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OMM Review Flashcards

1
Q

Def isotonic contraction

A

the muscle tension remains the same throughout the contraction
2 types: concentric and eccentric

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2
Q

Concentric muscle contraction

A

the muscle gets shorter without an increase in tension
type of isotonic contraction
Ex: biceps curl

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3
Q

Eccentric muscle contraction

A

the muscle gets longer without an increase in tension
type of isotonic contraction
Ex: end of curl bringing the weight back down

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4
Q

Def isolytic contraction

A

Outside force completely breaks the patient’s force, leading to a forced elongation of the muscle
Ex: arm wrestling

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5
Q

Def Isometric contraction

A

Contraction force from the patient matches that of the physician, leading to no change in the muscle’s length
Ex: OMM TREATMENT

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6
Q

Law of stacking

A

as one vertebral segment goes into one plane of motion, the range of motion in the rest of the planes will decrease
Ex: the more one flexes, the less one will be able to rotate and SB

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7
Q

Thoracic Spine Rule of 3’s

A 
T1-3 = directly posterior
T4-6 = down 1/2
T7-9 = down 1 
T10 = down 1
T11 = down 1/2
T12 = directly posterior
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8
Q

Cervical spine facets

A

Backward
Upward
Medial

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9
Q

Thoracic spine facets

A

Backward
Upward
Lateral

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10
Q

Lumbar spine facets

A

Backward

Medial

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11
Q

Tender point def

A

hypertonic portion of muscle that’s tender, but with pain that doesn’t radiate
happens by a too-rapid stretch

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12
Q

Psoas origin and insertion

A 
Origin = T12-L5
Insertion = Lesser trochanter
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13
Q

Psoas action

A

flexion and ER

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14
Q

Psoas CS

A

2/3 of the way between ASIS and Umbilicus

Flexed Sidebent Towards, ER

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15
Q

Sternocleidomastoid origin and insertion

A 
Origin = sternal head on the manubrium and clavicular head on the medial third of the clavicle
Insertion = mastoid process
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16
Q

Sternocleidomastoid action

A

Flexion, sidebending toward, and rotating away

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17
Q

Sternocleidomastoid CS

A

AC7

FSTRA

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18
Q

Midline axis of Sacrum

A

postural motion

spinal flexion causes sacral extension around this axis

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19
Q

R and L Oblique axis of Sacrum

A

Go through their eponymous sacral sulci and the ILA of the contralateral side
Weight shifting during gait happens along these axes

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20
Q

Superior axis of Sacrum

A

Runs through the sacrum superiod to the middle axis
where respiration and cranial motion occur
inhalation leads to sacral extension around this axis

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21
Q

Inferior axis of Sacrum

A

axis around which the innominates rotate

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22
Q

L5 and Sacrum

A

L5 rotation occurs in opposite direction from sacrum
L5 sidebending results in same-sided axis for sacrum
L5 F/E occur in opposite direction from sacrum
Ex: L5 FSrRr, sacrum - left on right

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23
Q

typical ribs

A

3-10

has all 5 landmarks: head, neck, tubercle, angle, and shaft

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24
Q

atypical ribs

A

1 - no angle
2 - extra tubercle
11 and 12 - no neck or tubercle

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25
true ribs
1-7 | connects directly to the sternum
26
false ribs
8-10 | indirectly attach to the sternum
27
floating ribs
11-12 | do not connect to the sternum at all
28
pump handle ribs
1-5 anterior portion of the rib moves superior during inhalation posterior portion remains stable
29
bucket handle ribs
6-10 | anterior and posterior portion remain stead, but medial portion swings up and down
30
caliper ribs
11-12 | the posterior portion of the rib remains still, while the rest of the rib moves laterally
31
Primary muscle of respiration
diaphragm and intercostals
32
Secondary muscles of respiration
scalenes, pectoralis minor, serratus anterior, and latissimus dorsi
33
Exhalation rib 1
anterior and middle scalenes | Hand on head
34
Exhalation rib 2
posterior scalenes | Hand on head
35
Exhalation ribs 3-5
pectoralis minor | arm fully flexed
36
Exhalation ribs 6-8
serratus anterior | ipsilateral shoulder flexed with elbow pointing up
37
Exhalation ribs 9-10
latissimus dorsi | arm abducted at side
38
Exhalation ribs 11-12
Quadratus lumborum sidebent away pt pulls iliac crest to shoulder while doc counters
39
To diagnose AC joint
use the spring on compresison test | then measure the spines of the scapula
40
Treating superior AC Joint
Pt abduct their arm with physician knee under arm Pt attempts to push arm toward table Pt arm is up (supinate)
41
Treating inferior AC Joint
Pt abduct their arm with physician knee under arm Pt attempts to push arm toward table Pt arm in down (pronate)
42
Treating superior SC joint
Uses subclavius to direct ME Pt elbow flexed and arm extended Pt attempts to move arm forward into punching motion
43
Treating inferior SC Joint
Used SCM Pt head rotated away Pt attempts to sidebend toward
44
Treating scapula dsyfunction
myofascial
45
Adhesive capsulitis
"frozen shoulder" | diagnose and treat with 7 stages of Spencer
46
7 Stages of Spencer
``` "Every Fine Cat Takes An Indoor Poop" Extension Flexion Compression with circumduction Traction with circumduction Abduction Adduction with external rotation Internal rotation Pump ```
47
Rotator cuff muscles
Supraspinatus Infraspinatus Teres minor Subcapularis
48
Supraspinatus motion and innervation
abduction | suprascapular n - C5-6
49
Infraspinatus motion and innervation
ER | suprascapular n - C5-6
50
Teres Minor motion and innervation
ER | axillary n and C5-6
51
Subscapularis motion and innervation
IR | major and minor ns to subscapularis - C5-7
52
CS for Supraspinatus, Infraspinatus, and Teres Minor
Abduction, ER, and Flexion | Point in muscle belly
53
CS for Subscapularis
IR and Extension | Point in armpit
54
Cubitus Valgus
>15 degress Ulna abducted Wrist adducted
55
Cubitus Varus
<3 degrees Ulna adducted Wrist abducted
56
Normal carrying angles
women 10 | men 5
57
Pronation Radial Head movement
posterior
58
Supination Radial Head movement
anterior
59
Long Head of Biceps CS
ABduction Flexion IR
60
Medial Epicondyle CS
ADduction Flexion Pronation
61
Lateral Epicondyle CS
ABduction Extension Supination
62
Spencer Technique for the Hip
``` "Felines Eating Catnip Trip Into Everything Around Austin" Flexion Extension Compression with circumduction Traction with circumduction IR ER Abduction Adduction ```
63
Piriformis Origin, Insertion, and Motion
Origin - posterior sacrum Insertion - greater trochanter Motion - ER of hip
64
Compartments of Knee
Medial - MCL and MM Lateral - LCL and LC Posterior - ACL and PCL
65
CS for MCL and MM
Flex ADduct IR
66
CS for LCL and LM
Flex ABduct ER
67
CS for ACL
Place pillow under femur | Push the tibia posterior
68
CS for PCL
Place pillow under tibia | Push the femur posterior
69
CS for Piriformis
Flexion ER ABduction
70
CS for glutes
Extension ER ABduction
71
CS for Iliacus
``` 1/3 distance between ASIS and umbilicus Flexion ER ABduction "frog legs" ```
72
Pronation of foot
Dorsiflexion Eversion ABduction Talus and tibia will ER and Talus will move posteriorly
73
Supination of foot
Plantarflexion Inversion ADduction Talu and tibia will IR and talus with move anteriorly
74
Transverse Foot Arch
Navicular Cunieforms Cuboid
75
Medial Foot Arch
Navicular Cuneiforms Metatarsals 1-3 Talus
76
Lateral Foot Arch
Cuboid Metatarsals 4-5 Calcaneus
77
Degrees of scoliosis
``` Mild - 5-15 Moderate - 20-45 Severe - >50 >50 = respiratory issues >75 = cardiac abnormalities ```
78
Leg Length Heel Lifts
1/8" and increase by 1/8" every 2 weeks for elderly use 1-16" instead for trauma do entire length at once
79
Lymphatics contraindications
Fractures Metastatic cancer Severe infection
80
Gallbreath Maneuver
lymphatic treatment to open the Eustachain tube and help drain fluid from the inner ear
81
Order of lymphatic treatments
``` Thoracic outlet Diaphragm or Axilla Hip Post. Knee Distal disfunction Pumps ```
82
Vault Hold Finger Placement
``` Index = Greater wing of sphenoid Middle = temporal bone anterior to the ear Ring = temporal bone in mastoid area Little = squamous occiput ```
83
Motion of Paired Bone
``` Flexion = ER Extension = IR ```
84
Torsion Cranial Dysfunction
AP axis Rotate opposite Name for superior wing Hands twist in opposite directions
85
SB and Rotation Cranial Dysfunction
One AP axis and two vertical axis Same around AP and opposite around vertical Name for full side
86
Vertical Shear Cranial Dysfunction
Two horizontal axes Rotate same direction Name for relation of sphenoid to occiput
87
Lateral Shear Cranial Dysfunction
Two vertical axes Rotate same direction 1st fingers move in opposite direction from pinky fingers Side of strain moves anteriorly
88
Normal Cranial Rhythm
8-12 per min

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