Year 1 OMM Review Flashcards

1
Q

Name 5 Direct OMM Techniques

A

Soft Tissue, Myofascial release, Muscle Energy, HVLA, Stills Technique

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2
Q

Name 5 Indirect OMM Techniques

A

Myofascial release, BLT, FPR, Still’s Technique, Counterstrain

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3
Q

What OMM technique(s) use Active Activating Force ?

A

MET only!

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4
Q

Soft Tissue technique

passive/active?

direct/indirect?

A

Passive

•Direct, Repetitive

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5
Q

soft tissue technique direction of force, duration of force?

A

Direction of Force –Duration of Force

  • Longitudinal –usually 1-2 seconds and release
  • Perpendicular –usually 1-2 seconds and release
  • Inhibitory–hold until tissues release
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6
Q

Myofascial release

passive/active?

direct/indirect?

A
  • Passive, but Active if integrated neuromuscular release added
  • Direct or Indirect, non-repetitive
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7
Q

Myofascial release additions

how many planes treated?

release enhancing maneuvers?

A
  • 3-Dimensional diagnosis treated in 3 planes
  • Add release enhancing maneuvers (breathing)
  • Add Integrated Neuromuscular Release (activating related muscles to more quickly/effectively release myofascial restrictions)
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8
Q

Articulation

passive/active?

direct/indirect?

A
  • Passive
  • Direct, Repetitive
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9
Q

Articulation

direction of force?

A
  • Into the restrictive barrier, then release, repeat until physiologic motion is restored
  • Usually a second of force, a second of relax
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10
Q

Muscle Energy

passive/active?

direct/indirect?

A
  • Active
  • Direct, Repetitive
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11
Q

Muscle energy

how many types?

describe the most common type

A
  • 9 different types
  • Most common type –post-isometric relaxation
  • Activation 3-5 seconds 3-5 times –patient force
  • Remember to let patient relax to have the technique work
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12
Q

balanced ligamentous tension

passive/active?

direct/indirect?

A
  • Passive
  • Indirect, non-repetitive
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13
Q

BLT activating force

A

•Place in position of ease

Activating force –Breathing, inherent forces

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14
Q

Facilitated Positional Release

passive/active?

direct/indirect?

A
  • Passive
  • Indirect, non-repetitive
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15
Q

FPR steps

A

•Flatten the curve, add compression, place in an indirect position, hold for 5 seconds, release and return to neutral

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16
Q

Stills Technique

passive/active?

direct/indirect?

A
  • Passive
  • Indirect to direct, non-repetitive
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17
Q

Stills technique steps

A

Place in indirect position, add compression or traction, move through restrictive barrier to physiologic barrier

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18
Q

Counterstrain

passive/active?

direct/indirect?

A
  • Passive
  • Indirect, non-repetitive
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19
Q

Counterstrain steps

A

Find a significant tenderpoint, establish a pain scale, place patient in position of ease, hold for 90 seconds, SLOWLY return to normal, recheck.

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20
Q

HVLA

passive/active?

direct/indirect?

A
  • Passive
  • Direct, non-repetitive•Direct into the restrictive barrier, quick thrust through restrictive barrier to the physiologic barrier
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21
Q

Cranial - OA

sb and r - opposite or same?

A
  • OA
  • Flexion or extension
  • Sidebending and rotation to OPPOSITE directions
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22
Q

cervical dx

AA – what planes to look at?

A

AA –rotation only

23
Q

cervial dx c2-7

what planes to look at?

sb and rot, same or opposite?

A

C2-7

  • Flexion or extension
  • Sidebending and rotation in the SAMEdirection
24
Q

thoracic dx

rule of 3s

A

t1-3 spinous process is on the same level as TP

t3-6 SP is half level below TP

t7-9 SP is whole level below TP

t10 at whole level below

t11 SP half above TP

t12 equal again

25
Q

Thoracic & lumbar - Type 1 Mechanics

A

TONGO (type one, neutral, group, opposite directions)

26
Q

Thoracic & lumbar - Type 2 Mechanics

A

Single segment, non-neutralSidebending and rotation in the same direction

27
Q

Innominates motion tests

A
  • ASIS Compression
  • Standing forward bending test
28
Q

Sacrum dx

A
  • Unilateral, Torsion, Bilateral
  • 4-point static evaluation + motion test = Diagnosis
  • Static evaluation –sacral sulci, inferior lateral angles, L5

•L5 Must Be Compensated (rotated opposite of sacral base)

29
Q

Sacrum motion tests

A
  • Seated forward bending test (Opposite of axis, side of Unilateral)
  • Lumbar spring test (neg=Flexed vs. pos=Extending Sacral dysfunction)
  • Backward bending test (neg=Flexed vs. pos=Extending Sacral dysfunction)
  • Respiratory motion (exhale=flexed)
30
Q

Sacrum practice:

LS –Negative

BBT –Negative

SeFBT-Right

dx??

A

L/L ST

31
Q

Sacrum practice:

LS –Positive

BBT –Positive

SeFBT-Left

dx??

A

L/R ST

32
Q

Sacrum practice:

LS –Negative

BBT –Negative

SeFBT-Left

A

R/R ST

33
Q

Sacrum practice:

LS –Positive

BBT –Positive

SeFBT-Right

dx??

A

R/L ST

34
Q

What ribe use bucket handle motioin?

A

1-2, 8-10

35
Q

what ribs use pump handle motion?

A

3-7

36
Q

what ribs use caliper motion?

A

11-12

37
Q

ribs tx: Inhalation Dysfunction (Exhalation Restriction)

Ribs 1-10

A

Depress key rib with exhalation

38
Q

ribs tx: Inhalation Dysfunction (Exhalation Restriction)

Ribs 11-12

A

Quadratus lumborum

39
Q

ribs tx: Exhalation Dysfunction (Inhalation Restriction)

rib 1

A

ant/med scalene

40
Q

ribs tx: Exhalation Dysfunction (Inhalation Restriction)

rib 2

A

post scalene

41
Q

ribs tx: Exhalation Dysfunction (Inhalation Restriction)

rib 3-5

A

pectoralis minor

42
Q

ribs tx: Exhalation Dysfunction (Inhalation Restriction)

6-8

A

serratus anterior

43
Q

ribs tx: Exhalation Dysfunction (Inhalation Restriction)

9-10

A

latissimus dorsi

44
Q

ribs tx: Exhalation Dysfunction (Inhalation Restriction)

11-12

A

quadratus lumborum

45
Q

UE: elevated SC joint SD?

A

Adducted

46
Q

UE inferior SC joint SD?

A

Abducted

47
Q

Spencer Technique steps

A
  1. Extension
  2. Flexion
  3. Compression Circumduction
  4. Traction Circumduction
  5. Adduction/External Rotation
  6. Abduction/Internal Rotation

(pump)

Mnemonic: Every Fine Cat Takes An Indoor Piss

48
Q

Forward fall - what happens to radial head?

A

Forward fall –prone=posterior, pronated (Ps!)

49
Q

backward fall, what are we concerned about (UE)?

A

Backward fall –supine=radial head is supinated, anterior

50
Q

Proximal Fibular head: Anterior/Posterior

A

Anterior is associated with foot pronation (dorsiflexion, eversion, abduction)

•Posterior is associated with foot supination (plantarflexion, inversion, adduction)

51
Q

Zink pattern

LRLR

compensated or uncompensated?

A

compensated, common

52
Q

Zink pattern

RLRL

compensated or uncompensated?

A

compensated, uncommon

53
Q

Zink pattern

RRLR

compensated or uncompensated?

A

uncompensated

54
Q

lymphatic pumps

thoracic and pedal, how many cycles per min?

A

120/min