Exam #3 Flashcards
(112 cards)
1
Q
Somatic dysfunction can occur anywhere in the body at
A
Sympathetics levels
Paraysmpathetic levels
Soma (not autonomic related)
2
Q
Viscerosomatic reflexes occur at
A
Sympathetics levels
Parasympathetics levels
3
Q
Facilitated segments ONLY occur at
A
Sympathetics
4
Q
…. with respiratory assist is CONTRAINDICATED in a patient with Asthmatic Flare Up or COPD exacerbation
A
Thoracic Pump
5
Q
Diaphragm neurological
A
neurological: phrenic nerve (C3, C4, C5)
6
Q
Where the thoracoabdominal diaphragm attaches
A
lower ribs, thoraco-lumbar junction, T10-L3 are examples
7
Q
splenic rupture pain referral
A
shoulder
8
Q
Young males should not get recurrent urinary tract infections: must do
A
imaging studies of the uro-genital anatomy
9
Q
Great for treating otitis media, fluid in the ear, Eustachian tube somatic dysfunction
A
Galbreath Technique
10
Q
high-pitched ringing in the ear
A
Internal rotation of the temporal bone
11
Q
perception of a low-pitched roar
A
External rotation of the temporal bone
12
Q
A parallelogram-shaped head in an infant is associated with
A
lateral strain cranial pattern
13
Q
what can cause a positive psoas test
A
renal lithiasis
appendicitis
14
Q
inflamed lymph nodes, this may make the muscle they are touching to become hypertonic such as sternocleidomastoid causing
A
torticollis
15
Q
If someone has a nocturnal cough at night it could be bc
A
asthma (pulmonary issue) or reflux (GI issue)
16
Q
…would think more pulmonary issue and maybe albuterol might be answer choice
A
T2
17
Q
…would think this is more GI and maybe omeprazole might be answer choice
A
T8
18
Q
could be either pulmonary or GI and you would need more information to get correct answer
A
T5
19
Q
Treating a facilitated segment would help avoid excessive neurologic impulse through the
A
viscerosomatic reflex arc
20
Q
Later stages of chronic facilitation is associated with loss of
A
inhibitory neurons
21
Q
RVU means
A
relative value unit
22
Q
Lumbar spine will side-bend towards the …. and rotate towards the…
A
side-bend towards the long leg side and rotate towards the short leg side
23
Q
Most commonly used form of contraction in muscle energy is
A
isometric contraction
24
Q
Take a history prior to
A
physical examination
25
Isometric contraction used in muscle energy tenses the ... causing a reflex inhibition of the muscle allowing an increase in muscle length
Golgi Tendon organs
26
A heel lift for a leg length difference may help prevent
osteoarthritis
27
Orientation of Superior Facets
cervical: BUM
thoracic: BUL
lumbar: BM
28
Orientation of Inferior Facet
cervical: AIL
thoracic: AIM
lumbar: AL
29
flexion and extension are on a ... plane
sagital
30
OA is
AA is
C2-C7 are
Type I like
rotation only
Type II like
31
Rule's of three
T1-3: spinous processes project posteriorly therefore the tip of the spinous process is in the same plane as the transverse process of that vertebra
T4-6: spinous processes project slightly downward, therefore the tip of the spinous process lies in a plane halfway between that vertebra’s transverse processes and the transverse processes of the vertebra below it
T7-9: spinous processes project moderately downward, therefore the tip of the spinous process is in a plane with the transverse process below it
T10 follows rules of T7-9
T11 follows rules of T4-6
T12 follows rules of T1-3
32
Indirect Technique
Dysfunction is taken into position of injury
Uses inherent forces
Uses a compressive, tractional, or torsional component
33
Direct Technique
Uses external forces
34
Postisometric Relaxation
Patient is Instructed to GENTLY Push AWAY From the Barrier
35
Reciprocal Inhibition
Patient is Instructed to GENTLY Push TOWARD the Barrier
36
pancreatitis and vomiting or myocardial infarction and vomiting
viscerovisceral reflex
37
post ganglionic sympathetic fibers lead to tissue texture changes
hypertonicity, moisture, erythema
38
KNOW sympathetics and parasympathetics
Ganglions
CN foramens
...
39
Sympathetic Supply to Upper Extremity Vasculature
T2-T8
40
Sympathetic Supply to Lower Extremity Vasculature
T11 to L2 levels
41
Thoracic inlet/outlet components
Supraclavicular space
| 1st rib
42
adrenal glands
anterior
posterior
Anterior: 1” lateral and 2” superior to umbilicus ipsilaterally
Posterior: intertransverse spaces of T11 and T12 ipsilaterally midway between spinous and transverse processes
43
kidney
anterior
posterior
Anterior: 1” Lateral and 1” Superior to Umbilicus Ipsilaterally
Posterior: Intertransverse Spaces Midway Between Spines and Transverse Tips of T12-L1
44
urinary bladder
anterior
posterior
Anterior: Umbilical Area (Periumbilical)
Posterior: Intertransverse Spaces Midway Between Spines and Transverse Tips of L1-L2
45
urethra
anterior
posterior
Anterior: Along superior margin of the pubic ramus about 2 cm lateral to the symphysis
Posterior: L3 transverse processes
46
Treatment examples include:
Anterior cervical fascia release
Thoracic inlet myofascial release
Pectoral Traction
47
heart sympathetics
T1-6 with synapses in upper thoracic and cervical chain ganglia
48
Right- sinoatrial (SA) node and right deep cardiac plexus– predisposes to
supraventricular tachyarrhythmias. Sinus tach, A-fib, A-flutter, PACs
49
Left-atrioventricular (AV) node and left deep cardiac plexus- predisposes to
ectopic PVCs and V fib and V tach
50
Right vagus-via SA node and hyperactivity predisposes to sinus
bradyarrhythmias
51
Left vagus- via AV node where hyperactivity predisposes to
AV blocks
52
Vagus nerves have fibers course to them from the
C-1 & C-2 nerve roots
53
Sinus Bradyarrhythmia will cause
OA, AA (C1), C2 will rotate towards the right
54
1st, 2nd, 3rd degree AV Blocks will cause
OA, AA (C1), C2 will rotate towards the left (Left side is AV node)
55
Sinus Tachyarrhythmia, Atrial Fibrillation, Atrial Flutter, Premature Atrial Contractions (PAC) cause
Upper thoracic spine (T1-T5) will rotate towards the right (Right side is SA node)
56
V-fib, V-Tach, Premature Ventricular Contractions (PVC) cause
Upper thoracic spine (T1-T5) will rotate towards the left (Left side is AV node)
57
occipitomastoid suture is made up of
temporal bone
| occiput
58
atrial flutter Thoracic vertebrae should be rotated to the
right
59
Dry mouth can be caused by (cranial nerve and foramen)
Can be caused by Cranial Nerve VII - stylomastoid foramen
Can be caused by Cranial Nerve IX - jugular foramen
60
what treatment position is used for AT1-6
flexed
61
ant cervical tender point 7
location
position
location: On the clavicular (lateral) attachment of the SCM
position: F STRA
62
Sternocleidomastoid muscle (SCM) refers pain
lateral and behind the eye
63
Splenius Capitus muscle refers pain to the
vertex of the head
64
CNI
Anosmia
| Cribiform plate through ethmoid bone
65
CNV
Trigeminal Neuralgia/Tic Douloureux
| May complain of sudden, severe facial, ear, and/or jaw pain
66
CNVII
Exits stylomastoid foramen
| Bell’s Palsy
67
CNVIII
Labyrinthitis, Tinnitus, Vertigo **** Temporal bone is associated with tinnitus, labyrnthitis, vertigo
68
CNX
Exits jugular foramen (formed by occipitomastoid suture)
| Can cause Nausea/Vomiting
69
CNXI
Exits jugular foramen (formed by occipitomastoid suture)
| Can cause Torticollis
70
CNXII
Hypoglossal canal
| Can cause nursing/latching problems in infants
71
Complaints associated with CN X Impingement
Colic – CN X
GERD – CN X
Vomiting – CN X
Asthma – CN X
72
Complaints associated with CN XII Impingement
Difficulty nursing/latching
73
Complaints associated with CN VIII Impingement
Otitis Media
74
Pump-Handle motion
1-5
75
Bucket-Handle motion
6-10
76
Caliper motion
11-12
77
Exhaled ribs are prominent
post
78
Inhaled ribs are prominent
ant
79
Anterior Rib Counterstrain Points are associated with
Exh
80
Posterior Rib Counterstrain Points are associated with
Inh
81
Rib HVLA 2-10
Place thenar eminence (fulcrum) on posterior aspect of rib angle
82
goal measure of heal lift
4MM
83
Standing Flexion Test positive side
PSIS moves more cephalad at the end range of motion
84
“Gold Standard” Test for iliosacral SD
Standing Flexion Test
85
Anterior Innominate Rotation muscles used
biceps femoris, semitendinosus, and semimembranosus
86
Posterior Innominate Rotation muscles
vastus lateralis, vastus medialis, vastus intermedius, and the rectus femoris
87
An inferior pubic shear is treated like an Anterior Innominate rotation with the addition of
ABduction
88
A superior pubic shear is treated like a Posterior Innominate rotation with the addition of
ABduction
89
Sacral Torsion Rules
L5 Side-bends Towards the Oblique Axis
| L5 Rotates Opposite of Sacral Rotation
90
Unilateral Sacral Flexion: ME
Ask patient to inhale and hold breath, while you push anterior and superior on the ILA
91
Unilateral Sacral Extension: ME
Ask the patient to exhale and hold breath, while you push anterior and caudad on the superior sulcus
92
right psoas tightness
sideband to right
| strains left piriformis
93
Bragard Test
Herniated Lumbar Disc (L1-L5, S1)
94
Thomas Test
Hip Flexion Contracture (Psoas Muscle Hypertonicity)
95
Babinski Reflex
Upper Motor Neuron Pathology
96
Hoover Test
Malingerer
97
Sympathetic Innervation
| ovaries/testes
T10-T11
98
Sympathetic Innervation
| fallopian tuve/vagina
T11-12
99
Sympathetic Innervation
| uterus/cervix
T10-L2
100
Parasympathetic Innervation to Uterus, cervix, vagina, clitoris, walls of the urethra
S2-S4
101
Direct MFR (Myofascial release) of pelvic diaphragm form
With thumbs medial to the tuberosities gently apply cephalad pressure while maintaining contact with tuberosities at all times
102
Direct MFR (Myofascial release) of pelvic diaphragm is good for
Great for lymphatics/addressing hypertonic pelvic floor musculature
103
Absolute contraindications to OMT during pregnancy
Abruptio placenta
Ectopic pregnancy
Placenta previa
Undiagnosed vaginal bleeding
104
Occipital Condylar Compression
The “most important” or most clinically significant somatic dysfunction which should be addressed in all newborns is occipital condylar compression.
105
....is useful in treating condylar compression.
OA decompression
106
.... plays a role in erectile dysfunction
S2 – 4
107
Decreased Ureteral Peristalsis may cause
Ureteral Spasm (Ureterospasm)
108
...is the maximum number of regions you can treat with OMT in a single encounter
9-10
109
Pump-handle ribs position
flex head and neck
110
Bucket-handle ribs position
Flex the patient’s head and neck and side-bend the patient toward dysfunctional rib
111
... muscles attach to rib 1
Anterior and middle scalene
112
Ejaculation symp level
T12 – L2
