OPP EXAM 2 Flashcards
post ganglionic sympathetic fibers lead to tissue texture changes such as
Hypertonicity, moisture, erythema, etc
_________ _________ of the spinal cord is where somatic and visceral affront nerves synapse giving viscerosomatic reflex
Dorsal horn
Dorsal Horn of the spinal cord is where somatic and visceral affront nerves synapse giving
Viscerosomatic reflex
What are the viscerosomatic considerations for T10-T11
Kidney and upper ureter
What are the viscerosomatic considerations for T11-L1
Lower ureters
What are the viscerosomatic condisderations of T11-L2
Lower extremities
What are the viscerosomatic considerations of T12-L2
Left colon, bladder, prostrate
Where do the iliolumbar ligaments insert
TP of L4 and L5
Where do the iliolmbar ligaments refer pain
Groin, SI region, lateral thigh
What ligament is commonly strained in traumatic injuries
Iliolumbar
What is the first ligament to become tender with lumbar postural changes
Iliolumbar ligament, 1” superior and medial to the PSIS
T/F the iliolumbar lig responds well to OMT
True
Orientation of SUPERIOR cervical facets
BUM (backward, upward, middle)
orientation of SUPERIOR thoracic facets
BUL (backward, upward, lateral)
Orientation of SUPERIOR lumbar facets
BM (backward, medial)
orientation of INFERIOR cervical facets
AIL (Anterior, inferior, lateral)
Orientation of INFERIOR thoracic facets
AIM (Aneterior, inferior, lateral)
Orientation of INFERIOR lumbar facets
AL (anterior, lumbar)
What is lumbarization
When S1 essential becomes the 6th lumbar
What is sacralization
When L5 essential becomes attached to the sacrum
What positioning applies the greatest load possible
Sitting with poor posture
What are the most common places for disk herniation
L4-L5
L5-S1
What ligament causes disk herniation to typically bulge to one side
Posterior longitudinal ligament
Herniation at disk X, affects nerve root
X+1
Herniation @ L3-L4 affects _____ nerve root
L4
What are the components of an L4 nerological exam
Motor= foot inversion DTR= patellar reflex Sensory= medial leg and foot
What is components of a neuro exam for L5
Motor-extensionn of extensor hallucis longus
No reflex
Sensory- lateral side fo leg and dorsum of foot
“Walk on your heels”
What does walking on your heels test
L5
What is the neuro exam for S1
Motor-eversion of the foot
Reflex-Achilles tendon
Sensory-lateral malleolus and foot
Walk on toes
Walking on toes tests
S1
What does a postive babinski reflex indicate
Upper motor neuron problems
What are the potential results of a straight leg raise
0-35 Some tension on sciatic nerve
35-70 maximally involves sciatic nerve
>70 most likely joint pain
Which test tests for pathology of the SI joint or hip
FABERE Test (Patrick)
What does a trendelenburg test for
Gluteus medius strength
If the patients left hip drops during the swing phase, which gluteus medius is injured and how would you strengthen
Right; abduction exercises
The hip drops tests for
Ability to side bend
What does the thomas test test
Psoas muscle tension
What does the Hoover test test
To see if the patient is actually trying
What are the five red flags for lumbar pain
- Age 50 and older
- Previous history of cancer
- Unexplained weight loss
- Failure to improve with 1 month of therapy
- No relief with bed rest
Somatic dysfunction is diagnosed by
Tissue texture changes
Asymmetry
Restriction of motion
Tenderness
1st principle of fryettes occurs when side bending and rotation is ________
Opposite
What does reversible scoliosis indicate
That there is no Saginaw component (TYPE 1)
Post isometric is _________ front the barrier
Away
Reciprocal inhibition is __________ the barrier
Toward
