligament creates the greater and lesser sciatic foramen
Sacrospinous L
The ____ ligament is the first to become painful with lumbosacral decompensation
Iliolumbar L
Four motions that occur along different axes of the sacrum
- Superior sacral axis: respiratory and craniosacral motion
- Middle axis: postural motion
- Inferior axis: innominate motion
Nerve that innervates all arm flexors vs extensors
Flexors: median N
Extensors: radial N
Two syndromes that occur due to median nerve issues
CTS, pronator syndrome
Two syndromes that occur with the ulnar N
Cubital tunnel syndrome, Guyon’s canal entrapment
Major radial nerve injury
Saturday night palsy -> wrist drop
Spencer technique of the shoulder steps
- Extension/flexion
- Circumduction with compression/traction
- Adduction/ER
- Abduction/IR
- Abduction/IR with arm behind back
6.traction with inferior glide
ACL and PCL attachments
ACL: anterior tibia -> posterior femur.
PCL: posterior tibia -> anterior femur
Six bones of the medial longitudinal foot arch
- Talus
- Navicular
- Cuneiforms
- Metatarsals 1-3
Which ligament supports the medial longitudinal foot arch?
Spring ligament / calcaneonavicular
Four bones of the lateral longitudinal foot arch
- Calcaneus
- Cuboid
- Metatarsals 4-5
Three bones of the transverse foot arch
- Navicular
- Cuneiforms
- Cuboid
What are the angles of the 1. Elbow, 2. Head of femur, and 3. Knee called?
- Elbow: cubitus valgus/varus
- Head of femur: coxa valgus/varus
- Knee: Q angle (genu valgus/varus)
Nose/pharynx vs sinus/tongue/tonsils A&P Chapman points
- Nose: R1, C2
- Sinuses: R1/2, C2
Thyroid anterior chapman pt
R2/3
Heart and bronchi A&P Chapman’s
R2/3, T2/3
Lung A&P Chapman points
R3/4/5, T3/4/5
Esophagus A&P Chapman’s points
R2/3, T2
Stomach vs liver & gallbladder A&P Chapman’s points
Stomach: R5/6/7 on L; T5/6/7 on L
Liver/gallbladder: R5/6/7 on R; T5/6/7 on R
Pancreas vs spleen A&P Chapman’s points
Pancreas: R7/8 on R, T7/8 on R
Spleen: R7/8 on L, T7/8 on L
Appendix A&P Chapman’s points
Tip of R12, T11/12
3 Lower GI organs that have pelvic splanchic innervation
Descending colon, sigmoid colon, rectum
Kidney, bladder, urethra posterior chapman points
- Kidney: L1
- Bladder: L2
- Urethra: L3
Urethra anterior chapman
Pubic symphysis
Two GU organs that have vagus & two that have pelvic splanchnic innervation
Vagus: kidney, upper ureters (also use T10-11)
Pelvic S: lower ureters, bladder (also use T12-L2)
Adrenal medulla anterior chapman
2’ above umbilicus on either side
What sex organ uses vagus while rest use pelvic splanchnic?
Gonads use vagus
Anterior vs posterior Cervical Counterstrain treatment positions
Anterior C: F SARA
Posterior C: E SARA
Anterior vs posterior thoracic Counterstrain treatment positions
- Anterior T: F STRA
- Posterior T: E SA
Anterior vs posterior rib Counterstrain treatment positions
- Anterior Rib: F STRT
- Posterior rib: F SARA
Maverick rib for counterstrain and its position
R1, E SART (instead of F SARA)
Iliacus and piriformis: counterstrain spots
- Iliacus: 7cm medial to ASIS
- Piriformis: 7cm medial + cephalad to greater trochanter
Iliacus Counterstrain treatment positions
Pt supine, F hips, ER
Piriformis Counterstrain treatment positions
Pt prone, F hips/knees, Abd, ER
V1, V2, V3 exit through…
- V1: superior orbital fissure
- V2: foramen rotundum
- V3: foramen ovale
What do CN 7 and 8 exit out of?
Internal acoustic meatus
What do CN 9, 10, 11 exit out of
Jugular foramen
Wallenberg special test is for…?
Vertebral artery insufficiency