Flashcards in OMM Deck (58)
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1
Which two bones articulating mediate the primary respiratory mechanism?
Sphenoid and Occipital bones that make up the SBS
2
Why is Cervical HVLA contraindicated for RA patient?
Weak transverse lig of dens can cause Atlanto-axial subluxation
3
Which areas should you treat first?
1. Upper Thoracic
2. Upper Rib
3. OA
4. Cervical spine
5. Peripheral out to extremities
4
Chapman points:
Retina
Nasal Sinuses
Ears
Retina: Lateral humerus neck
Nasal Sinuses: Below proximal 1/3 clavicle
Ears: Above proximal 1/3 clavicle
5
Chapman points:
Pharynx
Larynx
Neck
Pharynx: Manubrium junction below 1st rib
Larynx: 2nd rib superior aspect
Neck: Humerus at medial aspect
6
Chapman points:
Heart, Bronchus, Esophagus, Thyroid
Upper Lung
Lower Lung
Heart, Bronchus, Esophagus, Thyroid: 2nd ICS
Upper Lung: 3rd ICS
Lower Lung: 4th ICS
7
Chapman points:
Pylorus
Stomach acid, peristalsis
Liver
Gallbladder
Pylorus: Sternum
Stomach acid, peristalsis: Left 5th, 6th ICS
Liver: Right 5th ICS
Gallbladder: Right 6th ICS
8
Chapman Points:
Spleen
Pancreas
Spleen: Left 7th ICS
Pancreas: Right 7th ICS
9
Chapman Points:
Adrenals
Kidneys
Small Intestine
Adrenals: Anterior: 2" above, 1" lateral to umbilicus; Posterior: T11-T12 between spinous and trans. processes
Kidneys: Anterior: 1" above, 1" lateral to umbilicus;
Posterior: T12-L1 between spinous and trans. processes
Small intestine: 7th-9th ICS bilaterally
10
Chapman Points:
Intestinal peristalsis
Appendix:
Intestinal peristalsis: between Iliac crest and Gr. Trochanter
Appendix: Anterior: Tip Rib 12;
Posterior: Tip of T11 trans. process
11
Chapman Points:
Cecum
Transverse 1/3 Colon
Transverse 2/3 Colon
Sigmoid
Rectum
Cecum: Right hip
Transverse 1/3 Colon: Right knee
Transverse 2/3 Colon: Left knee
Sigmoid: Left hip
Rectum: Medial femur
12
Chapman Points:
Bladder
Prostate, Vagina
Urethra
Bladder: Periumbilicus
Prostate, Vagina: Sacral sulcus
Urethra: 2cm lateral to pubic symphysis
13
Still Technique: procedure
Ease
Compress
Barrier
(Still Technique is "EC", but FPR is "NiCE")
14
FPR: procedure
Neutral
Compress
Ease
(Still Technique is "EC", but FPR is "NiCE")
15
Ant. Lumbar Tenderpoints:
L1:
L2-L4:
L5:
Tx?
L1: medial to ASIS
L2-L4: on the AiiS
L5: Lateral to pubic symphysis
Tx: supine, flex hip and knees, rotate away
16
posterior Lumbar Tenderpoints:
location?
Tx?
Either side of that level's spinous processes
Tx: prone, extend hip, sidebend away
17
Thoracic Rule of 3's
T1-T3: spinous process = transverse process
T4-T6: spinous process 1/2 way down between TP of adjacent vertebrae
T7-T9: spinous process at level of next vertebra's TP
T10-T12: spinous process = transverse process
18
Freyette's Law 1
v.
Freyette's Law 2
N, SLRR (opposite) - group curve
v.
F/E, SRRR (same) - individual vertebra
19
Scoliosis COBB angles and complications
5-15: Mild
20-45: Moderate [Tx. Start bracing]
>50: Respiratory compromise
>75: Cardiac compromise
20
Superior Facet Orientation:
Cervical
Thoracic
Lumbar
"BUMBLBM"
BUM
BUL
BM
21
What techniques are indirect and passive?
Counterstrain, FPR
22
What techniques are direct and passive?
Cranial, HVLA, Lymphatics, Chapman
23
What techniques are direct and active?
ME (post isometric relaxation and reciprocal inhibition)
24
Rib Motions:
1-5
6-10
11, 12
1-5: pump
6-10: bucket
11, 12: caliper
25
Rib mm's:
1
2
3-5
6-9
10-11
12
1: anterior and middle scalenes
2: posterior scalene
3-5: pec minor
6-9: serratus anterior
10-11: latissimus dorsi
12: quadratus lumborum
26
What lines form Ferguson's Lumbosacral angle?
formed between a line across the plane of the superior margin of S1 and a horizontal line
27
Short Leg Syndrome
results in?
How is the Ferguson's Lumbosacral angle affected?
results in sacral base unleveling
vertebral sidebending and rotation
innominate rotation
increases lumbosacral angle
28
Guidelines for Heel Lift
Fragile pt?
Flexible pt?
Max heel lift possible?
If pt. is fragile: start with 1/16" (1.6 mm) and increase by that much every 2 weeks
If pt. is flexible: start with 1/8" (3.2 mm) and increase by that much every 2 weeks
Max heel lift possible: 1/2"
29
How does Rib Raising work?
What conditions is it good for?
↑ rib excursion to normalize Sympathetics
Asthma, viral pneumonia
30
