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Flashcards in 5-7 Deck (50)
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1

Which ligament is classically tight on the side of the posterior ILA?

sacrotuberous (sacrum to isch tube)--they may only tell you this in the stem rather than which ILA is posterior. Remain calm.

2

What way does the sacrum move in the sphinx test?

anterior/flexion? the lumbar spine is extending

3

Which way does L5 rotate with respect to the sacrum in a torsion vs. a rotation?

sacral torsions have L5 rotating opposite and sacral rotations have L5 rotating in the same direction

4

Rate the muscle strenght of a person with weak movement without gravity

2 out of 5

5

Loss of function of the extensor hallucis longus may be from a lesion to this nerve root

L5

6

loss of the anterior tibialis may be from a loss of this nerve root, what about named nerve?

L4; deep peroneal

7

Loss of function of the gastronemius may imply a lesion to this nerve root

S1

8

LBP has a musculoskeletal etiology ____% of the time

97

9

Pain on a straight leg raise beyond 70 degrees implies a lesion where?

hip or joint

10

Pain on a straight leg raise between 35-70 degrees implies a lesion where?

sciatic nerve

11

If a person has a lesion to their right inferior gluteal nerve and is asked to stand on the right leg, what will happen to the left pelvis?

nothing, the gluteus medius is innervated by the superior gluteal nerve and so the Trendelenberg test is negative

12

What is the most common etiology of coccydynia? What is the treatment?

trauma; INTRA-RECTAL

13

Regarding lumbarization of S1 and sacralization of L5 ,which is more common? What % of the population?

sacralization of L5 is more common and occurs in 3.5% of population

14

These 2 muscles form the pelvic diaphragm

levator ani, pubococcygeus

15

Which vertebral levels are the superior, middle, and inferior axes of sacral motion located?

All are located about S2

16

Which type of motion occurs about the middle transverse axis of S2

postural

17

Which type of motion occurs about the inferior transverse axis of S2

dynamic i.e. walking

18

Which type of motion occurs around the superior transverse axis of S2

respiratory and cranial

19

A superior ASIS, inferior PSIS, and equal isch tubes with an ipsilaterally positive SF test implies this dysfunction

posterior innominate

20

How do you set up a woman who had a hip replacement for Tx of her superior shear?

leg abducted with EXTERNAL rotation

21

What is the treatment sequence for pelvic dysfunction according to Mitchell?

Treat the non-neutral (type II) thoracic and lumbar dysfunctions, treat innominate and pubic shears, treat sacroiliac dysfunction, treat iliosacral dysfunction

22

A tenderpoint located 1/3 from the ASIS to the midline is for this muscle

iliacus

23

What % of the population will experience LBP this year?

50%

24

how do you tx acute injury to the low back

RICE

25

Where can pain be referred to in sacroiliitis?

the anterior hip

26

Sciatica commonly involves hypertonicity of this muscle

piriformis

27

What usually causes lateral trochanteric bursitis?

Irritation of the bursa by the IT band

28

What is a good Tx for ligamentous laxity

prolotherapy

29

LBP with contemporaneous upper extremity pain may indicate spasticity of a muscle innervated by this nerve

thoracodorsal nerve (latissimus dorsi)

30

What is the major etiology we should think of with lower extremity edema?

DVT

31

What is an important area to target if you suspect a muscular etiology for incontinent bowel?

pelvic diaphragm

32

Irritable bowel can be described as an imbalance between what?

sympathetic and parasympathetic nervous systems

33

Why would you target pelvic splanchnics for an ileus?

Assuming the parasympathetic nerves in S2-S4 where hypoactive and causing the ileus, treating this area could improve colonic motility

34

How would you go about treating a small bowel obstruction?

This one is a mess. If we go with Balmer's lecture then we wouldn?t bc obstruction = contraindication. If we go with O'donnel then we target pelvic splanchnics which makes no sense because the small bowel recieves parasympathetic input from the vagus. Good luck.

35

A UTI may have what structural dysfunction on palpatory exam?

pubic dysfunction

36

An erectile dyfunction is caused by hypoactivity of this arm of the ANS and may be accompanied by this structural dysfunction

parasympathetics, pubic dysfunction

37

Which areas should you target in an osteopathic approach to prostatitis and BPH, why?

pelvic diaphragm to decrease congestion

38

If a male presents to you with trouble ejaculating what area should you target and why?

the pelvic diaphragm as blood flow is "key"

39

What may you suspect in a person who comes in with persistent dominant pelvic complaints?

sexual abuse

40

What may happen to the AP curves in a pregnant woman?

Exacerbation of kyphosis and lordosis

41

What causes the ligamentous laxity of pregnancy?

hormones (relaxin)

42

Why are the lymphatic's effectivenesss decreased in pregnancy

because the diaphragm is messed up d/t the weird curvatures of the spine

43

Why is toxemia of pregnancy a relative contraindication for OMT?

it reduces the seizure threshold

44

When is the structural stage of pregnancy?

0-28 weeks

45

When is the congestive stage of pregnancy?

28-36 weeks

46

When is the preparatory stage of pregnancy?

Beyond 36 weeks, assess craniosacral rhythm

47

What structure acts as a ball-valve in pregnancy?

uterus

48

What hemodynamic change may occur in a supine pregnant woman

hypotension secondary to the ball valve obstruction of the IVC and subsequent decrease in venous return = stroke volume

49

How can you induce labor?

CV4, or pitocin like a normal person

50

What should you do prior to any lymphatic Tx?