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OSE
UMDNJSOM
| Question | Answer |
|---|---|
| Osteopathic Screening Examination | First tool to assess patient's structure. many variations, must strive to standardize. |
| Ten Step OSE | Gait, Static Exam, Seated Cervical Exam, Seated Thoracic Exam, Pelvic Lateralization, Seated Flexion test, FABERE Test, Supine Ribcage, Upper Extremity Screen, Lower Extremity Screen. |
| Gait | Look at how people are walking. Must be observed with adequate distance. looking for obvious abnormalities. |
| Static Exam | Inspection and light palpation of landmarks in 3 planes (anterior,posterior,lateral) Must maintain eye level. Must be mindful of dominant eye. Look for patterns, identify problem areas. Look for the WORST problem. |
| Anterior View of symmetry and Asymmetry | Medial arches, medial malleoli, patellas, greater trochanters, asis, height of iliac crests, waist creases, rib cage angle, rib cage rotation. |
| Levels that you should look at anteriorly for symmetry and asymmetry | Level of Shoulders, fingertips, earlobes, and eyes. Also, deviation of cervical spine and skill, |
| Posterior View of Symmetry and Asymmetry | Achilles tendon, medial malleoli, popliteal lines, greater trochanters, PSIS, height of iliac crests, thoracolumar spinefor deviations from midline or flattening, waist creases. |
| Side View | midgravitational line, anterior body line, posterior body line, head position, cervical curve, cervical thoracic jn, thoracic curve, thoracocolumbar junction, lumbar curve, lumosacral junction, sacral curve, arm position |
| Seated Cervical Exam | Assessive active and passive range of motion of cervical spine with respect to patient. |
| normal ROM for cervical exam. | flexion , 0-45. Extesion, 0-45. rotation, 0-80. Sidebending, 0-45. |
| Seated thoracic exam | assessing active and passive range of motion for thoracic spine. Focus on rotation and sidebending. |
| Sidebending in seated thoracic exam. | Downward pressure medially assesses upper thoracics. moving lateral corresponds to lower thoracics. normaly ROM - 0-30. |
| Rotation in seated thoracic exam. | place hands on hips ideally, measure against coronal plane line. Normal = 0-30. |
| Pelvic Lateralization | To determine dysfunctional pelvic mechanics : Standing flexion test, ASIS compression test, Stork Test. Just do the first one, if that works, you're done. Positive = Side that moves first. |
| Standing Flexion Test | Assess SI Joints. positive test indicates dysfunction in 1 of 3 ways. inominate dysfunction on positive side. sacrum dysfunciton on positive side. tight hamstrings on opposite side. |
| ASIS compression test | Assess for restriction. Indicates innominate or sacrum dysfunction on positive side. |
| Stork Test | Assess SI joints. Positive test is dysfunction of sacrum or inominate. |
| seated flexion test | Follows a positive laterality test. removes pelvic component. significant for sacral dysfunction |
| FABERE | patrick test. used to differentiate hip joint vs sacroiliac pathology. Acronym: FABERE. Flexion, ABduction, External Rotation, Extension. |
| Pain in FABERE test | Pain in groin region significant for hip pathology. pain in low back on extension is significant for sacroiliac dysfunction (innominate or sacrum) |
| Supine Rib Cage | General screen for patient breathing looking for restricted or asymmetrical motion |
Created by:
nady
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