OMM and the geriatric patient

Question 1

semimembranosus TP location and treatment

Answer 1

• location: distal 1/3 of muscle on posterior / medial thigh

1. treatment:
2. flex knee to 120 degrees and ABduct to 20-30 degrees
3. tibia is externally rotated
4. grip calcaneus to invert foot and approximate calcaneus toward midline of the body
5. fine tune to point of ease
6. hold 90 seconds
7. passive return
8. reassess

Question 2

pes anserine TP location and treatment

Answer 2

• location: along insertion of pes anserine
• treatment:
  1. fully flex patient’s knee and AB duct thigh to 70 degrees
  2. the tibia is externally rotated
  3. grip calcaneus to invert the foot and approximate the calcaneus toward the midline of the body
  4. fine tune to point of ease
  5. hold 90 seconds
  6. passive return
  7. reassess

Question 3

biceps femoris TP location and treatment

Answer 3

• location: along length of muscle posterolaterally
• treatment:
  1. flex hip to 120 degrees
  2. fully flex knee
  3. externally rotate tibia
  4. internally rotate thigh by bringing lower leg laterally
  5. fine tune to point of ease
  6. hold 90 seconds
  7. passive return
  8. reassess

Question 4

gastrocnemius TP location and treatment

Answer 4

• location: inferior to popliteal space on medial head of muscle
• treatment:
  1. plantar flex and invert foot
  2. tibia is translated to a point of ease by flexing and extending hip
  3. hold position for 90 seconds
  4. passive return
  5. reassess

Question 5

soleus TP location and treatment

Answer 5

• location: posterior midline of tibia on lower 1/3 of muscle
• treatment:
  1. plantar flex foot
  2. translate tibia to point of ease by flexing and extending hip
  3. hold 90 seconds
  4. passive return
  5. reassess

Question 6

achilles TP location and treatment

Answer 6

• location: medial or lateral aspect of achilles tendon insertion site
• treatment:
  1. plantar flex and evert foot
  2. tibia is translated to a point of ease by flexing and extending hip
  3. hold 90 seconds
  4. passive return
  5. reassess

Question 7

ME for left anterior innominate rotation

Answer 7

right arm under left leg then ME

Question 8

what TP is associated with a BST?

Answer 8

S2

Question 9

what TP is associated with a FST?

Answer 9

S4

Question 10

how do you treat a L on L FST seated?

Answer 10

• patient looks left

- legs go left