Definitions
What barrier is defined?
The range of motion of a joint that can be achieved by passive movement of the patient by the physician
Anatomic barrier
Direct treatment: The tissue and/or joints are moved in the direction of ______
Direct treatment: The tissue and/or joints are moved in the direction of bind
OMM is contraindicated in RA because of
atlantoaxial instability
Who was the founder of osteopathic medicine?
Bonus: What is the first tenet of osteopathic medicine?
Andrew T Still
First Tenet: Osteopathy conceives of the body as a unit. An individual is composed of a mind, a body, and a spirit that are all connected.
What is Speed's test?
Speed's test is a test for biceps tendonitis.
It is performed with the patient's elbow extended, forearm supinated, and shoulder flexed to 90°, where they resist downward pressure.
What barrier is defined?
The range of motion of a joint that can be achieved by the patient's active movement
Physiological barrier
Indirect treatment: The tissue and/or joints are moved in the direction of ________
Indirect treatment: The tissue and/or joints are moved in the direction of ease
OMM is contraindicated in Down syndrome because of
Atlanto-axial instability
Where is the chapman reflex point of the bladder?
Bonus: Chapman points for the adrenals and kidneys?
Bladder: At the peri-umbilical region
Adrenals: 2 inches superior and 1 inch lateral to the umbilicus
Kidneys: 1 inch superior and 1 inch lateral to the umbilicus
What is the Lachman's test?
The Lachman test is a physical examination for a suspected anterior cruciate ligament (ACL) tear, performed by stabilizing the femur and applying an anterior (forward) force to the tibia at a 20-30 degree knee flexion to assess the degree of forward tibial movement
What barrier is defined?
A pathological barrier to motion that restricts a joint's symmetrical movement within the normal physiological range of motion
Restrictive barrier
HVLA is what type of technique?
Direct
The tissue and/or joints are moved to engage the restrictive barrier
Absolute contraindication to HVLA?
Vertebrobasilar insufficiency
Others:
What is the sympathetic innervation of the adrenal glands?
T8-T10
What is Hawkin's test?
Hawkins test, or Hawkins-Kennedy test, assesses shoulder impingement
To perform the test, the examiner flexes the patient's arm to 90 degrees, bends the elbow to 90 degrees, and then passively internally rotates the humerus.
A positive test is indicated by the reproduction of the patient's familiar shoulder pain during this movement.
What is Fryettes 1st law of spinal motion?
The first law states that when the thoracic and lumbar spine is in a neutral position, sidebending and rotation occur to opposite sides
e.g., T6 neutral, sidebent left, rotated right (T6 NSLRR).
Counterstrain is what type of technique?
Indirect
The tissue and/or joints are moved in the direction of ease
Two most common issues in pregnant patients that can be treated with OMT?
Carpal tunnel syndrome
Lumbar lordosis
What is the sympathic innervation of the prostate?
T10-L2
What is the Wallenberg test?
It is used to assess potential vertebrobasilar insufficiency (VBI) by compressing the vertebral artery. It involves extending and rotating the patient's neck to check for symptoms like dizziness, nystagmus, or vertigo. A positive result suggests a high risk for cervical manipulation.
What is Fryettes 2nd law of spinal motion?
The second law states that when the thoracic and lumbar spine is in a nonneutral position (i.e., flexed or extended), rotation and sidebending occur to the same side
e.g., T6 flexed, sidebent right, rotated right (T6 FSRRR).
Facilitated positional release (FPR) is what type of technique?
An indirect, passive myofascial release technique in which the spine is placed in a neutral position and a facilitating force (e.g., compression) is applied while moving the dysfunctional region into its direction of ease. The position is held for 3-5 seconds and then relaxed.
Best osteopathic treatment technique for patient with otitis media?
ENT sequence (auricular drainage technique*)
List all steps of Spencer Sequence IN ORDER ;)
extension
flexion
circumduction with compression
circumduction with traction
abduction and adduction with external rotation
internal rotation
traction/distraction
What is Lhermitte's sign?
A tingling, shock-like sensation shoots down the spine and into limbs when bending the neck forward, indicating damage or demyelination (loss of nerve coating) in the cervical (neck) spinal cord, commonly associated with Multiple Sclerosis (MS) but also seen in B12 deficiency, head trauma, spinal cord compression, or chemotherapy/radiation