1. R levator scap 2. R upper trap 3. L T12 anterior 4. L Lat dorsi 5. L lower trap 6. L psoas 7. R quad lumborum 8. R hammie

Spring 2016 written Flashcards by Julia Peterson

if a woman has h/o pelvic or back pain during previous pregnancies, then?

up to 2/3 may continue to suffer from back pain after delivery

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what are radicular sx during pregnancy due to?

direct pressure on nerve root/lumbar plexus by uterus

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which paraspinal muscle will shorten the most in pregnancy?

iliopsoas

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in pregnant patients with pre-existing scoliosis, if the curvature is >____ then there is a link to pregnancy

25 degrees

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what effect on birth is assc’d with scoliosis

premature birth

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target of relaxin hormone (3)

cervix, uterus, ligamentous structures of pelvis

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effect of progesterone on fluid in pregnancy

promotes fluid retention

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viscero-somatic level of uterus

T10-L1

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what is crucial during congestive stage (28th-36th week)

restoring motion of diaphragms

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what should you be sure to tx postpartum?

sacrum (sacroilitis, coccydynia)

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frog technique txs?

treats incr lordosis of lumbar spine

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the ABCs of treating hospitalized patients

Autonomics
breathing
circulation

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how to know if a person has a viscerosomatic reflex?

when 2+ spinal segments have evidence of SD within an autonomic reflex area

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ppl with CAD have mechanical problems involving____ that involve rotation to the ____

T3 & T4; left

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sequence of treating hospitalized patient: centrally or peripherally first?

central

2. peripheral

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OMT can decr what in patients with pneumona (3)

length of stay
duration of IV Abx
incidence of respiratory failure/death

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why tx areas of fascial distortion?

b/c it poses a restriction to free flow or low pressure fluids

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in copd or URTI, tx which viscerosomatics

T1-6

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in diabetes, tx which viscerosomatics

T5-11

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in HTN, tx which viscerosomatics

heart (T1-5), adrenals (T10-11), kidneys (T10-L1)

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what systems to use to tx elderly?

2. respiratory circulatory model

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8 important CCP TP

R levator scap
R upper trap
L T12 anterior
L Lat dorsi
L lower trap
L psoas
R quad lumborum
R hammie

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goal of OMT in GI tx

remove excessive synaptic drive from PAN

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where does prolonged visceral afferent input manifest (3)

segmental paraspinal tissues
collateral ganglia
visceral motion

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c/o of HA, N/V, diarrhea, cramps may be due to?

parasympathetic dominence

rib raising targets which type of ganglia

sympathetic trunk ganglia (paravertebral)

unpaired, abdominopelvic (preverterbral) ganglia

collateral ganglia

inhibition of collateral ganglia will result in what?

reduce sympathetic hyperactivity of organs

indications for linea alba tx (celiac ganglion inhibitiion)

abdominal distension, slow GI motility

normal physiological motion of visceral sphincters

clockwise

which sphincter: 1/3 way on a line | from R ASIS to umbilicus (McBurney’s Point) then a little superior

ileo-cecal valve

which sphincter: On a line from L mid-clavicle to umbilicus, then 2-3 cm on line up from umbilicus

duodenal jejunal jxn

which sphincter: On a line from R mid clavicle to umbilicus, then 2-3 cm on line up from umbilicus

sphincter of oddi

which sphincter: 6-7 cm above umbilicus (May be L or R side of midline)

pylorus

which sphincter: ½-1 inch above | xiphoid process

cardiac/gastro esophageal jxn

folds of peritoneum

mesentery

indications for mesenteric lift

IBS, constipation, ileus, abdominal distension or adhesions

which systems are fully formed at time of birth?

CV, lymphatic

which systems mature during teh first 12 months of life?

renal, hematopoetic

which systesms take many years to develop?

CNS, GU, endocrine, MSK

how do fryettes principles apply to children?

they do not (bones are not fully formed)

barlow test for ____of femoral head

displacement

ortolani manuever to ____femoral head ____acetabulum

reduce; back into

in kids with asthma, when do you tx OA, AA?

after everything else is completed

which code is used to tell insurance about your treatment utilized

CPT codes

which code is used to define dx

ICD-10

cranial is what type of technique

myofascial

where the occipital, temporal, parietal bones come together

asterion

squamoparietal suture is where?

b/w parietal and temporal bones

sagittal suture is...?

serrated

temporal suture is....

gliding squamous suture

nasal bone is....?

sliding plane suture

primary respiratory motion: Inherent ______ of the CNS

Motility

primary respiratory motion: ____of the CSF

fluctuation

primary respiratory motion: ______of the reciprocal tension membrane

mobility

primary respiratory motion: articular ____ of the cranial bones

mobility

primary respiratory motion: articular _____of the sacrum b/w the ilia

mobility

_____is where the falx cerebri, falx cerebelli, tentorium cerebelli come together

straight sinus

what is sutherland's fulcrum

the straight sinus

where is the motion of the sacrum

around the transverse axis at second sacral segment

where does the dura attach on the sacrum

anterior surface of sacral canal at the level of S2

in flexion/extension of sphenoid and occiput, what do they move around?

sphenobasilar synchondrosis (SBS)

when the midline bones go into flexion, the paired bones go into_____

external rotation

when the midline bones go into extension, the paired bones go into_____

internal rotation

physiologic strain cranial bones move ___direction, pathologic strain move ____direction

opposite; same

if looking at the falx cerebri, what is the name of the sinus that runs through it?

superior sagittal sinus

falx cerebelli = which sinus?

occipital sinus

tentorium cerebelli = which sinus?

transverse sinus

how to tx a child with colic?

drain occipital sinus

in a superior vertical strain, when the occiput is in extension, the temporals are in ______

internal rotation

in an inferior vertical strain, when the occiput is in flexion, the temporals are in____

external rotation

how to tx a HA at the vertex

parietal lift

what to use to initiate labor in woman past her due date

compression of the 4th ventricle

what to use to release any peripheral suture in a patient presenting with HA or sinus pressure

V-spread

a collection of compensatory changes that occur when there is sacral base unleveling

short leg syndrome

most common presenting complaint of short leg syndrome

LBP

what landmarks cue you into short leg syndrome

1. iliac crest, | 2. greater trochanters

when can you dx anatomic short leg?

after treating with OMT a few times

when to prescribe heel lift for a patient with suspected short leg

after 1-3 trials of OMT and still have uneven landmarks (thus anatomic short leg)

x-ray dx of short leg

standing postural x-ray series

left height guidelines: add ____inch for every _____of sacral base unleveling

1/8 inch; 1 degree

what is the most sensitive clinical test for finding scoliosis

adams forward bend test

gold standard for radiographic eval of scoliosis

cobb angle

what degree of curvature defines a scoliosis?

>10 degrees = scoliosis

scoliosis is named by the side of_____

convexity

curves measuring____at the end of growth do not progress

under 30 degrees

cobb angle 10-19

mild scoliosis

cobb angle >50 degrees

severe scoliosis

sphenopalatine syndrome

worsens cases of asthma

poor lymphatic drainage of the eye

glaucoma

menieres disease (tinnitus, hypoacusia, vertigo) may be attributed to

decr absorption of endolymph in inner ear

tinnitis: low pitched roar = _________ rotation of temporal bone; high pitches whine = _____rotation of temporal bone

external; internal

most common type of recurrent HA

tension HA

which type of HA is thought to be caused by inflammation of cavernous sinus

cluster HA

galbreath manuever is indicated when?

open up eustachian tube

what is caused by a hypersensitivity in a muscle and its fascia

myofascial trigger point

trigger points in which 2 muscles very commonly refer pain to the head?

1. upper trap | 2. SCM

which type of trigger point is induced by key trigger point

satellite TrP

cause pain and tenderness at rest or with motion that stretches/loads muscle

active myofascial TrP

what can serratus posterior superior TrP mimic?

C8 radiculopathy or ulnar neuropathy

gluteus minimus trigger point mimics?

L5 or S1 radiculopathy

what defines an active trigger point?

pain recognition