RANDOM TECHNIQUE CARDS

Question 1

QUESTION

Answer 1

YOUR PATIENT PRESENTS WITH RIGHT MID CERVICAL PAIN. IN THE HISTORY THEY TELL YOU THEY HAVE MILD OSTEOPOROSIS.

Part 1, 2 (& 5):

• Demonstrate and discuss the Cervical examination (observation, discuss holistic screen, active, passive, segmental/joint play, palpation).

Part 3: Special testing

• One of your differentials includes cervical spondylosis causing radicular pain. Demonstrate & discuss an orthopaedic test that will evaluate for the presence of cervical spondylosis causing radicular pain.
• Your patient reports tingling in their right thumb and second finger. Which nerve may be involved? How would you assess for involvement of this nerve?

Part 4 (& 5): Osteopathic Techniques

• Identify and explain the significance of any relative contraindications
• Demonstrate one soft tissue to treat the following finding. Discuss your rationale for selecting this technique.
• Left Hypertonic SCM
• Demonstrate one articulatory technique to treat the following finding. Discuss your rationale for selecting this technique.
• Restricted sidebending at RIGHT C2/3
• Demonstrate a muscle energy technique to treat one of the following findings. Discuss your rationale for selecting this technique.
• Restricted right rotation at C1/2 or hypertonic right levator scapulae muscle

Question 2

QUESTION

Answer 2

YOUR PATIENT PRESENTS WITH LEFT MID CERVICAL PAIN OF SIX MONTHS DURATION. IN THE HISTORY THEY TELL YOU THEY HAVE MILD OSTEOPOROSIS.
Part 1, 2 (& 5):
• Demonstrate and discuss the Cervical examination (observation, discuss holistic screen, active, passive, segmental/joint play, palpation).

Part 3: Special testing
• One of your differentials includes cervical spondylosis causing radicular pain. Demonstrate & discuss an orthopaedic test that will evaluate for the presence of cervical spondylosis causing radicular pain.
• Your patient reports tingling in their left lateral arm (upper arm). Which nerve may be involved? How would you assess for involvement of this nerve?

Part 4 (& 5): Osteopathic Techniques
• Identify and explain the significance of any relative contraindications
• Demonstrate one soft tissue to treat the following finding. Discuss your rationale for selecting this technique.
o * Left Hypertonic upper trapezius

• Demonstrate one articulatory technique to treat the following finding. Discuss your rationale for selecting this technique.
o Restricted sidebending at left C2/3/4

• Demonstrate a muscle energy technique to treat one of the following findings. Discuss your rationale for selecting this technique.
o Restricted left rotation at C1/2 or hypertonic left levator scapulae muscle

Question 3

QUESTION

Answer 3

YOUR PATIENT PRESENTS WITH LEFT LOWER CERVICAL PAIN OF SIX MONTHS DURATION. IN THE HISTORY THEY TELL YOU THEY HAVE MILD RHEUMATOID ARTHRITIS.
Part 1, 2 (& 5):
• Demonstrate and discuss the Cervical examination (observation, discuss holistic screen, active, passive, segmental/joint play, palpation).

Part 3: Special testing
• One of your differentials includes cervical facet sprain causing radicular pain. Demonstrate & discuss an orthopaedic test that will evaluate for the presence of cervical spondylosis causing radicular pain.
• Your patient reports tingling in their left medial forearm. Which nerve may be involved? How would you assess for involvement of this nerve?

Part 4 (& 5): Osteopathic Techniques
• Identify and explain the significance of any relative contraindications
• Demonstrate one soft tissue to treat the following finding. Discuss your rationale for selecting this technique.
o * RIGHT HYPERTONIC SCM

• Demonstrate one articulatory technique to treat the following finding. Discuss your rationale for selecting this technique.
o Restricted left rotation 4,5,6

• Demonstrate a muscle energy technique to treat one of the following findings. Discuss your rationale for selecting this technique.
o Restricted left rotation at C1/2 or hypertonic left trapzeius

Question 4

QUESTION

Answer 4

YOUR PATIENT PRESENTS WITH LEFT UPPER CERVICAL PAIN OF SIX MONTHS DURATION. IN THE HISTORY THEY TELL YOU THEY HAVE MILD RHEUMATOID ARTHRITIS.
Part 1, 2 (& 5):
• Demonstrate and discuss the Cervical examination (observation, discuss holistic screen, active, passive, segmental/joint play, palpation).

Part 3: Special testing
• One of your differentials includes cervical facet sprain causing radicular pain. Demonstrate & discuss an orthopaedic test that will evaluate for the presence of cervical spondylosis causing radicular pain.
• Your patient reports tingling in their right middle finger. Which nerve may be involved? How would you assess for involvement of this nerve?

Part 4 (& 5): Osteopathic Techniques
• Identify and explain the significance of any relative contraindications
• Demonstrate one soft tissue to treat the following finding. Discuss your rationale for selecting this technique.
o * RIGHT HYPERTONIC anterior scalenes

• Demonstrate one articulatory technique to treat the following finding. Discuss your rationale for selecting this technique.
o Restricted flexion at C2,3,4

• Demonstrate a muscle energy technique to treat one of the following findings. Discuss your rationale for selecting this technique.
o Restricted left rotation at C1/2 or hypertonic left levator scapulae