Osteopathic Structural Exam Flashcards
What are the two components of the OSE?
A static postural exam and a dynamic range of motion evaluation including gait observations.
What are the components of the static postural exam?
A. Observation of skin
B. Observation of static landmarks
C. Observation of asymmetry
What are the components of the dynamic postural exam?
A. Gait
B. Range of motion (Cervical, thoracic, lumbar, ribs, sacrum)
C. Special tests (standing/seated flexion tests, hip drop test, modified shober test, sacral rock test).
What is a common finding for the static postural exam?
Pigmented nevi ( a birthmark or mole on the skin, especially a birthmark in the form of a raised red patch).
What could a pigmented nevi be indicative of?
Malignant melanoma.
What area should be payed special attention to during the static postural exam?
The back, as a patient cannot see their back. Pay attention to any erythema from chronic heating pad use, discoloration of the skin, abrasions, and ulcerations in the skin overlying points of chronic pressure.
What is the cervical ROM for flexion?
45-90 degrees.
What is the cervical ROM for extension?
45-90 degrees.
What is the cervical ROM for side-bending?
30-45 degrees.
What is the cervical ROM for rotation?
70-90 degrees.
What is the T1-4 ROM for side-bending?
5-25 degrees.
What is the T5-8 ROM for side-bending?
10-30 degrees.
What is the T9-12 ROM for side-bending?
20-40 degrees.
What is the thoracic ROM for rotation?
70-90 degrees.
What is the lumbar ROM for flexion?
70-90 degrees.
