OMM 5 Anterior Lumbar CS, FPR, and Still

Question 1

Describe the location and treatment position for AL 1

Answer 1

MAVERICK
Medial aspect of ASIS

Supine. Flex to level, S-Bend towards, Rotate pelvis towards (Trunk rotation away)

Question 2

Describe the location and treatment position for AL 2

Answer 2

Medial aspect of AIIS

Supine. Flex to level, Sidebend away, Rotate pelvis away (trunk rotation toward)

Question 3

Describe the location and treatment position for AL 3

Answer 3

Lateral aspect of AIIS

Supine. Flex to level, Sidebend away, Rotate pelvis away (trunk rotation toward)

Question 4

Describe the location and treatment position for AL 4

Answer 4

Inferior aspect of AIIS

Supine. Flex to level, Sidebend away, Rotate pelvis away (trunk rotation toward)

Question 5

Describe the location and treatment position for AL 5

Answer 5

MAVERICK
Anterior, Superior aspect of pubic ramus, just lateral to pubic symphysis.

Supine. Flex to level, S-Bend Away, Rotate pelvis towards (Trunk rotation away)

Question 6

Describe the indication and procedure for FPR Lumbar, Pt. Prone

Answer 6

Lumbar SD

Patient prone. Stand on dysfunctional side. Monitor Transverse process of segment. Lift opposite thigh off table until motion felt at segment. Adduct and torque the leg until motion and hold for 3-5 seconds.

Question 7

Describe the location and treatment position for Psoas

Answer 7

2/3 of the way from ASIS towards Midline, Press deeply posteriorly a little and towards belly of psoas (superolateral?)

Supine. Marked bilateral hip flexion, Some external rotation of hips and slight ipsilateral sidebending of lumbar spine. (Dr. with foot up on table supporting Pt’s legs.

Question 8

Describe the location and treatment position for Inguinal

Answer 8

Medial aspect of the inguinal ligament near pubic tubercle (pectineus attachment).

Supine. Flexion of thighs with contralateral thigh crossed over the Ipsillateral leg pulled laterally to create slight internal rotation of the hip to the affected side. (Dr. with foot up on table supporting Pt’s legs)

Question 9

Describe the indication and procedure for Still Psoas, Pt. on side

Answer 9

Restriction of left hip extension (tight left psoas muscle). Patient in LLR with affected side up and both hips and knees flexes. Physician stands behind patient.

Monitor L2 with cephalad hand. With the caudad hand, Flex the top hip and kne. Compress through the kneecap towards L2, exernally rotate and abduct towards you. Mainain vector as you arch through and end in extension dropped down. Release and return to neutral. Psoas tender point and hip extension can now be reasessed.