OSPE Flashcards

(43 cards)

1
Q

ligaments that limits accessory oa and AA movment

A

flx- posterior oa membrane

ext- ant oa membrane

sideend and rotation alar

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2
Q

ligaments that limit gh accsesory movement

A

ant sheer- glenohumeral ligaments

post sheer- post band inferior gh lig

superior- coracoacromial lig

inferior- sup gh lig, coracohumeral lig

decompression- gh lig

compression- gh lig

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3
Q

accesory movment of ac and ligaments they test

A

compression- trapezoid
decompression- conoid
anterior sheer- conoid
posterior sheer ac ligament

medialsheer
lateral sheer

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4
Q

sc accessory and ligaments they test

A

compression-
costoclavicular lig

decompression- ant sternoclavicular lig

ant sheer- anterior sternoclavicular lig

post sheer- posterior sternoclavicular lig

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5
Q

elbow accessory and ligament tested

A

medial gapping-ulnar colateral lig

lateral gapping- radial colateral lig

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6
Q

wrist accesory nd ligaments tested

A

decompression- palmar+ dorsal radio carpel+ UCL+RCL

compression- palmar+ dorsal radio carpel+ UCL+RCL

ant sheer- palmar radio carpel

post- dorsal radio carpel

medial sheer- RCL

lateral sheer- tfcc- UCL

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7
Q

pattela accessory + ligaments tested

A

Sup sheer inf pattela lig

inf sheer sup pattela lig

medial rot- lateral patellofemoral lig

lateral rot medial pattellofemoral

medial sheer lateral patellofemoral lig

lateral sheer- medial patellofemoral lig

compression-medial patellofemoral lig

decompression- medial patellofemoral lig

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8
Q

knee accesory and ligs tested

A

medial gapping MCL

lateral gapping LCL

ant sheer ACL

post sheer PCL

compression- ACL + PCL

decompression- ACL + PCL

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9
Q

ankle ligaments tested in accessory

A

talocrural
anterior sheer- ATFL

posterior sheer- PTFL

medial gapping- ATFL PTFL

lateral gapping- ATTL PTTL calcaneofibular

compression- ATTL PTTL

decompression- ATFL PTFL calcaneofibular

Subtalar

medial sheer- talocalcaneal

lateral sheer- lateral talocalcaneal

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10
Q

c spine rom

A

flx 50-70
ext 70-80
side 20-40
rot 80-90

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11
Q

t spine rom

A

flex- 20-45
ext- 25-45
side- 20-40
rot- 35-50

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12
Q

lumbar rom

A

flex- 40-60
ext- 20-35
side- 15-20
rot- 3-18

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13
Q

shoulder rom

A

flx- 170-180
ext- 50-60
abd- 180
add 50-75
ext rot- 80-90
int rot- 80-90

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14
Q

elbow rom

A

flx- 130-150
ext- 0-10
supination 90
pronation- 80-90

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15
Q

wrist rom

A

flx- 70-90
ext- 80-90
uln dev- 30
rad dev- 15

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16
Q

hip rom

A

flex- 110-120
ext- 10-15
abd 30-50
add- 30
int 30-40
ext 40-60

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17
Q

knee rom

A

flex- 135
ext 0-15
int rot- 20-30
ext rot- 30-40

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18
Q

ankle rom

A

plantar- 50
dorsi- 20
inversion- 30
eversion- 20

19
Q

end feels and causes of c spine movments

A

flex-firm- PLL, Nuchal, supra spinous, extensor muscles

ext- firm- ALL, flexor muscles
side- firm- contra lateral muscles- inter transverse lig
rot- firm- contra lateral muscles, alar ligaments, inter transverse

20
Q

end fee and limiting factors t spine

A

flex- Firm, PLL,
interspinous, supraspinous- extensor muscles

ext- firm, ALL, flexor muscles

side bend firm, intertransverse, ribs converging- contralateral muscles

rotation- firm- intertransverse, costotransverse- ribs- contra lateral muscles

21
Q

end feel in L spine and limiting factors

A

flex- Firm, PLL,
interspinous, supraspinous- extensor muscles

ext- firm, ALL, flexor muscles

side bend- firm- intertransverse lig- contralateral muscles

rotation- hard 90 degree saggital facet orientation

22
Q

shoulder end feels and ligaments

A

flexion- firm- posterior band of inferior gh lig- ext muscles

extension-firm- gh ligaments- flexor muscles

internal rotation- firm- posterior band inf gh lig, coracohumeral lig- ext rotator muscles

external rot- firm- middle gh lig- int rot muscles

abduction- firm- middle and inferior gh lig- add muscles

adduction- firm/soft- superior gh lig- abductor muscles or bicep coming into contact with pecs-

23
Q

elbow limiting factors and end feel

A

flexion- soft- flexor compartment in contact with bicep belly

extension- hard- olecranon in olecranon fossa

supination- firm- quadrate lig and annular lig- pronator muscles

pronation- firm- annular lig- supinator muscles

24
Q

wrist end feels and limiting factors

A

flex- firm- palmer radiocarpel ligs- extensor muscles

extension- firm- dorsal radiocarpel ligs- flexor muscles

rad dev- hard/firm scaphoid contating radial head or ulnar collateral lig and rad devator muscles

uln dev- firm- radial collateral lig- ulnar deviator muscle

25
hip end feel and limiting factors
flex- soft/ firm- approxomation or illiofemoral + extensor muscles ext- firm- illiofemoral lig + flexor muscles int rot- firm- ischiofemoral + ext rotation muscles ext rot- firm- pubofemoral- internal rotation muscles abduction- firm- pubofemoral lig + adductor muscles adduction- firm- ischiofemoral + abductor muscles
26
knee end feel limiting factor
flex- firm- pattela lig and pcl + extensor muscles ext- acl + flexor muscles int rot- ACL + LCL + external rotator muscles ext rot- poplitealfibular lig and MCL- internal rotator muscles
27
ankle end feel and limiting factors
plantar flexion- firm- ATFL ATTL + dorsi flexor muscles dorsi flexion- ptfl pttl- plantar flexor muscles inversion- lateral ankle ligaments- eversion muscles eversion- medial ankle ligaments- inversion muscle
28
what barrier does AROM work in
elastic barrier
29
what barrier does PROM work in
physiological barrier and works up to anatomical barrier
30
3 contraindications to NMT
No informed consent open wound on area fractured bone on area
31
3 cautions to NMT
diabetes hypertension history of adverse reaction to treatment
32
how does NMT work
stretches golgi tendon bodies leading to muscles relaxation. can help fluid displacement of lymph and reduces oedema healing power of touch and firm deliberate contact
33
what is osteopathic somatic dysfunction
impairment of the bodies various systems like skeletal system that can lead to pain (START)
34
START acronym
Symptom reproduction- pain or discomfort reproduced by movement tenderness- palpation causes tenderness asymetry- muscle bulk land mark heights etc restriction- lowered rom tissue texture- oily/ dry hairy/ not acne, wrinkles, scars moles
35
muscles that create movement at c spine
flex- scm, scalenes, rectus capitus anterior, longus coli and capitus extension- lev scap, spenius cervicis and capitis, trapezius erector spinae, rectus capitus posterior major and minor side bend- scm, scalenes, lev scap, trapezius, erector spinae rotation- scm, trapezius, splenius cervicus and capitus
36
muscles that create movement at t spine
flexion- rectus abdominus, internal oblique + external, extension- erector spinae, semi spinalis, multifidus, QL side bend- erector spinae, obliques, QL rotation- semi spinalis, multifidus, rotatores, erector spinae, obliques
37
muscles that create movment at lspine
flex- psoas major, rectus abdominous, obliques ext- erector spinae- multifidus, QL side bend- internal external obliques, QL, erector spinae rotation- int ext obliques, rotatores, QL, psoas major
38
muscles that create movment at shoulder
flexion- ant deltoid, biceps brachii, pec major, coracobrachialis extension- post deltoid, lat dorsi, teres major, triceps brachii internal rotation- pec major, lat dorsi, teres major, subscapularis, ant deltoid external rotation- infraspinatus, teres minor, post deltoid. abduction- deltoid, supraspinatus, trapezius, serratus anterior adduction- pec major, lat dorsi, terres major
39
muscles that create movment at elbow
flexion- biceps brachii, brachialis, brachioradialis extension- triceps brachii, anconeus pronation- pronator terres, pronator quadratus supination- briceps brachii, supinator
40
muscles that create movment at wrist
flexion- flx carpi radialis, ulnaris, palmaris longus, flexor digitorum superficialis and profundi extension- extensor carpi radialis longus and brevis, extensor carpi ulnaris, extensor digitorum ulnar dev- flexor carpi ulnaris, extensor carpi ulnaris radial dev- flexr carpi radialis, extensor carpi radialis longus and brevis
41
muscles that create movment at hip
flexion- psoas major minor, illiacus, rec fem, sartorius pectineus extension- glute maxius, bicep femoris, semimembranosis, semitendinosus adduction- addutor longus brevis magnus, gracilis, pectineus abduction- glute medius minimus, TFL int rotation- glute med + min, tfl, pectineus, adductors ext rotation- glute max, piriformis, obturator externus and internus
42
muscles that create movment at knee
flexion- biceps femoris, semimembranosus, semitendinosus extension- rectus fem, vastuses, sartorius external rotation- biceps femoris lh/sh internal rotation- sartorius, popliteus, gracilis, semi membranosis, semitendinosis
43
muscles that create movement at the ankle
plantar flexion- gastrocs, plantaris, tib posterior, flexor digitorun longus, soleus, flexor halucis longus dorsi flexion- tib anterior, ext hallucis longus, extensor digitorum longus, peroneus tertius inversion- tib anterior and posterior, flexor hallucis longus eversion- peroneus longus brevis tertius, extensor digitorum longus and extensor halucis longus