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OS IV Final CPA > Part 2: Diagnosis and Treatment > Flashcards

Part 2: Diagnosis and Treatment Flashcards

1
Q

Piriformis syndrome

A
  • TART Screenings:
    • Thoracic
    • Lumbar
    • Sacrum
  • Segmental exam to define SD in 2 body areas:
    • Thoracic
    • Lumbar
  • Treatments:
    • Thoracic MET
    • Lumbar BLT or FPR
    • ANS: Sacral rocking
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2
Q

Lateral or medial epicondylitis

A
  • TART Screenings:
    • Upper extremity
    • Cervical
    • Thoracic
  • Segmental exam to define SD in 2 body areas:
    • Upper extremity (elbow)
    • Cervical
  • Treatments:
    • Elbow direct MFR
    • Cervical BLT
    • ANS: T2-7 paraspinal inhibition

[Elbow direct MFR: hold pts hand with one hand and the proximal radius and ulna with the other hand. Test elbow flexion/extension and forearm supination/pronation. Slowly move the elbow into its restriction and apply steady force until tissue release. Recheck.]

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3
Q

Ankle Sprain

A
  • TART Screenings:
    • Lower extremity
    • Innominate
    • Lumbar
  • Segmental exam to define SD in 2 body areas:
    • Ankle counterstrain exam
    • Innominate
  • Treatments:
    • Ankle counterstrain
    • Innominate MET
    • ANS: Paraspinal inhibition T11-L2
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4
Q

Sinusitis

A
  • TART Screenings
    • Cervical spine
    • Thoracic spine
    • Lymphatics
  • Segmental exam to define SD in 2 body areas:
    • Cervical
    • Thoracic
  • Treatments:
    • Cervical BLT
    • Thoracic muscle energy
    • Lymphatic: Thoracic inlet, periauricular drainage
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5
Q

Post-op ileus

A
  • TART Screenings:
    • Thoracic: TAT screen of thoracic paraspinal muscles
    • Head: TAT screen of suboccipital muscles; OM sutures
    • Lymphatics: palpate for congestion and asymmetry of supraclavicular area, axillae, epigastric, inguinal
  • Segmental exam to define SD in 2 body areas:
    • Thoracic segmental dx
    • Head: suboccipital muscle hypertonicity
  • Treatments (direct, indirect, and ANS/lymphatic):
    • Thoracic dx: BLT
    • Head: suboccipital release
    • Lymphatic: open thoracic inlet, dome the diaphragm
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6
Q

Psoas syndrome

A
  • TART Screenings:
    • Thoracic
    • Lumbar
    • Innominate
  • Segmental Exam to define SD in 2 body areas:
    • Lumbar
    • Innominate
  • Treatments:
    • Lumbar BLT
    • Innominate MET
    • ANS: Thoracic paraspinal inhibition
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7
Q

Short Leg Syndrome

A
  • TART Screenings:
    • Lumbar
    • Innominate
    • Sacrum
  • Segmental exam to define SD in 2 body areas:
    • Lumbar
    • Innominate
  • Treatment:
    • Lumbar BLT or FPR
    • Innominate MET
    • ANS: Sacral Rocking
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8
Q

Rotator cuff syndrome

A
  • TART Screenings:
    • Upper extremity
    • Cervical
    • Thoracic
  • Segmental exam to define SD in 2 body areas:
    • Upper extremity (fascial diagnosis of scapular protraction/retraction, superior/inferior motion, traction/compression)
    • Cervical
  • Treatments:
    • Upper extremity direct MFR (subscapular stretch)
    • Cervical BLT
    • ANS: T2-7 paraspinal inhibition

[Subscapular stretch: pt prone; place pts arm behind their back. Place fingers around medial border of scapula. Engage the tissue ventrally then give gentle and upward traction, pulling scapula away from rib cage]

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9
Q

Thoracic Outlet Syndrome

A
  • TART Screenings:
    • Cervical
    • Ribs (1st rib)
    • Thoracic
  • Segmental exam to define SD in 2 body areas
    • Cervical
    • Ribs (1st rib)
  • Treatments:
    • Cervical BLT
    • Rib 1 MET
    • ANS: Thoracic paraspinal inhibition
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10
Q

TMJ disorder

A
  • TART Screenings:
    • Head: TAT screening of sutures and TMJ, chin AROM deviation screening
    • Cervical: TAT screen of cervical paraspinal muscles
    • Lymphatics: palpation for congestion and asymmetry of supraclavicular area, axillae, epigastric
  • ​Segmental exam to define SD in 2 body areas
    • Head: medial and lateral pterygoid hypertonicity (based on chin deviation)
    • Cervical segmental dx
  • Treatments (direct, indirect, and ANS/lymphatic):
    • Head: MET for chin deviation
    • Cervical dx: BLT
    • Lymphatics: open thoracic inlet, auricular drainage
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11
Q

Lumbar degenerative disc disease (osteoarthritis or herniated disc)

A
  • TART Screenings:
    • Thoracic
    • Lumbar
    • Innominate
  • Segmental exam to define SD in 2 body areas:
    • Lumbar
    • Innominate
  • Treatments:
    • Lumbar BLT or FPR
    • Innominate MET
    • ANS: Thoracic paraspinal inhibition
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12
Q

GERD

A
  • TART Screenings:
    • Thoracic: TAT screen of thoracic paraspinal muscles
    • Head: TAT screen of suboccipital muscles; OM sutures
    • Lymphatics: palpate for congestion and asymmetry of supraclavicular, axillae, epigastric regions
  • Segmental exam to define SD in 2 body areas:
    • Thoracic segmental dx
    • Head: suboccipital muscle hypertonicity
  • Treatments (direct, indirect, and ANS/lymphatic):
    • Thoracic dx: BLT
    • Head: suboccipital release
    • Lymphatic: Open thoracic inlet, dome the diaphragm
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13
Q

Pneumonia

A
  • TART Screenings:
    • Thoracic: TAT screen of thoracic paraspinal muscles
    • Cervical: TAT screen of cervical paraspinal muscles
    • Lymphatics: palpation for congestion and asymmetry of supraclavicular, axillae, epigastric regions
  • Segmental exam to define SD in 2 body areas:
    • Thoracic segmental dx
    • Cervical segmental dx
  • Treatments (direct, indirect, and ANS/lymphatic):
    • thoracic dx: paraspinal inhibition, MET
    • cervical dx: BLT
    • Lymphatics: open thoracic inlet, dome the diaphragm
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14
Q

Common fibular nerve entrapment neuropathy

A
  • TART Screenings:
    • Lower extremity
    • Innominate
    • Lumbar
  • Segmental exam to define SD in 2 body areas
    • Knee (fascial diagnosis)
    • Innominate
  • Treatments:
    • Indirect: Superior popliteal space/hamstring MFR
    • Innominate direct MET
    • ANS: T11-L2 paraspinal inhibition

[MFR: use finger pads on either side of the superior aspect of the popliteal space and introduce spreading force to load the fascia. Test IR/ER, clockwise/counterclockwise, superior/inferior]

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15
Q

Low back pain in pregnancy

A
  • TART Screenings:
    • Thoracic
    • Lumbar
    • Innominate
  • Segmental exam to define SD in 2 body areas:
    • Lumbar
    • Innominate
  • Treatments:
    • Lumbar BLT
    • Innominate MET
    • ANS: Thoracic paraspinal inhibition
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16
Q

Otitis Media

A
  • TART Screenings:
    • Cervical
    • Thoracic
    • Lymphatics
  • Segmental exam to define SD in 2 body areas:
    • Cervical
    • Thoracic
  • Treatments:
    • Cervical BLT
    • Thoracic MET
    • Lymphatic: thoracic inlet, periauricular drainage
17
Q

Nephrolithiasis

A
  • TART Screenings:
    • Thoracic: TAT screen of thoracic paraspinal muscles
    • Head: TAT screen of suboccipital muscles; OM sutures
    • Lymphatic: palpate for congestion and asymmetry of supraclavicular, axillae, epigastric, inguinal
  • Segmental exam to define SD in 2 body areas:
    • Thoracic segmental dx
    • Head: suboccipital muscle hypertonicity
  • Treatments (direct, indirect, and ANS/lymphatic):
    • Thoracic: BLT
    • Head: suboccipital release
    • Lymphatic: open thoracic inlet, dome the diaphragm
18
Q

Degenerative knee osteoarthritis

A
  • TART Screenings:
    • Lower extremity
    • Innominate
    • Lumbar
  • Segmental exam to define SD in 2 body areas
    • Knee (fascial diagnosis)
    • Innominate
  • Treatments:
    • Indirect: Superior popliteal space/hamstring MFR
    • Innominate direct MET
    • ANS: T11-L2 paraspinal inhibition

[MFR: use finger pads on either side of the superior aspect of the popliteal space and introduce spreading force to load the fascia. Test IR/ER, clockwise/counterclockwise, superior/inferior]

19
Q

Tension headache

A
  • TART Screenings:
    • Head: observe for occlusion and facial symmetry; TAT screen of sutures and TMJ
    • Cervical spine: TAT screen of cervical paraspinal muscles
    • Lymphatics: palpate for tissue congestion and asymmetry of supraclavicular area, axillae, epigastric region
  • Segmental exam to define SD in 2 body areas:
    • Head: asterion compression
    • Cervical spine segmental dx
  • Treatments (direct, indirect, and ANS/lymphatic):
    • Asterion compression: V spread
    • Cervical dx: BLT
    • Lymphatic: open thoracic inlet, dome the diaphragm

OS IV Final CPA (3 decks)

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