OMM Flashcards

1
Q

Facet orientations

A

Cervical: Backwards, Up, Medial
Thoracic: Backwards, Up, Lateral
Lumbar: Backwards, Medial

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2
Q

Law of 3’s

A

T1-3 and 12 are in line with their transverse process
T4-6 and 11 are 1/2 level below their TP
T7-9 and 10 are 1 level below their TP

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3
Q

What techniques use active participation

A

ME, Myofascial, BLT

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4
Q

Atypical Ribs

A

Missing primary component
1, 2, 11, 12

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5
Q

Pump Handle Ribs

A

1-5

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6
Q

Bucket handle ribs

A

6-10

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7
Q

Scoliosis diagnostic angle

A

10+ degrees
Named for convexity

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8
Q

Scoliosis that can do conservative therapy

A

1-15 degrees

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9
Q

Scoliosis that needs bracing

A

20-49 degrees

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10
Q

Scoliosis that needs surgery

A

more than 50 degrees
Affects respiratory function
above 75 affects cardiac function

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11
Q

Konstantin exercises

A

Part of conservative management for scoliosis

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12
Q

Short leg affect on innominate

A

Posterior rotation

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13
Q

Backward Sacral torsion rules

A

(Shallow Sulcus) on (Axis)
opposite on opposite
L5 points down at the axis
L5 rotated to axis
SPRING+

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14
Q

Forward Sacral torsion rules

A

(Shallow Sulcus) on (Axis)
Same on Same
L5 points down at the axis
L5 rotates away from axis
NO SPRING

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15
Q

What direction does the wrist move when the carrying angle increases?

A

Adduction

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16
Q

What direction does the ulna move when the carrying angle increases?

A

Abduction

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17
Q

What direction does the radial head glide upon supination, pronation?

A

Supination = Anterior glide
Pronation = Posterior glide

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18
Q

Where does the radial head go with FOOSH?

A

Posterior
(backward fall it goes anterior)

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19
Q

Movement caused by pronated ankle

A

Dorsiflexion, Eversion, Abduction and anterior glide of fibular head

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20
Q

Movement caused by anterior glide of fibular head

A

Posterior distal tibia
Talus ER
Everted, dorsiflexed foot

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21
Q

Purpose of CV4 Technique

A

Increase CRI amplitude

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22
Q

Appendix CP

A

Tip of R12
Lamina of T11

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23
Q

Prostate CP

A

Lateral, Posterior IT band

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24
Q

Cardiac CP

A

2nd ICS near sternum

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25
Respiratory CP
2nd and 3rd ICS for upper lung 4th for lower lung
26
HEENT CP
3 on the first rib 2 on the second rib
27
Primary movement of OA
Flexion and extension
28
Primary movement of AA
Rotation
29
3 movements of the foot with ankle supination
Plantarflexion Inversion Adduction
30
What direction does the fibular head glide in ankle supination?
Anterior (posterior in pronation)
31
How does the cranium move with flexion?
Midline bones flex Paired bones ER AP decreases Counternutation (sacrum moves posterior)
32
How does the cranium move with extension?
Midline bones extend Paired bones IR AP increases Nutation (sacrum moves anterior)
33
Physiologic cranial strains
Torsion SB / Rotation
34
Non-physiologic cranial strains
Lateral and vertical compression Flexion and extension (if they move unequally)
35
Cranial torsion
Physiologic AP Axis Sphenoid and Occiput rotate in opposite directions Named fro superior Greater Wing of Sphenoid
36
Cranial lateral strain
Non-physiologic 2x Vertical axes Named for deviation of sphenoid (L or R) Rhomboid strain (parallelogram)
37
Cranial vertical strain
Non-physiologic 2x Transverse axes Superior: Sphenoid cephalad, Occiput caudad Inferior: Sphenoid caudad, Occiput cephalad
38
Cranial compression strain
Non-physiologic Sphenoid and occiput compress together
39
Cranial Flexion / Extension strain
Non-physiologic when not moving Named for Greater movement Flexion: SBS cephalad, decreased extension Extension: SBS caudad, decreased flexion
40
Infant with poor suckling, CN involved and management
Hypoglossal (CNXII) Condylar decompression to improve (Targets Occiput)
41
Otitis Media CP
Mid-clavicle ipsilaterally
42
Eye CP
Anterior humerus: mid-aspect of surgical neck and occipital bone
43
Stomach CP
5-6 ICS on the Left T5 Left Lamina
44
Liver CP
5-6 ICS on the Right T5 and T6 Right lamina
45
Gallbladder CP
6th ICS on the Right T6 Right Lamina
46
Pancreas CP
7-8 ICS on the Right, next to costal cartilage T7 Right lamina
47
Spleen CP
7-8 ICS on the Left, next to costal cartilage T7 Left lamina
48
Cecum, terminal ileum CP
Right trochanteric region of the IT band
49
Sigmoid CP
Left trochanteric region of the IT band
50
Colon CP
Trochanteric region of IT band Greater trochanter to just about the knee
51
Hepatic Flexure CP
Right middle 3/5 of IT Band
52
Splenic Flexure CP
Left middle 3/5 of IT band
53
Head and Neck Sympathetic Viscerosomatics
T1 - T4
54
Stomach Sympathetic Viscerosomatics
T5 - T9
55
Liver Sympathetic Viscerosomatics
T6 - T9
56
Pancreas Sympathetic Viscerosomatics
T5 - T11
57
Small Intestine Sympathetic Viscerosomatics
T9 - T11
58
Kidney Sympathetic Viscerosomatics
T10 - T11
59
Superior Mesenteric Sympathetic Viscerosomatics
T10 - T12
60
Bladder Sympathetic Viscerosomatics
T11 - L2
61
Lower Extremities Sympathetic Viscerosomatics
T11 - L2
62
VSR for cardiac
T1 - T5 L > R
63
VSR for esophagus
T3 - T6 R
64
VSR for Duodenum
T6 - T8 R
65
VSR for the Appendix
T9 - T12 R
66
VSR for ovaries
T10 - T11 S2 - S4
67
VSR for Prostate
T10 - T12 b/l S2 - S4
68
VSR for ureters, bladder
T10 - T12 S2 - S4
69
VSR for uterus
T10 - T11 S2 - S4
70
AT2 Tender Point
Midline, Angle of Louis
71
AT7 TP
Midline or inferolateral tip of xiphoid
72
Piriformis TP
7cm Medial to Greater Trochanter
73
Iliac TP
7cm Medial to ASIS
74
L1 TP
Medial to ASIS
75
L2 TP
Medial to AIIS
76
L3 TP
Lateral to AIIS
77
L5 TP
Pubic Rami 1cm lateral of pubic symphesis
78
Spurling Test
CN radiculopathy test Pt. seated, doc E and SB c-spine w/ compression
79
Wallenberg test
Vertebral A. insufficiency test Pt. supine, doc flexes and holds. Repeat w/ E. Do E again looking right and left.
80
Adson's Test
Thoracic Outlet from tight scalenes Doc monitors radial pulse. Pt. Extends arm and elbow, ER, Abducts. Breathes deeply and turns head ipsilaterally.
81
Wright Test
Thoracic outlet Doc monitors radial pulse, hyper-abducts arm above head withs one extension
82
Military posture
Thoracic outlet (from cervical and first rib compromise) Doc monitors radial pulse. Depresses and extends shoulder.
83
Speed test
Bicep tendonitis Pt fully extends elbow, flexes shoulder, supinates. Physician resists flexion of shoulder
84
Yeargson Test
Bicep tendonitis Pt flexes elbow 90 Degrees Doc grabs elbow and wrist. Pulls down on elbow while ER forearm against pt resistance
85
Apley Scratch test
Shoulder ROM Pt stands, abducts and ER. Reaches behind head and touches opposite shoulder. Adducts and IR. Reaches behind back and touch inferior angle of contralateral scapula
86
Drop arm test
Rotator cuff tears.
87
Empty can test
Cervical nerve root compression
88
Neer Test
Anterior impingement syndrome Tests for rotator cuff tendons under coraco-acromial arch Extreme forward flexion with forearm pronated. Doc moves this arm into full shoulder flexion up.
89
Finkelstein
Tenosynovitis of abductor policies longs and extensor braves Thumb in fist and bill Clinton gesture
90
Hip Drop Test
Sidebending of lumbar spine and thoracolumbar junction
91
Ely Test
Hip flexors / rector femoris Prone pt, doc flexes knee until resistance
92
Trendelenburg test
Pt faces away, picks one leg up off the floor Pelvis falls = weak contralateral gluteus
93
FABERE test
SI and hip pathology Pt supine, doc manipulates leg at knee and monitors contralateral ASIS
94
Ober test
Tensor Fascia Late and IT band assessment Pt on side, doc behind. Knees at 90. Doc Abducts, Extends leg at ankle and hip (for stability). Allows leg to fall to table
95
Thomas Test
Flexion contracture of hip (usually iliopsoas) Pt supine, legs of table. Doc looks for lumbar lordosis. Doc flexes hip so anterior thigh touches their abdomen.
96
Positioning for Hip Dysplasia evaluation in newborn
Infant on back, hips and knees flexed.
97
Barlow test
Doc grabs knees and ipsilaterally applies downward pressure to see if it can be pushed out of its socket easily.
98
Ortalani test
Doc grabs one knee and abducts while applying slight anterior pressure, trying to dislocate acetabulum
99
Which way does the talus go?
Dorsiflexion: ER Plantarflexion: IR
100
Finger placement for vault hold
Pinky: Occiput Ring: Back of temporal bone Middle: front of temporal bone Pointer: Sphenoid Thumbs: parietal bone
101
Ribs 1-2 Exhalation dysfunction
Utilizes anterior and middle (rib 1), posterior (rib 2) scalenes Hand against head, head pushes up against resistance
102
Ribs 3-5 Exhalation dysfunction
Utilizes Pectoralis muscles (minor?) Arm straight up, pt tries to extend it back down against resistance
103
Ribs 6-8 Ehalation dysfucntion
Utilizes Serratus Anterior Arm crosses over, pushes out against resistance
104
Ribs 9-10 exhalation dysfunction
Utilizes latissimus dorsi Arm out at side 90 degrees, tries to adduct down against resistance
105
Ribs 11-12 exhalation dysfunction
Utilizes Quadratus Lumborum Pt lays prone, doc leans over on hip and pushes rip upward
106
Diaphragm penetrations
T8, 10, 12 = IVC, esophagus, aorta
107
Treat anterior rib tender points
F StRt
108
Treat posterior rib tender points
SaRa Rib 1: E SaRt