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Step III
Step III - OMM/Msk 3
Question | Answer |
---|---|
The superior edge becomes more prominent for inhalation dysfunctions of ribs that move primarily by | pump-handle motion |
What muscle are you activating in ME for upper ribs | Pec minor |
What muscle are you activating in ME for middle ribs | Serratus anterior |
What muscle are you activating in ME for lower ribs | Lat dorsi |
What are the first line tx for TMJ | NSAIDs and amytriptyline |
What muscles are implicate din thoracic outlet syndrome | Ant and middle scalenes |
Runner/dancer/gymnast c/o pain and stiffness in the hip and thigh region. A “snapping” feeling occurs | Psoas syndrome |
What are the osteo PE findings in psoas syndrome | tender point medial to the ipsilateral ASIS, a positive pelvic shift test to the contralateral side |
What kind of sacral dysfx is founf in psoas syndrome | Rotation on oblique axis |
What is Ober’s test doing | tightness in the tensor fascia lata and iliotibial band |
What is Apley’s compression test doing | evaluates meniscus and ligamentous structures of the knee |
Evaluation of ACL uses what two tests and which is more accurate | Lachman >> drawer test |
What is the location of the TP for the piriformis muscle | midline between the ILA of the sacrum and the greater trochanter of the femur |
What muscle is implicated in tennis elbow | Extensor carpi radialis BREVIS |
What muscle is implicated in golfer’s elbow | Flexor carpi radialis |
What is the spinal level a/w the uterus | T10-L2 |
What spinal level is a/w dysfxn of head and neck | T1-4 |
What spinal level is a/w dysfxn of the esophagus | T2-7 |
What is the parasympathetic innervation level located | S2-4 |
Unilateral contraction of the SCM causes the head to do what | ipsilateral sidebending and contralateral rotation |
What spinal levels are used to tx respiratory system dysfxn | T2-7 |
What is the difference in presentation of conus medullaris syndrome vs cauda equina syndrome | CES has LMN signs; CMS has both UMN and LMN signs |
What is concentric muscle contraction | Incr in tension + approximation of origin and insertion |
What is eccentric muscle contraction | Lengthening muscle |
Sacral inhibition achieves what effect | increase parasympathetic activity to the pelvic organs |
What is the correct positioning for fixing nurse maid’s elbow | flexing the elbow to 90 degrees and placing the arm in supination |
OMM tx for dysmenorrhea | Sacral INHIBITION |
What technique increases parasympathetic activity to pelvic organs | Sacral inhibition |
What is accomplished by sacral rocking maneuver | Relax muscle at LS jxn and improve paraspinal muscles |
Runner’s knee = theater sign = | Patellofemoral pain syndrome |
Shin splints aka | Medial tibial stress syndrome |
How do you test for the J sign | Pt sitting or supine. Extend LE at knee joint and watch for patella to go superior and move lateral exhibiting a upside down “J” |
OMM treatment for enhancing parasympathetic activity in upper body | Sphenopalatine ganglion release (thins secretions) |
What is the Galbreath technique | Massaging Eustachian tube draining middle ear |
Acute otitis media is a/w what somatic dysfxn in the skull | INTERNAL rotation of temporal bone |
Forward sacral torsion a/w type I or II mechanics | Type I |
Backward sacral torsion a/w type I or II mechanics | Type II |
complex regional pain syndrome, type 1 (CRPS-1) is also known as | reflex sympathetic dystrophy |
chronic progressive disease broken down into two types based on the presence of nerve lesion following an injury = | Complex regional pain syndrome |
The difference in CRPS-1 and CRPS-2 | There is NO evidence of nerve injury in type-1 injuries |
severe, burning pain at the site of injury. Muscle spasm, joint stiffness, restricted mobility, rapid hair and nail growth, and vasospasm causing edema and skin changes is what ype of CRPS | CRPS-1 |
CRPS type-2 is aka | Causalgia |
more intense pain. Edema typically widespread, hair growth diminishes, nails become cracked and brittle, osteoporosis becomes severe and diffuse, joints thicken, and muscle atrophy occurs in CRPS type 1 or 2 | CRPS 2 |
patients who suffer from continued pain (out of proportion to injury), allodynia, joint stiffness, localized edema, increased hair growth, and vasospasm following injury with no evidence of nerve damage is what type of CRPS | Type I |