OMM Flashcards Preview

COMLEX 2 > OMM > Flashcards

Flashcards in OMM Deck (58):
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

Grading of Spondylolisthesis

1
2
3
4
5

1: 25% slipped forward
2: 50%
3: 75%
4: 100%
5: Spondylolisthesis

31

What happens to sacral base during inhalation/craniosacral flexion?

Extends/counternutates

32

What happens to sacral base during exhalation/craniosacral extension?

Flexes/nutates

33

Left on Left

Seated R
Sulcus R
ILA L
Spring (-)

34

Left on Right

Seated L
Sulcus R
ILA L
Spring (+)

35

Right on Right

Seated L
Sulcus L
ILA R
Spring (-)

36

Right on Left

Seated R
Sulcus L
ILA R
Spring (+)

37

Unilateral Extension L

Seated L
Sulcus R
ILA R
Spring (+)

38

Unilateral Extension R

Seated R
Sulcus L
ILA L
Spring (+)

39

Radial head motion

Pronate --> Posterior

Supinate --> Anterior

40

Tx. Anterior Fibular Head

AIIP

Invert, IntRot, Plantarflex

41

Tx. Posterior Fibular Head

PEED

Evert, ExtRot, Dorsiflex

42

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

43

What is the Q angle?

What is the Q angle in Coxa Vara?

Q angle in Coxa Valga?

Angle between neck and femur shaft

Vara: 135

44

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

45

CranioRhythmic Impulse (CRI) normal value?

What makes it decrease?
Increase?

[10-14 cycles/min]

Decreased by stress, depression, chronic fatigue, infection, SBS compression

Increased by exercise, systemic fever, after CV4 technique

46

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

47

What are the dural attachments?

Foramen magnum
C2
C3
S2: posterior superior portion (allows for sacral counternutation)

48

What happens during Craniosacral Flexion?

Midline bones flex
AP diameter ↓
Paired bones ExtRot
Sacral base extends (counternutates)

49

What happens during Craniosacral Extension?

Midline bones extend
AP diameter ↑
Paired bones IntRot
Sacral base flexes (nutates)

50

What nerve is treated in Condylar Decompression?

CN XII

51

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

52

What bones make up the sphenobasilar synchondrosis (SBS)?

articulation between the sphenoid and occiput

53

Tx. of choice for Fibromyalgia

Counterstrain

54

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.

55

What levels are viscerosomatic reflexes from dysfunctions of the head and neck associated with?

T1-T4

56

At what axis does innominate rotation occur?

Inferior transverse axis

57

If the greater wing of the sphenoid is greater on the left, what is the most likely cranial strain pattern?

Torsion

58

What happens to AP diameter and Transverse diameter during cranial flexion?

AP decreases
Transverse increases

(opposite is true during cranial extension)