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omm Flashcards

1
Q

TART stands for

A

Tissue text changes, asymmetry, restriction, tenderness

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2
Q

Physiologic barrier

A

The end point of active range of motion (the point to where the patient can move themselves)

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3
Q

Acute TART changes

A

Edematous, erythematous, boggy, hypertonic, symmetric, painful restriction, severe/sharp pain

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4
Q

Chronic TART changes

A 
No edema or erythema, cool skin
Decreased muscle tone, flaccid, ropy, fibrotic
Asymmetry with compensation
Non-painful restricted range of motion
Dull, achy, burning pain
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5
Q

Freyettes

A

For TL spine:
N SxRy (typically grouped)
E/F SxRx (typically single)

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6
Q

Somatic dysfunctions are named for their freedom of motion

A

Just a reminder :)

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7
Q

Facet orientation

A

BUM BUL BM

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8
Q

Scalenes

A

Originate from posterior tubercle of transverse process and insert on rib 1 (ant and middle) and rib 2 (posterior)
SB neck to same side (unilateral contraction)
Flex neck (bilateral contraction)
Elevate the rib during inhalation

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9
Q

SCM

A

Unilateral contraction: SB toward, R away

Bilateral contraction: flexion

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10
Q

Alar and transverse ligaments

A

Weak in RA and Downs -> atlantoaxial subluxation

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11
Q

C-spine nerve roots

A

Exit above corresponding vertebrae

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12
Q

OA

A

Primary motion: F/E (SB occurs opposite)

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13
Q

AA

A

Primary motion: rotation (this is its ONLY motion)

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14
Q

Motion of C2-C7

A

SxRx regardless of F/E

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15
Q

Cervical stenosis

A

Increased pain with extension, + Spurlings

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16
Q

Thoracic spinous processes

A

Rule of 3’s

17
Q

Primary motion of thoracic spine

A

Rotation

18
Q

Atypical ribs

A

1s and 2s

1, 2, 11, 12 (10ish)

19
Q

True/false/floating ribs

A

1-7: true
8-12: false
11-12: floating

20
Q

Rib movement

A

1-5: pump handle
6-10: bucket handle
11-12: caliper

21
Q

Grouped rib dysfunction

A

BITE

22
Q

Primary motion of lumbar spine

A

F/E

23
Q

Herniated nucleus pulposus

A

Narrowing of posterior longitudinal ligament -> posterolateral herniation
Usually L4L5 or L5S1; will put pressure on nerve root BELOW
Shooting pain down back and leg; worse with flexion
+ straight leg test

24
Q

Psoas syndrome

A

Prolonged contraction of psoas (sitting)
LBP to groin; increased with standing/walking
+Thomas test
TP: medial to ASIS
Non-neutral dysfunction of L1 or L2, + pelvic shift to CL side, oblique sacral dysfunction

25
Q

Spinal stenosis

A

Narrowing of spinal canal

Pain worse with extension: standing/walking/supine

26
Q

Spondylolisthesis

A

Anterior displacement of a vertebra (pars interarticualris)
Increased pain with extension
Tight hammies, stiff-legged, short-stride, waddling gait

27
Q

Cauda equina syndrome

A

Pressure on nerve roots due to massive central disc herniation
Saddle anesthesia, decreased DTRs, loss of bowel/bladder

28
Q

Structural vs Functional scoliosis

A

Structural: fixed curve; doesnt correct with SB (vertebral wedging and short ligaments on concave side)
Functional: flexible; will correct with SB

29
Q

Severity of scoliosis

A

Mild: 5-15
Moderate: 20-45
Severe: >50 (respiratory compromise at this level)
CV compromise at >75

30
Q

Causes of scoliosis

A

Idiopathic: Who knows. Maybe genetic. ~80% of cases
Congential: malformation of vertebrae; progressive
NM: Muscle weakness/spasm (polio, cerebral palsy, DMD)
Aquired: tumors, infection, osteomalacia, psoas syndrome

31
Q

Treatment of scoliosis

A

Mild: PT, Konstancin exercises, OMT
Moderate: same but with bracing
Severe: surgery

32
Q

Short leg syndrome

A

Scaral base lower on short leg side
Anterior rotation on same side/ posterior on opposite
Lumbar S away, R toward side of short leg
Iliolumbar ligaments stressed on same side
Heel lift short leg: final lift 1/2-3/4 total discrepancy unless acute loss (hip fx or prosthesis), then full amount;

33
Q

True pelvic ligaments

A

(SI ligaments): anterior, posterior and interosseous

34
Q

Accessory pelvic ligaments

A

Sacrotuberous, sacrospoinous, iliolumbar

35
Q

Craniosacral motion

A

Craniosacral flexion: sacral base rotations posteriorly/counternutates

36
Q

Sacrum and L5

A

L5 and sacrum rotate to opposite sides
(Oblique axis will be on the same side as the SB of L5)
Neutral will be neutral (ie NL5 = forward torsion)

37
Q

Most common dysfunction post-partum

A

Sacral flexion

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