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OMM Flashcards

1
Q

Cranial nerves w/ parasympathetic functions?

A

3, 7, 9, 10

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2
Q

Describe Yergason test and what is it used to evaluate?

A

Biceps tendonitis

Elbow in 90 degrees flexion and in pronation –> examiner resists patients attempt to supinate and externally rotate arm

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3
Q

Describe Thomas test and what is it used to evaluate?

A

Iliopsoas, rectus femoris, or IT band tightness

Lying supine and at end of bed –> have knees flexed against chest –> lower one leg until it’s fully relaxed

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4
Q

Common cause of lower back pain in athletes?

PE findings?

A

Spondylolysis –> stress fracture of pars interarticularis

Pain with back extension and hopping on one foot

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5
Q

Acute onset lower back pain with spine flexion. What do you consider?

If there is no patellar reflex (diminished) what nerve root and disk would be herniated?

A

Disc herniation

Lumbar nerves exit one level below their name (e.g. L4 exits between L3-L4)

L4 nerve root = L3 disc herniation

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6
Q

Knee pain with walking up stairs, giving out, and crepitus. Usually occurs in younger females?

What part of the thigh muscles are responsible?

A

Patellofemoral syndrome

Weakness of vastus medialis –> this holds the patella in the trochlear groove (if weak = lateral tracking of patella)

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7
Q

What exam test is used for confirming psoas syndrome?

What is the classic sign for this syndrome?

A

Thomas test

“Snapping” feeling of the hip during knee flexion –> psoas tendon catching on pelvic bone during flexion

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8
Q

Person with poor wound healing would benefit from what 2 areas being targeted?

A

Autonomics (T11-L2)

Lymphatics

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9
Q

What areas drain to the R lymphatic duct?

A 
R side of head
R side of neck
R upper extremity 
Heart 
Lungs
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10
Q

Describe the “rule of 3’s” for thoracic spine?

A

T1-3 –> SP is AT THE LEVEL of corresponding vertebral body and TP
T4-T6 –> SP is 1/2 level BELOW corresponding vertebral body and TP
T7-T9 –> SP 1 LEVEL BELOW corresponding vertebral body and TP
T10 –> same as T7-9
T11 –> same as T4-6
T12 –> same as T1-3

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11
Q

Degrees of scoliosis and treatments for each?

A 
Cobb angles
5-15 degrees --> mild 
    Tx: OMT + PT
20-45 degrees --> moderate
    Tx: above + bracing
>50 degrees --> severe
    Tx: assess respiratory compromise --> then surgery
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12
Q

If Cobb angle > 50, what must you do first?

If > 75, what must you do first?

A

> 50 = respiratory compromise

> 75 = cardiac compromise

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13
Q

Anterior and posterior Chapman points for appendicitis?

A

Anterior: tip of R 12th rib
Posterior: tip of TP of T11

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14
Q

Infant has poor suckling reflex - what is common cause?

A

Compression of CN 12

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15
Q

What finding is common with migraine headaches?

A

Abnormal strain patterns at SBS + cervical/upper thoracic spine dysfxn

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16
Q

What occurs during craniosacral flexion?

A

Midline bones flex
Paired cranial bones EXtend
Dura mater pulled cephalad –> sacrum counternutates

Dura mater attached to POSTERIOR of sacrum

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17
Q

Best method for determining leg length discrepancy?

A

Measuring from ASIS –> medial malleolus on same side

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18
Q

What is initial size of heel lifts to use in elderly and younger people?

A

Elderly –> start w/ 1.5mm and increase by 1/16 in every 2 weeks

19
Q

After FOOSH, person has restriction of supination of the arm. What is the dysfxn?

A

Posterior radial head

Pronation of arm = Posterior radial head

20
Q

Sympathetic innervation of adrenals and kidneys?

Anterior Chapman’s point for both?

Posterior Chapman’s point for both?

A

T10-11

Anterior
Adrenal: 1cm lateral and 2cm above umbilicus
Kidney: 1cm lateral and 1cm above umbilicus

Posterior
Adrenal:
Kidney: b/w SP and TP of T12 and L1

21
Q

Innominate rotation occurs around what sacral axis?

A

Inferior transverse axis

Innominate = Inferior axis

22
Q

How are sacral torsions named?

A

Rotation on axis

23
Q

Proper order for performing lymphatic techniques?

A

1) Thoracic inlet release
2) Diaphragmatic release
3) Extremity pump
4) Abdominal pump

Start central before working peripheral

24
Q

Findings of Common Compensatory Pattern?

A

OA –> rotated LEFT
Cervicothoracic –> rotated RIGHT
Thoracolumbar –> rotated LEFT
Lumbosacral –> rotated RIGHT

25
Q

How is somatic dysfxn named?

A

Position of ease (where it’s more symmetric)

26
Q

What are the 3 lumbosacral relationships?

A

1) When L5 is sidebent –> sacral oblique axis engaged on SAME side of side bending
2) L5 is rotated –> sacrum rotated in OPPOSITE direction on oblique axis
3) + seated flexion test is on same side of oblique axis

  • L5 Sidebent = sacrum Same for oblique axis
  • L5 rOtated = sacrum rotated in Opposite direction on the oblique axis
27
Q

Key ribs in inhalation dysfxn?

Exhalation dysfxn?

A

Inhalation dysfxn = stuck in inhalation = treat BOTTOM rib

Exlalation dysfxn = stuck in exhalation = treat TOP rib

28
Q

Difference b/w CPRS 1 and 2?

S/S?

A

CRPS 1: no nerve damage
Severe burning pain at site, hair and nail growth, muscle spams

CRPS 2: nerve damage
No hair growth, severe edema, muscle atrophy

29
Q

Acute vs chronic somatic dysfxn changes?

A

Acute: boggy, warmth, moist, tender, edematous

Chronic: ropy, cool, dry, mildly tender, no edema

30
Q

In pump-handle ribs (1-5) where is dysfxn seen?

In bucket-handle ribs (6-10) where is dysfxn seen?

A

1-5 –> anteriorly (pump-handle)

6-10 –> laterally

31
Q

Best types of treatment for fibromyalgia?

A

Indirect techniques –> counterstrain

32
Q

What length of leg length discrepancy can be treated with heel lift?

A

Less than 20mm (2cm)

33
Q

Dural sites of attachment outside the cranium?

A

Foramen magnum
C2
C3
Posterior, superior portion of S2

34
Q

What axis do sacral nutation and counternutation occur?

A

Superior transverse axis

35
Q

Kidney stones can irritate what muscle?

A

Psoas

36
Q

What is Scheuermann disease?

Tx?

A

Rigid thoracic kyphosis
Vertebral wedging –> needed in >3 adjacent vertebrae
Degenerative endplates

Adolescent boys

Tx: OMT + PT

37
Q

Proper placement of hands for cranial vault hold?

A

Index: greater wing of sphenoid
Middle: pre auricular of temporal bone
Ring: mastoid process of temporal bone
Pinky: squamous part of occipital bone

38
Q

Maneuver for OM?

A

Galbreath

39
Q

What suture is targeted with V-spread technique?

What nerve is targeted?

Where does it run through?

A

Occipito-mastoid suture

Vagus (CN X)

Jugular foramen

40
Q

2 subgroups of patients at risk for AA subluxation?

A

RA

Down syndrome

41
Q

Technique used to increase cranial rhythmic impulse?

A

CV4 technique

42
Q

Fibular head dysfxn findings?

A

OPPOSITE of radial head

Posterior fibular head = ankle likes to be in supination (plantar flexion)

43
Q

What 4 bones comprise the pterion?

A

Temporal
Parietal
Sphenoid
Frontal

*Weakest point in the skull –> middle meningeal artery runs under this

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