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OMM > OMM Final Practical > Flashcards

OMM Final Practical Flashcards

1
Q

steps of innominate dx

A 
ID dysfuntion side:standing flexion test
(reset pelvis)
ASIS compression
ID dysfunction:
ASIS/PSIS positions
(reset pelvis)
Leg lengths
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2
Q

standing flexion test findings

A

side that moves first/furthest is side of dysfunction (+)

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3
Q

ASIS compression test findings

A

side that’s harder to press in dysfunction side (+)

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4
Q

ASIS/PSIS position findings

A 
ASIS lo, PSIS hi --> ant rot
ASIS hi, PSIS lo --> post rot
ASIS hi, PSIS hi --> sup shear
ASIS lo PSIS lo --> inf shear
ASIS med, PSIS lat --> inflare
ASIS lat, PSIS med --> outflare
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5
Q

leg length findings

A

short –> post rotation or sup shearlong –> ant rot or inf sheareven –> in/outflare

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6
Q

ME innominate ant rot

A 
pt supine
flex hip/knee
monitor PSIS3-5 x for 3-5 s
final stretch
return, RESET, reassess
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7
Q

ME innominate post rot

A 
pt supine, dysfunctional leg off table
stabilize opp ASIS
extend hip to barrier
3-5 x for 3-5 s
final stretch
return, RESET, reassess
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8
Q

ME innominate inflare

A 
pt supine
stabilize opp ASIS
flex hip 90
abduct to barrier
3-5 x for 3-5 s
final stretch
return, RESET, reassess
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9
Q

ME innominate outflare

A 
pt supine
monitor dysfunctional PSIS 
flex hip 90
adduct into barrier
pull PSIS lat during contraction
3-5 x for 3-5 s
final stretch
return, RESET, reassess
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10
Q

HVLA innominate superior shear

A 
pt supine
dr @ foot of table
grasp tib/fib, int rot
apply traction to barrier
thrust
return, RESET, reassess
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11
Q

sacral dx steps

A

seated flexion testspring testsacral sulcusinferior lateral angle(need 3/4)

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12
Q

ME sacral ant torsion

A 
up up up - use gluteus maximus
pt in lat recumbent, chest up
flex hips
monitor base of dys side
lift legs
3-5 for 3-5
final stretch
return, reassess
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13
Q

ME sacral post torsion

A 
up down down - use piriformis
pt in lat recumbent, chest up
flex hips
monitor base of dys side
lower legs (or just top)
3-5 for 3-5
final stretch
return, reassess
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14
Q

ME sacral unilateral flexion shear

A 
pt prone
abduct/int rotate lower leg on dys side
contact ILA of dys side
push on INhalation
resist on EXhalation
return, reasses
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15
Q

ME sacral unilateral extension shear

A 
pt prone, sphinx
abduct/int rotate lower leg on dys side
contact base of dys side
push on EXhalation
resist on INhalation
return, reasses
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16
Q

ME sacral bilaterals

A

same as uni, but push on middle of base or ILA

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17
Q

pubis dx steps

A

ASIS compression pubic tubercle positionstenderness

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18
Q

ME inferior pubic shear

A 
(same as ant rot innominate)
pt supine
gap PS (dr force open)
flex hip/knee
monitor ischial tuberocity
3-5 x for 3-5 s
final stretch
close PS (dr force close)
return, RESET, reassess
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19
Q

ME superior pubic shear

A 
(same as post rot innominate)
gap PS (dr force open)
pt supine, dysfunctional leg off table
stabilize opp ASIS
extend hip to barrier
3-5 x for 3-5 s
final stretch
close PS (dr force close)
return, RESET, reassess
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20
Q

piriformis dx steps

A

internal rotation

FAIR (flexion, adduction, internal rotation)

21
Q

piriformis internal rotation findings

A

more difficult to IR –> piriformis dysfunction

22
Q

FAIR findings

A

pain –> + –> piriformis dysfunction

23
Q

piriformis counterstrain

A

spot: midpoint btwn sacrum and greater trochanter
pt prone, dys leg off table
hip/knee flex/abduct
fine tune w/ ER

24
Q

psoas major counterstrain

A

spot: 2/3 from ASIS to midlinept supinehip knee flexST

25
Q

tibiofibular dx steps

A

seesaw lateral malleolus and fibular head

26
Q

tibiofibular dysfunctions

A

foot supination/inversion –> posterior fibular headfoor pronation/eversion –> ant fibular head

27
Q

ME post fibular head

A 
pt supine, knee bent
monitor post aspect of fibular head
dr force EXternal rotation
3-5 x for 3-5 s
final stretch
return, reassess
28
Q

ME ant fibular head

A 
pt supine, knee bent
monitor ant aspect of fibular head
dr force INternal rotation
3-5 x for 3-5 s
final stretch
return, reassess
29
Q

HVLA post fibular head

A 
pt prone
pronate foot (barrier)
MCP behind fibular head
flex knee into barrier
thrust with MCP
return, reassess
30
Q

HVLA ant fibular head

A 
pt supine, pillow under knee
supinate foot (barrier)
heel of hand over fibular head
thrust into fibula (valgus)
return, reassess
31
Q

medial hamstring CS

A 
spot: medial popiliteal fossa
pt supine
hip flex (cptn)
knee: F, IR, Add
(can add compressive @ calcaneous)
return, reassess
32
Q

lateral hamstring CS

A

spot: lateral popiliteal fossa
pt supine, leg off table
knee: F, ER, Ab
return, reassess

33
Q

gastrocnemius CS

A

spot: med/lateral head of gastroc
pt prone
knee flex, plantarflex (capt)
return, reassess

34
Q

fibularis CS

A

spot: post to lateral malleolus pt supine
plantarflex, evert
return, reassess

35
Q

tibialis ant CS

A

spot: inf to med malleolus
pt supine
invert, dorsiflex
return, reassess

36
Q

tibialis post CS

A

spot: post to med malleolus plantarfelx, invert

return, reassess

37
Q

anterior tibia on talus signs

A

easy post translation (drawer)deep sulcusprefer dorsiflexion

38
Q

post tibia on talus signs

A

easy ant translation (drawer)

shallow sulcusprefer plantarflexion

39
Q

HVLA ant tibia on talus

A

pt supinecup calcaneous contact tibia @ distaldr force down into tibiareturn, reassess

40
Q

HVLA post tibia on talus

A

pt supinefingers woven over dorsum, thumbs @ ball of footbring to dorsiflxion barrierthrust thrureturn, reassess

41
Q

subtalar (talocalcaneous) joint dx

A

inversion vs eversion

42
Q

MFR subtalar

A

pt supinehold calcaneous and forefootin/direct for 30 s

43
Q

HVLA subtalar (ankle decompression)

A

pt supinehold calc and forefoottraction into in/eversion barrierthrusrreturn, reassess

44
Q

midfoot HVLA

A

pt prone, leg off tablethumb contact inf bonewhipreturn, reassess

45
Q

midfoot MFR

A

plantar fasciitispt supinefascia into planes of resistance/ease30-60 s

46
Q

midfoot CS

A

plantar flex, push inferior

47
Q

HVLA plantar styloid process

A

plantar force @ 5th head w/ thumbdorsal force w/ MCP

48
Q

HVLA phalanges

A

tractionuse flex/extend too

OMM (10 decks)

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