OPP Flashcards
posterior fibular head
talus internally rotated
foot inverted and plantarflexed
(recall: PEED, AIIP are ME setup only)
anterior fibular head
talus externally rotated
foot everted and dorsiflexed
(recall: PEED, AIIP are ME setup only)
Yergason’s test
asseses long head of the biceps tendon
have pt flex elbow to 90 with forearm pronated, then have them supinate against resistance
Adson’s test
to dx thoracic outlet syndrome
have patient turn head to ipsa side and extend neck with deep inspiration
(+): pt loses radial pulse on that side
Finkelstein test
for De Quervain tenosynovitis
(affects aBductor pollicus longus and extensor pollicus brevis)
presents with radial wrist/thumb pain
Primary Respiratory Mechanism
CNS, CSF, dura, cranial bones, and sacrum
dural attachments (4 sites)
foreamen magnum, C2, C3, and S2
Reciprocal Tension Membrane
meninges, dura
allows for cranium and sacrum to move in sync
normal cranial rhythmic impulse? (CRI)
10-14 cycles/minute
how does the sacral base move during SBS flexion?
posteriorly (opposite of anatomical flexion )
how does the sacral base move during SBS extension?
anteriorly (opposite of anatomical extension )
sacral nutation?
anatomical flexion
sacral counternutation?
anatomical extension
the sacrum rotates around this axis for cranial movements
superior transverse axis (S2)
the innominate rotates around the sacrum on this axis
inferior transverse axis
where do you feel on the skull for craniosacral mvmt?
at the SBS articulation: the occiput (basilar portion) and the sphenoid
Cobb angles? how do you measure?
mild? moderate? severe?
measurement: draw horizontal lines from the vertebral bodies of the ends of the curve. Draw perpendicular lines from these horizontal lines. The angle they form is the Cobb angle
mild: 5-15
moderate: 20-45
severe: 50+
What Cobb angle does respiratory function become affected?
CV function?
resp: 50+
cardio: 75+
The sacrum moves around this axis for respiratory motion
S2 superior transverse axis
The sacrum moves around this axis for postural motion
Middle transverse axis
3 Rules about sacral torsion relating to L5?
1) When L5 is sidebent, the sacral oblique axis is engaged on the same side as the sidebending
2) When L5 is rotated, the sacrum rotates the opposite way on an oblique axis
3) The seated flexion test is found on the opposite side of the oblique axis
What Cobb angles should you brace?
between 20-40
surgery at greater than 45
CCP is (L/R)
OA - L
CT - R
TL - L
LS - R
Midline bones (cranial)
sphenoid
occiput
ethmoid
vomer
paired bones (cranial)
Frontal (metopic suture)
temporal
parietal
Starting heel lifts: elderly vs young person?
Elderly: do 1/16” aka 1.5mm
young: do 1/8” aka 3.2mm
will want to increase thickness q2weeks until 1/2 to 3/4 of discrepancy is reached
max leg length discrepancy that can be treated with heel lifts?
must be less than 2cm
Things that happen during cranial flexion
midline bones flex
paired bones extend
Ernie head (AP diam shrinks, transverse diam grows)
things get pulled cephalad
Things that happen during cranial extension
midline bones extend
paired bones flex
Bert head (AP diam grows, transverse diam shrinks)
things get pulled caudad
Concentric m. contraction?
muscle shortens (origin and insertion approximate) during tension
Eccentric m. contraction?
muscle lengthens (origin and insertion move apart) during tension
CP of middle ear (AOM)
first rib and clavicles, superior medial aspect of clavicle
Celiac ganglion release levels
T5-T9
inferior mesenteric release levels
distal 1/3 of T colon and down to rectum, include lower ureters (T12-L2)
Superior mesenteric release levels
duodenum to 2/3 T colon (T10-T11)
CP of vagina
posterior thigh
Posterior CP of bladder
Transverse process of L2
Posterior Kidney CP
between T12-L1
Posterior Appendix CP
T11 transverse process
Prostate CP
lateral and posterior margin of IT band
