OPP Flashcards
(46 cards)
Ribs 2-5 move….
in sagittal plane anteriorly to change AP diameter; PUMP HANDLE
Ribs 6-10 move…
in coronal plane laterally to change transverse diameter; BUCKET HANDLE
Ribs 11 and 12 move…
posterolaterally and anteromedially since they’re floating; CALIPER
Inhaled rib has restriction in _________ so it is stuck _____ and will not move ______ making the key rib the _______ of the group dysfunction.
exhalation; up; down; bottom
Exhaled rib has restriction in _________ so it is stuck _____ and will not move _____ making the key rib the _____ of the group dysfunction
inhalation; down; up; top
Right side most often _______
Exhaled
Left side most often _____
Inhaled
Posterior ribs 2-10 CS
Lean patient toward TP to elevate rib and sidebend away (so if on left side, lean left and sidebend right)
Anterior ribs 3-10 CS
Lean patient away to depress rib and sidebend toward TP (so if left, lean right, sidebend left)
Posterior rib 1 CS
flex arm on same side of TP and rest on examiner’s knee
Anterior ribs 1-2 CS
rotate and flex neck towards same side of TP
Indirect MFR for subluxed or key rib
- Hold entire rib and compress front to back
- Pull compressed rib laterally into POE
- Follow tissue give until done
- Recheck
Direct MFR for subluxed or key rib
- Pull subluxed or key rib angle superior and maintain pull
- Move arm into restrictions (abduct internally rotated, abduct or adduct externally rotated)
- Repeatedly compress the shoulder toward the rib angle
- Retest
Costochondritis
- Inflammation @ costochondral junction
- gradual
- tenderness on chest wall w/o swelling
- pain @ costochondral junction, at rest or during movement, hours to days, can be pleuritic
Rib tip syndrome
- Sharp pain @ end of costal cartilage/rib tip and radiates to abdomen or pelvis/groin
- Intermittent pain, worse with truncal motion
- Usually ribs 10-12
- may have clicking
Scapulocostal syndrome
- Gradual onset of pain in superior/posterior scapula that radiates to shoulder girdle, neck, and chest wall
- Caused by trigger points in chest wall, medial and deep to scapula
- Can contribute to shoulder impingement
- Associated with: stress, overuse, postural strain, prolonged immobilization of shoulder
Zoster
- reactivation of chicken pox (Shingles)
- dermatomal rash
- maculopapular
- NO midline
Sympathetics involve
- Tissue texture change, rotation testing, redness, heat, moisture
- Chapman points evidence of organ dysfunction or disease
Parasympathetics involve
- Suboccipital/OA - head, chest, UGI, UE
- Sacrum - LGI, pelvis, LE
OMT for sympathetics
- Indirect for type II
- Rib raising (thoracolumbar inhibition for lower GI or pelvic problems)
- Chapman point inhibition
- Abdominal plexus inhibition
OMT for normalization of parasympathetics
- Suboccipital inhibition or specific treatment for most problems
- Sacral rocking or specific treatment for colon and pelvic problems
Celiac plexus
UGI
Superior mesenteric plexus
Small intestines, right colon
Inferior mesenteric plexus
Left colon
