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ComBank > OMM > Flashcards

OMM Flashcards

1
Q

psoas synd: what should be treated 1st?

A

lumbar or thoracolumbar spine

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2
Q

articular pillar: aka

A

lat mass

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3
Q

articular pillar: location

A

cervical vertebrae:

  • bw sup & inf facets
  • post to tranverse process
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4
Q

what is: OA? AA?

A
  • OA: occipit on CI (atlas)

- AA: C1 motion on C2

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5
Q

how do you test OA? AA?

A
  • OA: translate

- AA: flex –> rot

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6
Q

rule of three’s: refers to

A

thoracic spine: location of spinous process relative to TP

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7
Q

what makes a typical rib typical?

A

have all landmarks:

  • tubercle
  • head
  • neck
  • angle
  • shaft
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8
Q

what are the atypical ribs?

A

“1’s” & “2’s”: rib 1, 2, 11, 12 (sometimes 10)

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9
Q

what ribs have bucket handle motion? pump handle?

A

rib 1-5: pump

rib 6-10: bucket

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10
Q

rib 6-9 attach to what thoracic vertebra?

A

T5-9

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11
Q

what muscles make up the erector spinae?

A

“SILO”:

  • spinalis
  • iliocostalis
  • LOngissimus
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12
Q

differentiate: spina bifida occulta vs meningocele vs meningomyelocele

A
  • occulta: no herniation
  • meningocele: herniation of meninges
  • meningomyelocele: meninges + nerve
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13
Q

psoas synd: ssx

A
  • TP medial to ASIS
  • L1/2 type II SD
  • +pelvic shift test to contralat side
  • sacral dysfx on oblique axis
  • contralat piriformis spasm
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14
Q

what are the 2ndary muscles of respiration?

A
  • scalene
  • pect minor
  • serr ant & post
  • QL
  • lat dorsi
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15
Q

what are the 1ary muscles of respiration?

A
  • diaphragm

- intercostals

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16
Q

L4 nerve root exits from where?

A

intervertebral foramen bw L4 & 5

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17
Q

herniated disc bw L4 & 5 –> what nerve root will be compressed?

A

L5

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18
Q

what is: cauda equina synd

A

pressure on N roots of cauda equina (usu d/t large central herniation):

  • saddle anesthesia
  • decreased DTR
  • decreased rectal sphincter tone
  • loss of bowel, bladder ctrl
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19
Q

cauda equina synd: tx

A

surg emergency

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20
Q

psoas synd: organic causes

A
  • appendicitis
  • sigmoid colon dysfx
  • ureteral calculi
  • ureter dysfx
  • prostate metastatic CA
  • salpingitis
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21
Q

what is dextroscoliosis? levoscoliosis?

A
  • dextroscoliosis: scoliosis to R –> curve is sidebent L

- levoscoliosis: L scoliosis

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22
Q

scoliosis: when is resp fx compromised? CV?

A

resp: Cobb angle >50
CV: >75

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23
Q

what divides the greater & lesser sciatic foramen?

A

sacrospinous lig

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24
Q

What are the physiologic axes of the sacrum/innominate? What sacral motions occur there?

A

1) sup transverse axis: resp & craniosacral motion
2) middle transverse axis: postural motion
3) inf transverse: innominate rotation
4) L & R oblique axes: dynamic motion

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25
Q

during craniosacral extension –> what happens to sacral base?

A

rot ant (nutates)

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26
Q

trigger pt: tx

A
  • spray & stretch using vapocoolant spray

- injection w local anes

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27
Q

what is: Chapman’s pt

A

somatic manifestation of visceral dysfx (viscerosomatic reflex): smooth firm discrete 2-3mm nodule –> in deep fascia, periosteum of bone

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28
Q

L5 FRrSr –> what is the sacral dx?

A

oblique axis: R
seated flexion: L
sacrum: rot L

==> L on R backward sacral torsion

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29
Q

L5 NSlRr –> what is the sacral dx?

A

oblique axis: L
seated flexion: R
sacrum: rot L

==> L on L forward sacral torsion

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30
Q

sacral dx: R seated flexion, R sulcus, L ILA

A

L on L forward sacral torsion

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31
Q

sacral dx: L seated flexion, L sulcus, R ILA

A

R on R forward sacral torsion

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32
Q

sacral dx: R seated flexion, L sulcus, R ILA

A

R on L backward sacral torsion

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33
Q

sacral dx: L seated flexion, R sulcus, L ILA

A

L on R backward sacral torsion

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34
Q

what is: sacral rotation on an oblique axis

A

similar to sacral torsion but L5 is rotated to same side as sacrum

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35
Q

sacral dx: neg seated flexion, R & L sulcus, R & L ILA

A

bilat sacral flexion

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36
Q

what sacral dysfx is common post-parturm?

A

bilat sacral flexion

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37
Q

what is: sacral shear

A

unilat sacral flexion/extension

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38
Q

sacral dx: L seated flexion, L sulcus, L ILA

A

L unilat sacral flex

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39
Q

sacral dx: R seated flexion, R sulcus, R ILA

A

R unilat sacral flex

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40
Q

sacral dx: L seated flexion, R sulcus, R ILA

A

L unilat sacral ext

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41
Q

sacral dx: R seated flexion, L sulcus, L ILA

A

R unilat sacral ext

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42
Q

R LE –> swing phase –> how does the sacrum move?

A

L oblique axis

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43
Q

rotator cuff: muscles & fx

A

SITS:

  • supraspinatus: abduct
  • infraspinatus: ext rot
  • teres minor: ext rot
  • subscapularis: int rot
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44
Q

what is the most common brachial plexus injury

A

Erb-Duchenne’s palsy

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45
Q

Erb-Duchenne’s palsy: injury to?

A

C5-6 during childbirth

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46
Q

thoracic outlet synd: compressed where? tests?

A

Bw:

  • ant & middle scalene –> Adson’s test
  • clavicle & rib 1 –> military posture test
  • pec minor & upper ribs –> hyperextension test
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47
Q

adhesive capsulitis (frozen shoulder synd): cause

A

prolonged immobility of shoulder

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48
Q

radial N injury: 3 common causes? ssx?

A
  • crutch palsy
  • humeral fracture
  • Sat night palsy

==> wrist drop

49
Q

wrist/hand flexors: N

A

median

50
Q

wrist/hand extensors: N

A

radial

51
Q

supinators: muscles? N?

A
  • biceps –> musculocut N

- supinator –> radial

52
Q

pronator: muscle? N?

A

median N:

  • pronator teres
  • pronator quadratus
53
Q

thenar eminence: N

A

median N

54
Q

hypothenar eminence: N

A

ulnar

55
Q

flexor digitorum profundus –> attaches to? flexor digitorum superficialis?

A

flexor digitorum profundus (deep finger flexors): DIP

flexor digitorum superficialis: PIP

56
Q

increase carrying angle –> what happens to ulna? wrist?

A
  • ulna: abduct

- wrist: adduct

57
Q

decrease carrying angle –> what happens to ulna? wrist?

A
  • ulna: adduct

- wrist: abduct

58
Q

pronate –> what happens to radial head? supinate?

A

pronate –> post

supinate –> ant

59
Q

claw hand –> indicates injury to?

A

median & ulnar N

60
Q

Dupuytren’s contracture

A

contracture of palmar fascia

61
Q

what forms most of the superficial palmar arterial arch?

A

ulnar A

62
Q

what forms most of the deep palmar arterial arch?

A

radial A

63
Q

origin of brachial A

A

inf border of teres minor

64
Q

hip ext rot –> what happens to fibular head? int rot?

A
  • ext rot –> ant

- int –> post

65
Q

pronate foot –> what happens to fibular head? supinate?

A
  • pronate –> ant

- sup –> post

66
Q

what is: pronation of ankle

A
  • dorsiflex
  • evert
  • abduct
67
Q

what is: supination of ankle

A
  • plantarflex
  • invert
  • adduct
68
Q

what is: coxa vara? coxa valga?

A

vara: angle of femur head 135

69
Q

what is: genu varum? genu valgum?

A
  • valgum: increased Q angle –> knock-kneed

- varum: decreased Q angle –> bowlegged

70
Q

what makes the foot more stable in dorsiflexion?

A

talus is wider ant

71
Q

what makes up the transverse arch of the foot?

A
  • cuboid
  • cuneiforms
  • navicular
72
Q

post fibular head –> what happens to talus?

A

int rot –> cause foot to invert & plantarflex

73
Q

sprain –> grading

A
  • 1st deg: no tear
  • 2nd deg: partial tear
  • 3rd deg: full tear
74
Q

what makes up the 1ary resp mech (PRM)?

A
  • CNS
  • CSF
  • dural membranes
  • cranial bones
  • sacrum
75
Q

what decreases CRI? increases it?

A
  • decrease: stress, depression, chronic fatigue, chronic infect
  • increase: vigorous exercise, systemic fever, OMT
76
Q

cause of compression strain of SBS? leads to?

A

trauma to back of head –> severe decreased CRI

77
Q

what CN exit thru sup orbital fissure?

A

III, IV, V1, VI

78
Q

what CN exit thru jugular foramen?

A

IX, X, XI

79
Q

what CN exit thru int acoustic meatus?

A

VIII

VII: enters int acoustic meatus –> exits stylomastoid foramen

80
Q

what can lead to a vagal SD?

A

dysfx to:

  • OA
  • AA
  • C2
81
Q

poor suckling in newborn: cause?

A
  • condylar compression (CN XII)

- jugular foramen dysfx (CN IX, X)

82
Q

CV4 bulb decompression: purpose

A

increase CRI amplitude

83
Q

what is facilitation?

A

maintenance of pool of neurons in state of partial/subthreshold excitation

84
Q

what is segmental facilitation

A

facilitation at indiv spinal level

85
Q

rib raising: purpose

A
  • normalize (decrease) sym activity

- improve lymph return

86
Q

soft tissue paraspinal inh: purpose

A

normalize (decrease) sym activity

87
Q

celiac ganglion, sup mes, inf mes releases: purpose

A

normalize (decrease) sym activity

88
Q

trt Chapmans’ pts: purpose

A

decrease sym tone to assoc visceral tissues

89
Q

suckling difficulty in newborn: tx

A

condylar decompression

90
Q

sacral inh: purpose

A
  • normalize hypersym activity in L colon & pelvic struct

- reduce labor pain caused by cervical dilation

91
Q

T or F: chapman pts refer pain

A

F

92
Q

Procedure: myofascial release

A

1) palpate restriction
2) apply compression (indirect) or traction (direct)
3) add twist or transverse force
4) use enhancers
5) wait for release

93
Q

myofascial release: goal

A

improve lymph flow by remv myofascial restrictions

94
Q

when performing indirect myofascial release, which barrier is engaged?

A

anatomic

95
Q

CCP

A

1) occipitoatlantal: L
2) cervicothoracic: R
3) thoracolumbar: L
4) lumbosacral: R

96
Q

ant rib TP are assoc w? post?

A
  • inhalation restriction: ant

- exhalation restriction: post

97
Q

L5 ant TP: location

A

superior ramus –> 1 cm lat to pubic symphysis

98
Q

iliacus TP: location

A

7cm medial to ASIS

99
Q

L on L sacral torsion: tx position

A

L lat sims position

100
Q

R on L sacral torsion: tx position

A

L lat recumbent w face up

101
Q

HVLA: absolute CI

A
  • osteoporosis
  • osteomyelitis
  • fracture in area of thrust
  • bone metastasis
  • severe RA
  • Downs synd
102
Q

HVLA: relative CI

A
  • acute whiplash
  • preg
  • post-surg
  • herniate nucleus pulposus
  • anticoag, hemophilia
  • vertebral A ischemia
103
Q

HLVA: #1 comp

A

vertebral A injury

104
Q

thoracic spine –> extended –> HVLA: thrust where?

A

vertebrae below the dysfxal segment

105
Q

lumbar roll tx: what do you do w pt’s arm?

A

Type II dysfx:

  • TP up: pull arm down
  • down: up

Type I dysfx:

  • TP up: up
  • down: down
106
Q

pneumonia: tx?

A

resistant, noncompliant chest wall –> trt w rib raising –> normalize sympathetic hyperactivity

107
Q

spencer techniques: purpose

A

improve motion in glenohumoral jt

108
Q

how do you detect vertebral A insuff?

A

Wallenberg’s test

109
Q

hip drop test: purpose

A

eval sidebending (lat flexion) of lumbar spine

110
Q

+lumbosacral spring test: indicates?

A

post sacral base

111
Q

spurling test: purpose

A

intervertebral foramen stenosis –> radiculopathy

112
Q

Adson’s test: detects?

A

thoracic outlet synd

113
Q

Yergason’s test: detects?

A

instability of biceps tendon in bicipital groove

114
Q

Finkelstein test: detects?

A

de Quervain’s dz: tenosynovitis in abductor pollicis longus, extensor pollicis brevis tendons at wrist

115
Q

trendelenberg test: tests what muscle grp?

A

hip abductors

116
Q

McMurray’s test: detects?

A

posterior tears in med/lat meniscus

117
Q

apley’s compression: detects?

A

meniscal tear

118
Q

OMM for asthma

A
  • seated thoracic pump
  • CV4
  • cervical spine manipulation to normalize vagus

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