OMM COMAT Flashcards
What is an isotonic concentric contraction?
approximate ends
What is an isotonic eccentric contraction?
further ends
What is an isometric contraction?
like muscle energy; patient makes a contraction against an outside force; no approximation or lengthening of the muscle
Explain the rule of 3s
T1-3 -> TP located at the same level as the SP
T4-6 -> TP located 1/2 level above SP
T7-10 -> TP located 1 full level above SP
T11 -> TP located 1/2 level above SP
T12 -> TP located at the same level as SP
Which way are the facets oriented in the cervical spine?
BUM (backwards, upwards, medial)
Which way are the facets oriented in the thoracic spine?
BUL (backwards, upwards, lateral)
Which way ware the facets oriented in the lumbar spine?
BM (backwards, medial)
What is the direction of treatment for counterstain of the anterior cervicals?
fSARA
What is the direction of treatment for counterstain of the anterior thoracic?
fSTRA
What is the direction of treatment for counterstain of the anterior lumbars?
fSART
What is the direction of treatment for counterstain of the anterior ribs?
fSTRT
What is the direction of treatment for counterstain of the posterior cervicals?
eSARA
What is the direction of treatment for counterstain of the posterior thoracic?
eSARA
What is the direction of treatment for counterstain of the posterior lumbars?
eSARA
What is the direction of treatment for counterstain of the posterior ribs?
fSARA
What is the treatment position for counterstain of AC1?
maverick point
Ra
What is the treatment position for counterstain of AC7?
maverick point
F STRA
What is the treatment position for counterstain of AT1-6?
maverick points
F
What is the treatment position for counterstain of AL1?
maverick point
AL1 F STRA
What is the treatment position for counterstain of AL5?
maverick point
F SARA
What is the treatment position for counterstain of PC1 midline?
maverick point
F
What is the treatment position for counterstain of PC3 midline?
maverick point
F SARA
What is the treatment position for counterstain of PT midline?
maverick points
E
What is the treatment position for counterstain of PR1?
maverick point
E SART
Where are AL1-5 points located?
AL1 - ASIS AL2 - AIIS AL3 - lateral to AL2 AL4 - inferior to AL2 AL5 - superior pubic ramus/pubic symphysis
What are some causes of psoas dysfunction?
bending forward over a work bench, standing up too quickly, or quickly jumping up from a chair; ureteral calculi, diverticulitis
What somatic dysfunctions/PE findings would you expect with psoas dysfunction?
contralateral pelvic shift, gait abnormalities, increased lumbar lordosis, positive Thomas test. Spine will flex, rotate, and sideband toward the hypertonic muscle.
What is the counterstain tender point for the psoas? How do you treat it?
2/3 distance from the ASIS to the umbilicus. Treat with flexion, SB toward, ER
What motion occurs around each of the sacral axes?
superior - respiration and cranial motion
midline - postural motion
oblique - weight shifting during gait
inferior - innominate rotation
What does the sacrum do during inhalation? Exhalation?
sacral extension during inhalation; sacral flexion during exhalation
What motion occurs at the SBS during cranial extension?
Flexion
What motion occurs at the SBS during cranial flexion?
Extension
What are the flexed sacral torsion somatic dysfunctions?
R on R or L on L
What are contraindications to HVLA?
osteoporosis, fractures, cancer, RA, Down syndrome
Where is AC7 located? What muscle is it associated with? What is the treatment?
Distal 1/3 of the clavicle; associated with the SCM (specifically the clavicular head); treat with F, SB towards, R away
If the spring test is positive, what kind of sacral dysfunction do you have?
Extension
If the sphinx test is positive, what kind of sacral dysfunction do you have?
Extension
If the spring test is negative, what kind of sacral dysfunction do you have?
Flexion
If the sphinx test is negative, what kind of sacral dysfunction do you have?
Flexion
What are the rules of L5 mechanics in relation to the sacrum?
L5 F/E = opposite sacrum
L5 rotation = opposite sacrum
L5 SB = same axis that the sacrum is on
What hypertonic muscle can cause an anterior innominate rotation? What muscle will you use to treat it with MET?
hypertonic quads; use hamstrings
What hypertonic muscle can cause a posterior innominate rotation? What muscle will you use to treat it with MET?
hypertonic hamstrings; use quads
Which ribs are typical ribs? Why?
3-10; contain head, neck, tubercle, angle, and shaft
Which ribs are atypical ribs? Why?
1 = no rib angle 2 = another tubercle 11-12 = no tubercle or neck
Which ribs are true ribs? Why?
1-7; Connect to the sternum
Which ribs are false ribs? Why?
8-10; connect to cartilage that connects to sternum
Which ribs exhibit pump handle motion?
1-5
Which ribs exhibit bucket handle motion?
6-10