Flashcards in OMM Deck (43):
Cranial nerves w/ parasympathetic functions?
3, 7, 9, 10
Describe Yergason test and what is it used to evaluate?
Elbow in 90 degrees flexion and in pronation --> examiner resists patients attempt to supinate and externally rotate arm
Describe Thomas test and what is it used to evaluate?
Iliopsoas, rectus femoris, or IT band tightness
Lying supine and at end of bed --> have knees flexed against chest --> lower one leg until it's fully relaxed
Common cause of lower back pain in athletes?
Spondylolysis --> stress fracture of pars interarticularis
Pain with back extension and hopping on one foot
Acute onset lower back pain with spine flexion. What do you consider?
If there is no patellar reflex (diminished) what nerve root and disk would be herniated?
Lumbar nerves exit one level below their name (e.g. L4 exits between L3-L4)
L4 nerve root = L3 disc herniation
Knee pain with walking up stairs, giving out, and crepitus. Usually occurs in younger females?
What part of the thigh muscles are responsible?
Weakness of vastus medialis --> this holds the patella in the trochlear groove (if weak = lateral tracking of patella)
What exam test is used for confirming psoas syndrome?
What is the classic sign for this syndrome?
"Snapping" feeling of the hip during knee flexion --> psoas tendon catching on pelvic bone during flexion
Person with poor wound healing would benefit from what 2 areas being targeted?
What areas drain to the R lymphatic duct?
R side of head
R side of neck
R upper extremity
Describe the "rule of 3's" for thoracic spine?
T1-3 --> SP is AT THE LEVEL of corresponding vertebral body and TP
T4-T6 --> SP is 1/2 level BELOW corresponding vertebral body and TP
T7-T9 --> SP 1 LEVEL BELOW corresponding vertebral body and TP
T10 --> same as T7-9
T11 --> same as T4-6
T12 --> same as T1-3
Degrees of scoliosis and treatments for each?
5-15 degrees --> mild
Tx: OMT + PT
20-45 degrees --> moderate
Tx: above + bracing
>50 degrees --> severe
Tx: assess respiratory compromise --> then surgery
If Cobb angle > 50, what must you do first?
If > 75, what must you do first?
> 50 = respiratory compromise
> 75 = cardiac compromise
Anterior and posterior Chapman points for appendicitis?
Anterior: tip of R 12th rib
Posterior: tip of TP of T11
Infant has poor suckling reflex - what is common cause?
Compression of CN 12
What finding is common with migraine headaches?
Abnormal strain patterns at SBS + cervical/upper thoracic spine dysfxn
What occurs during craniosacral flexion?
Midline bones flex
Paired cranial bones EXtend
Dura mater pulled cephalad --> sacrum counternutates
Dura mater attached to POSTERIOR of sacrum
Best method for determining leg length discrepancy?
Measuring from ASIS --> medial malleolus on same side
What is initial size of heel lifts to use in elderly and younger people?
Elderly --> start w/ 1.5mm and increase by 1/16 in every 2 weeks
After FOOSH, person has restriction of supination of the arm. What is the dysfxn?
Posterior radial head
Pronation of arm = Posterior radial head
Sympathetic innervation of adrenals and kidneys?
Anterior Chapman's point for both?
Posterior Chapman's point for both?
Adrenal: 1cm lateral and 2cm above umbilicus
Kidney: 1cm lateral and 1cm above umbilicus
Kidney: b/w SP and TP of T12 and L1
Innominate rotation occurs around what sacral axis?
Inferior transverse axis
Innominate = Inferior axis
How are sacral torsions named?
Rotation on axis
Proper order for performing lymphatic techniques?
1) Thoracic inlet release
2) Diaphragmatic release
3) Extremity pump
4) Abdominal pump
Start central before working peripheral
Findings of Common Compensatory Pattern?
OA --> rotated LEFT
Cervicothoracic --> rotated RIGHT
Thoracolumbar --> rotated LEFT
Lumbosacral --> rotated RIGHT
How is somatic dysfxn named?
Position of ease (where it's more symmetric)
What are the 3 lumbosacral relationships?
1) When L5 is sidebent --> sacral oblique axis engaged on SAME side of side bending
2) L5 is rotated --> sacrum rotated in OPPOSITE direction on oblique axis
3) + seated flexion test is on same side of oblique axis
*L5 Sidebent = sacrum Same for oblique axis
*L5 rOtated = sacrum rotated in Opposite direction on the oblique axis
Key ribs in inhalation dysfxn?
Inhalation dysfxn = stuck in inhalation = treat BOTTOM rib
Exlalation dysfxn = stuck in exhalation = treat TOP rib
Difference b/w CPRS 1 and 2?
CRPS 1: no nerve damage
Severe burning pain at site, hair and nail growth, muscle spams
CRPS 2: nerve damage
No hair growth, severe edema, muscle atrophy
Acute vs chronic somatic dysfxn changes?
Acute: boggy, warmth, moist, tender, edematous
Chronic: ropy, cool, dry, mildly tender, no edema
In pump-handle ribs (1-5) where is dysfxn seen?
In bucket-handle ribs (6-10) where is dysfxn seen?
1-5 --> anteriorly (pump-handle)
6-10 --> laterally
Best types of treatment for fibromyalgia?
Indirect techniques --> counterstrain
What length of leg length discrepancy can be treated with heel lift?
Less than 20mm (2cm)
Dural sites of attachment outside the cranium?
Posterior, superior portion of S2
What axis do sacral nutation and counternutation occur?
Superior transverse axis
Kidney stones can irritate what muscle?
What is Scheuermann disease?
Rigid thoracic kyphosis
Vertebral wedging --> needed in >3 adjacent vertebrae
Tx: OMT + PT
Proper placement of hands for cranial vault hold?
Index: greater wing of sphenoid
Middle: pre auricular of temporal bone
Ring: mastoid process of temporal bone
Pinky: squamous part of occipital bone
Maneuver for OM?
What suture is targeted with V-spread technique?
What nerve is targeted?
Where does it run through?
Vagus (CN X)
2 subgroups of patients at risk for AA subluxation?
Technique used to increase cranial rhythmic impulse?
Fibular head dysfxn findings?
OPPOSITE of radial head
Posterior fibular head = ankle likes to be in supination (plantar flexion)