What is the origin of the thoracic duct?
Cisterna Chyle –> distal dilation at L1-2
What are the 4 parameters for a bad sign for lymph nodes?
swollen, hard, non-painful, fixed
What are the 4 transverse restrictors?
Tentorium cerebelli, thoracic inlet, thoracolumbar diaphragm, pelvic diaphragm
what do you start with for treatments for lymphatics?
ALWAYS thoracic inlet MFR.. typically go from there downwards
what are the 4 principles to lymphatic treatments?
open pathways to remove restrictions –> maximize diaphragmatic functions –> increase pressure differentials or transmit motion –> mobilize targeted tissue fluids
What way does the sacrum move during rocking?
sacral apex moves anteriorly on inhalation
base moves anteriorly on exhalation
what is a positive test for the compression test / spurling maneuver?
what do both indicate
pain down the arm in the nerve root distribution
cervical radiculopathy
What is within the medial longitudinal arch?
Calcaneus, Talus, Navicular, Cuneiforms 1-3, Metatarsal 1-3
What is within the lateral longitudinal arch?
Calcaneus, Talus Cuboid, Metatarsal 4-5
Posterior Fibular Head indicates which motion of the foot?
Anterior Lateral Malleolus –> Supination (Add Plants In your Soup”
Plantarflexion, inversion, adduction
Anterior fibular head indicates which motion of the foot?
Posterior Lateral Malleolus –> Pronation
Abduction, dorsiflexion, eversion
We know that the OA is “type 1 like”… what does that mean for f/e?
It usually has a F/E component, which is why it’s type 1 like
What is the process for lymphatic treatments/
- open the thoracic inlet
- Other transverse myofascial restrictors
- regional lymphatic drainage
What direction does effleurage go from?
Distal to proximal
What lymphatic treatment is contraindicated for COPD?
Thoracic Pump Vacuum
What is part of the plumb line?
acromion process
external auditory canal, greater trochanter, anterior medial malleolus
When did AT still fling the banner of osteopathy?
June 22nd, 1874 at 10AM
What is the functional unit of the spinal cord?
two spinal vertebrae, soft tissues, nerves and the disc between 2 articulations
What is…
Empty? Elastic? Hard? Crisp? Abrupt?
motion stops due to patient guarding
feels like a rubber band
somatic dysfunction
involuntary guarding due to a pinched nerve
limit of a hinge joint
Wolff’s Law
bone will develop under the stress placed upon it
Hooke’s Law
strain placed on a body is proportional to the stress placed upon it.
Sherrington’s Law
when a muscle receives a nerve impulse to contract, its antagonists, receives, simultaneously, an impulse to relax.
What is an absolute contraindication for Soft tissue technique?
what’s a weird one for relative?
Fracture
severe osteoporosis
5 models of osteopathic treatment
postural structural (biomechanics)
neurologic
bioenergy (metabolic)
respiratory - circulatory
behavioral
organ systems (sometimes)
Difference between isometric vs isotonic procedures?
Isotonic –> hard to maximal contraction with counterforce that permits controlled motion.
Isometric –> light to moderate contraction with an unyielding contraction
If someone’s rotation sucks in one direction, where do you fulcrum?
to the opposite side because that’s what’s being pulled is the other muscle.
what type of technique is a deeper pressure? MFR or ST
Soft Tissue is greater in pressure
Stress vs strain?
Stress = Force
Strain = % of deformation
Isometric, Concentric isotonic, eccentric isotonic, isolytic?
isometric = MET essentially
Concentric Isotonic = contraction with approximation of origin and insertion
Eccentric = contraction with separation of origin and insertion
Isolytic: non-physiologic. attempted concentric contraction with external force causing separation between origin and insertion
Which is the only contraction that is NOT physiologic?
Isolytic
What is Post Isometric Relaxation?
relaxation after you get muscle contraction. principle of muscle energy
What is the mnemonic for Spencer’s technique?
Elephants - Extension Fart - Flexion Constantly - Compression circumduction To - Traction circumduction Annoy - Adduction, Abduction Intelligent - Internal Rotation Trainers - Traction glide
What does SAPP mean?
what does it mean for the distal?
Supination –> Anterior proximal radial head
Pronation –> Posterior proximal radial head
distal is opposite. so posterior proximal –> anterior distal
When you fall prone, what do you have for your radial head?
When you fall forward, it’s pronated.
When you fall backwards, it’s supinated.
so Pronated = Posterior proximal radial head, distal is anterior
so supinated = anterior proximal head, distal posterior end
