OMM Practical 1 Flashcards
(88 cards)
1
Q
Vertebral border of scapula
A
medial border
1
Q
Styloid process of radius
A
Lateral arm bone before the carpals
1
Q
How to do the Prone Thoracic Parallel stretch
A
- Have patient lay prone - Cross hands one just lateral to the other and place just lateral to patients spine. - Direct one hand cephalad and the other caudad - Apply pressure via leaning into the back. - Hold for 3 seconds and then let muscles relax - Move up and down thoracic spine
2
Q
How to use Posterior Axillary Traction
A
- Have patient lay supine with knees bent and hands on belly. - Phsycian is seated at head of table and grips patients posterior axillary fossa - Apply pressure. - Have patient breathe in deeply and hold any slack. - Repeat at least 3 times.
3
Q
Infraclavicular fossa
A
Space just inferior to lateral 2/3 of clavical
3
Q
ILA
A
Inferior lateral angle of sacrum. Just inferior to sacral sulcus on the sacrum
4
Q
Tibial tuberosity
A
notch just below patella on tibia
4
Q
How to use Rib-Raising-Lateral recumbent
A
- ASK IF SHOULDER IS UNSTABLE - Physician stands facing patietn with patient on side. - Have patient put superior hand on ear. You will use this for slight counterforce. - Move rib cage just lateral to spine laterally adn slightly posteriorly. - Do until release of tissue.
5
Q
How perform the Ischial Tuberosity Spread
A
- Have patient lay prone with legs bent at the knees. - WIth patients knees together spread legs and place thumbs medially to patients ischial tuberosities. - Apply pressure to ischial tuberosity and have patient cough three times
6
Q
How to find AIIS
A
Put hands on ASIS and palpate inferiorly and medially. Also, can have patient raise their leg and rectus femorus attaches to prominance.
7
Q
What do the Thoracolumbar Soft tisse-prone for. 4 things
A
- To relax the paravertebral and quadratus lumborum musculature - To free up the motion of ribs 11 and 12 - Therapeutic as well as diagnostic for somatic and visceral dysfunctions - Special attention may be given to those areas overlying the sympathetic nerve suppply to the organs the physician wishes to affect through reflex mechanisms
8
Q
What to use the Upper Mid and Thoracolumbar Soft Tissue- Lateral Recumbent for. 4 things
A
- To realax the paravertebarl and quadratus lumborum musculature - To free up the motion of ribs 4 through 12 - Therapeutic, as well as diagnostic, for somatic and visceral dysfunctions - Special attention may be given to those areas overlying the sympathetic nerve supply to the organs and the physician wishes to affect through reflex mechanisms
9
Q
Second Costal Cartilage
A
Cartilage of 2nd rib
9
Q
Intertubercular groove
A
Groove between lesser and greater tubercle
10
Q
What to use Rib Raising-Supine for. 3 things
A
- To aid in respriation: Ex. Asthma - To aid circulation of the patietn with congestion: ex. COPD, pneumonia - In pre-and/or post-operative care. Ex. atalectasis
11
Q
Olecranon process
A
Elbow. On ulna.
12
Q
Greater Trochanter
A
Protrusion of proximal femur just inferior to pevis.
13
Q
What is Posterior Cervical Soft Tissue used for?
A
Short restrictor muscles of the cervical spine
14
Q
How to perform trapezius pinch.
A
- Have patient lie supine - Sit at head and put hand on trapezius muscle placing thumb on anterior trap and finers on posterior trap. - Pinch until it become softer and there are no restrictions.
15
Q
How to perform Sacral Inhibition
A
- Have patient lie prone - Stand at patients side and cup patients sacrum - Static, anterior-directed pressure is appied over the sacrum for 1-2 minutes
16
Q
Superior nuchal line
A
ridge between Inion and mastoid process
17
Q
fibular head
A
Just lateral to tibial tuberosity where the head of the fibula sits
18
Q
Inguinal ligament
A
ASIS to pubic bone
19
Q
What Myofascial Shoulder Release via Scapular Lift is used for. 3 things
A
- To release myofascial restrictions of the shoulder girdle - To address rib dysfunctions - Care should be taken when patient has history of: Bursitis, Bicep tendonitis, shoulder replacement, rotator cuff injury, impingement syndrome, adhesive capsulitis
20
What to use the Prone Thoracic Parallel stretch for. 1 thing
To elongage fascial restrictions along their longitudinal plane and allowing release of the tissues.
21
Four things to test for with trunk range of motion
- Flexion: should be able to go 2/3 down the leg - Extension: should be able to put your shoulders behind your hips - Seated rotation (while hugging themself): Should be able to to go 70% around - Standing side bending: Should be able to touch knees \*\*\* Check for asymmetries or pain\*\*\*
22
How to test cervical spine range of motion
- Utilize active flexion, extension, side bending and rotation first - Then, use passive flexion, extension, side bending and rotation looking for end feel - Looking for elastic, hard or guarding in end feel
22
What is Cervical Stretching used for? 3 things
- To address teh long restrictor muscles of the cervical spine - To stretch the myofascial elements of the cervical and upper thoracic regions - To promote venous and lymphatic drainage of the tissues
23
What is Suboccipital Tension Release used for? 3 things.
- Tension headaches - To prepare for cervical correction - To asssess and stretch dural attachments at C2, C3 and occiput
24
Angle of Louis
Where second rib meets sternum. Also called sternal angle.
25
Jugular notch
Just above sternum
26
What to use the Ischial Tubersoity Spread for. 6 things.
- To release fascia of pelvis - To treat the sacrum - To separate the sacroiliac joints and allow for better motion of the sacrum between the innominates - To help the sacrum to seat itself between the innominates - To improve the function fo the urogenital-pelvic diaphragm - Can be used for Cystitis, Procitis, Hemorrhoids, prostatitis, constipation or sacroiliac dysfunction
28
Costoclavicular space
Space just inferior to the medial third of the clavical
29
Standing flexion test and seated flexion test
Put hands on PSIS and have bend over. Standing tests for Ilio-Sacral Somatic Dysfunctions as ilium moves and sacrum stays pretty fixed Seated tests for Sacral-Iliac Somatic Dysfunction since sacrum moves and ilium doesn't Whatever side rises is positive.
29
How to perform Pectoral Traction
- Have patient lay supine - Sit on stool behind head - Have patietn flex knees and put hands on stomach - Grab patients anterior axillary folds - Have patient inhale and phsycian picks up any slack holding the traction - Do this at least three times
29
How to perform the Clavi-Pectoral Strech
- Have patient lay supine - Place thenar eminences (palms) on anterior superior shouldersat the AC joint/humerous - push posteriorly and inferiorly using approximately 10 lbs of force - Hold for approximately 20 seconds
29
Why to perform Lymphatic Pumping- Dorsiflexion. 6 things
- To combat stasis, congestion adn pooling of body fluids - To encourage natural venous return and circulation in pregnant patients - Good treatment for any infectious process - Use caution when performing on patients with metastatic diseases, patient who are recently post-operative or achilles tendonitis - If possible, the patient should have their axial skeleton treated to open all diaphragms prior to any lymphatic pump techniques - Family members of patients can be taught to perform this technique
31
Styloid process of ulna
Medial arm bone before the carpals
33
How to find PSIS
Put hands on iliac crest and thumbs should relax on them. Alternatively can use full hand method.
34
What Thoracolumbar Soft Tissue-Supine is used for. 4 things
- To relax the paravertebral and quadratus lumborum musculature - To free up the motion of ribs 11 and 12 - Therapeutic and diagnostic for somatic and visceral dysfunctions - Special attention may be given to those areas overlying the sympathetic nerve supply to the organs the physician wishes to affect through reflex mechanisms
35
Coracoid process
lateral side of AC joint. On scapula.
35
How to perform hip, knee and ankle screen
have patient do a full squat \*\*\*Check for asymmetry or pain\*\*\*
37
Radial Head
Just lateral to Olecranon process on posterior side.
38
Inion
External Oxxicpatal Protuberance
39
What to use Prone Thorasic Perpendicular Stretch for. 2 things
- To laterally stretch fascial restrictions within the paravertebral musculature of the thoracic spine. - To free up any rib or thoracic restriction
39
How to perform the sacral rock
- Have patient lay prone - Place hands cupped over sacrum - Have patient breathe in deeply and rock superior portion of sacrum anteriorally with inferior portion of the sacrum posteriorly. - Do opposite on exhalation. - Should be applied after full body treatment
41
Medial malleolus
Medial bump just above foot on tibia.
42
Vertebral level of PSIS
L4
43
Everything in Reverse CCP is opposite except these two things
1. increased lumbar lordosis 2. Sacral fascial drag is cephalad
44
How to perform Posterior Cervical Soft Tissue
- Have patient lay supine - Place oen hand on forhead for support - use other hand to grab muscles just lateral to spine and pull anteriorly.
45
How to perform Myofascial Should release via scapular lift
- Have patient lie on side with arm on table under head and other arm behind back with elbow up. - Stand facing patient with hand pushing on shoulder and other hand under armpit grabbing medial scapula - Have patient inhale deeply and pull scapula laterally upon exhalation - Have them do this three times - If not working have patient cough to increase
47
Calcaneal tendon
Achilles tendon. Posterior distal leg protuberance
48
Which way does the patient lay when finding the first rib? How do you find it?
Supine. Either by sticking thumbs straight down from the ears to the hard flat bone (body will move) or the very medial inferior clavicle.
49
What to use the Posterior Axillary Traction for. 4 things.
- To increase the Anterior posterior diameter of the thorax - To improve venous and lymphatic drainage of thorax - To release tension in the clavi-pectoral fascia - To drain congestion from the posterior axillary fols, upper extremities, head and neck
50
How to perform the Suboccipital Tension Release
- Patient is supine - Place all 8 fingers in subocciptial region at a 90 degree angle with rest of hand. - Pull slightly superiorly and allow patient to releax head into hands.
50
When to use the Clavi-Pectoral Stretch? 4 things
- To provide drainage form the head or neck - Any illness that may cause edema to the head or neck region. Ex. Tonsillitis, pharyngitis - Atnerior/rounded shoulders - Completed AFTER inlet has been addressed
52
lateral epicondyle
Lateral part of distal head of humerous
54
How to do Cervical Stretching
- Physician is seated - Cross arms and place on anterior aspect of patients shoulders - Can either leave it there until a release is felt or utilize muscle energy - Stretching barriers in side bending you remove one arm and do the same thing moving the head to one side
56
Patella
Knee cap
57
How to test for scoliosis and what to look for
Test standing feeling the spine. Test bending feeling the spine Look for asymmetries especially in scapula and fullness on one side or the other
58
medial epicondyle
Medial part of distal head of humerous
59
How to use the Thoracolumbar Soft tissue-Supine treatment
- Have patient lay supine with knees bent - Put one hand on paravertebral musculature and the other hand on knees for support. - Move alternately knees and paravertebral muscles in rocking motion - Can do up lumbar and lower half of thoracic spine - Done when tissue feels loose
60
Lateral malleolus
Lateral bump just above foot on fibula
61
Ischial tuberosity
Inferior to ILA on pelvis.
62
What to use sacral inhibition for. 3 things
- to treat diarrhea - To treat dysmenorrhea - Utilize cautiously in patient with spondylolisthesis or stenosis of the lumbar spine
63
Which vertebral level is inferior angel of scapula
T7 though points to 8th rib
65
How to test for upper extremity range of motion. 3 tests and for what?
Utilize: The Hug looking for adduction SD on either side that can't go far enough Touch scapula looking for abduction and external rotation SD Reach behind back and up looking for extension and internal rotation SD.
66
How to do Rib Raising -Supine
- Have patient lay down supine - Place hands under patient on rib cage. - Pull fingers up and toward you in a rhythmic fashion - Done when tissue is loose.
67
Which level is Spinous process of scapula
T3
68
What to use Rib-Raising-Lateral Recumbent for. 3 things
- To aid in respiration: ex asthma - To aid circulation of the patient with congestion. Ex. pneumonia, COPD - In pre-and/or post-operative care. Ex. Atalectasis
69
What to use pectoral traction for. 5 things
- Increase the Anterior-posterior diameter of the thorax - Improve venous and lymphatic drainage of the thorax - To release tension in the clavi-pectoral fascia - To drain the anterior axillary fold edema from the upper extremity - To provide drainage from the head and neck
70
Spinous process of T1
doesn't dissapear when tilting head back
71
How to perform the Upper Mid and Thoracolumbar Soft Tissue-Lateral Recumbent
- Have patient lie on side with arm on table under their head and other arm gripping table. - Sit down on the patient's side - Place listening hand over just lateral to the spine in lumbar or thoracic spine - Apply pressure laterally and anteriorly - Can do up lumbar and thorasic spine - Finshed when feel fascia loose.
72
How to perform lymphatic pumping-dorsiflexion
- Have patient supine with feet on table - place hands on plantar surface of feet and pump them in dorsiflexion 40-50 times per minute for approximately 2 minutes twice a day.
73
12 things to look for for Common Compensatory Pattern (CCP)
1. Head side-bends better to right than left 2. Head rotates to the left better than to the right 3. Lower thoracic cage (T10-T12) is flared to the left as well as shifts easier to the left 4. Pelvis rolls to the right better than to the left 5. Iliac crest is high on left 6. Increased lumbar lordosis 7. Sacral sulcus (next to PSIS) is deep on the right 8. Left ILA is posterior/inferior 9. Sacral fascial drag is cephalad 10. Rib angles feel fuller on the right side of upper back 11. Left arm is short 12. Left leg is long
74
What Sacral Rocking is used for. 5 things
- To imporve sacral respiratory motion - To releive strains fo the sacral fascia and related surrounding structures - To enhance the Primary Respiratory Mechanism - To improve the function of the urogenital pelvic diaphragm - To treat constipation
76
How to use Prone Thorasic Perpendicular Stretch.
- Have patient lay prone - Place listening hand just lateral to thorasic spine. - Place other hand over that hand and use lateral and anterior force through listening hand - Hold for 3 seconds and release. - Used up and down the thorasic spine
77
Costochondral junction
Where rib meets cartilage. Costo = rib and chondro = cartilage
78
Synchondrosis
Where first rib meets wtih sternum. Just below the medial head of the clavical
79
Rib angle
seeing if the rib cage is shifted. Looking at posterior prominence.
80
Lesser tubercle
anterior part of proximal head of humerous
81
What should line up in Gravitational line?
External Auditory meatus Lateral aspect of the head of humerous at shoulder Greater trochanter Lateral condyle of the knee Slightly anterior to lateral malleolus
82
Greater tubercle
posterior part of proximal head of humerous
83
Vetebral prominens
Spinous process of C7
85
How to perform the Thoracolumbar Soft tissue-prone.
- Have patient lay prone - You stand next to patient with and put one hand on patients ASIS and other hand on paraspinal muscles. - In a rocking motion, pull pelvis up and just before you set it back down apply pressure to the paraspinal muscles laterally. - You can do this up and down the lumbar spine - Finished when yo feel tissue loose
86
AC joint
Acromioclavicular joint. Where Clavical meets scapula
87
Sternal Angle
Where second rib meets the sternum. Just below the jugular notch. Also called angle of Louis.
88
What to utilize trapezius pinch for. 3 things
- To decrease congeston within the thoracic inlet - To ease tension within trapezius musculature - Will assist in the treatment of headaches
