OMM Approach to CV Disease

Question 1

How is Roos test performed? Result?

Answer 1

Hold both elbows at shoulder height and retract shoulders

Open and close fists for 3 mins

Onset of severe heaviness/fatigue, test is positive

Question 2

Right sided sympathetic innervation of the heart may be associated with what pathology?

Answer 2

SVT

Question 3

Unlike the sympathetics, there is ________ parasympathetic activity on the lymphatics.

Answer 3

No

Question 4

In ________, there is no swelling of the anterior rib/sternal joints, however, this swelling is seen in ________.

Answer 4

Costochondritis, Tietze Syndrome

Question 5

Left sided sympathetic innervation of the heart may be associated with what pathologies?

Answer 5

Ectopic foci and Vfib

Question 6

What are the clinical anatomical borders of the thoracic outlet?

Answer 6

Clavicle, rib 1 and 2 (superior)

Manubrium to sternal angle (anterior)

Lower cervical vertebrae/T1-T4 (posterior)

Question 7

How is Adson’s test performed? Result?

Answer 7

Abduct/externally rotate affected shoulder

Feel radial pulse

Extend/rotate head towards affected side.

If decreased, test is positive

Question 8

________ is a local sensitivity to cold in peripheral vessels due to vasoconstriction.

Answer 8

Raynaud’s phenomenon

Question 9

How is Wright’s test performed? Result?

Answer 9

Hyperabduct/externally rotate affected arm

Feel radial pulse

If decreased, test is positive

Question 10

In CHF, the goal of using ________ is to restore lymphatic return to normal levels.

Answer 10

Lymphatic pumps

Question 11

A flattened thoracic curve can be associated with

Answer 11

Tachyarrhythmias

Question 12

Trigger points on the anterior right pectoralis muscle can be associated with ________.

Answer 12

SVTs

Question 13

Sympathetic innervation for the upper extremity vasculature comes from ________.

Answer 13

T2-T7

Question 14

Left sided parasympathetic innervation of the heart may be associated with what pathology?

Answer 14

AV block

Question 15

The heart drains into the ________ lymphatic duct.

Answer 15

Right

Question 16

Within an area of autonomic innervation, facilitated segments should be treated ________.

Answer 16

First

Question 17

OMT directed at ________ can help reduce hypertension in certain situations.

Answer 17

T1-T5

Question 18

Atrial pain refers to the ________ dermatomes.

Answer 18

T4-T6

Question 19

In thoracic outlet syndrome, symptoms caused by ________ are less common than those caused by neural/arterial etiologies.

Answer 19

Venous compression

Question 20

For an acute myocardial infarction, OMT should be limited to ________ techniques.

Answer 20

Indirect

Question 21

Ventricular pain refers to the ________ dermatomes.

Answer 21

C8-T3

Question 22

Irritation of the ________ branches of the vagus have the strongest effect on slowing heart rate.

Answer 22

Pulmonary

Question 23

Facilitation due to heart issues generally occurs at the left paraspinal region at the levels of ________.

Answer 23

T2-T4

Question 24

Sympathetic innervation for the head/neck vasculature comes from ________.

Answer 24

T1-T4

Question 25

Sympathetic innervation for the lower extremity vasculature comes from ________.

Answer 25

T10-L2