OMM for COMLEX Flashcards
Direct Techniques
ME, Articulatory, HVLA, and Soft Tissue
Indirect Techniques
Counterstrain, FPR, and BLT
Exhalation somatic dysfunction rib:muscle
1: Anterior scalene 2: posterior scalene 3-5: pec minor 6-9: Serratus Anterior 10-11:Latissimus Dorsi
Isotonic Muscle Contraction
Approximation of the muscle’s origin and insertion against opposing force without change in tension.
Isometric Muscle Contraction
Increase in muscle tension but no approximation.
Isolytic Muscle Contraction
Contraction against the physician that is overcome and causes the muscle to lengthen.
Concentric Muscle Contraction
Approximation of the origin and insertion without opposing force.
Eccentric Muscle Contraction
Lengthening of the muscles due to an external force.
Only treatment that can be active, passive, direct, or indirect.
MFR
Both OA and AA have opposite rotation/sidebending true or false?
True
Rule of Threes
T1-3,12: SP=TP
T4-6,11: SP 1/2 below TP
T7-10:SP 1 below TP
Atypical Ribs
Have 1s and 2s
1,2,11,12
Pump Handle Ribs
1-5
Bucket Handle Ribs
6-10
True Ribs
1-7
False Ribs
8-12
L5 rotates _______ of the sacral base and sidebends to the _________ as the sacral oblique axis.
Opposite, Same
Psoas Syndrome
Pelvic shift to opposite side, L1 or L2 F/E
Short Leg Syndrome
Sacral base unlevel, vertebral sidebending away from short side and rotation towards, Anterior innominate rotation on short side.
Heel Lift
1/2 to 3/4 discrepancy correction for chronic short leg
Full correction for acute short leg
Only 1/4” can be inside the shoe
Maximum lift 1/2”
Fragile pt Heel lift
1/16” q2wks
Flexible pt Heel lift
1/8” q2wks
Ligament that divides greater and lesser sciatic foramina
Sacrospinous
Sacral Torsion Rules
When L5 is sidebent, a sacral oblique axis is engaged on the same side.
When L5 is rorated the sacrum rotates the opposite way on its oblique axis.
The seated flexion test is found on the opposite side of the oblique axis.
Rotator cuff
Supraspinatus, infraspinatus, teres minor, and subscapularis
3 impingements that results in Thoracic Outlet Syndrome
Anterior/Middle Scalene, Clavicle/1st Rib, pec minor/upper ribs.
Erb-Duchenne Palsy
C5 and C6 injury usually occurs during birth
Klumpke’s Palsy
C8 and T1 injury
Radial Nerve Injury
Wrist drop, possible triceps weaknesss, supinator m. weakness. occurs with crutch palsy, midshaft humeral fx, and saturday night palsy.
Carpal Bones
Scaphoid, Lunate, Triquetral, Pisiform,
Trapezium, Trapezoid, Capitate, Hamate
Flexors of the Wrist
Medial epicondyle, median nerve (except flexor carpi ulnaris (ulnar)).
Extensors of the Wrist
Lateral epicondyle, radial nerve
Pronators
Pronator teres, pronator quadratus, median nerve
Supinators
Biceps (musculocutaneous) and Supinator (radial n.)
Thenar eminence
median nerve innervates except adductor pollicis brevis which is innervated by the ulnar nerve
hypothenar eminence and interossei
Ulnar Nerve
Lumbricals
1 and 2:Median n
3 and 4: Ulnar n
Ulna and wrist position with increased and decreased carrying angle
Valgus: Increased angle => Adbucted ulna, adducted wrist
Vara: Decreased angle => Adducted ulna, abducted wrist
Radial Head
Pronated: Posterior
Supinated: Anterior
Carpal Tunnel Syndrome
entrapment of median nerve at the wrist. Digits 1, 2, and half of 3 affected. Dx: Nerve Conduction Test
Lateral Epicondylitis
Tennis elbow, overuse of extensors and supinators (radial:racket)
Medial Epicondylitis
Golfers elbow, pronator and flexor overuse (median nerve)
Fibular Head
Anterior: Anterior at knee, posterior at ankle, Pronated foot (dorsiflexion, eversion, abducted)
Posterior: Posterior at the knee, anterior at the ankle, supinated foot (Planter flexion, inversion, adduction)
Femoral Nerve
Sensory: Anterior thigh, medial leg
Muscles: Quads, ialiacus, sartorius, pectineus
Tibial Nerve
Sensory: lower leg, plantar food
Motor: Long head of biceps femoris, semimembranosus, semitendonosus, plantar flexors, toe flexors
Peroneal Nerve
Sensory: Lower leg, dorsum of foot
Motor: Short head of biceps femoris, everters, dorsiflexors, and toe extensors
Dural attachments
Foramen magnus, C2, C3, S2
Flexsion at the SBS will cause _______ of the paired bones of the skull.
External Rotation
