Structural exam Flashcards
When treating the axial skeleton, what should you consider?
Perform a neuro exam
What are the symptoms that warrant a neurological exam?
Numbness
Tingling
Weakness
Bowel or bladder incontinence
OSE examine for what?
SDs and viscerosomatic changes
Why do you examine the patient in multiple positions during an OSE?
To eval statically and dynamically
What is static analysis?
General observation of the fixed posture using superficial anatomic landmarks
What is motion analysis?
Includes gait and regional ROM testing
What does static analysis of a patient reveal to a Dr?
Muscle imbalances Strain patterns SDs Neurological disease Orthopedic disease Emotional states
Which barrier do you assess as part of TART?
Restrictive barrier
What are the three features of motion that should be assessed in an OSE?
Symmetry of motion
Quality of motion
End feel
What are the five different type of end feels?
Elastic Hard Tissue approximation Guarding Muscle spasms
What are the three normal end feels?
Elastic (neck)
Hard (elbow)
Tissue approx (knee)
What are the two abnormal end feels?
Guarding
Muscle spasms
Which end feeling(s) contraindicate OMM?
Guarding and muscle spasms
Which ROM is assessed first (active or passive)?
Active ROM before passive ROM
What are the five aspects of gait analysis?
Length of stride Arm swing Shoulder heights Limp Orientation of feet
(LASLO)
What are the component of the gravitational line?
External auditory meatus
Lateral aspect of the humerus
Greater trochanter
Lateral condyle of the knee
Slightly ant to lat malleolus
What are the areas of assessment for the standing exam?
Head carriage
Acromion process
Angle of scap
Iliac crests
Greater trochanter
Feet/ankles
What is the hip drop test? How is it named?
Iliac crest dropped, named for side that is inferior
If a hip drop test is positive on the right, which way is the lumbar spine bent?
Left (side that drops the least)
Which side are scoliosis named?
Side of convexity
Why is trunk rotation performed seated? What is the range of normal
To fix the ilia
Shoulder should be between hip and midline
Having the pt give themselves a hug tests for what?
Adduction, extension, and internal rotation
Having the patient reach up and fold their hands behind their back tests for what?
Abduction, and external rotation
