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OS2 Midterm > Treatments > Flashcards

Treatments Flashcards

1
Q

Inhalation Dysfunction MET/ART - Rib 1

A
  • pt supine; physician at head of table
  • MCP of index finger contacts superior surface of rib
  • pt’s head gently flexed, ST and RA
  • pt inhales -> prevent motion
  • pt exhales -> exaggerate motion down into rib
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2
Q

Inhalation Dysfunction MET/ART - Rib 2-6

A
  • pt supine, physician’s knee on table underneath pt’s upper thoracic area (on dysfunctional side); only need to flex head for 2-3
  • pt’s body sidebend towards rib until tension take off of it
  • thumb and index finger placed on intercostal space above rib (try to grab as much of rib as possible)
  • pt inhales -> prevent motion
  • pt exhales -> exaggerate motion down into rib
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3
Q

Inhalation Dysfunction MET/ART - Rib 7-10

A
  • pt supine, physician at side of dysfunctional rib
  • abduct pt’s shoulder and place thumb on superior surface of dysfunctional rib
  • pt inhales -> prevent motion
  • pt exhales -> exaggerate motion down into rib and sidebend pt towards rib w/ each breath
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4
Q

Inhalation Dysfunction MET/ART - Rib 11-12

A
  • pt prone and physician on opposite side
  • sidebend pt’s legs towards rib (C-shape)
  • place thenar eminence under affected rib
  • pull pt’s hip up to relax quadratus lumbrorum
  • pt inhales -> prevent motion
  • pt exhales -> exaggerate motion superior and laterally
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5
Q

Exhalation Dysfunction MET/ART - Rib 1-2

A
  • pt supine and physician on opposite side
  • pt rotates head 30 degrees away from rib and places hand on forehead
  • physician reaches around to grab rib
  • pt inhales -> holds breath -> pushes head into hand while you resist
  • pt exhales and relaxes -> you pull inferiorly on rib
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6
Q

Exhalation Dysfunction MET/ART - Rib 3-5

A
  • pt supine w/ physician on opposite side
  • reach behind and find rib and put pt’s hand above their head
  • put hand on pt’s elbow
  • pt inhales -> holds breath -> pushes elbow into your hand while you resist
  • pt exhales and relaxes -> you pull inferiorly on rib
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7
Q

Exhalation Dysfunction MET/ART - Rib 6-8

A
  • pt supine w/ physician on same side
  • place hand under pt on superior surface of rib
  • place pt’s arm on top of them w/ elbow flexed and pointed upwards
  • pt inhales -> holds breath -> pushes elbow into your hand (up to ceiling) while you resist
  • pt exhales and relaxes -> you pull inferiorly on rib
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8
Q

Exhalation Dysfunction MET/ART - Rib 9-10

A
  • pt supine w/ physician on same side
  • place hand under pt on superior surface of rib
  • abduct pt’s arm and place hand on pt’s elbow
  • pt inhales -> holds breath -> pushes elbow into your hand (adducting arm) while you resist
  • pt exhales and relaxes -> you pull inferiorly on rib
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9
Q

Exhalation Dysfunction MET/ART - Rib 11-12

A
  • pt prone and physician standing on opposite side
  • sidebend pt’s legs away from rib (C-shape towards you)
  • stabilize the rib above the one you’re treating w/ thenar eminence
  • pull pt’s hip down towards feet
  • pt inhales -> holds breath and pulls hip up to head
  • pt relaxes and exhales -> pull hand caudally
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10
Q

Anterior Innominate MET/ART - supine

A
  • flex pt’s hip and knee to barrier (induces posterior rotation)
  • pt extends hip while you resist
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11
Q

Anterior Innominate MET/ART - prone

A
  • flex pt’s leg off table and place foot on your thigh

- pt extends hip while you resist

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12
Q

Posterior Innominate MET/ART - supine

A
  • stabilize pt’s opposite ASIS
  • extend pt’s leg off side of table to barrier (lock around pt’s leg to prevent it from dangling)
  • pt flexes hip and you resist
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13
Q

Posterior Innominate MET/ART - prone

A
  • stabilize pt’s opposite PSIS
  • extend pt’s leg up
  • pt flexes leg back to table and you resist
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14
Q

Superior Innominate Shear MET/ART

A
  • grasp tib/fib just above the ankle
  • internally rotate and abduct leg
  • lean back and tell pt to pull hip towards shoulder while you resist
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15
Q

Inferior Innominate Shear MET/ART

A
  • rest pt’s foot on thigh
  • internally rotate and abduct leg
  • lean forward and tell pt to push leg towards your thigh while you resist
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16
Q

Outflare Innominate MET/ART

A
  • pt supine with you on opposite side
  • flex dysfunctional leg over opposite leg
  • put one hand on outside of flexed knee and other on same PSIS of knee
  • adduct hip to restrictive barrier
  • tell pt to push knee out towards your hand while you resist
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17
Q

Inflare Innominate MET/ART

A
  • pt supine with you on opposite side
  • flex dysfunctional leg over opposite leg
  • put one hand on inside of flexed knee and other on contralateral ASIS of knee
  • abduct hip to restrictive barrier
  • tell pt to push knee towards hand while you resist
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18
Q

Unilaterally Extended Sacrum MET/ART

A
  • monitor SI joint and abduct leg until motion is felt at joint
  • externally rotate leg
  • place heel of hand on sacral base on dysfunctional side (fingers facing down)
  • pt inhales -> resist motion
  • pt exhales -> exaggerate motion anterior/inferior
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19
Q

Unilaterally Flexed Sacrum MET/ART

A
  • monitor SI joint and abduct leg until motion is felt at joint
  • internally rotate leg
  • place heel of hand on affected ILA (fingers up)
  • pt inhales -> allow motion
  • pt exhales -> resist posterior/inferior motion w/ pressure on ILA
20
Q

Bilaterally Extended Sacrum MET/ART

A
  • abduct and externally rotate both legs
  • place heel of hand in middle of sacral base (fingers facing down)
  • pt inhales -> resist motion
  • pt exhales -> exaggerate motion anterior/inferior
21
Q

Bilaterally Flexed Sacrum MET/ART

A
  • abduct and internally rotate both legs
  • place heel of hand in middle of sacral apex (fingers facing up)
  • pt inhales -> allow motion
  • pt exhales -> resist posterior/inferior motion w/ pressure on ILA
22
Q

Forward Sacral Torsion MET/ART

A
  • pt in modified sims position (chest on table) with axis side down
  • monitor L5-S1 joint
  • flex pt’s hips and knees to 90 degrees and drop them off the table (support pt’s knees on your thighs while sitting)
  • pt pushes legs up towards the ceiling while you resist
23
Q

Backward Sacral Torsion MET/ART

A
  • pt is lateral recumbent w/ axis side down
  • lay pt’s shoulder posterior so their back is toward the table
  • monitor L5-S1 joint
  • flex the top hip and knee 90 degrees off the table
  • pt pushes knee towards the ceiling while you resist
24
Q

Posterior Innominate Rotation - BLT

A
  • pt seated w/ physician seated in front
  • grab distal tibia bilaterally
  • have pt turn body towards dysfunctional hip
  • push pt’s dysfunctional leg posterior and opposite leg anterior (induce posterior rotation)
  • have pt inhale/exhale and tell pt to hold breath til air hunger during breath that had less tension
25
Q

Anterior Innominate Rotation - BLT

A
  • pt seated w/ physician seated in front
  • grab distal tibia bilaterally
  • have pt turn body away from dysfunctional hip
  • pull pt’s dysfunctional leg anterior and opposite leg posterior (induces anterior rotation)
  • have pt inhale/exhale and tell pt to hold breath til air hunger during breath that had less tension
26
Q

Pubic Dysfunctions MET aka “Shotgun Approach”

A
  • pt supine w/ hips flexed to 45 and knees flexed to 90 (feet flat on table)
  • fixed compression: place hands on inside of knees and have pt adduct
  • fixed gapping: place hands on outside of knees and have pt abduct
27
Q

Bilaterally Extended Sacrum - BLT, supine

A
  • place hand under sacrum w/ thenar eminence on sacral apex
  • push sacral apex up (more posterior w/ thenar eminence)
  • have pt inhale/exhale and tell pt to hold breath til air hunger during breath that had less tension
28
Q

Bilaterally Flexed Sacrum - BLT, supine

A
  • place hand under sacrum w/ thenar eminence on sacral apex
  • push sacral base up (more posterior w/ fingers)
  • have pt inhale/exhale and tell pt to hold breath til air hunger during breath that had less tension
29
Q

Forward Sacral Torsion - BLT, supine

A
  • sit on same side as direction of rotation (top letter)
  • place hand under sacrum and apply anterior pressure to the opposite side of the sacrum (L/L ST = push on right sacrum)
  • have pt inhale/exhale and tell pt to hold breath til air hunger during breath that had less tension
30
Q

Backward Sacral Torsion - BLT, supine

A
  • sit on same side as direction of rotation (top letter)
  • place hand under sacrum and apply anterior pressure to the opposite side of the sacrum (R/L ST = push on left sacrum; further induces rotation)
  • have pt inhale/exhale and tell pt to hold breath til air hunger during breath that had less tension
31
Q

Backward Sacral Torsion - BLT, seated

A
  • pt seated w/ physician behind monitoring sacral sulci
  • flex pt until motion in sacral base is felt (extends sacrum further)
  • rotate pt towards sacral rotation
  • side bending may be induced to opposite side of rotation if it helps motion
  • have pt inhale/exhale and tell pt to hold breath til air hunger during breath that had less tension
32
Q

Forward Sacral Torsion - BLT, seated

A
  • pt seated w/ physician behind monitoring sacral sulci
  • extend pt until motion in sacral base is felt (flexes sacrum further)
  • rotate pt towards sacral rotation
  • side bending may be induced to opposite side of rotation if it helps motion
  • have pt inhale/exhale and tell pt to hold breath til air hunger during breath that had less tension
33
Q

PC1 - Inion

A

Flex occiput, RaSt

34
Q

PC1 & PC2 Occiput

A

Extend occiput, Ra Sa

35
Q

PC2, PC4-PC8

A

Extend occiput/neck, RaSa

36
Q

PC3

A

Flex occiput/neck, RaSa

37
Q

PT 1-12 SP

A

treat inferior aspect of spinous process and extend pt

38
Q

PT 1-3 TP

A

Extend pt’s head/neck, RaSa

39
Q

PT 4-9 TP

A
  • ERTSa
  • pt lays prone w/ arms at sides
  • grab pt’s shoulder on side of tenderpoint sidebend body away and rotate towards (lift shoulder up towards tenderpoint - also includes extension)
  • OR have pt bring arm up over yours and lift it up to rotate/sidebend/extend
40
Q

PT 10-12 TP

A
  • ERaSa
  • pt prone w/ you on opposite side
  • sidebend legs away from tenderpoint
  • pull back on opposite ASIS for rotation/extension
41
Q

PL 1-5 SP

A
  • Extend, adduction, Rt
  • pt prone w/ you on opposite side of tendernpoint
  • extend pt’s leg on affected side and rotate pelvis (using leg) towards you
42
Q

PL 1-3 TP

A
  • ERTSa
  • pt prone w/ you standing on opposite side of tenderpoint
  • sidebend pt’s legs away from tenderpoint
  • extend pt’s hip on side of tenderpoint to rotate towards
43
Q

UPL5 (Upper Pole L5)

A
  • Extend, Adduct, IR/ER
  • pt prone w/ you standing on opposite side
  • grab pt’s leg opposite you (extends)
  • add IR/ER to point of most relief
44
Q

LPL5 (Lower Pole L5)

A
  • Flex, Adduct, IR
  • pt prone w/ you on same side
  • while monitoring tednerpoint, drop pt’s flexed leg off the table and support their leg w/ your thigh
  • internally rotate leg (using your stool)
45
Q

HISI (High Ilium Sacroiliac)

A

Extend, Abduct, ER

  • pt prone w/ you standing on same side
  • extend pt’s leg, Abduct, and externally rotate
  • can use your leg to support
46
Q

PL3 and PL4 - Gluteus

A
  • Extend, Abduct, ER
  • pt prone w/ you standing on same side
  • extend pt’s leg, Abduct, and externally rotate
  • can use your leg to support

OS2 Midterm (5 decks)

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