OMM Flashcards
1
Q
psoas synd: what should be treated 1st?
A
lumbar or thoracolumbar spine
2
Q
articular pillar: aka
A
lat mass
3
Q
articular pillar: location
A
cervical vertebrae:
- bw sup & inf facets
- post to tranverse process
4
Q
what is: OA? AA?
A
- OA: occipit on CI (atlas)
- AA: C1 motion on C2
5
Q
how do you test OA? AA?
A
- OA: translate
- AA: flex –> rot
6
Q
rule of three’s: refers to
A
thoracic spine: location of spinous process relative to TP
7
Q
what makes a typical rib typical?
A
have all landmarks:
- tubercle
- head
- neck
- angle
- shaft
8
Q
what are the atypical ribs?
A
“1’s” & “2’s”: rib 1, 2, 11, 12 (sometimes 10)
9
Q
what ribs have bucket handle motion? pump handle?
A
rib 1-5: pump
rib 6-10: bucket
10
Q
rib 6-9 attach to what thoracic vertebra?
A
T5-9
11
Q
what muscles make up the erector spinae?
A
“SILO”:
- spinalis
- iliocostalis
- LOngissimus
12
Q
differentiate: spina bifida occulta vs meningocele vs meningomyelocele
A
- occulta: no herniation
- meningocele: herniation of meninges
- meningomyelocele: meninges + nerve
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
14
Q
what are the 2ndary muscles of respiration?
A
- scalene
- pect minor
- serr ant & post
- QL
- lat dorsi
15
Q
what are the 1ary muscles of respiration?
A
- diaphragm
- intercostals
16
Q
L4 nerve root exits from where?
A
intervertebral foramen bw L4 & 5
17
Q
herniated disc bw L4 & 5 –> what nerve root will be compressed?
A
L5
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
19
Q
cauda equina synd: tx
A
surg emergency
20
Q
psoas synd: organic causes
A
- appendicitis
- sigmoid colon dysfx
- ureteral calculi
- ureter dysfx
- prostate metastatic CA
- salpingitis
21
Q
what is dextroscoliosis? levoscoliosis?
A
- dextroscoliosis: scoliosis to R –> curve is sidebent L
- levoscoliosis: L scoliosis
22
Q
scoliosis: when is resp fx compromised? CV?
A
resp: Cobb angle >50
CV: >75
23
Q
what divides the greater & lesser sciatic foramen?
A
sacrospinous lig
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
25
during craniosacral extension --> what happens to sacral base?
rot ant (nutates)
26
trigger pt: tx
- spray & stretch using vapocoolant spray
| - injection w local anes
27
what is: Chapman's pt
somatic manifestation of visceral dysfx (viscerosomatic reflex): smooth firm discrete 2-3mm nodule --> in deep fascia, periosteum of bone
28
L5 FRrSr --> what is the sacral dx?
oblique axis: R
seated flexion: L
sacrum: rot L
==> L on R backward sacral torsion
29
L5 NSlRr --> what is the sacral dx?
oblique axis: L
seated flexion: R
sacrum: rot L
==> L on L forward sacral torsion
30
sacral dx: R seated flexion, R sulcus, L ILA
L on L forward sacral torsion
31
sacral dx: L seated flexion, L sulcus, R ILA
R on R forward sacral torsion
32
sacral dx: R seated flexion, L sulcus, R ILA
R on L backward sacral torsion
33
sacral dx: L seated flexion, R sulcus, L ILA
L on R backward sacral torsion
34
what is: sacral rotation on an oblique axis
similar to sacral torsion but L5 is rotated to same side as sacrum
35
sacral dx: neg seated flexion, R & L sulcus, R & L ILA
bilat sacral flexion
36
what sacral dysfx is common post-parturm?
bilat sacral flexion
37
what is: sacral shear
unilat sacral flexion/extension
38
sacral dx: L seated flexion, L sulcus, L ILA
L unilat sacral flex
39
sacral dx: R seated flexion, R sulcus, R ILA
R unilat sacral flex
40
sacral dx: L seated flexion, R sulcus, R ILA
L unilat sacral ext
41
sacral dx: R seated flexion, L sulcus, L ILA
R unilat sacral ext
42
R LE --> swing phase --> how does the sacrum move?
L oblique axis
43
rotator cuff: muscles & fx
SITS:
- supraspinatus: abduct
- infraspinatus: ext rot
- teres minor: ext rot
- subscapularis: int rot
44
what is the most common brachial plexus injury
Erb-Duchenne's palsy
45
Erb-Duchenne's palsy: injury to?
C5-6 during childbirth
46
thoracic outlet synd: compressed where? tests?
Bw:
- ant & middle scalene --> Adson's test
- clavicle & rib 1 --> military posture test
- pec minor & upper ribs --> hyperextension test
47
adhesive capsulitis (frozen shoulder synd): cause
prolonged immobility of shoulder
48
radial N injury: 3 common causes? ssx?
- crutch palsy
- humeral fracture
- Sat night palsy
==> wrist drop
49
wrist/hand flexors: N
median
50
wrist/hand extensors: N
radial
51
supinators: muscles? N?
- biceps --> musculocut N
| - supinator --> radial
52
pronator: muscle? N?
median N:
- pronator teres
- pronator quadratus
53
thenar eminence: N
median N
54
hypothenar eminence: N
ulnar
55
flexor digitorum profundus --> attaches to? flexor digitorum superficialis?
flexor digitorum profundus (deep finger flexors): DIP
| flexor digitorum superficialis: PIP
56
increase carrying angle --> what happens to ulna? wrist?
- ulna: abduct
| - wrist: adduct
57
decrease carrying angle --> what happens to ulna? wrist?
- ulna: adduct
| - wrist: abduct
58
pronate --> what happens to radial head? supinate?
pronate --> post
| supinate --> ant
59
claw hand --> indicates injury to?
median & ulnar N
60
Dupuytren's contracture
contracture of palmar fascia
61
what forms most of the superficial palmar arterial arch?
ulnar A
62
what forms most of the deep palmar arterial arch?
radial A
63
origin of brachial A
inf border of teres minor
64
hip ext rot --> what happens to fibular head? int rot?
- ext rot --> ant
| - int --> post
65
pronate foot --> what happens to fibular head? supinate?
- pronate --> ant
| - sup --> post
66
what is: pronation of ankle
- dorsiflex
- evert
- abduct
67
what is: supination of ankle
- plantarflex
- invert
- adduct
68
what is: coxa vara? coxa valga?
vara: angle of femur head 135
69
what is: genu varum? genu valgum?
- valgum: increased Q angle --> knock-kneed
| - varum: decreased Q angle --> bowlegged
70
what makes the foot more stable in dorsiflexion?
talus is wider ant
71
what makes up the transverse arch of the foot?
- cuboid
- cuneiforms
- navicular
72
post fibular head --> what happens to talus?
int rot --> cause foot to invert & plantarflex
73
sprain --> grading
- 1st deg: no tear
- 2nd deg: partial tear
- 3rd deg: full tear
74
what makes up the 1ary resp mech (PRM)?
- CNS
- CSF
- dural membranes
- cranial bones
- sacrum
75
what decreases CRI? increases it?
- decrease: stress, depression, chronic fatigue, chronic infect
- increase: vigorous exercise, systemic fever, OMT
76
cause of compression strain of SBS? leads to?
trauma to back of head --> severe decreased CRI
77
what CN exit thru sup orbital fissure?
III, IV, V1, VI
78
what CN exit thru jugular foramen?
IX, X, XI
79
what CN exit thru int acoustic meatus?
VIII
VII: enters int acoustic meatus --> exits stylomastoid foramen
80
what can lead to a vagal SD?
dysfx to:
- OA
- AA
- C2
81
poor suckling in newborn: cause?
- condylar compression (CN XII)
| - jugular foramen dysfx (CN IX, X)
82
CV4 bulb decompression: purpose
increase CRI amplitude
83
what is facilitation?
maintenance of pool of neurons in state of partial/subthreshold excitation
84
what is segmental facilitation
facilitation at indiv spinal level
85
rib raising: purpose
- normalize (decrease) sym activity
| - improve lymph return
86
soft tissue paraspinal inh: purpose
normalize (decrease) sym activity
87
celiac ganglion, sup mes, inf mes releases: purpose
normalize (decrease) sym activity
88
trt Chapmans' pts: purpose
decrease sym tone to assoc visceral tissues
89
suckling difficulty in newborn: tx
condylar decompression
90
sacral inh: purpose
- normalize hypersym activity in L colon & pelvic struct
| - reduce labor pain caused by cervical dilation
91
T or F: chapman pts refer pain
F
92
Procedure: myofascial release
1) palpate restriction
2) apply compression (indirect) or traction (direct)
3) add twist or transverse force
4) use enhancers
5) wait for release
93
myofascial release: goal
improve lymph flow by remv myofascial restrictions
94
when performing indirect myofascial release, which barrier is engaged?
anatomic
95
CCP
1) occipitoatlantal: L
2) cervicothoracic: R
3) thoracolumbar: L
4) lumbosacral: R
96
ant rib TP are assoc w? post?
- inhalation restriction: ant
| - exhalation restriction: post
97
L5 ant TP: location
superior ramus --> 1 cm lat to pubic symphysis
98
iliacus TP: location
7cm medial to ASIS
99
L on L sacral torsion: tx position
L lat sims position
100
R on L sacral torsion: tx position
L lat recumbent w face up
101
HVLA: absolute CI
- osteoporosis
- osteomyelitis
- fracture in area of thrust
- bone metastasis
- severe RA
- Downs synd
102
HVLA: relative CI
- acute whiplash
- preg
- post-surg
- herniate nucleus pulposus
- anticoag, hemophilia
- vertebral A ischemia
103
HLVA: #1 comp
vertebral A injury
104
thoracic spine --> extended --> HVLA: thrust where?
vertebrae below the dysfxal segment
105
lumbar roll tx: what do you do w pt's arm?
Type II dysfx:
- TP up: pull arm down
- down: up
Type I dysfx:
- TP up: up
- down: down
106
pneumonia: tx?
resistant, noncompliant chest wall --> trt w rib raising --> normalize sympathetic hyperactivity
107
spencer techniques: purpose
improve motion in glenohumoral jt
108
how do you detect vertebral A insuff?
Wallenberg's test
109
hip drop test: purpose
eval sidebending (lat flexion) of lumbar spine
110
+lumbosacral spring test: indicates?
post sacral base
111
spurling test: purpose
intervertebral foramen stenosis --> radiculopathy
112
Adson's test: detects?
thoracic outlet synd
113
Yergason's test: detects?
instability of biceps tendon in bicipital groove
114
Finkelstein test: detects?
de Quervain's dz: tenosynovitis in abductor pollicis longus, extensor pollicis brevis tendons at wrist
115
trendelenberg test: tests what muscle grp?
hip abductors
116
McMurray's test: detects?
posterior tears in med/lat meniscus
117
apley's compression: detects?
meniscal tear
118
OMM for asthma
- seated thoracic pump
- CV4
- cervical spine manipulation to normalize vagus
