OPP Flashcards

(101 cards)

1
Q

posterior fibular head

A

talus internally rotated
foot inverted and plantarflexed
(recall: PEED, AIIP are ME setup only)

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2
Q

anterior fibular head

A

talus externally rotated
foot everted and dorsiflexed
(recall: PEED, AIIP are ME setup only)

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3
Q

Yergason’s test

A

asseses long head of the biceps tendon

have pt flex elbow to 90 with forearm pronated, then have them supinate against resistance

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4
Q

Adson’s test

A

to dx thoracic outlet syndrome

have patient turn head to ipsa side and extend neck with deep inspiration
(+): pt loses radial pulse on that side

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5
Q

Finkelstein test

A

for De Quervain tenosynovitis
(affects aBductor pollicus longus and extensor pollicus brevis)

presents with radial wrist/thumb pain

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6
Q

Primary Respiratory Mechanism

A

CNS, CSF, dura, cranial bones, and sacrum

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7
Q

dural attachments (4 sites)

A

foreamen magnum, C2, C3, and S2

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8
Q

Reciprocal Tension Membrane

A

meninges, dura

allows for cranium and sacrum to move in sync

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9
Q

normal cranial rhythmic impulse? (CRI)

A

10-14 cycles/minute

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10
Q

how does the sacral base move during SBS flexion?

A

posteriorly (opposite of anatomical flexion )

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11
Q

how does the sacral base move during SBS extension?

A

anteriorly (opposite of anatomical extension )

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12
Q

sacral nutation?

A

anatomical flexion

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13
Q

sacral counternutation?

A

anatomical extension

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14
Q

the sacrum rotates around this axis for cranial movements

A

superior transverse axis (S2)

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15
Q

the innominate rotates around the sacrum on this axis

A

inferior transverse axis

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16
Q

where do you feel on the skull for craniosacral mvmt?

A

at the SBS articulation: the occiput (basilar portion) and the sphenoid

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17
Q

Cobb angles? how do you measure?

mild? moderate? severe?

A

measurement: draw horizontal lines from the vertebral bodies of the ends of the curve. Draw perpendicular lines from these horizontal lines. The angle they form is the Cobb angle

mild: 5-15
moderate: 20-45
severe: 50+

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18
Q

What Cobb angle does respiratory function become affected?

CV function?

A

resp: 50+
cardio: 75+

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19
Q

The sacrum moves around this axis for respiratory motion

A

S2 superior transverse axis

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20
Q

The sacrum moves around this axis for postural motion

A

Middle transverse axis

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21
Q

3 Rules about sacral torsion relating to L5?

A

1) When L5 is sidebent, the sacral oblique axis is engaged on the same side as the sidebending
2) When L5 is rotated, the sacrum rotates the opposite way on an oblique axis
3) The seated flexion test is found on the opposite side of the oblique axis

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22
Q

What Cobb angles should you brace?

A

between 20-40

surgery at greater than 45

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23
Q

CCP is (L/R)

A

OA - L
CT - R
TL - L
LS - R

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24
Q

Midline bones (cranial)

A

sphenoid
occiput
ethmoid
vomer

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25
paired bones (cranial)
Frontal (metopic suture) temporal parietal
26
Starting heel lifts: elderly vs young person?
Elderly: do 1/16" aka 1.5mm young: do 1/8" aka 3.2mm will want to increase thickness q2weeks until 1/2 to 3/4 of discrepancy is reached
27
max leg length discrepancy that can be treated with heel lifts?
must be less than 2cm
28
Things that happen during cranial flexion
midline bones flex paired bones extend Ernie head (AP diam shrinks, transverse diam grows) things get pulled cephalad
29
Things that happen during cranial extension
midline bones extend paired bones flex Bert head (AP diam grows, transverse diam shrinks) things get pulled caudad
30
Concentric m. contraction?
muscle shortens (origin and insertion approximate) during tension
31
Eccentric m. contraction?
muscle lengthens (origin and insertion move apart) during tension
32
CP of middle ear (AOM)
first rib and clavicles, superior medial aspect of clavicle
33
Celiac ganglion release levels
T5-T9
34
inferior mesenteric release levels
distal 1/3 of T colon and down to rectum, include lower ureters (T12-L2)
35
Superior mesenteric release levels
duodenum to 2/3 T colon (T10-T11)
36
CP of vagina
posterior thigh
37
Posterior CP of bladder
Transverse process of L2
38
Posterior Kidney CP
between T12-L1
39
Posterior Appendix CP
T11 transverse process
40
Prostate CP
lateral and posterior margin of IT band
41
CP colon
anterior IT band
42
CP for rectum
over lesser trochanter
43
CP of heart
2nd intercostal space
44
2nd intercostal space
myocardium, thyroid gland, esophagus, bronchi
45
CP for pancreas
right 7th intercostal space
46
CP for spleen
left 7th intercostal
47
Cervical Main Motion and SB/R
OA - F/E - Opposite SB and Rot AA - Rot - Opposite SB and Rot (Type I) C2-C4 - Rot - Same SB and Rot C5-C7 - SB - Same SB and Rot
48
Typical Ribs
Ribs 3-10
49
Atypical Ribs
Ribs 1,2,11,12
50
True Ribs
Ribs 1-7
51
False Ribs
Ribs 8-10
52
Floating Ribs
Ribs 11-12
53
Pump Handle Ribs
Ribs 1-5
54
Bucket Handle Ribs
Ribs 6-10
55
Caliper Motion Ribs
Ribs 11, 12
56
Rib 1 Muscle
Anterior Scalene Ex ME: head moves anterior
57
Rib 2 Muscle
Posterior Scalene Ex ME: turn head 30 degrees away and lift head
58
Rib 3-5 Muscle
Pectoralis minor Ex ME: push elbow towards opposite ASIS
59
Ribs 6-8 Muscle
Serratius Anterior Ex ME: push arm anterior
60
Ribs 9-10 Muscle
Lat Dorsi Ex ME: adduct arm
61
Ribs 11-12 Muscle
Quadratus lumborum Ex ME: adduct arm
62
Knock Knee and Q angle
Genu valgus and Inc Q angle
63
Primary Respiratory Motion
1. CNS - inherent mobility of brain and spinal cord 2. CSF - fluctation of CSF 3. Dura - movement of intracranial and intraspinal membrane 4. Cranial - articular mobility of cranial bones 5. Sacrum - involuntary mobility of the sacrum between ilia
64
Torsion
named for superior greater wing of sphenoid | i.g. left index finger is more cephalad in L torsion
65
SB/Rotation
named for which was the SBS points | i.g. Left sidebending = "apex left"
66
Vertical
named for sphenoid motion | i.g. pinkys point opposite up/down
67
Lateral strain
named for sphenoid again | i.g. pinkys point toward the side
68
Cervical CS
Anterior - SARA Maverick C7 - F STAR Posterior - ESARA Maverick Inion - F only
69
Thoracic CS
Anterior F SARA | Posterio E SARA
70
Ribs CS
Anterior Ribs 1,2 - F head + STRT Anterior Ribs 3-6 - STRT only Posterior Ribs - E SARA
71
Lumbar Tender Points
L1 - medial to ASIS L2 - L4 on AIIS L2 medial, L3 lateral, L4 inferior to L3 L5 - 1 cm lateral to pubic symph on superior ramus
72
Lumbar CS
Anterior - Hips F and rotated away | Posterior - Hips extened and SB away
73
Lumbar Maverik Posterior
L5 - Prone hip and knee flexed, leg IR and adducted
74
iliacus TP
~7cm medial to ASIS Tx: supine hip flexed and ER
75
Piriformis TP
in pirimformis muscle 7cm medial and slightly cephald to greater troch Tx: Prone hip and knee flexed, thigh abducted and ER
76
FPR
neutral, compression/distraction, ease FPR is NiCE
77
Still
Ease into Restriction
78
Tx Sacrum ME
Axis side down Forward Torsion Face Down - "fall forward face plant" Backwards Torsion lies on their Back
79
constant muscle tension w/ change in length
isotonic
80
Isotonic sub types
Concentric - muscle shortens (curls) | Eccentric - muscle lengthens
81
Isolytic
doctor lengthens against contraction (force to lengthen ig muscle strength testing)
82
Isometric
no shortening or lengthening i.g. Muscle Energy
83
Isokinetic
no change in speed while lengthening/shortening - swimming
84
CP for Esophagus
2nd and 3rd ICS
85
Thyroid CP
2nd ICS
86
Bronchi CP
2nd ICS
87
Larynx CP
superior aspect 2nd rib
88
Upper Lung/Lower Lung CP
3rd and 4th ICS
89
Stomach CP
L 5th ICS (acid) | L 6th ICS (perstalisis)
90
Liver CP
5th and 6th R ICS
91
GB CP
6th R ICS
92
Urethra CP
superior ramus, 2cm lateral to symph
93
Ovaries CP
lateral to pubic symph
94
Prostate/Broad lig CP
outer femur
95
Pylorus CP
center of sternum
96
Retina/Conjunctiva CP
greater tubercle of humerus
97
Neck CP
Surgical neck of humerus
98
Cerebellum CP
tip of coracoid process
99
Nasal sinuses CP
top of 1st rib midclav line
100
Pharynx CP
top of 1st rib meeting manubrium
101
Tongue CP
2nd rib at costosternal joint