OPP Flashcards
(141 cards)
1
Q
Elbow flexed to 90, pronated
Resist pt ER and supination
A
Yergson - bicipital tendonitis
2
Q
Arm ER, neck extended and rotate toward arm + deep breath and loss of radial pulse
A
Adson test - thoracic outlet/subclavian b/w scalenes
3
Q
Well straight leg test
A
Raise and reproduce radicular sx on OPPOSITE side
4
Q
Lasegue test
A
Straight leg test on SAME side as sx w/ flexion of foot BOTH reproducing radicular sx
5
Q
Kidney, upper ureter - kidney stone autonomics
A
T10-11
6
Q
Heart, lungs, head, neck autonomics
A
T1-4
7
Q
Stomach, duodenum, spleen, liver, GB autonomics
A
T5-9
8
Q
Uterus, cervix, bladder, prostate autonomics
A
L1-2
9
Q
OPP technique for acute otitis media or sinusitis
A
Galbreath
10
Q
Middle GI, ascending colon autonomics
A
T10-11
11
Q
Tx asthma
A
seated thoracic pump, CV4, C-spine to normalize vagus
Also has rib 3-4 dysfxn
O2, albuterol, steroids
12
Q
Tx position for posterior lumbar tenderpoint
A
Prone
Extension
Leg IR, adducted
13
Q
1 anomaly of lumbar spine
A
Facet tropism
14
Q
Subtalar joint fxn
A
IR & ER of leg w/ planted foot
15
Q
Left cranial torsion
A
Sphenoid & occiput opposite @ AP axis
Left great wing superior
16
Q
Lateral cranial strain pattern
A
Sphenoid & occiput @ vertical axes
17
Q
Uterus autonomics and effect of dec sympathetic tone
A
T10-L2
Relax uterus & decrease pain in dysmenorrhea
Parasympathetics = dec uterine contractions and constricts cervix
18
Q
GI autonomics for duodenum, pancreas, jejunum, ileum and proximal 2/3 of transverse colon
A
T10-11
19
Q
GI autonomics for distal 1/3 of transverse colon to rectum +
lower ureters, bladder, testes, ovaries, prostate
A
T12-L2
20
Q
Adrenal gland autonomics
A
T10
21
Q
Sacral axis for ambulation and innomnate rotations
A
Inferior transverse
Weight bearing on L (step w/ right) = L axis
22
Q
SD w/ vaginal delivery
A
B/L sacral flexion
23
Q
Inc carrying angle, hand and wrist are ADDucted, olecranon prefers medial glide SD?
A
ABducted ulna
24
Q
Long leg innominate dysfxn & tx
A
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
