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OPP BOARD SHIT > OMT 1 > Flashcards

OMT 1 Flashcards

1
Q

Distinguishing characteristic of Osteopathic Physicians

A

art and skill to accurately palpate and dx SD

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2
Q

SD named for

A

direction of ease
(BUT ITS ABNORMAL)

SD occurs b/c something CAUGHT IN A DIRECTION
and cant come out with balanced ROM - IN OPPOSITE DIRECTION

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3
Q

Palpable, qualitative, dx criteria to make clinical and medical dx of SD

A

TART

Tenderness (sensitivity.pain)
Asymmetry
Restricted ROM
Tissue texture abnormalities (TTA)

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4
Q

Acute TART= Acute SD

A

Edematous, erythematous, boggy TTA
With PAINFUL ROM
ASYMMETRY
Tenderness/sensitivity- SHARP/STABBY

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5
Q

Chronic TART= Chronic SD

A

Cool/fibrotic/ropy/atrophic TTA
With DECREASED ROM (w/ or w/o PAIN)
ASYMMETRY
Tenderness/sensitivity- DULL/DEEP/ITCHY

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6
Q

Isometric contraction

A

distance between origin and insertion of muscle is - MAINTAINED AT A CONSTANT LENGTH

fixed tension occurs in muscle as PATIENT CONTRACTS against an EQUAL COUNTERFORCE applied by operator PREVENTING SHORTENING OF MUSCLE FROM ORIGIN TO INSERTION

OPERATOR FORCE = PATIENT FORCE

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7
Q

Concentric contraction

A

when MUSCLE TENSION causes the origin and insertion to APPROXIMATE

OPERATOR FORCE < PATIENT FORCE

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8
Q

Eccentric contraction

A

LENGTHENING of the muscle during CONTRACTION due to an EXTERNAL force

(ex. pelvic diaphragm musculature elongates during contraction of abdominal diaphragm during respiratory inspiration)

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9
Q

Isolytic contraction

A

NONPHYSIOLOGIC event where the CONTRACTION of the patient attempts to CONCENTRICALLY contract a muscle with APPROXIMATION of the origin and insertion, but an EXTERNAL force applied by the operator occurs in the OPPOSITE direction

OPERATORS FORCE > PATIENT FORCE

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10
Q

Active motion

A

PATIENT activates motion as in motion TO and FROM PHYSIOLOGICAL barrier

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11
Q

Passive motion

A

PHYSICIAN supplies motion as in motion testing in the ELASTIC or to RESTRICTIVE barrier

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12
Q

Direct techniques

A

always bring patient directly TOWARDS the RESTRICTIVE barrier

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13
Q

Indirect techniques

A

always bring the patient AWAY from the RESTRICTIVE barrier

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14
Q

4 Osteopathic tenets:

A
  1. human being is an INTEGRATED, DYNAMIC, unit of FUNCTION
  2. body possesses SELF REGULATORY MECHANISMS that are SELF HEALING in nature
  3. STRUCTURE and FUNCTION are interrelated at all levels
  4. RATIONAL treatment is based on APPLICATION of these principles
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15
Q

Somatic Dysfunction

A

impaired or ALTERED FUNCTION of related components of the somatic (body framework) system;

Skeletal
Arthrodial
Myofascial structures

and related

Vascular, Lymphatic, and Neural elements

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16
Q

Orthopedic screening test to asses psoas length

A

THOMAS test

17
Q

Screening test of pelvic girdle to assess innominate SD

A

STANDING FLEXION test

18
Q

Screening test of pelvic girdle to assess SI Joint SD

A

SEATED FLEXION test

19
Q

Which side would be (+) with a left psoas contracture?

A

Left

20
Q

Orthopedic neurology Hip flexors

A

T12-L3

21
Q

Orthopedic neurology Hip extensors

A

L5-S2

Inferior gluteal nerve

22
Q

Primary Hip flexors

A

Psoas

Rectus Femoris

23
Q

Primary Hip extensor

A

Glut Maximus

S1: INFERIOR GLUTEAL NERVE

24
Q

Pelvic Girdle made up of

A

Sacrum

Innominate (fused elements of ILIUM, ISHIUM, PUBIS)

25
Q

Other Hip extensors

A

Biceps Femoris (S1)
Semimembranosous (L5)
Semitendinosus (L5)

26
Q

Hip external Rotators

A 
Piriformis
Superior gemellus
Inferior gemellus
quadratus femoris
obturator internus
27
Q

Piriformis Syndrome

A

in 10-20% population where SCIATIC NERVE runs thru the piriformis muscle which can become HYPERTONIC.

28
Q

Hip AB-ductors

A

Gluteus MEDIUS
Glut minimus
TFL

29
Q

Orthopedic test asses Glut Medius strength?
nerve?
vertebral spinal level?
+ sign in that test?

A

Trendelenburg Test
SUPERIOR GLUTEAL N
L5 Spinal level
contralateral iliac crest drop w/ 1 leg standing

30
Q

Pelvic Diaphragm Parts and innervation

A 
Coccygeus (S3-5)
Levator ani (S3/4)
31
Q

Superior Transverse Axis (RESPIRATORY)

A

hypothetical TRANSVERSE axis about which SACRUM moves during RESPIRATORY cycle.

S2

from side to side thru articular processes

INVOLUNTARY sacral motion occurs as part of CRANIOSACRAL mechanism about this axis

32
Q

Middle Transverse Axis (POSTURAL)

A

functional axis of SACRAL NUTATION/COUNTERNUTATION in the STANDING position

S3

pass horizontally thru anterior aspect of sacrum

33
Q

Inferior Transverse Axis (INNOMINATE)

A

functional axis of SACRAL motion passes from side to side on line thru INFERIOR auricular surface of SACRUM ILIA

AXIS for MOVEMENT of the ILIA on the SACRUM

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