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OMM V > Final Practical Exam > Flashcards

Final Practical Exam Flashcards

(70 cards)

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1
Q

Crossover test for shoulder

A

Tests for AC Joint Pathology

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2
Q

Long head biceps TP

A

Location: bicipital groove

Position: Woe is me

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3
Q

Anterior hip joint capsule stretch/mobilization

A

Remember to stand on the OPPOSITE side of the dysfunction

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4
Q

Innominate inflare/outflare treatment

A
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5
Q

Hip Drop Test

A

Test of the lumbar spine’s ability to side-bend. Not a test of the hip’s ability to drop

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6
Q

Patrick test

A

Indicates SI and hip dysfunction

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7
Q

Treatment for superior clavicular head

A

Patient supine

Extend the arm off the side of the table and induce internal rotation

Patient flexes arm against resistance2-3 times

Reassess

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8
Q

McMurray’s Test

A

Test for damage to medial and lateral menisci

The side of the knee being gapped is the side being tested

Varus and valgus stress applied in opposite direction to rotation of tibia

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9
Q

Spencer Technique

A

General: evaluates passive range of motion and used for treatment of adhesive capsulitis or restricted ROM form fibrosis, remember to stabilize the scapula and clavicle, all motions performed except external rotation

1) Extension
2) Flexion
3) Circumduction with compression
4) Circumduction with traction
5) Abduction
6) Internal rotation
7) Traction/Distraction

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10
Q

Piriformis TP

A

Belly of the piriformis

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11
Q

Talar tilt test

A

Inversion stress test to assess integrity of the calcaneo fibular ligament

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12
Q

Medial ankle TP

A

1” arc under the medial malleolus

Treats the tibialis anterior

Foot on pillow off table with bad leg up so you can push down

Induce inversion with slight internal rotation

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13
Q

Supraspinatus TP

A

Location: belly of supraspinatus

Position: 45 degrees of flexion/abduction/external rotation, otherwise jsut 180 degrees of abduction

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14
Q

Medial Meniscus TP

A

Located on medial joint line

Treated with leg off table, flex knee to 40 degrees, slight varus stress and internal rotation

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15
Q

Anterior trochanter TP

A

Sartorius Muscle

1-2 in caudad and slightly medial to ASIS

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16
Q

Talocalcaneal (Subtalar) Joint diagnosis

A

Testing for anteromedial and posterolateral glide of the calcaneus on the talus

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17
Q

Gluteus Medius TP

A
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18
Q

Scapular release MFR

A
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19
Q

Piriformis muscle energy

A
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20
Q

What abdominal medical problems can cause a positive Thomas test?

A

Kidney stones and pancreatitis

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21
Q

Shoulder impingement tests

A

Does not tell you the cause, but is a symptom

Most often caused by subacromial bursitis or supraspinatus tendinitis or a tear

Abduct arm to 180 degrees–impingement present ifshoulder will not abduct beyond 90 degrees without pain

Hawkin’s test: flex and internally rotate the shoulder while placing downward pressure on the wrist

Neer’s test: flex arm with internal rotation

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22
Q

Subdeltoid bursa TP

A

Location: under acromion high on anterolateral humerus, found best by abducting the arm

Position: Statue of liberty

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23
Q

Aprehension test for the shoulder

A

Tests for chronic anterior dislocation of the shoulder

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24
Q

Jobe’s sign/test

A

Test for supraspinatus tendinitis

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25
How to test and distinguish between gastroc and soleus tightness
Use the ankle dorsiflexion test Test dorsiflexion of the ankle with the knee extended and flexed to 90 degrees If tight when flexed, soleus is to blame If tight when extended, gastroc is to blame
26
Levator Scapula TP
Position: patient prone, rotate head away from TP, extend and internally rotate the arm, add caudal traction Alternate: patient supine, sidebend head towards, apply pressure through elbow to raise the scapula
27
Compression of interosseus membrane of forearm
28
Speed's test
Pain along long head of biceps with weakness
29
Posteromedial Trochanter TP
Inferior Gemellus and Quadratus Femoris Ischiogluteal bursitis
30
Apley's Distraction test
For the collateral ligaments Distraction should not be painful if the menisci only are damaged
31
Flexor retinaculum stretch
Doctor squeezes over the retinaculum while the patient opens and closes hand 5-10 times to stretch the flexors and the retinaculum to treat CTS
32
ME for exhaled ribs 1-2
Rib 1 position: head neutral and hand on forehead Rib 2 position: head rotated away and hand on forehead Patient inhales and holds breath, lifts head toward ceiling while doc pushes down on the rib posteriorly
33
Counterstrain treatment for exhaled first rib
TP: found on the sup aspect of the first rib posteriorly Position: stand behind the patient, knee under patient's arm on the side of the dysfunction, translate away, SB towards and use F/E, Rot to fine tune. hold 120 sec
34
Elbow Counterstrain
Lateral Elbow: radial head/lateral epicondyle, treat in supination, full extension and abduct Medial Elbow: med epicondyle, fully flex and pronate and abduct
35
Lachman Test
Considered best test for ACL tear because joint capsule is relaxed Flex knee to about 30 degrees
36
Lateral ankle TP
Found 3/4" inferior and anterior to lateral malleolus Treats Fibularis longus and brevis Treat with significant force of eversion and slight external rotation to fine tune Patient's foot on pillow and hanging off table
37
Subtalar joint HVLA
If the talus is anteromedial, the calcaneus is posterolateral and vice versa To fix, the calcaneus is rotated opposite to where it is: antermodial is rotated lateral and posterolateral is rotated medial
38
Scapular winging
Tests serratus anterior muscle and the long thoracic nerve (C5-7)
39
Plantar navicular TP
Found at apex of medial arch on plantar surface of navicular, Tibialis Post. Patient prone with knee flexed Doctor's thumb exerts pressure on dorsal surface of TP inducing foot inversion and slight dorsiflexion
40
ME for inhaled ribs 1 & 2
Flex and side bend head towards the affected rib Press down on rib anteriorly Patient exhales and holds breath while extending head against doc's arm Remember that first rib is in supraclavicular fossa and second rib is just below clavicle
41
Sulcus Test
Shoulder in neutral, physician pulls traction on humerus to see if there is gapping below the acromion Tests for stability of the glenohumeral joint, muscle tears, labral tears, or AC joint separation
42
Adson's test for TOS
Extend, externally rotate, abduct while feeling radial pulse Symptoms with head turned outward indicate tight scalenes Symptoms with head turned inward indicate bony pathology
43
Pectoralis Minor TP
Position: adduct obliquely across the body and add caudal traction
44
Shoulder quick screen (test)
45
Internally rotated hip dysfunction
Tight internal rotators: glut med/min and piriformis
46
Coracoid TP
Location: over coracoid process Position: adduct arm across chest Treatment for tendinitis/strains of short head of biceps
47
Anterior drawer test for the ankle
Tests anterior talo fibular ligament integrity
48
Restricted post. capsule stretch for the shoulder
For frozen shoulder Patient lies on the affected shoulder Abduct arm 90 degrees and internally rotate to the barrier, rock patient back and forth over the arm to stretch the capsule Can also use ME to stretch the capsule while applying force in internal rotation
49
Counterstrain for A1R and A2R
These are inhaled ribs Locations: Rib 1 is at junction of rib 1 and manubrium Rib 2 is in second intercostal space Treatment: knee under opposite arm and tanslate patient away while flexing, SB, and rotating towards Slightly more flexion required for the second rib
50
Cuboid TP
1 inch post and 1 inch medial to base of 5th metatarsal or on the dorsum of the foot over the cuboid bone Extensor Digitorum Brevis Patient prone with knee flexed, doctor's thumb exerts pressure over plantar surface of the TP causing foot eversion and dorsiflexion
51
Patella TP
Perimeter of patella Apply pressure on opposite side of patella
52
Lateral Trochanter TP
IT band
53
Hip scour test
Pain in the groin indicates a tight posterior capsule
54
Opponen's Roll
Stretches the ligamentous attachments of the wrist to help with CTS
55
Subscapularis TP
Location: ant. surface of scapula in the post. axillary fold Position: extend arm 30 degrees and internal rotation of the shoulder
56
Wrist Joint Play distal radioulnar joint
57
Flexion Calcaneus TP
Anterior border of plantar surface of calcaneus Patient prone with knee flexed Induce plantar flexion by cupping the foot as seen in image
58
PIN tenderpoints of the hand
Location: in the palm of the hand on the sides of the metacarpals Position: flex the fingers over the tenderpoint and fine tune
59
CM1 (carpometacarpal) TP
Location: at base of thumb on palmar side Position: flex and oppose thumb over TP
60
Posterolateral Trochanter TP
Piriformis insertion
61
Hip abduction dysfunction treatment
Tight abductors: Glut med and min Patient supine, raise and adduct the limb and use ME techniques Alternate is to pass affected leg under the other: isolates tensor fascia lata more specifically
62
Wrist Joint Play Ulna-Meniscal-Triquetral joint play
63
Apley's Scratch test
64
Infraspinatus TP
Location: 1-2 inches below spine of scapula and 1/2 inch lateral to the medial margin of scapula Treatment: 160-180 degrees of arm flexion
65
Palmar wrist retinaculum TP
Location: palmar surface of the carpals Position: Palmar flex the wrist over the tender point
66
Drop arm test
Passively abduct patient's arm to 90 degrees Have patient actively lower arm slowly Pain or suddun drop indicate rotator cuff tear–specifically supraspinatus
67
Anterior clavicular head
68
Hip compression test
Tests for hip joint arthritis or SI joint arthritis Flex knee and hip like in Patrick's test Press through knee and femur to hip joint Pain in groin indicates hip arthritis, pain in SI joint indicates pathology there
69
Apley's Compression
Test for meniscal tears The compression should produce pain as you rotate tibia
70
Cuboid J-Stroke or Hiss Whip
Used to correct an internally rotated or dropped cuboid

OMM V (1 decks)

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