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OMM Flashcards

1
Q

Facet orientations

A

Cervical: Backwards, Up, Medial
Thoracic: Backwards, Up, Lateral
Lumbar: Backwards, Medial

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2
Q

Law of 3’s

A

T1-3 and 12 are in line with their transverse process
T4-6 and 11 are 1/2 level below their TP
T7-9 and 10 are 1 level below their TP

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3
Q

What techniques use active participation

A

ME, Myofascial, BLT

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4
Q

Atypical Ribs

A

Missing primary component
1, 2, 11, 12

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5
Q

Pump Handle Ribs

A

1-5

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6
Q

Bucket handle ribs

A

6-10

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7
Q

Scoliosis diagnostic angle

A

10+ degrees
Named for convexity

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8
Q

Scoliosis that can do conservative therapy

A

1-15 degrees

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9
Q

Scoliosis that needs bracing

A

20-49 degrees

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10
Q

Scoliosis that needs surgery

A

more than 50 degrees
Affects respiratory function
above 75 affects cardiac function

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11
Q

Konstantin exercises

A

Part of conservative management for scoliosis

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12
Q

Short leg affect on innominate

A

Posterior rotation

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13
Q

Backward Sacral torsion rules

A

(Shallow Sulcus) on (Axis)
opposite on opposite
L5 points down at the axis
L5 rotated to axis
SPRING+

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14
Q

Forward Sacral torsion rules

A

(Shallow Sulcus) on (Axis)
Same on Same
L5 points down at the axis
L5 rotates away from axis
NO SPRING

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15
Q

What direction does the wrist move when the carrying angle increases?

A

Adduction

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16
Q

What direction does the ulna move when the carrying angle increases?

A

Abduction

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17
Q

What direction does the radial head glide upon supination, pronation?

A

Supination = Anterior glide
Pronation = Posterior glide

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18
Q

Where does the radial head go with FOOSH?

A

Posterior
(backward fall it goes anterior)

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19
Q

Movement caused by pronated ankle

A

Dorsiflexion, Eversion, Abduction and anterior glide of fibular head

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20
Q

Movement caused by anterior glide of fibular head

A

Posterior distal tibia
Talus ER
Everted, dorsiflexed foot

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21
Q

Purpose of CV4 Technique

A

Increase CRI amplitude

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22
Q

Appendix CP

A

Tip of R12
Lamina of T11

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23
Q

Prostate CP

A

Lateral, Posterior IT band

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24
Q

Cardiac CP

A

2nd ICS near sternum

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25
Q

Respiratory CP

A

2nd and 3rd ICS for upper lung
4th for lower lung

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26
Q

HEENT CP

A

3 on the first rib
2 on the second rib

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27
Q

Primary movement of OA

A

Flexion and extension

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28
Q

Primary movement of AA

A

Rotation

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29
Q

3 movements of the foot with ankle supination

A

Plantarflexion
Inversion
Adduction

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30
Q

What direction does the fibular head glide in ankle supination?

A

Anterior
(posterior in pronation)

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31
Q

How does the cranium move with flexion?

A

Midline bones flex
Paired bones ER
AP decreases
Counternutation (sacrum moves posterior)

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32
Q

How does the cranium move with extension?

A

Midline bones extend
Paired bones IR
AP increases
Nutation (sacrum moves anterior)

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33
Q

Physiologic cranial strains

A

Torsion
SB / Rotation

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34
Q

Non-physiologic cranial strains

A

Lateral and vertical compression
Flexion and extension (if they move unequally)

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35
Q

Cranial torsion

A

Physiologic AP Axis
Sphenoid and Occiput rotate in opposite directions
Named fro superior Greater Wing of Sphenoid

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36
Q

Cranial lateral strain

A

Non-physiologic 2x Vertical axes
Named for deviation of sphenoid (L or R)
Rhomboid strain (parallelogram)

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37
Q

Cranial vertical strain

A

Non-physiologic 2x Transverse axes
Superior: Sphenoid cephalad, Occiput caudad
Inferior: Sphenoid caudad, Occiput cephalad

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38
Q

Cranial compression strain

A

Non-physiologic
Sphenoid and occiput compress together

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39
Q

Cranial Flexion / Extension strain

A

Non-physiologic when not moving
Named for Greater movement
Flexion: SBS cephalad, decreased extension
Extension: SBS caudad, decreased flexion

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40
Q

Infant with poor suckling, CN involved and management

A

Hypoglossal (CNXII)
Condylar decompression to improve (Targets Occiput)

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41
Q

Otitis Media CP

A

Mid-clavicle ipsilaterally

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42
Q

Eye CP

A

Anterior humerus: mid-aspect of surgical neck and occipital bone

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43
Q

Stomach CP

A

5-6 ICS on the Left
T5 Left Lamina

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44
Q

Liver CP

A

5-6 ICS on the Right
T5 and T6 Right lamina

45
Q

Gallbladder CP

A

6th ICS on the Right
T6 Right Lamina

46
Q

Pancreas CP

A

7-8 ICS on the Right, next to costal cartilage
T7 Right lamina

47
Q

Spleen CP

A

7-8 ICS on the Left, next to costal cartilage
T7 Left lamina

48
Q

Cecum, terminal ileum CP

A

Right trochanteric region of the IT band

49
Q

Sigmoid CP

A

Left trochanteric region of the IT band

50
Q

Colon CP

A

Trochanteric region of IT band
Greater trochanter to just about the knee

51
Q

Hepatic Flexure CP

A

Right middle 3/5 of IT Band

52
Q

Splenic Flexure CP

A

Left middle 3/5 of IT band

53
Q

Head and Neck Sympathetic Viscerosomatics

54
Q

Stomach Sympathetic Viscerosomatics

55
Q

Liver Sympathetic Viscerosomatics

56
Q

Pancreas Sympathetic Viscerosomatics

57
Q

Small Intestine Sympathetic Viscerosomatics

58
Q

Kidney Sympathetic Viscerosomatics

59
Q

Superior Mesenteric Sympathetic Viscerosomatics

60
Q

Bladder Sympathetic Viscerosomatics

61
Q

Lower Extremities Sympathetic Viscerosomatics

62
Q

VSR for cardiac

A

T1 - T5
L > R

63
Q

VSR for esophagus

64
Q

VSR for Duodenum

65
Q

VSR for the Appendix

A

T9 - T12 R

66
Q

VSR for ovaries

A

T10 - T11
S2 - S4

67
Q

VSR for Prostate

A

T10 - T12 b/l
S2 - S4

68
Q

VSR for ureters, bladder

A

T10 - T12
S2 - S4

69
Q

VSR for uterus

A

T10 - T11
S2 - S4

70
Q

AT2 Tender Point

A

Midline, Angle of Louis

71
Q

AT7 TP

A

Midline or inferolateral tip of xiphoid

72
Q

Piriformis TP

A

7cm Medial to Greater Trochanter

73
Q

Iliac TP

A

7cm Medial to ASIS

74
Q

L1 TP

A

Medial to ASIS

75
Q

L2 TP

A

Medial to AIIS

76
Q

L3 TP

A

Lateral to AIIS

77
Q

L5 TP

A

Pubic Rami
1cm lateral of pubic symphesis

78
Q

Spurling Test

A

CN radiculopathy test
Pt. seated, doc E and SB c-spine w/ compression

79
Q

Wallenberg test

A

Vertebral A. insufficiency test
Pt. supine, doc flexes and holds. Repeat w/ E.
Do E again looking right and left.

80
Q

Adson’s Test

A

Thoracic Outlet from tight scalenes
Doc monitors radial pulse. Pt. Extends arm and elbow, ER, Abducts. Breathes deeply and turns head ipsilaterally.

81
Q

Wright Test

A

Thoracic outlet
Doc monitors radial pulse, hyper-abducts arm above head withs one extension

82
Q

Military posture

A

Thoracic outlet (from cervical and first rib compromise)
Doc monitors radial pulse. Depresses and extends shoulder.

83
Q

Speed test

A

Bicep tendonitis
Pt fully extends elbow, flexes shoulder, supinates.
Physician resists flexion of shoulder

84
Q

Yeargson Test

A

Bicep tendonitis
Pt flexes elbow 90 Degrees
Doc grabs elbow and wrist. Pulls down on elbow while ER forearm against pt resistance

85
Q

Apley Scratch test

A

Shoulder ROM
Pt stands, abducts and ER. Reaches behind head and touches opposite shoulder.
Adducts and IR. Reaches behind back and touch inferior angle of contralateral scapula

86
Q

Drop arm test

A

Rotator cuff tears.

87
Q

Empty can test

A

Cervical nerve root compression

88
Q

Neer Test

A

Anterior impingement syndrome
Tests for rotator cuff tendons under coraco-acromial arch
Extreme forward flexion with forearm pronated. Doc moves this arm into full shoulder flexion up.

89
Q

Finkelstein

A

Tenosynovitis of abductor policies longs and extensor braves
Thumb in fist and bill Clinton gesture

90
Q

Hip Drop Test

A

Sidebending of lumbar spine and thoracolumbar junction

91
Q

Ely Test

A

Hip flexors / rector femoris
Prone pt, doc flexes knee until resistance

92
Q

Trendelenburg test

A

Pt faces away, picks one leg up off the floor
Pelvis falls = weak contralateral gluteus

93
Q

FABERE test

A

SI and hip pathology
Pt supine, doc manipulates leg at knee and monitors contralateral ASIS

94
Q

Ober test

A

Tensor Fascia Late and IT band assessment
Pt on side, doc behind. Knees at 90. Doc Abducts, Extends leg at ankle and hip (for stability). Allows leg to fall to table

95
Q

Thomas Test

A

Flexion contracture of hip (usually iliopsoas)
Pt supine, legs of table. Doc looks for lumbar lordosis.
Doc flexes hip so anterior thigh touches their abdomen.

96
Q

Positioning for Hip Dysplasia evaluation in newborn

A

Infant on back, hips and knees flexed.

97
Q

Barlow test

A

Doc grabs knees and ipsilaterally applies downward pressure to see if it can be pushed out of its socket easily.

98
Q

Ortalani test

A

Doc grabs one knee and abducts while applying slight anterior pressure, trying to dislocate acetabulum

99
Q

Which way does the talus go?

A

Dorsiflexion: ER
Plantarflexion: IR

100
Q

Finger placement for vault hold

A

Pinky: Occiput
Ring: Back of temporal bone
Middle: front of temporal bone
Pointer: Sphenoid
Thumbs: parietal bone

101
Q

Ribs 1-2 Exhalation dysfunction

A

Utilizes anterior and middle (rib 1), posterior (rib 2) scalenes
Hand against head, head pushes up against resistance

102
Q

Ribs 3-5 Exhalation dysfunction

A

Utilizes Pectoralis muscles (minor?)
Arm straight up, pt tries to extend it back down against resistance

103
Q

Ribs 6-8 Ehalation dysfucntion

A

Utilizes Serratus Anterior
Arm crosses over, pushes out against resistance

104
Q

Ribs 9-10 exhalation dysfunction

A

Utilizes latissimus dorsi
Arm out at side 90 degrees, tries to adduct down against resistance

105
Q

Ribs 11-12 exhalation dysfunction

A

Utilizes Quadratus Lumborum
Pt lays prone, doc leans over on hip and pushes rip upward

106
Q

Diaphragm penetrations

A

T8, 10, 12 = IVC, esophagus, aorta

107
Q

Treat anterior rib tender points

108
Q

Treat posterior rib tender points

A

SaRa
Rib 1: E SaRt

Clues (14 decks)

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