test 1 Flashcards
Difference between thenar and hypothenar?
Thenar: thumb
hypothenar: pink
When doing HVLA for a Superior Innominate Shear, how do you adjust the leg?
Internally rotate
abduct
When doing HVLA for a inferior Innominate Shear, how do you position hands and thrust
- Lay lateral recumbant
- gap the SI joint
- Exert a cephalad force through ASIS and PSIS
you can also
- monitor lumbosacral joint
- straighten bottom leg and place top behind the poplitieal fossa
- place forearm below the ipsilateral ischial tuberosity and
patient is laying L lateral recumbant; what does this mean?
they are laying on their L side with R PTP up.
In HVLA posterior and anteiror inominate dysfunction;
- Pt is laying LR
- Doc places cephalad hand between L5 and S1 SP.
- Caudad hand flexes the pts hip until you feel motion at the L5 and S1 SP.
What is the difference between posterior and anterior INOMinate rotation HVLA?
Anterior: drop the patients top leg off of the table and grasp the patients L arm while your forearm is between [PSIS and greater trochanter]. Thrust down to the shaft of the femur
Posterior: straighten bottom leg and place the top leg DISTAL to popliteal fossa (behind calf). Put forearm in between PSIS and iliac crest. Thrust to the BELLYBUTTON
bilateral sacral flexion and extension HVLA differences
FLEXION: (FE, IR, apex)
pt on stomach- doc is beside
monitor SI joint, ABDUCT until motion is felt and IR
heel of docs hand should be at APEX of sacrum
Thrust in INHALATION
EXTENSION: (EE) (EE, ER, base)
pt on stomach- doc is beside
monitor SI point, ABDUCT until motion is felt and ER
heel of docs hand should be at BASE of sacrum
Thrust on EXHALATION
R on L sacral torsion HVLA 1st step
- patient on back with hands behind neck while you stand on side of axis
- Make a C away from you.
- pull elbow towards you and apply a rotational thrust
HVLA type 1 lumbar LR
caudal forarm contacts where?
what kind of thrust?
between PSIS and greater trochanter
rotational thrust
Type 1: pull arm anterior and up
Type 2: pull arm anterior and down (caudad)
who looked at OMT and pancreatitis?
Radjieski
Who looked at OMT and ankle sprains?
Eisenhart
Who lookated at OMT and otitis media?
mills
who looked at OMT and LPT in dogs and rats; showing increase in circulating leukocytes and increase flow of lymph
Hodge
The person under stress responds how?
as a unit (mind, body and spirit) and comes up with an adaptive response to the stressor
The main physiological components of the stress system response are activation of the
- HPA axis
- ANS
- Adrenalin release in fight or flight
is stress good?
yes. helps us avoid danger and enhance survival and adapt to stress
damaging stress levels are reached when perceived threats or dangers upset the ___________
biopsychosocial balance
Prolonged _______ activity can be bad to health and can cause disease by affecting _____ and ______
hypersympathetic
anatomy (structure)
physiology (function)
3 responses to stress
- Startle response increases adrenal, CV, resp and MSK functions
- Copes by using all resources to fight the stress. Successful: learning and masery. If not; exhausiton
- exhaustion; pt cannot adapt and resist. experices SD
In primary care, __________ are the mechanisms underlying the symptoms for 20% to 35% of all patients seeking treatment from physicians [
stressed induced complaints
In the United States, more than _____% of the population is susceptible to acute or chronic stress and the physical and psychological disorders caused by stress
33%
stress induced illnesses are a complex interplay between
genetic
physiologic
environmental
behavioral facts
that influce health and dz
chronic stress can cause
- HTN
- PUD
- CAD
More recetnyl, stress has been thought to be?
nonspecific response to attempt to adapt to demands
what is the most highly validated and widely used stress scale
Holmes and Rahe social readjustment
How do support that stress can be caused by adaptation?
study was done that assigned points to 43 common life events. The greater number of points, the greater prob of illness occuring in the next 2 years. Even worse if the event was considerd a NEGATIVE life exp
What can lead to a increase risk of CAD
- stress
- competiveness
- type A personality
- IMPATIENCE
- problems dealing with anger
what osteopathic approach is taken to treat stress?
look at all aspects that disturb psychosocial and organic problems (NMSK) to treat long term
- palpations diagnosis
- OMT
- Excersie, diet, stop smoking and alcohol and drugs
- meds.
- coping stratgies
clinically evident stress reflects 2 realioties?
- pts response to stress => biopsychosocial consquences
2. long term management of stress is imporatnt for health and needs docs help to adapt
in a primary care practice, diagnosis begins by looking at 4 most common behavioral consquencs of stress
- depression
- anxiety
- substance abuse
- insomia
A good doc readily recognizes that each visit is a new opportunity to ________
question
listen
observe
how do you document spinal fidnings
obj
assessment
plan
obt: actual diagnosis
Assessment: SD of thoracic spine
Plan: OMT
Rotational emphasis on C spine, what do you do?
Rotate to restriction
SB to freedom
SB emphasiss?
SB to restriction
Rotate to freedome
what barrier do we treat with OMT
restrictive
what will sympathetics do to respiratory
- bronchodilation
- decrease bronchial secretion
what will parasympathetics do to respiratory
- bronchoconstriction
- increase bronchial secretion
asthma attack
you want to
______ sympathetics
_______ parasympathetics
increase symp
decrease para
for SC joint
_____ and ____ occur together
elevation and adduction
to tx with Stills => posterior rotation
depression and ABduction => to tx with Still => anterior rotation
for BLT interrouseasou membrane, you hold patients hand or wrist with 1 hand and monitor at the ___ with the other.
radius
