Flashcards in OMM Deck (58):
Which two bones articulating mediate the primary respiratory mechanism?
Sphenoid and Occipital bones that make up the SBS
Why is Cervical HVLA contraindicated for RA patient?
Weak transverse lig of dens can cause Atlanto-axial subluxation
Which areas should you treat first?
1. Upper Thoracic
2. Upper Rib
4. Cervical spine
5. Peripheral out to extremities
Retina: Lateral humerus neck
Nasal Sinuses: Below proximal 1/3 clavicle
Ears: Above proximal 1/3 clavicle
Pharynx: Manubrium junction below 1st rib
Larynx: 2nd rib superior aspect
Neck: Humerus at medial aspect
Heart, Bronchus, Esophagus, Thyroid
Heart, Bronchus, Esophagus, Thyroid: 2nd ICS
Upper Lung: 3rd ICS
Lower Lung: 4th ICS
Stomach acid, peristalsis
Stomach acid, peristalsis: Left 5th, 6th ICS
Liver: Right 5th ICS
Gallbladder: Right 6th ICS
Spleen: Left 7th ICS
Pancreas: Right 7th ICS
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
Intestinal peristalsis: between Iliac crest and Gr. Trochanter
Appendix: Anterior: Tip Rib 12;
Posterior: Tip of T11 trans. process
Transverse 1/3 Colon
Transverse 2/3 Colon
Cecum: Right hip
Transverse 1/3 Colon: Right knee
Transverse 2/3 Colon: Left knee
Sigmoid: Left hip
Rectum: Medial femur
Prostate, Vagina: Sacral sulcus
Urethra: 2cm lateral to pubic symphysis
Still Technique: procedure
(Still Technique is "EC", but FPR is "NiCE")
(Still Technique is "EC", but FPR is "NiCE")
Ant. Lumbar Tenderpoints:
L1: medial to ASIS
L2-L4: on the AiiS
L5: Lateral to pubic symphysis
Tx: supine, flex hip and knees, rotate away
posterior Lumbar Tenderpoints:
Either side of that level's spinous processes
Tx: prone, extend hip, sidebend away
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
Freyette's Law 1
Freyette's Law 2
N, SLRR (opposite) - group curve
F/E, SRRR (same) - individual vertebra
Scoliosis COBB angles and complications
20-45: Moderate [Tx. Start bracing]
>50: Respiratory compromise
>75: Cardiac compromise
Superior Facet Orientation:
What techniques are indirect and passive?
What techniques are direct and passive?
Cranial, HVLA, Lymphatics, Chapman
What techniques are direct and active?
ME (post isometric relaxation and reciprocal inhibition)
11, 12: caliper
1: anterior and middle scalenes
2: posterior scalene
3-5: pec minor
6-9: serratus anterior
10-11: latissimus dorsi
12: quadratus lumborum
What lines form Ferguson's Lumbosacral angle?
formed between a line across the plane of the superior margin of S1 and a horizontal line
Short Leg Syndrome
How is the Ferguson's Lumbosacral angle affected?
results in sacral base unleveling
vertebral sidebending and rotation
increases lumbosacral angle
Guidelines for Heel Lift
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"
How does Rib Raising work?
What conditions is it good for?
↑ rib excursion to normalize Sympathetics
Asthma, viral pneumonia
Grading of Spondylolisthesis
1: 25% slipped forward
What happens to sacral base during inhalation/craniosacral flexion?
What happens to sacral base during exhalation/craniosacral extension?
Left on Left
Left on Right
Right on Right
Right on Left
Unilateral Extension L
Unilateral Extension R
Radial head motion
Pronate --> Posterior
Supinate --> Anterior
Tx. Anterior Fibular Head
Invert, IntRot, Plantarflex
Tx. Posterior Fibular Head
Evert, ExtRot, Dorsiflex
What happens to fibular head when you dorsiflex the foot? When you plantarflex the foot?
Dorsiflex --> Fibular head moves forward
Plantarflex --> Fibular head moves backward
What is the Q angle?
What is the Q angle in Coxa Vara?
Q angle in Coxa Valga?
Angle between neck and femur shaft
What are the components of Primary Respiratory Mechanism?
1. Brain and spinal cord have inherent motility
2. CSF fluctuates
3. Intracranial and intraspinal membranes' movement
4. Cranial bones articular mobility
5. Sacrum's involuntary movement
CranioRhythmic Impulse (CRI) normal value?
What makes it decrease?
Decreased by stress, depression, chronic fatigue, infection, SBS compression
Increased by exercise, systemic fever, after CV4 technique
Placement of fingers in vault hold
Index: Gr. wing sphenoid
Middle: Pre-auricular Temporal bone
Ring: Mastoid process of Temporal bone
Pinky: Occiput squamous portion
What are the dural attachments?
S2: posterior superior portion (allows for sacral counternutation)
What happens during Craniosacral Flexion?
Midline bones flex
AP diameter ↓
Paired bones ExtRot
Sacral base extends (counternutates)
What happens during Craniosacral Extension?
Midline bones extend
AP diameter ↑
Paired bones IntRot
Sacral base flexes (nutates)
What nerve is treated in Condylar Decompression?
What segment of the sacrum allows the firm attachment of the dura mater to move into counternutation during the flexion phase of craniosacral motion?
posterior superior portion of S2
What bones make up the sphenobasilar synchondrosis (SBS)?
articulation between the sphenoid and occiput
Tx. of choice for Fibromyalgia
Superior vertical strain
sphenoid base moves superiorly causing index fingers to move inferiorly. Occiput base moves inferiorly and so do 5th fingers move inferiorly. Hands ulnar deviate.
What levels are viscerosomatic reflexes from dysfunctions of the head and neck associated with?
At what axis does innominate rotation occur?
Inferior transverse axis
If the greater wing of the sphenoid is greater on the left, what is the most likely cranial strain pattern?