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Osteopathc principles and practice > OPP Practical 3 > Flashcards

OPP Practical 3 Flashcards

1
Q

What is the first step in soft tissue techniques

A

evaluate for tart changes

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2
Q

What techniques for soft tissue are parallel ?

A

Cervical cradling with traction, cervical forwardbending with bilateral fulcrum, thoracic bilateral thumb pressure, thoracic prone pressure with counter pressure,

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3
Q

What techniques for soft tissue are perpendicular ?

A

thoracic prone pressure,cervical contralateral traction

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4
Q

what is the cervical-levator scapulae self stretch

A

1) sit on edge of table closest to side your stretching
2) hold edge o table
3) flex, and then sidebend and rotate head away
4) place hand on top of head and lean away, don’t pull neck
5) 10-15 seconds repeating 3-5 times
(you can contract the lower trapezius muscle on the same size to enhance the stretch

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5
Q

what is the thoracic paraspinal self stretch

A

1) sit on edge of table
2) feet apart TOUCHING floor
3) intertwine hands
4) straighten arms
5) bend forward to stretch thoracic and scapular areas

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6
Q

What is the lumbar quadratus lumoborum self stretch

A

1) stand feet apart
2) raid arm of side being stretched overhead
3) shift pelvis towards side being stretched and side bend trunk away from side being stretched
4) hold for 15-30 seconds and repeat 2-3 times

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7
Q

name the four cervical soft tissue techniques

A

1) cervical cradling with traction
2) cervical contralateral traction
3) suboccpital release
4) cervical forward bending with bilateral fulcrum

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8
Q

What are the 3 thoracic soft tissue techniques

A

1) thoracic bilateral thumb pressure
2) prone pressure
3) prone pressure with counter pressure

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9
Q

What is the lumbar soft tissue technique

A

lumbar prone pressure with counter leverage

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10
Q

What should you do after you do a soft tissue technqiue

A

reacess and ask patient how it feels

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11
Q

t2

A

sternal notch

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12
Q

t4

A

sternal angle/ angle of louis

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13
Q

t9

A

xiphoid process

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14
Q

l3 and l4 interspace

A

umbillicus

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15
Q

shoulder girdle is

A

sternum, scapula, and clavicle

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16
Q

boundary for thoracic inlet

A

manubrium
1st ribs
T1

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17
Q

clinically thoracic inlet is

A

t1-t4
ribs 1 and 2
manubrium

18
Q

What is the rules of 3’s

A

t1-3 same plane as TP of each vertebrae
t4-6 halfway between TP and TP below it
T7-T9 tip of SP om a plane with TP of vertebrae below it
T10-T12- similar to T9 and T12 similar to T1

19
Q

which ribs are true

A

1-7

20
Q

which ribs are false

A

8-12

21
Q

which ribs are floating

A

11-12

22
Q

what ribs are typical

A

3-10

23
Q

what ribs are atypical

A

1, 2,11,and 12

24
Q

type of motion associated with rib 1

A

50 bucket, 50 pump

25
Q

ribs 2-5 associated with what type of motion

A

pump handle motion (sagittal plane)

26
Q

where is pump handle motion best palpated

A

at midclavicular line

27
Q

bucket handle motion is best palpated

A

ribs 6-10, at axillary line

28
Q

ribs 11-12 have

A

caliper motion

in inhalation they spread apart and move posterior; and exhalation they come together and move anterior

29
Q

what attaches to 1st rib

A

anterior and middle scalene muscles

30
Q

what muscles are principle inspiration

A

diaphragm, ext. intercostals, interchondral part of int. inercostals

31
Q

what muscles are principle expiration

A

internal intercoatls, abdominal muscles

32
Q

what are the accessory muscles of inspiration

A

SCM, anterior and medila scalene, post scalene, serratus posterior superior, levatores costarum, pectoralis minor

33
Q

what are the accesory muscles of expiration

A

traversus thoracic, sertatus posteiror inferior, externa/int. obliques

34
Q

what ribs are attached to 2nd rib

A

posterior scalene, pump

35
Q

ribs 3-5 have

A

pectoralis minor pump

36
Q

ribs 6-10 have

A

serratus anterior bucket

37
Q

ribs 11-12

A

latissimus dorsi- caliper

38
Q

ribs 12

A

caliber quadratus lumborum

39
Q

eft 5th intercostal space

A

stomach acidity

40
Q

left 6th intercostal space

A

stomach peristalsis

41
Q

right 5th intercostal space

A

liver

42
Q

right 6th intercostal space

A

liver and gallbladder

Osteopathc principles and practice (10 decks)

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