OP notes

Question 1

Which test?

• Rectus abdominis separated
• Abdominal pains
• Pregnant

Answer 1

Diastasis Recti

Question 2

Which test

• Over 30 (older age, preeclampsia), SOB, headache
• Pregnant

Answer 2

Blood pressure

Question 3

Which test

4 tests for Pregnancy

Answer 3

1. Diastasis Recti
2. Blood Pressure
3. Postural
4. ROM - area of complaint

Question 4

Which test

• Headache/history of headaches but:
  doesn’t currently have symptoms
• Provocative might recreate symptoms

Answer 4

Spurling’s Test/Quadrant

Question 5

Which test

• Headache:
• Currently has symptoms
• Relieving test - make symptoms go away
• Positive - traction during tx

Answer 5

Decompression

Question 6

• Headaches
• Vertigo, dizzy, loss of coordination, throbbing pain, fainting

Answer 6

VAT test

Question 7

Fever, meningitis – CI’s so most likely not on OP

Answer 7

Kernig’s Test
Soto Hall

Question 8

8 main headache assessments

Answer 8

Spurling’s Test/Quadrant
Decompression
Vertebral Artery Test
Kernig’s Test, Soto Hall
Palpation
Cervical ROM
BP if new and unusual headaches
MMT - see if mm aggrevated by firing off mm

Question 9

Symptoms: Dizziness, difficult breathing, chest pain, etc…

Answer 9

• Hypertension
• BP

Question 10

Symptoms: Cool hands, difficulty getting blood to periphery (arteries)

Answer 10

Condition: PAD

Tests:

• Cap Refill
• Pulse
• Allen’s Test

Question 11

Symptoms: Cooling at extremities, varicose veins

Answer 11

Condition: PVD

Tests:

• Pitted Edema
• Palpation/skin assessment
• Pulse check
• Leg raise
• Homan’s Test
• Girth

Question 12

Tests:

Sinus issues/sinusitis

Answer 12

• Palpation
• Transillumination
• Compression/
  decompression
• Cervical ROM

Question 13

Tests for

Respiratory issues, such as COPD

Answer 13

• Lobe expansion test (Palpation)
• Rib motion (Palpation)
• Rib/costovertebral excursion (measuring tape)
• Percussion
• Auscultation
• Vocal fremitus

Question 14

Preg ax

Answer 14

Diastasis recti
BP
Postural
rom
Palp

Question 15

COPD AX

Answer 15

Lobe exp
Rib motion
Costovertebral
Percussion
Vocal fremotis
Ausc

Question 16

Sinus ax

Answer 16

Palp
Ha assessment

Question 17

Cv - HT ax

Answer 17

BP

Question 18

PAD ax

Answer 18

Cap refill
Allen’s
Pulse

Question 19

Edema

Answer 19

Girth
Pitted

Question 20

HA ax

Answer 20

Spurlings
Decompress
Vat

Question 22

Headaches Tx goals

Answer 22

• Promote relaxation
• Reduce pain
• Reduce hypertonicity
• Increase ROM
• Tissue health

Question 23

Hypertension Contraindications

Answer 23

• Prolonged vigorous, or potentially painful techniques
• Full body lymphatic drainage

Question 24

Headache palpation

Answer 24

Commonly affected muscles: trapezius, SCM, levator scapula, suboccipitals,
muscles of mastication, scalp
 Palpate muscles of respiration (scalenes, SCM, intercostals, diaphragm)
 Palpate areas for heat, coolness (ischemic), hypertonicity, trigger points in
muscles

Question 25

preg ci's

Answer 25

* joint mobilization due to the effects of relaxin * Avoid deep massage to the low back, sacrum and abdomen in the first trimester

Question 26

Headache ci's

Answer 26

Prone may not be tolerated (we will just say no prone) * No strokes toward the head (potential to increase circulation) * Modify treatment depth of pressure, and aggressiveness of treatment * Modify amount of TP work (ischemic comp.) * (check in before work on head/scalp work)

Question 27

Cardiovascular Ci's

Answer 27

Increase the work of the heart: e.g. by dramatically increasing venous return * Increase the risk of local tissue damage: e.g. XFF can cause prolonged bleeding in malnourished tissue

Question 28

Pregnancy (General Discomfort or Low Back Pain) ✅ Homecare:

Answer 28

Walking: Short, frequent walks to support circulation and reduce swelling. Hydrotherapy: Warm (not hot) baths or warm compress to low back or hips.

Question 29

Cardiovascular (e.g. Hypertension, Mild Heart Conditions) ✅ Homecare:

Answer 29

Diaphragmatic breathing: Promotes relaxation and lowers blood pressure. Gentle walks: Support circulation, reduce stress. Stress management: Meditation, journaling, quiet time. Hydrotherapy: Neutral temperature baths or alternating hand/foot baths to support circulation.

Question 30

Headaches homecare

Answer 30

Suboccipital self-release with a tennis ball or fingers. Neck stretches: Lateral flexion, gentle rotation. Posture correction: Chin tucks, wall posture check. Hydrotherapy: Warm compress to neck/shoulders.

Question 31

Respiratory Conditions (e.g. Asthma, COPD) ✅ Homecare:

Answer 31

Pursed-lip breathing: Helps with exhalation control. Diaphragmatic breathing: Reduces accessory muscle overuse. Gentle chest stretches: Wall angels or doorway pec stretches. Hydrotherapy: Warm steam or shower for mild congestion relief.

Question 32

Sinus Congestion or Sinusitis ✅ Homecare:

Answer 32

Steam inhalation: Bowl of hot water + towel over head. Facial massage: Gentle pressure over frontal and maxillary sinuses. Hydration: Thin out mucus. Nasal rinse: Saline spray or neti pot (if comfortable).