OMM 2 Flashcards

1
Q

acute vs chronic findings

A

light to firm touch; recent; skin: light, warm, moist, red, hypersympathetic activity; tender, painful; inc muscle tone; nml ROM or dec d/t edema; muscle: boggy, edematous vs light to firm touch; long lasting; skin: cool, pale, dry, vasoconstriction; less tender, dull, achy, paresthesias; dec muscle tone; limited ROM, contractures, ankyloses; muscle: hard, ropy, nonresilient, edema replaced by fibrosis –> affects fascia, muscle movement, ligament

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2
Q

synovial true joints of pectoral girdle

A

AC joint, sternoclavicular joint, glenohumeral

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3
Q

ligaments of sternoclavicular joint

A

cartilaginous meniscus –> stability; interclavicular ligament, costoclavicular ligament

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4
Q

ligaments of AC joint

A

incomplete meniscus but still stable; AC ligament, coracoclavicular ligaments (conoid + trapezoid)

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5
Q

ligaments of scapulothoracic join

A

no capsule; muscle and fascia in b/w –> pseudoarticulation

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6
Q

fxnl joints of pectoral girdle

A

scapulothoracic joint, suprahumeral

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7
Q

accessory joints of pectoral girdle

A

costosternal, sternomanubrial, costovertebral

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8
Q

joints of elbow

A

humeroulnar (true hinge joint; ligamentous capsule –> thick M/L, weak ant/post), humeroradial, prox radioulnar –> supination/pronation

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9
Q

carrying angle

A

Flexion/extension w/o rotation of humerus at shoulder

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10
Q

what bones does the wrist consist of? true joint of wrist?

A

distal ulna and radius, carpal bones. radiocarpal joint (distal radius, scaphoid, lunate, triquetrum)

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11
Q

joints of wrist

A

radiocarpal (true), midcarpal, ulnomeniscotriquetral pseudojoint

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12
Q

joints of fingers. which are condyloid and hinge?

A

metacarpophalangeal joint (MCPJ) = condyloid, MCPJ thumb = hinge; PIP/DIP = hinge –> full flexion, no extension

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13
Q

peripheral nerves of UE

A

median, ulnar, radial

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14
Q

lymph nodes = found in connective tissue of axilla. name the groups

A

pectoral, subscapular, apical (apex of axilla), central (deep in pectoralis minor muscle), lateral

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15
Q

8 pelvic bones

A

ilium 2x, ischium 2x, pubis 2x, sacrum, coccyx

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16
Q

pelvic joints

A

sacroiliac joint 2x (synovial, fibrous), pubic symphysis (fibrocartilagenous), femoroacetabular/hip joint 2x (synovial ball and socket)

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17
Q

innominate consists of?

A

ilium, ischium, pubis

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18
Q

ligaments of femuroacetabular joint

A

anterior = iliofemoral, posterior = ischiofemoral, anteroinferior = pubofemoral

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19
Q

muscles of hip

A

• Primary flexor = iliopsoas
• Primary extensor = gluteus maximus
• Primary abductor = gluteus medius
• Primary adductor = adductor longus

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20
Q

knee bones

A

patella (quadriceps and patellar tendon, inc power of quads by inc leverage, largest sesamoid bone), femur, tibia, fibula

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21
Q

knee joints

A

tibiofemoral joint (true synovial double condyloid joint), prox tibiofibular joint (separate synovial joint at lateral knee)

22
Q

knee ligaments

A

M/L collateral ligaments, A/P cruciate ligament, M/L meniscus

23
Q

ankle joints

A

tibiotalar/talocrural (synovial hinge) –> plantar/dorsi, talocalcaneal/subtalar (shock absorber) –> in/eversion

24
Q

ankle ligaments

A

medial stabilizers (deltoid), lateral stabilizers = ant/posterior talofibular ligament, calcaneofibular ligament), interosseous membrane b/w tibia and fibula

25
Q

foot ligaments

A

spring ligament (calcneonavicular) –> supports medial longitudinal arch, Plantar aponeurosis (plantar fascia) –> starts at calcaneus and attaches to phalanges (strong dense connective tissue)

26
Q

pes planus

A

defect of arch –> flat foot –> more shoe wear/tear –> can’t supinate, more rigid foot –> less stable ankle

27
Q

brachial plexus vs lumbar plexus vs sacral plexus

A

where nerves unite vs T12-L4, anterior to hip joint –> innervates anterior thigh vs L4-S5, posterior to hip joint –> innervates posterior thigh

28
Q

extra senses

A

equilibrioception (balance), proprioception, thermoception, nociception, interoception

29
Q

6 types of mechanoreceptors

A

 Pacinian corpuscles = pressure and vibration
 Meissner’s corpuscles = light touch and vibration
 Merkel’s Disc = vibration
 Krause end bulbs = receptor for vibration
 Ruffini Terminal = stretch
Free nerve endings

30
Q

4 fxns of fascia

A

packaging, protection, posture, passageways (somatic/autonomic nerves, lymphatic/arterial/venous vessels)

31
Q

regional vs segmental spine of motion

A

whole segment vs one vertebra

32
Q

know Fryette’s principles

A

there are 3 –> 3 types of somatic dysfxn

33
Q

Know nomenclature

A

know which is for Type I vs II

34
Q

techniques vs models for OMT

A

tools that help us tx pts and their somatic dysfxn vs help us choose techniques to tx pts and their somatic dysfxn

35
Q

5 models for OMT

A

structural, resp/circ, metabolic, neurological, behavioral

36
Q

standing screen for lumbar vs pelvis

A

flex/extension, sidebend, hip drop vs active standing flexion test, passive pelvic side shift test

37
Q

seated screen for head vs cervical vs thoracic vs sacral

A

TMJ vs flexion/extension, rotate, sidebend vs sidebend T1-4, T5-8, T9-12; active and passive rotate T9-12 vs active seated flexion test for unilateral sacral dysfxn

38
Q

screen test for supine vs pronate

A

active costal cage region/rib test R1-2, 3-5, 6-10 vs active costal cage region/rib test R11-12; passive sacral rock test

39
Q

landmarks

A

• Mastoid process
• AC joint
• Inferior scapula
• Fingertips
• Iliac crests
• PSIS
• Greater trochanters
• Knee creases
achilles tendon
medial malleoli
feet arches

40
Q

characteristics of glenohumoral joint

A

humeral head = large, covered in articular cartilage; glenoid = small, concave, cartilaginous lip; enclosed by ligamentous capsule –> greatest ROM –> instability

41
Q

5 types of fascia

A

brachial (ant/post septum), antebrachial (forearm), interosseous membrane (ant/post of forearm), palmar carpal ligament (descending hand), palmar aponeurosis (deep fascia in hand)

42
Q

characteristic of femoroacetabular joint

A

receives blood supply (beware hip fx)

43
Q

angle of inclination vs Quadriceps angle for patellar tracking

A

coxa varus <120, nml = 120-135, coxa valgus >135 vs Genu valgum (knock knee), Genu varum (bowleg)

44
Q

Medial/lateral longitudinal arch vs metatarsal arch vs rigid arch

A

medial = major shock absorbing arch vs Free of muscle attachments; Foot can adjust to uneven ground –> flattens w/ weight bearing vs Transverse arch –> Maintains osseous architecture of foot

45
Q

red reflex vs white reflex

A

deep frxn on tissue –> areas of red/white; red = inc blood flow, white = inc blanching

46
Q

know where extensor tendon vs lister’s tubercle vs capitate is

A

tendon on flexed mid finger vs on ulna below index finger vs in line w/ mid finger

47
Q

femoral artery

A

in femoral triangle of LE: sartorius, adductor muscle, inguinal ligament

48
Q

fxns of skin

A

temp reg, biochemical fxn, protection, absorption/excretion, touch (receptors)

49
Q

why impaired venous flow of UE?

A

dysfxn in upper throacic, UE fascia, ribs, clavicle

50
Q

vein vs artery

A

axillary –> subclavian –> 1st rib –> anterior scalene muscle –> internal jug vein –> brachiocephalic vein –> behind SC joint –> to midline –> SVC vs L from aorta –> L SC joint; R from brachiocephalic trunk –> 1st rib –> axillary artery –> pectoralis minor –> brachial artery

51
Q

abduction w/ scapula and humerus

A

scapula rotates as humerus elevates