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OMM > Second Year Spring > Flashcards

Second Year Spring Flashcards

1
Q

Eustachian tube dysfunction

A

creates negative pressure in the middle ear

- impedes normal drainage to the nasopharynx
- promotes reflex of nasopharyngeal secretions into the middle ear
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2
Q

Tensor veli palatini

A

decreased muscle tension impedes opening

-increased muscle tension impedes closing and distorts lumen impeding opening

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3
Q

Galbreath technique

A

Simple mandibular manipulation that allows the ear to drain accumulated fluid.

A pumping action

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4
Q

Otitis media structural targets

A
  • posterior pharyngeal mm. (TVP and medial pterygoid)
  • jugular canal contents (CN IX and XII)
  • impaired motion of the petrous portion of the temporal bone (OM sutures)
  • SCM hypertonicity (effects the temporal)
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5
Q

GERD

A
  • High-pressure zone (HPZ) of the lower esophagus
  • Transient lowering of the lower esophageal HPZ is the most commonly recognized mechanism for gastroesophageal reflux.
  • Accompanied by transient increase in intra-abdominal pressure and a decrease in crural activity.
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6
Q

Golden House of Sympathetics

A

T1-4: Head and neck (not cervical)
T5-9: Upper GI
T10-T11- Room on Right- Renal, Right colon
T12-L2- Room on the Left: Pelvis, Left colon

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7
Q

GERD OMT tx

A
  • Diaphragm/rib cage/crura/psoas (attachments).
  • Cranial base (Vagus)
  • Autonomics of the stomach
  • Birth position release.
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8
Q

Strains brought on by pregnancy

A
  1. Lumbar and cervical lordotic curves increase
  2. Thoracic kyphosis increases
  3. Relaxin responsible for ligamentous & muscular laxity w/in lumbopelvic region
  4. Sciatic pain
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9
Q

Discuss the pelvic changes in pregnacy

A
  1. Pelvis tips anteriorly
  2. Excess tissue stretch on lumbar extensor mm
  3. Distention of pelvis increases mobility/instability in the SI joint
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10
Q

Discuss Sciatic pain in pregnancy

A
  1. Posterior pelvic pain
  2. Does not go to foot and ankle
  3. No motor or sensory impairment
  4. No reflex changes
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11
Q

Consequences of congestion in pregnancy

A
  1. Increased metabolic demand to uterus and placenta

2. Uterus increases in volume and affects the body’s ability to manage pressure gradients

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12
Q

Hormonal changes in pregnancy

A

Relaxin responsible for ligamentous & muscular laxity

Estrogen and adrenal hormones promote fluid retention

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13
Q

Changes in pregnancy 28-36 wks

A

Hormonal changes increase fluid in tissues
Uterus compresses IVC to impede venous and lymph drainage
LE edema, hypotension in supine position

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14
Q

OMT approach in pregnancy 36-delivery

A

Check cranial-sacral mechanism

Tx will aid in neural & hormonal function during L & D

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15
Q

OMT approach in pregnancy labor & delivery

A

Sacral pressure can be comforting

CV4 helps induce uterine contractions or uterine inertia

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16
Q

Omt approach in post partum pt

A

Usually will find anterior sacral base

Usually will find anterior sacral base

17
Q

ANS of pregnant pt

A

Sympathetics
Uterine contraction, cervical relaxation, vasoconstriction
Parasymp
Uterine relaxation, cervical constriction, vasodilation

18
Q

Anterior innominate

A

Pt supine
Flex leg on dysfunctional side at the hip
Sensing hand under lower SI joint
Operating hand on pts knee
Compress from knee towards SI joint
Move knee in arc to full hip flexion, flexion w/ adduction across midline, and finally into hip extension
Move knee down toward other foot
After 30 degrees of hip extension, release compression
Return leg to neutral. Retest

19
Q

Posterior Innominate

A

Dx: Restriction focused around the upper or S1 pole of sacrum
Tx:
Pt supine
Flex dysfunctional leg at the hip to more than 90 degrees. Slightly adduct the leg
Sensing hand under upper SI joint
Operating hand on Pts knee with compression towards SI joint
Move knee in arc into full hip abduction, then begin hip extension
After 30 degrees of hip extension, release compression
Return leg to neutral. Retest.

20
Q

Upslipped Innominate

A

Exaggerate by initially abducting the affected leg
Introduce traction from lower leg
Adduct leg across midline while maintaining force vector
Release traction, return to neutral. Retest

21
Q

Downslipped Innominate

A

Pelvis is sidebent so iliac crest is tilted out and ischium tilted in
Tx:
Initial adduction of leg across midline
Compression from lower leg carries leg into abduction
Retest

22
Q

Pubic Ramus

A

Pt supine
Flex hips and knees bilaterally so feet are on table close to ischial tuberosities
Knees are together and roughly vertical
Stand at foot of table with one hand on each knee
Introduce compression towards pubic ramus
Bring knees simultaneously towards their respective sides
Remove hands from knees and capture ankles
Draw patients feet towards foot of table until knees and hips are extended
Retest

OMM (4 decks)

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