OMM Flashcards
What nerve can be damaged by fibular head dysfunction and what clinical presentation will it have?
Common fibular (peroneal) nerve courses just behind the head of the fibula. Damage to common fibular nerve affects function of most anterolateral muscles of the leg causing foot drop.
What is the difference between seated and standing flexion tests?
Seated flexion plants the ischial tuberosities on the table so that the sacrum does the moving. Positive findings indicate dysfunction most likely assoc. with the sacrum.
Standing allows motion of the pelvis and is therefore more of an indication of pelvis or innominate dysfunction than sacral.
A bilateral sacral extension rotates about what axis?
Middle transverse axis
Describe the motion that occurs about the sacral axes.
Superior transverse: respiratory and craniosacral motion
Middle transverse: postural motion
Inferior transverse: innominate rotation
Obliques: dynamic motion
With a sacral rotation about an oblique axis, what will be the result of the seated flexion test and why?
Seated flexion test will be positive on the opposite side of the axis for sacral rotation about an oblique axis.
The sulcus moves anteriorly on the ilium on the opposite side of the axis and this causes sacroiliac dysfunction.
What nerve innervates the interossei muscles of the hand?
Ulnar nerve
Musculocutaneous nerve originates from what cord of the brachioplexus?
Lateral cord
Radial nerve originates from which cord of the brachial plexus?
Posterior cord
Axillary nerve originates form which cord of the brachial plexus?
Posterior cord
Nerve innervation of teres major
Axillary nerve
Innervation of infraspinatus
Suprascapular nerve
Innervation of supraspinatus
Suprascapular nerve
What muscles are innervated by Dorsal Scapular nerve?
Levator scapulae
Rhomboids
What nerve is commonly damaged with shoulder dislocations?
Axillary nerve because it courses behind the humeral head and anterior/inferior dislocations stretch the nerve and damage it.
In a classic ankle sprain, what is the associated dysfunction of the fibular head?
Classic sprains plantarflex, invert, and internally rotate the foot. This would cause a posterior fibular head.
What articulations exist between the tibia and fibula?
There are 2 articulations:
Lower: syndesmotic
Upper: synovial
When is craniosacral therapy contraindicated?
Absolute: increased intracranial pressure
Relative: patients with traumatic brain injury
Sx of post-traumatic hydrocephalus
This is hydrocephaly that occurs after trauma
Presents with dementia, ataxia, urinary incontinence
Can show up some time later after the initial injury
What is the finger placement for the vault hold?
Index: greater wing of sphenoid
Middle: zygomatic of temporal
Ring: mastoid
Little: occiput
What type of reflex is a Chapman point?
Vicsero-somatic
However, a classic V-S reflex is a more generalized pain than the localized pain of a Chapman point
What is the interomediolateral cell column?
IMCC is the lateral bud protruding from the spinal cord
It is the origin of preganglionic cells for the sympathetic nervous system
Spans from T1-L2
What kind of ANS activity will cause lymphatic congestion in the head and neck as well as nasal mucosa dryness?
Increased sympathetic causes vasoconstriction leading to lymph congestion and decreased secretions in the nasal mucosa
How does sympathetic stimulation of the kidney arterioles affect GFR?
SNS fibers constrict the afferent arterioles and decrease GFR
Where do the preganglionic fibers of the kidney and ureters synapse?
For the kidney and upper ureters: superior mesenteric ganglion
For lower ureter: inferior mesenteric ganglion
Where in the spinal cord do SNS fibers originate for the kidney?
T10-L1
What part of ANS causes consistent peristaltic waves in the ureters?
PSNS
How is the SNS related to lymph vessels?
Lymph vessels are innervated by PSNS and SNS though function is not completely understood.
Larger lymph vessels are constricted by increased SNS tone.
What techniques can be useful for lymphatic return?
Thoracic inlet release, doming of the thoracic and pelvic diaphragms, rib raising, pedal pumps, pectoral lift
Remember to do the diaphragms before the pedal pump
What is a sway back posture?
Hips thrust forward, almost leaning back posture, decreased lordosis of lumbar, increased curvature of cervical and thoracic, head forward
Viscerosomatic changes from a gastric PUD would appear where?
T6 spine
Viscerosomatic changes for sinusitis would be felt where?
T1-T3
T4-T6 spinal levels are associated with viscerosomatic reflexes from where?
Lungs and esophagus
T7-9 spinal levels are associated with viscerosomatic reflexes from where?
Upper GI
T10-12 spinal levels are associated with viscerosomatic reflexes from where?
Middle GI and gonads
T12-L2 spinal levels are associated with viscerosomatic reflexes from where?
Lower GI
What is an ASIS compression test?
Patient supine, press posteriorly on each ASIS while stabilizing the other. Resistance to post. motion is a positive result indicating innominate, sacral, or pubic dysfunction. Can help decide which innominate is dysfunctional when looking at flares.
Describe an adduction dysfunction of the ulna
Decreased carrying angle, hand and wrist abducted, olecranon prefer lateral glide
Falling on pronated and outstretched hand will do what to the radial head?
Pronation causes a posterior radial head because the distal radius is anterior. They move in opposite directions. Think Posterior and Pronation (both start with P’s)
What happens to the distal ulna, wrist, and olecranon with an increased carrying angle?
Moves distal ulna laterally (abduction)
Olecranon moves medially
Wrist goes opposite to distal ulna so adduction
What patients tend to have dupuytren’s contracture?
There is a genetic predisposition, but also happens to alcoholics frequently.
