OPP stuff Flashcards
Chapman point for sinuses
Below proximal 1/3 clavicle
Chapman point for ears
Above proximal 1/3 clavicle
Chapman point for pharynx
Below 1st rib/manubrium junction
Chapman point for pylorus
Sternum
Chapman point for stomach acid
Left 5th ICS and left T5-6 intertransverse space (ITS)
Chapman point for liver
Right 5th ICS and left T5-6 ITS
Chapman point for stomach peristalsis
Left 6th ICS at costal cartilage and left T6-7 ITS
Chapman point for liver/GB
Right 6th ICS at costal cartilage and left T6-7 ITS
Chapman point for spleen
Left 7th ICS at costal cartilage and left T7-8 ITS
Chapman point for pancreas
Right 7th ICS at costal cartilage and right T7-8 ITS
Chapman point for small intestines
7-9th ICS of ribs bilateral (could be 8-10 too, I dunno)
Chapman point for intestinal peristalsis
b/w the iliac crest and greater trochanter
Chapman point for bronchus/esophagus/thyroid gland
2nd ICS at sternal border and over T2 transverse process
Chapman point for heart
2nd ICS at sternal border and T2-3 ITS
Chapman point for the upper lung
3rd ICS at sternal border and T3-4 ITS
Chapman point for the lower lung
4th ICS at sternal border and T4-5 ITS
Chapman point for adrenals
1” lateral and 2” superior to umbilicus anterior and T11-12 ITS posterior
Chapman point for kidneys
1” lateral and 1” superior to the umbilicus anterior and T12-L1 ITS posterior
Chapman point for appendix
Tip right 12th rib anterior and T11 transverse process posterior
Chapman point for colon
Iliotibial band is a mirror image of colon layout; cecum at the right hip, transverse 1/3 at the right knee, transverse 2/3 at left knee, sigmoid at left hip
Chapman point for bladder
Periumbilical anterior and upper edge of L2 transverse process posterior
Chapman point for prostate, broad ligament
Iliotibial band posterior margin anterior and b/w the PSIS and L5 spinous process posterior
Spinal cord levels for head and neck
T1-4
Spinal cord levels for heart
T1-5(6)
Spinal cord levels for respiratory system
T2-7(8)
Spinal cord levels for esophagus
T2-8
Spinal cord levels for upper GI
T5-9
What does the “upper GI tract” contain?
Stomach, liver, GB, spleen, portions of the pancreas and duodedum
Spinal cord levels for middle GI tract
T10-11
What does the “middle GI tract” contain
Portions of pancreas/duodenum, jejunum, ileum, ascending colon and proximal 2/3 of the transverse colon (“right” colon)
Spinal cord levels for lower GI tract
T12-L2
What does the “lower GI tract” contain?
Distal 1/3 of transverse colon, descending colon, sigmoid colon, rectum
Upper GI tract supplied by what nerve and ganglion
Greater splanchnic nerve and celiac ganglion
Middle GI tract supplied by what nerve and ganglion
Lesser splanchnic nerve and SM ganglion
Lower GI tract supplied by what nerve and ganglion
Least splanchnic nerve and IM ganglion
Spinal cord levels for appendix
T12
Spinal cord levels for kidneys
T10-11
Spinal cord levels for adrenal medulla
T10
Spinal cord levels for upper ureters
T10-11
Spinal cord levels for lower ureters
T12-L1
Spinal cord levels for bladder
T11-L2
Spinal cord levels for gonads
T10-11
Spinal cord levels for uterus and cervix
T10-L2
Spinal cord levels for erectile tissue of penis and clitoris
T11-L2
Spinal cord levels for prostate
T12-L2
Spinal cord levels for arms
T2-8
Spinal cord levels for legs
T11-L2
Possible treatments for irritable bowel syndrome
Superior mesenteric ganglion release, techniques to the lumbosacral junction, techniques to the iliotibial band, and associated chapman points.
What is counternutation?
Backwards movement of the sacrum
When is counternutaton seen in craniosacral motion
In flexion
What is nutation?
Anterior or forward movement of the sacrum (Nutation=nod forward)
When is nutation seen in craniosacral motion
Cranial extension
In cranial flexion, what happens to the paired bones
Externally rotate
In cranial flexion, what happens to the diameters of the skull
AP diameter decreases and transverse diameter increases
What motions occur about the superior transverse axis of the sacrum
Respiratory and craniosacral motion
Motions occur about the middle transverse axis of the sacrum
Postural motion
Motion that occurs about the inferior transverse axis of the sacrum
Innominate rotation
What divides the greater and lesser sciatic foramen
Sacrospinous ligament
Purpose of Spurling’s test
Examine narrowing of the cervical foramina
How to perform Spurling’s test
Extend the patients head, sidebend it toward the side of dysfunction, and apply downward compression
Pes planus (flat-foot) often leads to what?
Excessive pronation of the foot which then leads to lateral subluxation on the patella
Describe the Q-angle
Intersection of the line from the ASIS to the middle of the patella and the line through the tibial tubercle and the patella
What is a normal Q-angle?
10-12 degrees
What is a decreased Q-angle referred to as
Genu varum aka bowlegs
What is an increased Q-angle known as?
Genu valgum aka knock-knees
What lies directly posterior to the proximal fibular head
Common fibular (peroneal) nerve
What is the angle of inclination
The angle b/w the axis of the shaft of the femur and the axis of the femoral neck
What is a normal angle of inclination
120-135 degrees
What is coxa valga
Angle of inclination >135
What is coxa varum
Angle of inclination <120
What should you use to treat acute psoas syndrome?
Reciprocal inhibition
Muscle spasm, restricted motion, joint restriction, vasospasm causing edema and skin changes, rapid hair growth, and severe, BURNING pain at the site of injury
Complex regional pain syndrome
Difference b/w complete regional pain syndrome type 1 and 2
Type II has associated nerve injury
Patients who are at high risk for adhesive capsulitis
Females, pts with diabetes mellitus or thyroid disease
To which side should a heel lift be place in a short leg
Side of the short leg
Heel lift should be what length
1/2 to 3/4 the measured length discrepancy
In “fragile” patients with a short leg, what length should the heel-lift be?
1/16” and increase 1/16” every 2 weeks
Flexible patient heel lift
1/8” and increase 1/8” every 2 weeks
What is the maximum length a heel lift may be applied INSIDE the shoe?
1/4”
What is the maximal heel length possible
1/2”
If someone’s coronal suture is fucked, what’s a good technique to use
V-spread (heh)
When is parietal lift an appropriate technique
When the squamous suture is fucked
What type of techniques should you do for acute somatic dysfunctions
INdirect
When should you consider bracing for someone with scoliosis?
When the Cobb angle is >20 degrees
When do organs start to be in danger in a patient with scoliosis
When the Cobb angle is >45 degrees
Pain and tightness in the hip/thigh, snapping with flexion of the hip, tenderpoint medial to the ASIS
Psoas syndrome
WHat is the cause of “hip snapping” in psoas syndrome
Iliospoas tendon catching the hip during flexion.
Index fingers move superiorly and 5th fingers move inferiorly in this CS motion
Inferior vertical strain
Index fingers move inferiorly and 5th fingers move superiorly in this CS motion
Superior vertical strain
Poor suck is caused by…
Occipital condylar compression (aka OA compression)
When you do compression of the 4th ventricle, what should you encourage and discourage
You should encourage extension while discouraging flexion
A positive what test indicates thoracic outlet syndrome
Adsons test
How do you perform Adson’s test
Extend the arm at the elbow, extend the shoulder, externally rotate, and slightly abduct the patients arm. Then have the patient taking a deep breath and turn their head toward their ipsilateral arm
Physician sidebends and extends the patients head and then pushes down to apply compression; test is positive if pain radiates to the ipsilateral arm
Spurling test
What does the spurling test test for?
Cervical foramina narrowing
Physician flexes the head for 10 seconds then extends the neck for 10 seconds
Wallenburg test
What does the Wallenburg test test for?
Vertebral artery insufficiency
Hyperabducting the arm above the head with some extension is what test?
Wright’s test (aka arm hyperextension test)
When is Wright’s test positive
Severely decreased or absent radial pulse
What does Wright test test for?
Compression of the neurovascular bundle underneath the pec minor at the coracoid process
Physician palpates the radial pulse while depressing and extending the patients shoulder
Military posture test
What does the military posture test test for?
Neurovascular bundle compresion b/w the clavicle and first rib
What does Yergason’s test test for?
Stability of the biceps tendon in the bicipital groove
What is the purpose of the hip-drop test
Evaluate sidebending of the lumbar spine
The straight leg raise test evaluates what?
Compression of the sciatic nerve
Ober’s test evaluates what
Tight tensor fascia lata and iliotibial band
Patrick’s (FABER) test evaluates what?
Sacroiliac or hip dysfunction
Apley’s compression and distraction tests evaluate what?
Ligamentous structures by the knee
