OSM III Final Flashcards
What does C5 Root innervate in the arm (motor, sensation, reflex)?
M: deltoids and biceps
S: lateral arm
R: bicep
What does C6 Root innervate in the arm (motor, sensation, reflex)?
M: wrist extension and elbow flexion
S: radial forearm and thumb/index fingers
R: brachioradialis
What does C7 Root innervate in the arm (motor, sensation, reflex)?
M: wrist flexion, elbow/finger extension
S: middle finger
R: triceps
What do the C8 and T1 Roots innervate in the arm (motor and sensation)?
C8: finger flexion; ulnar forearm and small finger sense
T1: finger abduction; medial arm sensation
What does the L1/L2 Root innervate in the leg (motor and sensation)?
M: hip flexion
S: inguinal crease (L1) and anterior thigh (L2)
What does the L2/L3 Root innervate in the leg (motor and sensation)?
M: knee extension
S: anterior thigh (L2) and anterior thigh above knee (L3)
What do the L4/L5/S1 Roots innervate in the leg (motor, sensation, reflex)?
L4:
M: ankle dorsiflexion
S: medial leg/foot
R: knee jerk (patellar)
L5:
M: extensor hallucis longus
S: lateral leg, dorsal foot
S1:
M: ankle plantarflexion
S: lateral and plantar foot
R: ankle jerk (Achilles)
What are the Viscerosomatic Levels for:
- Upper Extremity
- Lower Extremity
- Heart
- Lungs
- T2-T7
- T11-L2
- T1-T6
- T1-T7
What are the Viscerosomatic Levels for:
- head/neck, upper esophagus
- lower esophagus, stomach, duodenum, liver, gallbladder, pancreas, spleen
- small bowel, proximal 2/3rds of colon, kidneys, adrenals
- distal 1/3rd of colon, lower ureters, bladder, pelvic organs
- Liver specifically
- T1-T5
- T5-T9
- T10-T11
- T12-L2
- T7-T9
Normal ROM values for the Ankle
- Plantarflexion
- Dorsiflexion
- Ankle Inversion
- Ankle Eversion
Normal ROM values for Knee
- Flexion
- Extension
ANKLE ROM
- 55-65
- 15-20
- 20
- 10-20
KNEE ROM
- 145-150
- 0
Normal ROM for Hip
- Flexion (straight knee vs flexed knee)
- Extension
- Internal rotation
- External rotation
- ABduction
- ADduction
- Straight: 90 and Flexed: 120-135
- 15-30
- 30-40
- 40-60
- 45-50
- 20-30
Normal ROM for Wrist
- Flexion
- Extension
- ABduction (radial deviation)
- ADduction (ulnar deviation)
- 80-90
- 70
- 20-30
- 30-40
Normal ROM for Elbow
- Flexion
- Extension
- Pronation
- Supination
- Ulnohumeral ADduction/ABduction
- 140-150
- 0-(-5)
- 90
- 90
- 5
Normal ROM for Shoulder
- Flexion
- Extension
- Arm ABduction
- Arm Horizontal ADduction
- Arm Horizontal ABduction
- Arm External Rotation
- Arm Internal Rotation
- 180
- 60
- 180
- 40-50 (130-140)
- 130-145 (40-55)
- 90
- 90
Normal ROM for Lumbar/Thoracic Spine
- Flexion
- Extension
- Sidebending
- Rotation
Normal ROM for Cervical Spine
- Flexion
- Extension
- Sidebending
- Rotation
LUMBAR/THORACIC SPINE
- 40-90
- 20-45
- 15-30
- 3-18
CERVICAL SPINE
- 45-90
- 45-90
- 20-45
- 70-90
What is the specific Sympathetic and Parasympathetic innervation to the:
- Kidney
- Upper Ureter
- Lower Ureter
- Bladder
- S: T10-L1 and P: Vagus
- S: T10-L1 and P: Vagus
- S: L1-L2 and P: S2-S4
- S: T11-L2 and P: S2-S4
What are the Anterior and Posterior Chapman’s Points for:
- Adrenals
- Kidney/Ureters
- Bladder
- Urethra
- adrenals
- A: 2-2.5” above and 1” lateral to umbilicus
- P: ITS btwn T11-T12
- kidneys/ureters
- A: 1” above and 1” lateral to umbilicus
- P: K (ITS btwn T12-L1)/U (ITS btwn L1-L2)
- bladder
- A: periumbilical or umbilical
- P: superior L2 TP
- urethra
- A: inner edge of pubic ramus near symphysis
- P: superior L2 TP
What are the Anterior and Posterior Chapman’s Points for:
- Myocardium
- Bronchus
- Upper Lung
- Lower Lung
- myocardium
- A: 2nd ICS sternal border
- P: ITS btwn T2-T3
- bronchus
- A: 2nd ICS sternal border
- P: lateral to T2 spinous process
- upper lung
- A: 3rd ICS sternal border
- P: ITS btwn T2-T3 AND T3-T4
- lower lung:
- A: 4th ICS sternal border
- P: ITS btwn T4-T5
What are the Anterior and Posterior Chapman’s Points for:
- Stomach Acidity
- Stomach Peristalsis
- Liver
- Gallbladder
- stomach ACIDITY
- A: 5th ICS on LEFT
- P: LEFT ITS btwn T5-T6
- stomach PERISTALSIS
- A: 6th ICS on LEFT
- P: LEFT ITS btwn T6-T7
- liver
- A: 5th ICS on RIGHT
- P: RIGHT ITS btwn T5-T6 AND T6-T7
- gallbladder
- A: 6th ICS on RIGHT
- P: RIGHT ITS btwn T5-T6 AND T6-T7
What are the Anterior and Posterior Chapman’s Points for:
- Spleen
- Pancreas
- spleen
- A: 7th ICS on LEFT
- P: LEFT T7 Transverse Process
- pancreas
- A: 7th ICS on RIGHT
- P: RIGHT T7 Transverse Process
What are the Anterior and Posterior Chapman’s Points for:
Small Intestine
Where is the Anterior and Posterior Appendix Chapman’s Point?
Anterior Points:
- 8th, 9th, and 10th ICS
Posterior Points:
- Upper: ITS btwn T8-T9
- Middle: ITS btwn T9-T10
- Lower: ITS btwn T10-T11
Anterior Appendix: tip of the RIGHT 12th RIB
Posterior Appendix: RIGHT T11 TP
