T spine II Flashcards
(17 cards)
What are the three results of treating SDs with OMM?
Increase body’s own defenses
Increase delivery of ingested medications
Increase removal of toxins and metabolites
How does freeing the nerve increase arterial circulation?
Allows for vasodilation
How does OMM increase diaphragmatic action?
Decreases the pressure differentials needed to promote venous and lymphatic return
What can cause congestion?
Direct compression of veins and lymphatics
Which SD do you treat first?
The one with the most components of TART
What are the major considerations to consider when choosing an OMM treatment?
- Get dx
2. Correlate the dx with area that needs OMT
If a medical problem exists above the diaphragm, then treating which area may help relieve symptoms? (5)
- Upper thoracics
- Upper ribs
- Inlet
- Neck
- Head
If a medical problem exists below the diaphragm, then treating which area may help relieve symptoms? (6)
- TL junction
- LS junction
- innominates
- Upslipped innominate
- Sacrum
What is indicated for spinal pain?
Spinal evaluation
Joint exam
Neurological exam
When should you consider imaging for the spine? (4)
h/o trauma
Extreme TTP
Pain with ROM
Abnormal neuro exam
Type II SD of the thoracic spine involve which muscles?
Short restrictors
Type I SDs of the thoracic spine involve which muscles?
Long restrictors
Why is there a tendency for the thoracic spine to flex?
Gravity
Tendency of extensors to become inhibited while flexors tend toward contraction
Which muscles are responsible for maintaining a non-neutral SD of the spine?
Rotators, intertransversarii, and multifidi
What are the four sources of thoracic spinal dysfunction?
Intrinsic mechanical asymmetries
Trauma
Visceral disease
Neurological
For the double arm thrust in type I SDs, is the dr on the same or opposite side of the vertebral rotation? Which way is sidebending?
Opposite
Sidebend away from the Dr.
Where is the Dr’s hand when treating a type I SD using the double arm thrust?
On the segment with the greatest rotation
