Quiz 2

Question 1

What motion barrier is engaged when performing a direct method osteopathic manipulative technique?

Answer 1

The restrictive barrier is engaged and a final activating force is applied to correct somatic dysfunction

Question 2

According to Tyler Cymet, is joint noise necessary for successful treatment when performing HVLA?

Answer 2

no

Question 3

What is the definition of High Velocity Low Amplitude technique?

Answer 3

An osteopathic technique employing a rapid, therapeutic force of brief duration that travels a short distance within anatomical range of motion of a joint, and that engages the restrictive barrier in one or more planes of motion to elicit release of restriction. Aka thrust technique

Question 4

What characteristic or quality of the restrictive motion barrier is engaged when performing a direct method muscle energy technique?

Answer 4

The “feather edge” of restrictive barrier is engaged. This is the point where the restrictive barrier is just beginning to be engaged or where the tissue tension is just palpable

Question 5

What is the goal and physiologic basis of postisometric relaxation?

Answer 5

to accomplish muscle relaxation. Immediately after an isometric contraction, the neuromuscular apparatus is in a refractory state during which passive stretching may be performed without encountering strong myotactic reflex opposition. Operator just needs to resist contraction and then take up the slack in the muscle during the relaxed refractory period

Question 6

Identify, define, and describe a somatosomatic reflex

Answer 6

localized somatic stimuli producing patterns of reflex response in segmentally related somatic structures. Simplest are defensive withdrawal actions such as touching a hot object and jerking arm away

Question 7

Identify, define, and describe a visceroviscero reflex

Answer 7

localized visceral stimuli producing patterns of reflex response in segmentally related visceral structures. Example: distension of gut due to increased contraction of the gut muscle

Question 8

Identify, define, and describe a somatovisceral reflex

Answer 8

localized somatic stimulation producing patterns of reflex response in segmentally related visceral structures. Somatic dysfunction in upper mid-thoracic region T2-T6 resulting exacerbation of asthma

Question 9

Identify, define, and describe a viscerosomatic reflex

Answer 9

localized visceral stimuli producing patterns of reflex response in segmentally related somatic structures. Example: pain and muscle tightness in left shoulder with MI

Question 10

When the physician uses manipulative treatment to correct somatic dysfunctions, underlying visceral function is affected through which reflex networks?

Answer 10

somatovisceral reflex networks

Question 11

For each visceral organ, give their approximate spinal cord level of their preganglionic neurons:
heart
stomach
liver and gallbladder
pancreas
small intestine
colon and rectum
kidney and ureters
urinary bladder
ovary and fallopian tube
testicle and epididymis
uterus
cervix
prostate

Answer 11

heart: T1-T5
stomach: T5-T9
liver and gallbladder: T6-T9
pancreas: T5-T11
small intestine: T9-T11
colon and rectum: T8-L2; S2-S4
kidney and ureters: T10-L1
urinary bladder: T10-L1; S2-S4
ovary and fallopian tube: T9-T10
testicle and epididymis: T9-T10, L1-L2, S2-S4
uterus: T10-L1
cervix: S2-S4
prostate: L1-L2