OPP: Lab Stuff Flashcards
Vault hold: Where do your fingers go?
Index fingers: Greater wing of the spend
Middle fingers: Zygomatic processes
Ring fingers: Mastoid processes
Pinkies: Occiput
Where are your hands in the Fronto-occitipal hold?
Caudad hand underneath occiput
Cephalad pointer and thumb on the greater wings of the sphenoid
What are the axes in Flexion/Extension physiological strain pattern?
Two parallel transverse axises
Flexion is _______ rotation and Extension is ________ rotation.
Anterior; posterior
What is the motion of flexion?
Widening and dropping inferiorly
What is the motion of extension?
Hands come together and move superiorly
What is the axis of Torsion?
AP
How do you name a torsion?
Higher wing of the sphenoid
In ________, the occiput and sphenoid rotate in _________ directions on a single AP axis.
Torsion; opposite
In torsion, how do the index fingers move?
Index finger on the side of the torsion (i.e. GWS) moves superiorly and the index finger on the opposite side index finger moves inferiorly
In torsion, how do the pinky fingers move?
Pinky finger on the side of the torsion (i.e. occiput) moves inferiorly and the [inky finger on the opposite side index finger moves superiorly.
What are the axes of side bending/rotation?
Sidebending: 2 vertical axes
Rotation: 1 AP Axis
What do the two vertical axes run through?
One does through the foramen magnum and one goes through the body of the sphenoid)
In sidebending/rotation, the sphenoid and occiput rotate _________ about the vertical axis.
opposite
In sidebending/rotation, the sphenoid and occiput rotate _________ about the AP axis.
in the same direction
In sidebending/rotation, which is the side of convexity?
The one that drops/feels heavy in your hand (You name for the side of the convexity).
What does each hand feel in side bending/rotation?
The side of the convexity is widening and feels fuller in your hand. The opposite side feels like the fingers are approximating.
How do you feel rotation?
Rotation is felt as the approximated hand moves superiorly and wider hand moves inferiorly
What are the three pathological strain patterns?
Vertical strains, lateral strains, SBS compression
What are the two axes of vertical strain?
Two parallel transverse axes
What is the finger motion in the superior vertical strain?
Hands tip forward;
Forefingers of both hands move inferiorly;
Little fingers of both hands move superiorly
What is the finger motion in the inferior vertical strain?
Hands tip backward;
Forefingers of both hands move superiorly;
Little fingers of both hands move inferiorly
What are the two axes of lateral strain?
Two parallel axes : one through sphenoid and one through foramen magnum
The sphenoid and occiput rotate in the ______ direction in a lateral strain.
Same
How do you name a lateral strain?
You name it for the base of the sphenoid, so as the base of the sphenoid moves toward the side of lateral strain, your fingers will point to the OPPOSITE side.
What do your fingers do in L. lateral strain?
Forefinger shift lateral to the right (sphenoid base turns to the left) and little fingers shift to the left (occipital base turns to the right)
What kind of motion do you feel in SBS compression? Why is this?
Like…none. AKA Bowling ball head
Due to compression of both sphenoid and occiput at SBS junction
What causes SBS compression?
Trauma/Severe Depression
Where is the Chapman point for the ear?
Above the proximal clavicle
Where are the Chapman points for the sinuses?
Below the proximal clavicle
Superior surface of 2nd rib
Where are the Chapman points for the pharynx, tonsil and larynx??
Superior + Inferior surfaces of the 1st rib at the sternal border
Where is the anterior Chapman point for the 1st rib?
Sternoclavicular Joint
Where is the anterior Chapman point for the 2nd rib?
Mid-Clavicular line
Where is the anterior Chapman point for the Ribs 3-7?
Anterior Axillary Line
What is the treatment position for the Anterior rib tender points?
FSTRT
Where is the posterior Chapman point for the 1st rib?
Posterior aspect of first rib
Where is the posterior Chapman point for the 2st rib?
Superior surface of rib
Where are the posterior Chapman points for Ribs 3-12?
The rib angles
What is the Tx for a posterior chapman point for the 1st rib?
E SART
What is the Tx for a posterior chapman point for Ribs 2-6?
F SARA
What is the objective decompression of the occipital condyle?
Normalize function of CN XII at the hypoglossal canal
Where are the physicians middle and index fingers in occipital condyle decompression?
Pts’s condylar processses
What force is applied in occipital condylar decompression?
cephalad and lateral
What position do you use to Tx SBS compression?
Fronto-occipital hold
What type of force do you use to Tx SBS compression?
Gently lift the sphenoid up towards the ceiling. You’ll feel a wobble point and then a return to flexion/extension
What must you first assess before treating the venous sinuses?
Thoracic outlet, cervicals, OA joint
What is the order of Tx for venous sinus drainage?
Suboccipital release –>Transverse sinus—>Confluence of sinuses—> occipital sinus —–> superior sagittal sinus—> Tx at bregma
To treat the transverse sinus, your hands must be on what structure?
Superior sagittal sinus
To treat the confluence of sinuses your middle finger must be on what structure?
Inion
To treat the confluence of sinuses your middle finger must be on what structure?
Inion
To treat the transverse sinus, your hands must be on what structure?
Superior nuchal line
To treat the occipital sinus, your hands must be on what structure?
2-4th fingers midline from inion to sub occipital titsues
To treat the occipital sinus, your hands must be on what structure?
2-4th fingers midline from inion to sub occipital titsues
To treat the at bregma, your hands are over what suture?
The metopic suture
To treat the at bregma, your hands are over what suture?
The metopic suture
According to which physician, it is thought that CV-4 technique stimulates the body’s inherent therapeutic potency to overcome whatever dysfunction is present?
Viola Frymann
According to which physician, it is thought that CV-4 technique stimulates the body’s inherent therapeutic potency to overcome whatever dysfunction is present?
Viola Frymann
What is the overall effect the CV-4 technique?
Sympathetic tone and has a balancing
effect on the autonomic nervous system.
What is the overall effect the CV-4 technique?
Sympathetic tone and has a balancing
effect on the autonomic nervous system.
In the CV-4 technique, you must always be medial to what structure?
Occipiomastoid suture
In the CV-4 technique, you must always be medial to what structure?
Occipiomastoid suture
What is the level of the thumbs in CV-4?
C2
What is the level of the thumbs in CV-4?
C2
After the wobble point, what do you feel in the CV-4 technique?
Still point
After the wobble point, what do you feel in the CV-4 technique?
Still point
What dysfunction’s can be treated with cricothyroid release
Use technique for laryngitis, pharyngitis, cough, lymphatic congestion, after intubation
What should you do before performing any lymphatic technique?
Release the thoracic inlet
