OMT

Question 1

What is the beginning position of the ankle for HVLA if a patient has a fiblar head that is restricted in anterior motion?

Answer 1

restricted fibular head in anterior motion

=

distal fibula is restricted in posterior motion

=

ankle that is dorsiflexed, eversion, abducted (this is the barrier)

Question 2

A patient shrugs his shoulders and the proximal clavicle remains cephalad.

What is the somatic dysfunciton?

Answer 2

adduction somatic dysfunction of the clavicle

Question 3

what is the posterior chapman point for the kidney?

Answer 3

the posterior chapman point for the kidney is between the transverse processes of T12 and L1

Question 4

Exhalation muscle energy to the first rib requires activation of which muscle?

Answer 4

Exhalation muscle energy to the first rib requires activation of the anterior and middle scalene muscles.

Question 5

Exhalation muscle energy to the second rib requires activation of which muscle?

Answer 5

Exhalation muscle energy to the second rib requires activaton of the posterior scalene

Question 6

Exhalation muscle energy to ribs 3-5 requires activation of which muscle?

Answer 6

Exhalation muscle energy to ribs 3-5 requires activation of the pectoralis minor

Question 7

Exhalation muscle energy to ribs 6-8 requires activation of which muscle?

Answer 7

Exhalation Muscle energy to ribs 6-8 requires activation of the anterior serratus

Question 8

Exhalation muscle energy to ribs 9- 10 requires activation of which muscle?

Answer 8

Exhalation muscle energy to ribs 9 -10 requires activation of the latissimus dorsi muscles

Question 9

Exhalation muscle energy to ribs 11-12 requires activation of which muscle?

Answer 9

Exhalation muscle energy to ribs 11-12 requires activation of the quadratus lumborum muscles

Question 10

(+) Adison’s Test indicates what diagnosis?

Answer 10

A positive Adson’s test

=

thoracic outlet syndrome

*adison’s test: abduct and extend arm to 90 degrees. Turn head to the ipsilateral side. Physician monitors the pulse.

Question 11

what is the first line OMT technique for fibromyalgia?

Answer 11

counterstrain is the most gentle and requires the least amount of direct pressure on the tissues being manipulated.

Question 12

What is the position of the sacrum when the cranial bones are in flexion?

Answer 12

when the cranial bones are in flexion the sacrum is in

extension or counternutation

Question 13

What is the proper HVLA set up for an anterior radial head?

Answer 13

HVLA to an anterior radial head

forearm pronation and flexion

posterior thrust

Anterior radial head occurs when the patient falls backwards

the patient will have restricted pronation

Question 14

What is the set up for HVLA if a patient has restricted motion into supination?

Answer 14

Restricted motion into supination means that the position of ease is pronation with a posterior radial head.

HVLA for a posterior radial head is

supination and extension with an anterior thrust

Question 15

What is the cause of a

loss of sensation in the 4th and 5th digit?

Answer 15

ulnar nerve entrapment in the gunyon canal

Question 16

where is the chapman point for the pancreas?

Answer 16

the chapman point for the pancreas is on the right, 7th intercostal space and posteriorly on the lamina of T7

Question 17

which chapman points should be treated in someone with diabetes?

Answer 17

both the chapman points for the pancreas and the adrenal glands should be treated in patients with diabetes

Question 18

What are the three rules of lumbosacral mechanics?

Answer 18

lumbosacral mechanics

1. if L5 is sidebent the sacral axis is on the same side
2. if L5 is rotated the sacrum rotates the opposite way
3. the (+) seated flexion test is opposite of the axis

Question 20

sphenoid and occiput oppositely rotate around 2 transvers axis

Answer 20

flexion and extension

in a vertical strain pattern they rotate around two transvers axis in the same direction