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OMM > Spring 1 > Flashcards

Spring 1 Flashcards

1
Q

What are “red flags” for low back pain?

A 
FEVER
WAKES PATIENT UP
WEIGHT LOSS
PAIN AT NIGHT
PAIN DOES NOT CHANGE WITH POSITION 
BOWEL OR BLADDER CHANGES
HISTORY OF CANCER
CHANGE IN PAIN PATTERN
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2
Q

What is the low back pain sequence?

A 
Leg restrictors
Pubes
Superior innominate Upslip (shear)
Lumbar Spine
Sacrum
Innominate
Iliopsoas
Lower Extremity
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3
Q

Define low back pain.

A

discomfort, tension, or stiffness below the costal margin and above the inferior gluteal folds with or without “sciatica

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4
Q

What is the most common cause of back pain?

A

90% are musculoskeletal. 10% medical cause.

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5
Q

What are the leg restrictors?

A
  1. ILIOPSOAS*
  2. QUADRICEPS
  3. PIRIFORMIS
  4. HAMSTRING
  5. ADDUCTORS
  6. ABDUCTORS
  7. QUADRATUS LUMBORUM*
  8. GLUTEUS MEDIUS
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6
Q

What is different about an upslip from the other pelvic dysfunctions?

A

It is not physiologic. Traumatic in nature.

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7
Q

How do you treat a neutral thoracic with HVLA?

A

Supine treatment sidebends thoracic towards transverse process hand

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8
Q

How do you treat a extended thoracic with HVLA?

A

Transverse process of segment below on side opposite dysfunction, thrust to segment above
Transverse process of dysfunctional segment, thrust to segment below

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9
Q

What are common HVLA problems?

A 
Thrust from posterior hand
Not flexing to segment
Not positioned over patient
Too much slack taken up, missed barrier
Uncommitted thrust
Thrust too slow
Thrust against full breath
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10
Q

The direction of the plane of the facets in the thoracic spine is:

A

Backward
Upward
Lateral

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11
Q

What are the three true sacroiliac ligaments?

A

Posterior SI ligament
Anterior SI ligament
Interosseous SI ligament

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12
Q

What are the three false sacroilliac ligaments?

A

Sacrotuberous Ligament
Sacrospinous Ligament
Ileolumbar Ligament

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13
Q

What is the movement of the sacrum during inhalation?

A

Extension

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14
Q

What is the scan for the pelvis?

A

Standing flexion test, ASIS compression test

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15
Q

What are the steps of Muscle Energy?

A 
Position into restriction
Patient-activated movement towards ease
Pause to allow patient relaxation
Re-establish resistance by positioning
Repeat 3-5 times
Return to neutral
Recheck
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16
Q

What are the two main motions of the pelvis in gait?

A

Rotation and lateral pelvic tilt

17
Q

What is a gait cycle?

A

the sequence of events from initial contact on one limb to the subsequent initial contact on same limb

18
Q

What is a step?

A

from initial contact (IC) on one foot to initial contact on contralateral foot.

19
Q

Where is the innominate at heel strike?

A

At heel strike that side’s innominate is rotated completely posterior and then undergoes only anterior rotation.

20
Q

How does the innominante move in the swing phase?

A

In the beginning of swing phase that innominate is rotated completely anteriorly and only undergoes posterior rotation.

21
Q

What do you do with the leg to gap the SI joint?

A

Adduct and internally rotate

22
Q

What do you do with the leg to gap the pubic symphasis?

A

Abduct and externally rotate

23
Q

How do you measure inflare/outflare?

A

ASIS to umbilicus angle

24
Q

What happens at the superior transverse axis of the sacrum?

A

Respiratory movement

25
Q

What happens at the middle transverse axis of the sacrum?

A

Postural motion

26
Q

What happens at the inferior transverse axis of the sacrum?

A

Dynamic Motion

Flexion or extension of the sacrum during ambulation

27
Q

What occurs at the oblique axis of the sacrum?

A

Dynamic Motion
Torsion of the sacrum during ambulation
Weight bearing on left leg engages the left axis
Weight bearing on right leg engages the right axis

28
Q

If the L TP is rotated posterior, which side does the patient lay on for lumbar HVLA?

A

Left. Posterior TP down!

29
Q

What does counternutate mean?

A

Sacral extension

30
Q

Forward torsion

A

Same side (Right on Right or left on left)

31
Q

Backward torsion

A

Opposite (Right on left, left on right)

32
Q

Functional methods treatment protocol

A 
Sidebending
Rotation
F/E
Ant/Post
R/L
Ceph/Caud
33
Q

Upper extremity functional methods for rib dysfunction

A

Ab/Ad-duction
Ex/internal rotation
Ceph/caud

OMM (2 decks)

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