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Flashcards in OPP Deck (141)
1

Elbow flexed to 90, pronated
Resist pt ER and supination

Yergson - bicipital tendonitis

2

Arm ER, neck extended and rotate toward arm + deep breath and loss of radial pulse

Adson test - thoracic outlet/subclavian b/w scalenes

3

Well straight leg test

Raise and reproduce radicular sx on OPPOSITE side

4

Lasegue test

Straight leg test on SAME side as sx w/ flexion of foot BOTH reproducing radicular sx

5

Kidney, upper ureter - kidney stone autonomics

T10-11

6

Heart, lungs, head, neck autonomics

T1-4

7

Stomach, duodenum, spleen, liver, GB autonomics

T5-9

8

Uterus, cervix, bladder, prostate autonomics

L1-2

9

OPP technique for acute otitis media or sinusitis

Galbreath

10

Middle GI, ascending colon autonomics

T10-11

11

Tx asthma

seated thoracic pump, CV4, C-spine to normalize vagus
Also has rib 3-4 dysfxn

O2, albuterol, steroids

12

Tx position for posterior lumbar tenderpoint

Prone
*Extension*
Leg IR, adducted

13

#1 anomaly of lumbar spine

Facet tropism

14

Subtalar joint fxn

IR & ER of leg w/ planted foot

15

Left cranial torsion

Sphenoid & occiput opposite @ AP axis
Left great wing superior

16

Lateral cranial strain pattern

Sphenoid & occiput @ vertical axes

17

Uterus autonomics and effect of dec sympathetic tone

T10-L2
Relax uterus & decrease pain in dysmenorrhea
Parasympathetics = dec uterine contractions and constricts cervix

18

GI autonomics for duodenum, pancreas, jejunum, ileum and proximal 2/3 of transverse colon

T10-11

19

GI autonomics for distal 1/3 of transverse colon to rectum +
lower ureters, bladder, testes, ovaries, prostate

T12-L2

20

Adrenal gland autonomics

T10

21

Sacral axis for ambulation and innomnate rotations

Inferior transverse

Weight bearing on L (step w/ right) = L axis

22

SD w/ vaginal delivery

B/L sacral flexion

23

Inc carrying angle, hand and wrist are ADDucted, olecranon prefers medial glide SD?

ABducted ulna

24

Long leg innominate dysfxn & tx

Posterior rotation
- tight hamstrings

Tx = engage hip flexors
- supine, drop leg off table and flex hip

25

Tx for L on L

Left lateral SIMS

26

Heart autonomics

T1-5

27

Dx and tx carpal tunnel

Dx - EMG
Tx - T2-8 dec sympathetics to extremity

28

L5 tenderpoint

1cm lateral to pubic symphysis

29

Tx Anterior L5 tenderpoint

Supine
Knees & hips flexed to 90 + SB, rotation away

30

Lumbar dysfxn w/ psoas syndrome

Flexed, S & R to SAME side

31

Lung autonomics

T2-7

32

Sympathetic tone effect on pulmonary secretions

THICKENS

33

Esophagus autonomics

T2-8

34

Chapman's point for acidity

5th IC on left

35

Chapman's point for lower lung

4th IC

36

Chapman's point for liver

5th IC on right

37

Chapman's point for liver & GB

6th IC on right

38

Chapman's point for peristalsis

6th IC on left

39

Posture
Head posterior, anterior cervical, posterior thoracic, anterior pelvis tilt

Military

40

Posture
Head anterior, inc cervical lordosis, inc thoracic kyphosis, flat lumbar, posterior pelvic tilt, knee hyperextended

Swayback

41

Posture
Head anterior, lower thoracic to lumbar flat, hips and knees extended

Flat back

42

Tenderpoint 2cm lateral to medial clavicle & tx

SCM
- rotate away, SB toward

43

Where is springing present in R on L sacral torsion

Left ILA
- right sulcus is posterior = left ILA has freedom to move anterior (spring)

44

#1 lateral epicondylitis muscle involved

extensor carpi radialis BREVIS

45

Landmarks to measure leg length discrepancy

ASIS to medial malleolus

46

Findings in anatomic short leg

lower sacral base
anterior innominate
lumbar type 1 - SaRt

47

Heel lift protocol

Old = 1.5mm (1/16)
Young = 3.2mm (1/8)

Every 2 weeks inc
Acute = work up to full discrepancy
Chronic = 1/2 -3/4 of discrepancy

Max heel lift = 10-12 mm (5mm
Surgical if >5CM*

48

Severe burning pain at LB injury, spasm, joint stiffness, dec ROM, rapid hair and nail growth, livedo reticularis

CRPS type 1

49

Nerve injury, muscle atrophy, edema

CRPS type 2

50

Sphenoid higher on left, occiput rotated right

LEFT torsion
- 1 AP axis
- rotate opposite

>wing counterclockwise = R

51

Sphenoid deviated right in relation to occiput

RIGHT lateral strain
- 2 vertical axes = center sphenoid & foramen magnum
- common in newborns

52

Sphenoid superior in relation to occiput, struck under chin

? index and 5th fingers move inferiorly

Superior vertical strain
- 2 transverse axes, same
- named for base of sphenoid direction (opposite of wing direction)

Inferior shear = struck on top of head

53

Extension of sphenoid, occiput, ethmoid, vomer (midline) causes paired bones, LE, frontal bone to?

IR
Sacrum - nutation
Inc AP diameter
Bregma ascends

54

Physiologic strain patterns

Torsion
Sidebending & rotation
Flexion & Extension

55

Sphenoid & occiput rotate in same direction, full hand on right

Sidebending & rotation to the right (fuller hand)
- 1 AP axis, same
- 2 vertical axes, opposite (SB)

56

Common compensatory pattern

OA - L
cervicothoracic - R
thoracolumbar - L
lumbosacral - R

57

Cause of jaw deviation in TMJ dysfxn

LATERAL pterygoid - only muscle that lowers jaw

58

Best methods for acute injuries

Indirect
- BLT, CS, myofascial

59

Lung autonomics

T2-7

60

Chapman's point for bladder

Periumbilical

61

Chapman's point for the appendix

Tip of 12th rib
Posterior - R TP T11

62

Posterior Chapman's point for the kidneys

B/w SP & TP of T12-L1

63

Best techniques for elderly or hospitalized pts

indirect
gentle direct - rib raising
?articulatory

64

Role of uncovertebral joints

Sidebending
Protect nerve roots from herniation

65

Posterior cord branches of brachial plexus

axillary
radial

66

Medial cord branches of brachial plexus

Median
Ulnar

67

CI to cranial

Inc IC pressure
TBI

68

Finger positions in vault hold
1. index
2. middle
3. ring
4. little

1. greater wing of sphenoid
2. zygomatic of temporal
3. mastoid of temporal
4. squamous of occiput

69

Sympathetic stimulation effects on bladder

Constricts trigone/sphincter + relaxes detrusor --> retention

70

Order of treating lymphatics

Thoracic inlet or other diaphragms ---> rib raising ---> lymphatic pumps

71

Right sulcus deep
Left ILA posterior and resists springing
Left sulcus resists springing

Left sacral margin posterior

72

SD findings w/ disc herniation

Lumbar SB dysfxn
asymmetry w/ hip drop testing

73

Lymphatic technique CI in recent abd surgery

Pedal pump - moves abd content into diaphragm

74

Ely's test

Prone heel to butt to test rectis femoris

75

Muscle to tx ribs 3-5 dysfxn

Pectoralis minor

76

Tx anterior rib tenderpoints

St Rt
slight flexion
Tx 120s

77

Psoas syndrome
1. Key lesion
2. Cause of pain to CL knee

1. L1 or L2 non-neutral SD
2. CL piriformis spasm

78

Tx Anterior L1 tenderpoint

Supine
Hips & knees flexed + SB toward

79

Cause of patello-femoral syndrome

Q angle >17 degrees --> genu valgus/knock-kneed

80

Chapman's point for the tonsils

1IC

81

Chapman's point for the thyroid, myocardium, esophagus, bronchi

2IC

T2-3 posteriorly

82

Chapman's point for ovaries and urethra

Superior pubic rami 2cm lateral to symphysis

L2 TP posterior

83

True ribs

1-7

84

Hamstrings innervation

Short head of biceps femoris = common fibular branch of sciatic (L5-S2)
Others = tibial branch of sciatic (L5-S3)

85

Chapman's point for the prostate

Posterior margin of IT band

Lateral sacral base posteriorly

86

Champan's point for the kidneys anterior & posterior

Anterior - 1" lateral & 1" superior to umbilicus

Posterior - SP & TP of T12-L1

87

Champan's point for adrenal gland anterior & posterior

Anterior - 1" lateral & 2" superior to umbilicus

Posterior - SP & TP T11-12

88

Physician passively and progressively hyperabducts and ER pt's arm --> extremity tingling or dec radial pulse

Wright's test - thoracic outlet

89

Shoulder flexed forward & elevated to 90 --> forced IR --> pain

Hawkin's test - rotator cuff or subacromial impingement

90

Another name for empty can test

Job's test

91

Thompson test

Achilles rupture = squeeze gastroc --> plantarflexion

92

McMurray test

Meniscal tears

93

Talar tilt test

Assess medial and lateral ankle tendons w/ IR & ER

94

Pterion cranial bones

Sphenoid, frontal, temporal, parietal

95

Axis for postural motion
- person bend forward sacral base moves anterior --> sacrotuberous ligament --> extension

Middle transverse

96

Axis for respiration and craniosacral movement

Superior transverse (S2)

Dura attached to posterior superior S2

97

Foramen ovale bone and nerve

Sphenoid
V3

98

Bones forming occipito-mastoid suture

Occiput
Temporal --> jugular foramen

99

Tx for dysmenorrhea

Sacral inhibition --> NSAIDs

100

Indirect method for tx L on L sacral dysfxn

Exaggerate existing dysfxn - anterior force to anterior R sacral base/sulci

101

Normal CRI
Things that dec CRI

10-14/min
Stress, depression, fatigue, chronic infection

102

CV4 encourages which phase

Extension

103

Tx tenderpoint for iliacus

Medial ASIS
Supine
Hips & knees flexed + ER (knees open)

104

Autonomics & plexus involved in urination, relaxing uterine fundus, constricting cervix

Pelvis splanchnic (S2-4) & hypogastric plexus

105

Chapman's point for tongue, larynx

2nd rib

106

Chapman's point for ear

Clavicles ~1st rib

107

Chapman's point for eye

Lateral humerus

108

Chapman's point for sinuses

1st rib

109

Chapman's point for upper lung & upper limb

3IC

110

Chapman's point for pancreas

7 RIC

111

Chapman's point for spleen

7 LIC

112

Chapman's point for uterus

L5 medial to PSIS

113

Chapman's point for cerebellum

Coracoid

114

Trigger points vs. Tenderpoint

Trigger= radiation/referred pain
Tx = spray & stretch w/ vapocoolant, local anesthetic or dry needling

115

Tenderpoints for L2-4

AIIS L2 medial --> counterclockwise

116

Tenderpoints for C4-8 & thoracics & lumbar posteriorly

Same SP or TP

117

Tx elevated rib/inhalation dysfxn tenderpoints

POSTERIOR rib angle for 120s
F SaRa

118

Tx tenderpoint lumbar anteriorly

Supine
Knees & hips flexed + Ra

119

Tx tenderpoint piriformis

Prone
Hip & knees flexed
Thigh Abducted & ER

120

Tx tenderpoint L5/lower pole

Prone
Flexed
Adducted & IR

121

Creator of FPR & tx order

Schiowitz

Neutral --> compression --> ease --> neutral

122

Creator of Still & tx order

Van Buskirk

Ease --> compression --> restriction --> RELEASE --> neutral

123

Order for shoulder Spencer technique

"Eat fried crispy chicken and add in dessert"

Extention --> flexion --> circumduction w/ compression --> traction --> abduction --> ADDuction w/ ER --> IR --> distraction

124

Order of hip Spencer technique

Flex --> extend --> circumduction w/ compression (hip flexed) --> traction --> IR --> ER --> Abduction --> adduction

125

Rib tx
1. Exhalation
2. Posterior rib tenderpoint

1. Kirksville under rib angle or serratus anterior
2. SaRa

126

Stance phase innominate rotation

Anterior rotation around INFERIOR axis of sacrum

127

High riding humeral head

Complete rotator cuff tear

128

Scoliosis sidebent R

Levoscoliosis
- idiopathic
- opposite psoas syndrome

Tx = Cobb 5-150 w/ PT, Konstancin, OMT

129

Peri-umbilical LN cause

Gastric adenocarcinoma

130

Limited abduction and adduction of 5th digit with hypothenar atrophy

Guyon's canal entrapment

131

Inability to flex 45h & 5th DIPs + Limited abduction and adduction of 5th digit with hypothenar atrophy

Cubital tunnel syndrome = elbow

132

Watson's test

Push scaphoid A-P with wrist in ulnar or radial deviation

Subluxation = carpal ligament injury

133

Spurling's test

Cervical radiculopathy

Extend + SB + compression of C-spine

134

Dural attachments

Foramen magnum, OA, AA, C3 & posterior S2

135

Forearm pronation nerve

Median

136

Chapman's point for myocardium/MI

2nd IC near sternum

137

Keinbock disease

AVN of lunate - pain over dorsum of wrist w/ limited F/E

138

Panner disease

Osteochondritis of capitellum in 7-12 y/o d/t overuse throwing or lifting weights

139

Scoliotic curves that indicate bracing

20-45

Surgery >50 (rep compromise)
Cardiac >75

140

Anterior wedging/curvature of thoracic vertebrae of >5 degrees, Schmorl's nodes, does not correct w/ positional changes

Scheuermann kyphosis
- bracing b4 skeletal maturity
- OMT & PT if in 20s or older
- surgery if >40 degrees

141

Tx for scoliosis
1. 40

1. Observation & re-exam in 6mo
2. Bracing & repeat x-rays in 6mo
3. Surgery - remember to do lung function testing