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OS III > OMS III Midterm Extra > Flashcards

OMS III Midterm Extra Flashcards

1
Q

Why should you refer to a Massage Therapist?

A
  • swedish massage for hypertonicity
  • lymphatic massage for edema

Rolfing –> 10 step approach to align structures

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2
Q

Acupuncture

A
  • physicians don’t need formal certification, otherwise needs 1200 hrs
  • body releases healing mediators to needle placement (neurochemical response)
  • headache, allergies, cramps, nausea, pain
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3
Q

Speech Language Pathologist

A
  • difficulty producing speech, trouble understanding others (spoken/written issues)
  • trouble with social communication, issues paying attention or organizing thoughts
  • also issues with SWALLOWING
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4
Q

Yoga

A
  • lifestyle change –> may be difficult for patients
  • commonly used for hypertonicity and scoliosis
  • Feldenkrais: gentle movement and directed attention to help people learn new effective ways of living with their bodies
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5
Q

Occupational Therapy

A

Goal: dec. cost of health care by adapting environment or task to fit the person

  • help old people function, help kids and adults with serious mental deficits, reduce pain at work, rehab to help disability
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6
Q

Physical Therapy

A
  • movement experts that optimize quality of life through exercise, hands-on care, and patient education
  • strengthen muscles and tone, help with sports injuries, functional improvement in activities of daily living
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7
Q

Chiropractor

A
  • manipulation of MSK system, mainly spine
  • for patients needing frequent treatment (2-3x wk)
  • low back pain, radiculopathy, whiplash, neck pain, extremity disfunctions
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8
Q

What is the Apprehension Test and what does a positive test indicate?

A
  • abduct shoulder to 90, flex elbow to 90, externally rotate shoulder

(+) –> apprehension (Glenohumeral Instability)

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9
Q

What is the Empty Can Test and what does a positive test indicate?

A
  • flex shoulder to 90, horizontally abduct 45, IR; press arms down against resistance

(+) –> pain/weakness (Supraspinatus/Rot. Cuff)

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10
Q

What is the Drop Arm Test and what does a positive test indicate?

A
  • abduct arm to 90, slowly drop arm

+) –> arm drops w/wrist tap (Full Thickness Supraspinatus tear

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11
Q

What is the Painful Arc Test and what does a positive test indicate? (2)

A
  • abduct arm starting at side

+) –> pain between 60-120 (subacromial impingement or rotator cuff injury

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12
Q

What is Neer Impingement and what does a positive test indicate? (2)

A
  • pronate forearm, passively flex shoulder to full flexed

+) –> pain (subacromial impingement or rotator cuff impingement

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13
Q

What is Hawkins Test and what does a positive test indicate? (2)

A
  • flex shoulder to 90, flex elbow to 90, internally rotate shoulder

(+) –> pain (rotator cuff or subacromial bursa impingement)

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14
Q

What is Cross Arm Test and what does a positive test indicate?

A
  • passively adduct arm across chest

+) –> pain in AC joint (AC joint pathology

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15
Q

AL 1 Counterstrain Point

A
  • medial to ASIS (F STRA)

- doc ipsilateral side, bring ankles/knees TOWARDS doc

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16
Q

AL 2 Counterstrain Point

A
  • medial to AIIS (F SART)

- doc opposite side, bring ankles/knees TOWARDS doc (Rot > SB)

17
Q

AL 3 Counterstrain Point

AL 4 Counterstrain Point

A

AL 3 - lateral to AIIS, AL 4 - inferior to AIIS (F SART)

  • doc opposite side, bring ankles/knees TOWARDS doc
18
Q

AL 5 Counterstrain Point

A
  • lateral to pubic symphysis (F SARA)

- doc same side, flex hip to 135, bring knees TOWARDS doc and ankles AWAY from doc

19
Q

How does Inhibition, Sacral Rocking, and Sacral Inhibition affect nervous stimulation?

A

Inhibition - DECREASES stimulation from whichever division of the NS you are inhibiting

Rocking - INCREASES parasympathetic stimulation
Inhibition - DECREASES parasympathetic stimulation

20
Q

What are located at these Anterior Chapman’s Points?

  1. 2nd ICS (4)
  2. 3rd ICS
  3. 4th ICS
  4. 5th ICS (2)
  5. 6th ICS (2)
  6. 7th ICS (2)
A
  1. esophagus, bronchus, thyroid, myocardium
  2. upper lung
  3. lower lung
  4. stomach acidity (L) and liver (R)
  5. stomach peristalsis (L) and gallbladder (R)
  6. spleen (L) and pancreas (R)
21
Q

What are located at these Anterior Chapmans Points?

  1. 2.5” above, 1” lateral to umbilicus
  2. 1” above, 1” lateral to umbilicus
  3. immediately superior to umbilicus
  4. lateral pubic symphysis (2)
  5. inferior pubic ramus
A
  1. adrenals
  2. kidneys
  3. bladder
  4. ovaries and urethra
  5. uterus
22
Q

What are located at these Posterior Chapmans Points?

  1. T2/T3 transverse processes (3)
  2. T3 transverse processes (superior)
  3. T3 transverse processes (inferior)
  4. T4 transverse processes
  5. T5 transverse processes (2)
  6. T6 transverse processes (3)
  7. T7 transverse processes (2)
  8. T8-T10 transverse processes
  9. T11 transverse processes
  10. T12 and L1 transverse processes
  11. L2 transverse processes
A
  1. esophagus, bronchus, thyroid
  2. upper lung
  3. upper extremity
  4. lower lung
  5. stomach acidity (L) and liver (R)
  6. stomach peristalsis (L), liver (R), gallbladder (R)
  7. spleen (L) and pancreas (R)
  8. small intestines
  9. adrenals
  10. kidneys
  11. abdomen/bladder
23
Q

Psoas Major Counterstrain Point

A
  • 2/3 from ASIS to midline (DEEP) (F ST)

- doc same side, foot on table

24
Q

Iliacus Counterstrain Point

A
  • medial ASIS (DEEP) (F ER)
  • doc same side, foot on table
  • frog leg pt.
25
Q

Low Ilium Counterstrain Point

A
  • superior pubic ramus (F)

- doc same side, flex knee/hip > 90

26
Q

Inguinal Ligament Counterstrain Point

A
  • lateral pubic tubercle

- doc same side, foot on table, flex hip to 90 then pull contralateral ankle towards doc

27
Q

High Ilium Flare Out Counterstrain Point

A
  • lateral ILA (E ADD)

- doc contralateral, extend leg and adduct with external rotation

28
Q

Piriformis Counterstrain Point

A
  • halfway from ILA to greater trochanter (F ABD ER)

- doc same side, flex hip to 135, abduct and externally rotate by lifting knee

29
Q

OMM Researchers

  1. Louisa Burns
  2. Wilbur Cole
  3. John Denslow
  4. Irvin Korr
  5. William Johnston
A
  1. investigate SD on animal models, viscerosomatic reflexes and physiology of nervous system to palpatory findings
  2. reproduced Louisa’s research, internal validation
  3. use scientific instruments and measurements to validate OS findings (EMG for SD on reflexes/ANS)
  4. facilitated segment, emotional states inc. sympathetic tone
  5. best inter-examiner reliability studies. simplify recording methods and palpatory procedures
30
Q

What are 4 challenges to OMM research?

A
  • objective findings only appreciated by subjective experience
  • variability in skill of OMM application
  • resources required
  • randomized control trials work well for small # of variables
31
Q

OMM Research: Clinical Outcomes

  1. Acute Otitis Media
  2. Lower Extremity Wound Healing
  3. Chronic Sinusitis
A
  1. faster middle ear effusion (resolution) - efficacy
  2. OMT helped with edema, reduced trend of wound growth in pts with venous stasis ulcers
  3. direct sinus/drainage techniques improved pain and congestion
32
Q

OMM Research: Inter-Examiner Reliability

  1. Lumbar Spinous Process Palpation
  2. Pneumonia in the Elderly
A
  1. accuracy depends on experience, anatomical abnormalities, participant characteristics
    • more landmarks = inc. accuracy
  2. reduction of length of stay and dec. in-hospital mortality
33
Q

OMM Research: Safety and Tolerance

  1. 3rd Trimester OMT
  2. Rib Raising in Hospital Patients
A
  1. safe w/regard to deliver and labor outcomes
    • longer durations of labor but high-risk status dec.
  2. well tolerated in majority of study patients
34
Q

OMM Research: Cost Effectiveness of OMM

  1. Preterm Infants
  2. Post-op Ileus
A
  1. dec. length of stay and costs in large preterm population (systemic review)
  2. dec. length of stay, time to flatus; should do future studies (retrospective)

OS III (3 decks)

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