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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
Q

true ribs

A

1-7

connects directly to the sternum

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26
Q

false ribs

A

8-10

indirectly attach to the sternum

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27
Q

floating ribs

A

11-12

do not connect to the sternum at all

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28
Q

pump handle ribs

A

1-5
anterior portion of the rib moves superior during inhalation
posterior portion remains stable

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29
Q

bucket handle ribs

A

6-10

anterior and posterior portion remain stead, but medial portion swings up and down

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30
Q

caliper ribs

A

11-12

the posterior portion of the rib remains still, while the rest of the rib moves laterally

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31
Q

Primary muscle of respiration

A

diaphragm and intercostals

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32
Q

Secondary muscles of respiration

A

scalenes, pectoralis minor, serratus anterior, and latissimus dorsi

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33
Q

Exhalation rib 1

A

anterior and middle scalenes

Hand on head

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34
Q

Exhalation rib 2

A

posterior scalenes

Hand on head

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35
Q

Exhalation ribs 3-5

A

pectoralis minor

arm fully flexed

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36
Q

Exhalation ribs 6-8

A

serratus anterior

ipsilateral shoulder flexed with elbow pointing up

37
Q

Exhalation ribs 9-10

A

latissimus dorsi

arm abducted at side

38
Q

Exhalation ribs 11-12

A

Quadratus lumborum
sidebent away
pt pulls iliac crest to shoulder while doc counters

39
Q

To diagnose AC joint

A

use the spring on compresison test

then measure the spines of the scapula

40
Q

Treating superior AC Joint

A

Pt abduct their arm with physician knee under arm
Pt attempts to push arm toward table
Pt arm is up (supinate)

41
Q

Treating inferior AC Joint

A

Pt abduct their arm with physician knee under arm
Pt attempts to push arm toward table
Pt arm in down (pronate)

42
Q

Treating superior SC joint

A

Uses subclavius to direct ME
Pt elbow flexed and arm extended
Pt attempts to move arm forward into punching motion

43
Q

Treating inferior SC Joint

A

Used SCM
Pt head rotated away
Pt attempts to sidebend toward

44
Q

Treating scapula dsyfunction

A

myofascial

45
Q

Adhesive capsulitis

A

“frozen shoulder”

diagnose and treat with 7 stages of Spencer

46
Q

7 Stages of Spencer

A 
"Every Fine Cat Takes An Indoor Poop"
Extension
Flexion
Compression with circumduction
Traction with circumduction
Abduction
Adduction with external rotation
Internal rotation
Pump
47
Q

Rotator cuff muscles

A

Supraspinatus
Infraspinatus
Teres minor
Subcapularis

48
Q

Supraspinatus motion and innervation

A

abduction

suprascapular n - C5-6

49
Q

Infraspinatus motion and innervation

A

ER

suprascapular n - C5-6

50
Q

Teres Minor motion and innervation

A

ER

axillary n and C5-6

51
Q

Subscapularis motion and innervation

A

IR

major and minor ns to subscapularis - C5-7

52
Q

CS for Supraspinatus, Infraspinatus, and Teres Minor

A

Abduction, ER, and Flexion

Point in muscle belly

53
Q

CS for Subscapularis

A

IR and Extension

Point in armpit

54
Q

Cubitus Valgus

A

> 15 degress
Ulna abducted
Wrist adducted

55
Q

Cubitus Varus

A

<3 degrees
Ulna adducted
Wrist abducted

56
Q

Normal carrying angles

A

women 10

men 5

57
Q

Pronation Radial Head movement

A

posterior

58
Q

Supination Radial Head movement

A

anterior

59
Q

Long Head of Biceps CS

A

ABduction
Flexion
IR

60
Q

Medial Epicondyle CS

A

ADduction
Flexion
Pronation

61
Q

Lateral Epicondyle CS

A

ABduction
Extension
Supination

62
Q

Spencer Technique for the Hip

A 
"Felines Eating Catnip Trip Into Everything Around Austin"
Flexion
Extension
Compression with circumduction
Traction with circumduction
IR
ER
Abduction
Adduction
63
Q

Piriformis Origin, Insertion, and Motion

A

Origin - posterior sacrum
Insertion - greater trochanter
Motion - ER of hip

64
Q

Compartments of Knee

A

Medial - MCL and MM
Lateral - LCL and LC
Posterior - ACL and PCL

65
Q

CS for MCL and MM

A

Flex
ADduct
IR

66
Q

CS for LCL and LM

A

Flex
ABduct
ER

67
Q

CS for ACL

A

Place pillow under femur

Push the tibia posterior

68
Q

CS for PCL

A

Place pillow under tibia

Push the femur posterior

69
Q

CS for Piriformis

A

Flexion
ER
ABduction

70
Q

CS for glutes

A

Extension
ER
ABduction

71
Q

CS for Iliacus

A 
1/3 distance between ASIS and umbilicus
Flexion
ER
ABduction
"frog legs"
72
Q

Pronation of foot

A

Dorsiflexion
Eversion
ABduction
Talus and tibia will ER and Talus will move posteriorly

73
Q

Supination of foot

A

Plantarflexion
Inversion
ADduction
Talu and tibia will IR and talus with move anteriorly

74
Q

Transverse Foot Arch

A

Navicular
Cunieforms
Cuboid

75
Q

Medial Foot Arch

A

Navicular
Cuneiforms
Metatarsals 1-3
Talus

76
Q

Lateral Foot Arch

A

Cuboid
Metatarsals 4-5
Calcaneus

77
Q

Degrees of scoliosis

A 
Mild - 5-15
Moderate - 20-45
Severe - >50
>50 = respiratory issues
>75 = cardiac abnormalities
78
Q

Leg Length Heel Lifts

A

1/8” and increase by 1/8” every 2 weeks
for elderly use 1-16” instead
for trauma do entire length at once

79
Q

Lymphatics contraindications

A

Fractures
Metastatic cancer
Severe infection

80
Q

Gallbreath Maneuver

A

lymphatic treatment to open the Eustachain tube and help drain fluid from the inner ear

81
Q

Order of lymphatic treatments

A 
Thoracic outlet
Diaphragm or Axilla
Hip
Post. Knee
Distal disfunction
Pumps
82
Q

Vault Hold Finger Placement

A 
Index = Greater wing of sphenoid
Middle = temporal bone anterior to the ear
Ring = temporal bone in mastoid area
Little = squamous occiput
83
Q

Motion of Paired Bone

A 
Flexion = ER
Extension = IR
84
Q

Torsion Cranial Dysfunction

A

AP axis
Rotate opposite
Name for superior wing
Hands twist in opposite directions

85
Q

SB and Rotation Cranial Dysfunction

A

One AP axis and two vertical axis
Same around AP and opposite around vertical
Name for full side

86
Q

Vertical Shear Cranial Dysfunction

A

Two horizontal axes
Rotate same direction
Name for relation of sphenoid to occiput

87
Q

Lateral Shear Cranial Dysfunction

A

Two vertical axes
Rotate same direction
1st fingers move in opposite direction from pinky fingers
Side of strain moves anteriorly

88
Q

Normal Cranial Rhythm

A

8-12 per min

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