OMM Flashcards
1
Q
2nd intercostal space bilaterally is the chapman point for which 4 organs?
A
Myocardium
Thyroid
Esophagus
Bronchus
2
Q
Chapmans point for upper lung (anterior)
A
3rd ICS
3
Q
Chapmans point for lower lung (anterior)
A
4th ICS
4
Q
Chapman’s point for liver
A
5th and 6th ICS - R
5
Q
Chapmans pt for stomach
A
5th and 6th ICS - L
6
Q
Chapmans pt for gallbladder
A
6th ICS -R
7
Q
Chapmans for Pancreas
A
7th ICS-R
8
Q
Chapmans for spleen
A
7th ICS - L
9
Q
Chapmans for appendix
A
tip of the 12th rib - r
10
Q
Chapman pt for adrenals
A
1 in lateral, 2 inches superior to umbilicus
11
Q
Chapmans pt for kidneys
A
1 in lateral 1 in superior to umbilicus
12
Q
Chapmans pt for bladder
A
peri umbilical area
13
Q
Chapmans pt for urethra
A
superior pubic ramus, 2 cm lateral to symphisis
14
Q
Chapman pt for prostate
A
Outer femur along posterior IT band, bilaterally
15
Q
Chapman pt for middle ear
A
superior medial part of clavical
16
Q
Chapman pt for pylorus
A
Center of sternum
17
Q
Chapman pt for celiac ganglion
A
just below xiphoid
18
Q
Chapman pt for superior mesenteric ganglion
A
between pts for celiac and inferior mesenteric ganglion
19
Q
chapman pt for inferior mesenteric ganglon
A
just above umbilicus
20
Q
Chapman pt for myocardum (posterior)
A
T2-T3 lamina o fTP
21
Q
Chapman pt for esophagus (posterior)
A
T2 lamina of TP
22
Q
Chapman pt for thyroid (posterior)
A
T2 lamina of TP
23
Q
Chapman pt for bronchi (posterior)
A
T2 lamina of TP
24
Q
Chapman pt for upper lung (posterior)
A
T3 lamina of TP
25
Chapman pt for lower lung (posterior)
T4 lamina of TP
26
Chapman pt for liver (posterior)
T5-T6 lamina of TP - R
27
Chapman pt for stomach (posterior)
```
T5 L (Acid)
T6 L (peristalsis)
```
28
Chapman pt for gallbladder posterior
T6 lamina of TP - R
29
Chapman point for pancreas (posterior)
T7-lamina of TP, R
30
Chapman pt for spleen (posterior)
T7 lamina ofTP-L
31
Chapman pt for appendix (posterior)
T11-lamina R
32
Chapman pt for adrenals (posterior)
T11-T12 could be unilateral
33
Chapman pt for kidneys (posterior)
T12-L1 lain of TP bilateral
34
Capman pt for bladder (posterior)
L2 upper edge of TP bilateral
35
Chapman pt for urethra (posterior)
L3 TP bilateral
36
Chapman pt for prostate (posterior)
Lateral sacral base, bilateral
37
Chapman pt for pylorus (posterior)
T9 lamina of TP, right
38
Chapman pt for uterus (posterior)
Lateral sacral base, bilateral
39
Chapman pt for ear (posterior)
C1 posterior lateral pillar
40
Chapman pt for uterus (posterior)
lateral sacral base, nbilateral
41
Chapman pt for uterus (anterior)
superior edge of inferior pubic ramus
42
Chapman pt for broad ligament (anterior)
outer femur along posterior IT band
43
Chapman pt for broad ligament (posterior)
Lateral sacral base, bilateral
44
Chapman pt for vagina (posterior)
Lateral sacral base , bilateral and upper inner edge of thigh
45
Chapman pt for ovaries (anterior)
Superior pubic ramus, 2 cm lateral to symphisis
46
Chapman pt for ovaries (posterior)
T10-T11 lamina of TP , bilateral
47
Chapman pt for intestine, peristalsis (anterior)
Few inches above greater trochanter
48
Chapman pt for large intestine (posterior)
Right triangle - lateral edge is TP of L2-4, bottom edge is L4 to iliac crest
49
Chapman pt for pharynx, tongue, larynx, sinuses, arms (posterior)
C2
50
Chapman pt for nasal sinuses (posterior)
bottom edge of C1 pillar
51
Chapman pt for nasal sinuses, pharynx, tonsils, tongue, larynx, sinuses
Between clavicle and first rib clockwise
52
Chapman pt for small intestine (anterior)
Costochondral junction ribs 8, 9 , 10
53
Peristalsis (posterior)
rib 11
54
Simp levels for kidney/adrenals
T10-11
55
Simp level for adrenal medulla
T10
56
Simp level for upper ureters
T10-T11
57
Simp level for lower ureters
T12-L1
58
Simp level for gonads
T10-11
59
Simp level for bladder
T11-L2
60
Simp level for erectile tissue of penis and clitoris
T11-L2
61
Simp level for uterus and cervis
T10-L2
62
Simp level for prostate
T12-L2
63
Simp level for arms
T2-T8
64
Simp level for legs
T11-L2
65
Chapman pt for cerebellum
Tip of coracoid
66
Chapman pt for fallopian tubes, seminal vesicles (posterior)
PSIS and medial edge of trochanter near acetabulum
67
Chapman point for neuroasthenia/pec minor
Medial tip of spine of the scapula
68
Chapman point for arms/pec minor
Medial edge of scapula above spine
69
Supination moves the radial head?
Anteriorly.
70
During pronation, the radial head moves?
Posteriorly.
71
Restricted forearm supination indicates what kind of radial head
Posterior.
72
Rule of 3s for T1-T3
Spinous process found at the same level as corresponding transverse process
73
Rule of 3s for T4-T6
Spinous process found one half of a segment below the corresponding transverse process
74
Rule of 3s for T7-T9
Spinous process can be found at the level of the transverse process of the vertebra below
75
Rule of ors for T10
Same as T7-T9
76
Rule of 3s for T11
Same as T4-T6
77
Rule of 3s for T12
T1-T3
78
5 components of PRM
Inherent motility of CNS
Fluctuation of CSF
Mobility of intracranial and intraspinal membranes (reciprocal tension)
articular mobility of cranial bones
involuntary motion of sacrum between ilia
79
5 CSF functions
```
Buoyancy
Metabolism
Circulation
Fluctuation
Transmits motion
```
80
What happens during flexion to paired bones
External rotation
81
What happens to the sacral BASE during flexion
Moves posterior, aka counternutation
82
What happens to sacral base during extension
Moves anterior, aka nutation
83
Dural attachments
```
Foramen magnum
C2-axis (posterior aspect of dens)
C3 (posterior aspect of body)
S2 (posterior aspect of sacral body)
Posterior portion of coccyx, via film terminale
```
84
When do the inter parietal and nuchal parts of the occiput fuse
3rd fetal month
85
When do the nuchal and condylar parts fuse
3rd year of life
86
When do the condylar and basal parts fuse
6th year of life
87
When does a sacral vertebral arch fuse with its adjacent costal part?
Unite with respective centrum?
When is fusion of adjacent sacral segments started? Fsusio ncompleted
SVA - costal part: 2-5 years
Centrum 8 yrs
Fusion started in puberty and completed at 20-25 yrs.
88
Where is the sarcasm functional (voluntary) and cranial (involuntary) axis
Transverseaxis in 2nd sacral segment
89
At birth the sphenoid is made of how many parts
3: body and greater wings
90
How many bones does the sphenoid articulate with
12: 2 parietals, frontal, occipital, 2 temporals, ethmoid, vomer, 2 zygomatics, 2 palatines
91
What is the physiologic motion of the sphenoid
Flexion/extension around a transverse axis through the body of the sphenoid
92
What are the 5 formaina/fissues in the sphenoid and the structures that transverse them
```
Optic canal: optic n, ophthalmic a.
Superorbital fissure: CN 3, 4, 6, V1
Foramen rotundum: V2 maxillary n
Foramen ovale: V3
Foramen spinosum: middle meningeal a
```
93
What can trauma by forceps cause cranial dysfunction
Intra osseous strains leading to orbit distortion
94
Birth trauma via occiput will cause what kind of cranial dysfunction
Lateral strain at SBS
95
Dysfunction with pre / post sphenoid fusion will clinically present as
Down syndrome
96
Spheno squamous suture compression may lead to ?
Middle meningeal artery compromise, causing migraines
97
Physiologic motions of the temporal bones
Internal and external rotation around petrous ridge axis
Motion dependent on occipital bone mechanics
Inter dependent on tentorium cerebelli tensions
98
4 Things that non-trauma to the temporals can cause (clinical associates)
Otitis media
Mastoiditis
Bells palsy
Menieres disease
99
4 things that trauma associates with the temporals
Birth
Whiplash
Chronic neck tension
Severe dental extraction
100
When does fusion of the frontals start and complete
2 years, completes at 8
101
What is the physiologic motion f the frontal bones
Internal/external rotation around vertical axes that run down center of each orbital plate through each frontal eminence. Metric suture allows flexibility
102
What structure is frequently associated with pathology of CN 3, 4, 6
Petrosphenoid ligament
103
Internally rotated temporal bones are associated with what?
TG neuralgia
Bells palsy
Tinnitus (high pitched)
104
What does the temporomanddibular joint do in flexion
```
SBS rises
Temporals Externally rotate
Mastoid tips move posteromedially
Angles widen slightly
Symphisis will recede
```
105
What is outcome of CV4
Enhanced fluid movement
Changed rhythm of diaphragms
Restored normal flexion/extension of cranium
Believed to restore autonomic balance
106
What ar the midline bones
```
Ethmoid
Vomer
Occiput
Sphenoid
Mandibel
Sacrum
```
107
What kind of strain would occur if a blow came to the top of the head
Superior vertical strain
108
What cranial bone dysfunction is associated with loss of smell and how would you treat it
Frontal bone dysfunction, frontal lift
109
A low pitched buzzing noise in the ear is associated with what cranial dysfunction
external rotation of temporal bone
110
Describe torsion.
Sphenoid and other structures of anterior cranium rotate in one direction about AP axis while occiput rotate in opposite direction.
111
Torsion is named for ..
More superior greater wing of the sphenoid.
112
Describe sidebending rotation.
Rotation occurs through AP axis (just like torsion) except the sphenoid and occiput rotate in SAME direction. Sidebending occurs around 2 parallel vertical axes.
113
If the sphenoid deviates cephalic in relation to the occiput, what kind of dysfunction is present
Superior vertical strain
114
Axes of vertical strains
Rotation about 2 transverse axes
115
If the sphenoid deviates to the left, relative to the occiput, what kind of strain is present
Left lateral strain.
116
Axes of lateral strains
2 vertical axes
117
Vagal somatic dysfunction can be due to ...
OA, AA, and/or C2 dysfunction.
118
Name 3 dysfunctions that can result in poor suckling.
Condylar compression at CNXII.
| Dysfunctions of CN IX and X at jugular foramen can also reportedly cause those dysfunctions.
119
Finger placement for vault hold
Index finger at greater wing
Middle finger at temporal bone in front of the ear
Ring finger at mastoid region of temporal bone
Little finger at squamous portion of the occiput
120
In craniosacral flexion, what direction does SBS deviate?
Cephalad.
121
While palpating a patients cranium you notice that the greater wing of the sphenoid feels more superior on the left than the right. You also notice occiput is rotated in opposite direction. What strain pattern?
Left torsion.
122
Which strains can be considered physiologic if they don't interfere with flexion or extension components
Torsion, sidebending / rotation
123
Name some relative/absolute CI to craniosacral therapy
Acute ICH
Skull fx
Traumatic brain injury
History of seizure disorder
124
A valuable technique to help TMJ dysfunction (cranial)
TEmporal rocking.
125
Seated flexion test is always what in relation to oblique axis
OPPOSITE
126
Left index finger moves superior and pinky moves inferiorly
Left torsion
127
Right index finger moves inferiorly and pinky finger moves superiorly
Left torsion
128
Temporal bone follows what bone ?
OCCIPUT!!!
129
If the occiput is low on one side, the temporal bone is ?
EXTERNALLY ROTATED on that side
130
Describe a left torsion in terms of what you feel.
Left orbit wide
Left globe protruded
Left frontal bone is full due to relative External rotation
Left ear moves awayy from the head
131
Right hand is widening as left hand is approximating
RIGHT side bending rotation.
132
Greater wing of right sphenoid moves anterior while right occiput moves posterior
Right side bending rotation
133
During cranial flexion, what are the temporal bones doing?
External rotation.
134
What happens to the temporal bones during a superior vertical strain
Internally.
135
Right greater wing is moving anterior and medial.Left occiput is moving posterior and medial. What strain?
Right lateral strain
136
Sphenoid and occiput are both rotating counterclockwise around two parallel vertical axes
(right) Lateral strain
137
What happens during the backwards bending test in terms of the lumbars and sacrum
Lumbar EXTENDS
| Sacrum FLEXES
138
One thing thats different between a negative lumbosacral spring test and backwards bending test (in terms of what dysfunction they can indicate)
Negative backwards bending test includes bilateral EXTENSION. A negative lumbosacral spring test only can mean bilateral flexion (and other flexion problems).
139
L5 will always sidebend ... (in terms of sacrum)
TOWARDS oblique axis.
140
L5 will always rotate .. (in terms of sacrum)
OPPOSITE sacral rotation
141
Angle of louis is directly anterior to which vertebrae
T4
| Rib two
142
Superior articular facets of thoracic spine are oriented ...
BUM: cervical
BUL: thoracic
BM: lumbar
143
Set up for reciprocal inhibiting if T3-T7 RL SR
RL SR.
144
How to treat C1 with counterstrain
Rotate away
145
How to treat C7 with counterstrain
Flex and sideband towards, rotate away.
146
General anterior cervical counterstrain
F SARA
147
General posterior cervical counterstrain
E SARA
148
If someone has an MI and then vomits, what kind of reflex is present?
Viscera - viscero reflex
149
Relationship between pancreatitis and T9 F, RL, SL
Viscera-somatic reflex.
150
How can we treat rib 10 with direct ME
Adduct arm against resistance
151
Exhalation dysfunction of rib 4 with direct ME
As the patient exhales, they push hand against you and tries to bring elbow to opposite ASIS against your resistance.
152
Anterior and posterior innominate rotation is about what axis
Inferior transverse axis
153
Which transverse axis corresponds with sacral anatomical flexion and extension
Middle
154
```
Deep sulcus on the left.
Posterior ILA on the right.
Standing + on R
Seated + on L.
Dx?
```
Right on right.
155
What best supports a dx of left posterior innominate
```
Left PSIS inferior
Left ischial tube inferior
Left medial malleolus superior
Left sacral sulcus is deep
Sacrotuberous ligament laxity on the right.
```
156
In a L on R sacral torsion, where is the tight sacrotuberous ligament?
On the left.
157
Treat L on R sacral torsion with ME
Pt lying on RIGHT side with upper body facing UP. Pt instructed to push legs towards ceiling against resistance.
158
To treat L on R or R on L .. axis side is ?
DOWN.
159
Ileum corresponds to which ganglion
SMA
160
Liver corresponds to which ganglion
Celiac
161
Ascending colon corresponds to which ganglion
SMA
162
Splenic flexure corresponds to which ganglion
IMA
163
Jejunum corresponds to which ganglion
SMA
164
Appendix corresponds to which ganglion
SMA
165
Cecum corresponds to which ganglion
SMA
166
Lymphatic flow is most dependent on?
Motion of the diaphragm
167
12 y.o. with PNA and asthma -- is thoracic pump CI ?
No. You can perform without respiratory assist
168
Treat spasm of right SCM
Flex
Rotate left
Sidebend right.
169
a + thomas test on the left indicates what muscle spasm
Left psoas
170
How to correct left posterior innominate with HVLA
Pt lies on RIGHT side with hip flexed. Rotational force anterior.
171
L3-L4 herniation will likely affect which muscle
Tibialis anterior
172
Midline tender point of C1
Inion
