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Flashcards in OMM Deck (43):
1

Cranial nerves w/ parasympathetic functions?

3, 7, 9, 10

2

Describe Yergason test and what is it used to evaluate?

Biceps tendonitis

Elbow in 90 degrees flexion and in pronation --> examiner resists patients attempt to supinate and externally rotate arm

3

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

4

Common cause of lower back pain in athletes?

PE findings?

Spondylolysis --> stress fracture of pars interarticularis

Pain with back extension and hopping on one foot

5

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?

Disc herniation

Lumbar nerves exit one level below their name (e.g. L4 exits between L3-L4)

L4 nerve root = L3 disc herniation

6

Knee pain with walking up stairs, giving out, and crepitus. Usually occurs in younger females?

What part of the thigh muscles are responsible?

Patellofemoral syndrome

Weakness of vastus medialis --> this holds the patella in the trochlear groove (if weak = lateral tracking of patella)

7

What exam test is used for confirming psoas syndrome?

What is the classic sign for this syndrome?

Thomas test

"Snapping" feeling of the hip during knee flexion --> psoas tendon catching on pelvic bone during flexion

8

Person with poor wound healing would benefit from what 2 areas being targeted?

Autonomics (T11-L2)
Lymphatics

9

What areas drain to the R lymphatic duct?

R side of head
R side of neck
R upper extremity
Heart
Lungs

10

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

11

Degrees of scoliosis and treatments for each?

Cobb angles
5-15 degrees --> mild
Tx: OMT + PT
20-45 degrees --> moderate
Tx: above + bracing
>50 degrees --> severe
Tx: assess respiratory compromise --> then surgery

12

If Cobb angle > 50, what must you do first?

If > 75, what must you do first?

> 50 = respiratory compromise

> 75 = cardiac compromise

13

Anterior and posterior Chapman points for appendicitis?

Anterior: tip of R 12th rib
Posterior: tip of TP of T11

14

Infant has poor suckling reflex - what is common cause?

Compression of CN 12

15

What finding is common with migraine headaches?

Abnormal strain patterns at SBS + cervical/upper thoracic spine dysfxn

16

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

17

Best method for determining leg length discrepancy?

Measuring from ASIS --> medial malleolus on same side

18

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

19

After FOOSH, person has restriction of supination of the arm. What is the dysfxn?

Posterior radial head

Pronation of arm = Posterior radial head

20

Sympathetic innervation of adrenals and kidneys?

Anterior Chapman's point for both?

Posterior Chapman's point for both?

T10-11

Anterior
Adrenal: 1cm lateral and 2cm above umbilicus
Kidney: 1cm lateral and 1cm above umbilicus

Posterior
Adrenal:
Kidney: b/w SP and TP of T12 and L1

21

Innominate rotation occurs around what sacral axis?

Inferior transverse axis

Innominate = Inferior axis

22

How are sacral torsions named?

Rotation on axis

23

Proper order for performing lymphatic techniques?

1) Thoracic inlet release
2) Diaphragmatic release
3) Extremity pump
4) Abdominal pump

Start central before working peripheral

24

Findings of Common Compensatory Pattern?

OA --> rotated LEFT
Cervicothoracic --> rotated RIGHT
Thoracolumbar --> rotated LEFT
Lumbosacral --> rotated RIGHT

25

How is somatic dysfxn named?

Position of ease (where it's more symmetric)

26

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

27

Key ribs in inhalation dysfxn?
Exhalation dysfxn?

Inhalation dysfxn = stuck in inhalation = treat BOTTOM rib

Exlalation dysfxn = stuck in exhalation = treat TOP rib

28

Difference b/w CPRS 1 and 2?

S/S?

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

29

Acute vs chronic somatic dysfxn changes?

Acute: boggy, warmth, moist, tender, edematous

Chronic: ropy, cool, dry, mildly tender, no edema

30

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

31

Best types of treatment for fibromyalgia?

Indirect techniques --> counterstrain

32

What length of leg length discrepancy can be treated with heel lift?

Less than 20mm (2cm)

33

Dural sites of attachment outside the cranium?

Foramen magnum
C2
C3
Posterior, superior portion of S2

34

What axis do sacral nutation and counternutation occur?

Superior transverse axis

35

Kidney stones can irritate what muscle?

Psoas

36

What is Scheuermann disease?

Tx?

Rigid thoracic kyphosis
Vertebral wedging --> needed in >3 adjacent vertebrae
Degenerative endplates

Adolescent boys

Tx: OMT + PT

37

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

38

Maneuver for OM?

Galbreath

39

What suture is targeted with V-spread technique?

What nerve is targeted?

Where does it run through?

Occipito-mastoid suture

Vagus (CN X)

Jugular foramen

40

2 subgroups of patients at risk for AA subluxation?

RA
Down syndrome

41

Technique used to increase cranial rhythmic impulse?

CV4 technique

42

Fibular head dysfxn findings?

OPPOSITE of radial head

Posterior fibular head = ankle likes to be in supination (plantar flexion)

43

What 4 bones comprise the pterion?

Temporal
Parietal
Sphenoid
Frontal

*Weakest point in the skull --> middle meningeal artery runs under this