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CV > OPP > Flashcards

OPP Flashcards

1
Q

Ribs 2-5 move….

A

in sagittal plane anteriorly to change AP diameter; PUMP HANDLE

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2
Q

Ribs 6-10 move…

A

in coronal plane laterally to change transverse diameter; BUCKET HANDLE

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3
Q

Ribs 11 and 12 move…

A

posterolaterally and anteromedially since they’re floating; CALIPER

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4
Q

Inhaled rib has restriction in _________ so it is stuck _____ and will not move ______ making the key rib the _______ of the group dysfunction.

A

exhalation; up; down; bottom

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5
Q

Exhaled rib has restriction in _________ so it is stuck _____ and will not move _____ making the key rib the _____ of the group dysfunction

A

inhalation; down; up; top

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6
Q

Right side most often _______

A

Exhaled

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7
Q

Left side most often _____

A

Inhaled

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8
Q

Posterior ribs 2-10 CS

A

Lean patient toward TP to elevate rib and sidebend away (so if on left side, lean left and sidebend right)

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9
Q

Anterior ribs 3-10 CS

A

Lean patient away to depress rib and sidebend toward TP (so if left, lean right, sidebend left)

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10
Q

Posterior rib 1 CS

A

flex arm on same side of TP and rest on examiner’s knee

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11
Q

Anterior ribs 1-2 CS

A

rotate and flex neck towards same side of TP

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12
Q

Indirect MFR for subluxed or key rib

A
  • Hold entire rib and compress front to back
  • Pull compressed rib laterally into POE
  • Follow tissue give until done
  • Recheck
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13
Q

Direct MFR for subluxed or key rib

A
  • Pull subluxed or key rib angle superior and maintain pull
  • Move arm into restrictions (abduct internally rotated, abduct or adduct externally rotated)
  • Repeatedly compress the shoulder toward the rib angle
  • Retest
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14
Q

Costochondritis

A
  • Inflammation @ costochondral junction
  • gradual
  • tenderness on chest wall w/o swelling
  • pain @ costochondral junction, at rest or during movement, hours to days, can be pleuritic
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15
Q

Rib tip syndrome

A
  • Sharp pain @ end of costal cartilage/rib tip and radiates to abdomen or pelvis/groin
  • Intermittent pain, worse with truncal motion
  • Usually ribs 10-12
  • may have clicking
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16
Q

Scapulocostal syndrome

A
  • Gradual onset of pain in superior/posterior scapula that radiates to shoulder girdle, neck, and chest wall
  • Caused by trigger points in chest wall, medial and deep to scapula
  • Can contribute to shoulder impingement
  • Associated with: stress, overuse, postural strain, prolonged immobilization of shoulder
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17
Q

Zoster

A
  • reactivation of chicken pox (Shingles)
  • dermatomal rash
  • maculopapular
  • NO midline
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18
Q

Sympathetics involve

A
  • Tissue texture change, rotation testing, redness, heat, moisture
  • Chapman points evidence of organ dysfunction or disease
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19
Q

Parasympathetics involve

A
  • Suboccipital/OA - head, chest, UGI, UE

- Sacrum - LGI, pelvis, LE

20
Q

OMT for sympathetics

A
  • Indirect for type II
  • Rib raising (thoracolumbar inhibition for lower GI or pelvic problems)
  • Chapman point inhibition
  • Abdominal plexus inhibition
21
Q

OMT for normalization of parasympathetics

A
  • Suboccipital inhibition or specific treatment for most problems
  • Sacral rocking or specific treatment for colon and pelvic problems
22
Q

Celiac plexus

A

UGI

23
Q

Superior mesenteric plexus

A

Small intestines, right colon

24
Q

Inferior mesenteric plexus

A

Left colon

25
Q

Diagnosing abdominal plexus dysfunction

A

Tension over area of plexus

26
Q

Chapman points are…

A

tender nodules that suggest specific visceral dysfunction

27
Q

Anterior chapman points

A
  • Esophagus, bronchus, thyroid, myocardium - between ribs 2-3 (2nd intercostal space)
  • Upper lung - between ribs 3-4 (3rd intercostal space)
  • Lower lung - between ribs 4-5 (4th intercostal space)
  • Stomach acidity (left) and liver (right) - 5th space
  • Stomach peristalsis (left) and liver, gall bladder (right) - 6th space
  • Spleen (left) and pancreas (right) - 7th space
28
Q

Posterior chapman points

A 
Esophagus - T2
Liver - T5/6
Stomach acidity - left T5
Gall bladder - right T6
Pancreas - right T7
Spleen - left T7
Sm intestine - T8-10
Pyloris - T9
Intestine peristalsis - between T10/11
Colon - L2-4
29
Q

Thoracic inlet tension/cervicothoracic junction limits drainage from…..

A

entire body

30
Q

Thoracic outlet/thoracolumbar junction limits drainage from….

A

abdomen, pelvis, and LE

31
Q

Diaphragm can limit drainage from _____ ______ when restricted because it is a _______ pressure pump

A

entire body; negative

32
Q

Pelvic diaphragm/lumbosacral junction limits drainage from…

A

LE

33
Q

Treat thoracic outlet/inlet with lymphatics for….

A

entire body

34
Q

Treat pelvic diaphragm with lymphatics for…

A

LE edema

35
Q

Treat occipitoatlantal junction with lymphatics for…

A

Craniofacial edema or congestion

36
Q

Treat restricted diaphragms in with…

A

Indirect and/or direct MFR

37
Q

Lymphatic pumps

A
  • Thoracic pump (pectoral traction if contraindicated)
  • pedal pump for pelvic or LE edema
  • effleurage/petrissage (soft tissue techniques) for extremity edema
38
Q

Visceral treatments

A

Ventral techniques (abdominal sphincter release, mesenteric lifts, liver/spleen lymphatic pumps) or visceral manipulation (Barral)

39
Q

Pyloric sphincter abdominal sphincter release (MFR) treats…

A

Gastroesophageal reflux

40
Q

Hepatopancreatic duct MFR treats…

A

Cholestasis

41
Q

Ileocecal valve MFR treats…

A

Constipation

42
Q

How do mesenteric lifts improve venous and lymphatic drainage?

A

Lymphatics and nerves follow blood vessels in mesentery in between the section of colon and umbilicus and shortening the mesentery relieves tension on vessels and nerves

43
Q

Large intestine lift (contra)indications and procedure

A

I: constipation, IBS, hernia
C: peritonitis, obstruction, recent abdominal surgery
P: distal-proximal in descending, transverse, ascending order

44
Q

Liver/spleen pump (contra)indications and procedure

A

I: cholestasis, chronic hepatitis, immune stimulation
C: peritonitis, acute hepatitis/cholecystitis, undiagnosed hepatomegaly, splenomegaly
P: exhalation pump, inhalation recoil, repeat 3-5

45
Q

Visceral mobility

A

Movement of viscera in response to voluntary movement, or to movement of diaphragm

46
Q

Visceral motility

A

Inherent motion of viscera themselves

CV (3 decks)

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