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OSIII CPAI > Review > Flashcards

Review Flashcards

1
Q

What 3 things to focus on for FPR?

A
  1. Flatten curve
  2. Freedom of motion (indirect postion)
  3. Force (activating)
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2
Q

What 3 things to focus on for Stills?

A
  1. Put in ease of motion (indirect)
  2. Compress
  3. Take into RB (direct)
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3
Q

Dx ribs

A

Rib Dx: go through entire and see what patient likes to do

· Claw hands for rib 1

· Line hands on along ribs and sternum

· For ribs 11-12, bring hands around to back

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4
Q

Dx abdominal diaphragm

A

Abdominal Diaphragm Dx: name for what the pt likes to do in 3 planes of motion

· F/E

· Rotation/SB

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5
Q

Dx Pelvis and Upper Leg TP

A
  1. Do a seated flexion test
  • a. Put my hands on PSIS and have pt lean forward
  • b. Whatever hand goes superior, + forward-bending test on that side

2. Lay on back, faced up; look at heights of

  • a. Iliac crest
  • b. ASIS
  • c. Mallei
  • d. Feel leg and ask for TP throughout the leg
  1. Lay on stomach: look at heights of
  • a. PSIS
  • b. Feel butt and leg muscles and ask for TP throughout the le

***Asymmetric and hypertonicity should be on the dysfunctioned leg

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6
Q

Anterior innominate rotation

A
  • + standing flexion test
  • Iliac crest: even
  • ASIS: inferior on side of dysx
  • Malleoli: long on side of dsyfx
  • PSIS: superior on side of dysfx
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7
Q

Posterior innominate rotation

A
  • + standing flexion test
  • Iliac crest: even
  • ASIS: inferior on side of dysx
  • Malleoli: long on side of dsyfx
  • PSIS: superior on side of dysfx
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8
Q

Superior innominate shear

A

o + standing flexion test on side of dsyfx

o ASIS: superior on side of dysfx

o PSIS: superior on side of dysfx

o Malleoli: short on side of dsyfx

o Iliac crest: superior on side of dysfx

o Pubic tubercle height: superior on side of dyfx

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9
Q

Inferior innominate shear

A

o + standing flexion test on side of dsyfx

o ASIS: inferior on side of dysfx

o PSIS: inferior on side of dysfx

o Malleoli: long on side of dsyfx

o Iliac crest: inferior on side of dysfx

o Pubic tubercle height: inferior on side of dyfx

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10
Q

Dx Sacrum Dx with FPR Sacral Eval (restricted only)

Treat

A
    1. Put pillow under pts abdomen
    1. Put hands on ILA => push forward to head => feel which is restricted
      * + test if restriction occurs
      • Doesn’t like to go forward on R side
        • Thus, pt does not like to SB L, does like to SB R
      • Doesn’t like to go forward on L side
        • Thus, pt does not like to SB R, does like to SB L
        • When tx when Prone FPR sacal: need to be on OPPOSITE side
          • add a 2nd pillow under mid thigh
          • While monitoring with thenar eminence ILA:
            • Abduct entire leg off table
            • Flex it down
            • ER/IR where pt likes to go
          • AF: push thenar eminence toward head for 3-5 seconds
          • Neutral and reassess
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11
Q

When TX ribs:

BITE mnemonic -> Treat the:

  • ________ rib for inhalation SDs
  • _______ rib for exhalation SDs
A
  • Bottom rib => inhalation SD
  • Top rib => exhalation SD
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12
Q

Seated FPR can be used to treated what rib SDs?

A
  • 1. Costochondral SD => tenderpoint on front of chest
  • 2. Posterior ribs
  • 3. Inhalation/exhalation sD
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13
Q

CHF Tx:

A
  • 1. Suboccipital release
  • 2. Thoracic inflet MFR
  • 3. Dome the diaphragm
  • 4. Pedal pumb
  • 5. Rib raising
  • 6. Efflaurage and petrissage
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14
Q

· Suboccipital Release

A

o Cup patients head

o Let weight of patients head rest on fingers tips

o Wait for tissue to relax

o Neutral and reassess

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15
Q

· Thoracic Inlet MFR

A
  • o Place hands
  • o Assess motion for: F/E, rotation and SB
  • Hold until motion is restored
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16
Q

· Doming the Diaphragm

A
  • o Patient lay down with knees flexed
  • o Dome diaphragm
  • § Tell pt to take a deep breath
  • § Exhalation: push thumbs down and up
  • § Inhalation: resist
  • § Repeat 3-5 times
17
Q

· Pedal Pump

A

o Dorsiflex pts foot

o Do a rhythmic force; 120 times per minute/ do for 1-2 minutes

18
Q

· Rib Raising

A

o

§ Contact rib angles

§ Work from T12- up

19
Q

· Effleurage Petrissage:

A

o Raise patients leg or arm to treat

§ Effleurage: stroke distal è proximal

§ Petrissage: “ring” knead and twist distal è proximal

· Close to you => further

20
Q

Post Surgical PT:

A
  1. · Abdominal Ganglia Inhibition (do not do on pt if they have a midline incision)
  2. · Suboccipital Decompression
  3. · Cervical Ganglia Inhibition
  4. · Posterior Abdominal Diaphragmatic Release
  5. · Rib Raising
  6. · Abdominal Lift
  7. · Thoracic Inlet Release MFR (SC joint => angle of 1st rib posterior)- MFR
  8. · Abdominal Diaphragm Release
21
Q

· Abdominal Ganglia Inhibition (do not do on pt if they have a midline incision)

A
  • Place fingerpads along the patients mid-abdominal line and contact skin over ganglia
    • Celiac ganglia: below the xiphoid
    • Superior mesenteric ganglia: halfway between xiphoid and umbilicus
    • Inferior mesenteric ganglia: just above the umbilicus
  • Apply a gentle, downward pressure until I feel it soften
22
Q

· Suboccipital Decompression

A

o Tx: superior cervical ganglion and vagus nerve

o Pt hand in suboccipital groove

o Essentially, the same thing as suboccipital release, except you add lateral traction and hold until tissue is released

23
Q

· Cervical Ganglia Inhibition

A

o Contact articular pillars on cervical spine

o Lift anterior and superior, until tissue releases

24
Q

Abdominal lift

A

o 1. Have pt lay down with feet flat on table

o 2. Pull bowel on 4 quadrants and push toward BB.

o 3. Load and hold for tissue to relax

25
Q

· Thoracic Inlet Release MFR (SC joint => angle of 1st rib posterior)- MFR

A

o Apply a force down

§ Anterior/posterior motion

§ Side to side motion

§ Rotation clockwise and counterclockwise

o Follow where tissue wants to go and hold until I feel change

o Have pt take a few deep breaths until tissue releases

o Neutral and reassess

26
Q

· Abdominal Diaphragm Release

A

o Contact lower rib cage and engage diaphragm that is deep

o Motion test: w rotation, translation, flex and extend

o Follow where tissue wants to go and hold until I feel change

o Have pt take a few deep breaths until tissue releases

o Neutral and reassess

27
Q

FPR techniques:

Flatten curve, FOM (indirect), Activating force

A
  • 1. Sacral (prone)
  • 2. Piriformis (prone)
  • 3. Glut max (prone)
  • 4. Hamstrings (prone)
  • 5. Quads (supine)
  • 6. Costochondral SD (seated)
  • 7. Posteiror rib (seated)
  • 8. Inhale/Exhale Rib SD (seated)
28
Q

Still Technique

Put in ease of motion, compress and take into RB

A
  • 1. Superior inominate shear
  • 2. Posteiror inominate rotation
  • 3. Anterior inominate rotation
  • 4. Posterior rib (like throwing a baseball)
  • 5. INH/EXHALE Rib SD (patient is supine)

OSIII CPAI (3 decks)

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