Block 1 Omm Spring Oms1 2010

Front 1

Based on the following, what diagnosis can you make: positive Sphinx test, right deep sacral sulcus, left posterior/inferior ILA.

Back 1

L/R Sacral Torsion

*Positive Sphinx = Sacrum Extended*

Front 2

A patient is diagnosed with L/R Sacral Torsion - what would the findings be for a seated flexion test?

Back 2

Positive finding on the Left for Seated Flexion Test?

Front 3

A patient is diagnosed with left unilateral sacral extension - describe the ILA and Sulci.

Back 3

Right ILA and Sulci normal, Left Sulcus Shallow and Left ILA more superior/anterior than the Right ILA.

Front 4

Based on the following, what diagnosis can you make: positive Sphinx test, right deep sacral sulcus, right posterior/inferior ILA.

Back 4

Left Unilateral Sacral Extended

*Positive Sphinx = Sacrum Extended*

Front 5

Based on the following, what diagnosis can you make: Positive Standing Flexion test on right, ASIS inferior on the left, PSIS superior on the right, Iliac Crest lower on left, and medial malleolus inferior on the left.

Back 5

Right Superior Innominate Shear

Front 6

Based on the following, what diagnosis can you make: Positive Standing Flexion test on the Left, ASIS inferior on the left, PSIS superior on the right, Iliac crest lower on the left, medial malleolus inferior on the left.

Back 6

Left Inferior Innominate Shear

Front 7

Based on the following, what diagnosis can you make: negative Sphinx test, right deep sacral sulcus, left posterior/inferior ILA.

Back 7

L/L Sacral Torsion

Front 8

What spinal segments are associated with viscerosomatic reflexes pertaining to the heart?

Back 8

T1-T6

Front 9

What muscle is used to treat posterior innominate rotation with muscle energy?

Back 9

Rectus femoris

Front 10

A hypertonic left piriformis produces what axis on the sacrum?

Back 10

Right oblique axis

Front 11

If a patient has a L/R Sacral Torsion, about what axis is the sacrum rotated?

Back 11

The Right Oblique Axis

Front 12

If a patient has a left unilateral flexion, what findings would there be during a Sphinx test?

Back 12

Right sacral base flexes, and the left sacral base becomes more symmetrical.

Front 13

What is the diagnosis based on these findings and describe the treatment position: Positive left seated flexion test, deep left sacral sulcus, right posterior/inferior ILA.

Back 13

R/R Sacral Torsion

Have patient prone on the table, hips on the axis side (right side).

Front 14

Based on these findings, what is the diagnosis: Negative lumbar spring test, left posterior/inferior ILA, right deep sacral sulcus.

Back 14

L/L Sacral Torsion

*Negative Spring test = Not Extended*

Front 15

Isometric contraction of the hamstrings to treat an innominate rotation utilizes which type of muscle energy technique?

Back 15

Joint Mobilization

Front 16

What landmark is monitored during a seated or standing flexion test?

Back 16

PSIS

Front 17

Where does one press for the anterior compression test?

Back 17

ASIS

Front 18

What landmarks are most important for diagnosing innominate rotation?

Back 18

ASIS, PSIS

Front 19

What is evaluated to diagnose a pubic shear?

Back 19

The pubic tubercles

Front 20

What connects the ischial tuberosity to the inferior lateral angle of the sacrum?

Back 20

Sacral Tuberous Ligament

Front 21

How do you identify the side on which there is a somatic dysfunction?

Back 21

Lateralization test - preferably standing or seated forward bend test, also ASIS compression test.

Front 22

What diagnosis is indicated by these findings: Right pubic ramus inferior relative to the left, left ASIS superior relative to right, right PSIS is farther from midline compared to left PSIS, positive left standing flexion test.

Back 22

Left superior pubic shear

Front 23

During the gait cycle, posterior innominate rotation occurs about which axis?

Back 23

Inferior transverse axis

Front 24

During a seated flexion test, which side is the positive side?

Back 24

The side on which the PSIS moves the furthest

Front 25

Based on these findings, what is the diagnosis: ASIS distance to midline is greatest on the right, ASIS compression test is positive on the left.

Back 25

Left Innominate Inflare

Front 26

Based on these findings, what is the diagnosis: ASIS superior on the right, PSIS superior on left, ASIS compression positive on left, standing flexion test positive on the right, seated flexion test positive on the left.

Back 26

Right Posterior Innominate Rotation

Standing Flexion test for Ilio-sacral SD, Seated Flexion test for Sacroiliac SD.

Front 27

What muscle is used to treat superior pubic shear with muscle energy?

Back 27

Adductor longus

Front 28

What is the diagnosis from these findings: Right ASIS superior, left PSIS inferior, left ASIS farther from midline than right, ASIS lateralization positive on right, right pubic tubercle superior.

Back 28

Superior Pubic Shear

Front 29

What muscle restricts motion of the sacroiliac joint and has a role in producing sacral axes?

Back 29

Piriformis

Front 30

If you palpate tenderness lateral to L4, L5 transverse processes posteriorly, what is being palpated?

Back 30

Iliolumbar ligament

Front 31

During flexion, the sacrum is rotating about what axis?

Back 31

Middle Transverse Axis

Front 32

During Sphinx test, what landmark is being monitored?

Back 32

The sacral sulci

Front 33

What occurs in sacralization?

Back 33

L5 fuses with S1

Front 34

What portion of the spine is examined and treated to influence sympathetic control of blood flow to the brain?

Back 34

T1-T4

Front 35

What would be added to the Still-Hildreth Sanatorium treatment regimen if it were still open?

Back 35

Omega-3 supplementation in the diet

Front 36

What is the opinion of the American College of Neuropsychiatry (via AOA) on OMM and those with psychological disorders?

Back 36

OMM can and should be used on the appropriate patients.

Front 37

If a patient's sacrum is flexed, rotated right, and sidebent left, what is the position of L5 assuming L5 is not restricted?

Back 37

L5 extended, rotated left, sidebent right

Front 38

These findings indicate what diagnosis: Positive seated flexion test on right, deep sacral sulcus on the right, posterior/inferior ILA on right.

Back 38

Unilateral Sacral Flexion

Front 39

Based on these findings, what is the diagnosis: left deep sacral sulcus, right posterior/inferior ILA, and positive Sphinx test.

Back 39

R/L Sacral Torsion

Front 40

If a unilateral sacral flexion is diagnosed in a patient, about what axis is it rotated?

Back 40

Middle Transverse Axis

Front 41

What affect is there on the lumbar spine with bilateral sacral flexion?

Back 41

Increased lordosis.

Front 42

In a prone patient, internal rotation gaps which part of the sacroiliac joint?

Back 42

Posterior

Front 43

What bones are midline in the cranium?

Back 43

Vomer, Sphenoid, Ethmoid (Median Plate), Occiput, Sacrum

Front 44

Each parietal bone moves about which axis during cranial extension and flexion?

Back 44

Sagittal

Front 45

A head with overall round morphology indicates what phase of cranial motion?

Back 45

Flexion

Front 46

During cranial extension, the base of the sacrum moves in what direction?

Back 46

Anterior

Front 47

A patient with a frontal headache may likely have tenderness at which tenderpoint?

Back 47

AC1

Front 48

A tenderpoint that does not respond to the typical counterstrain positioning techniques for its type is what kind of point?

Back 48

Maverick Point

Front 49

List the 7 steps in Counterstrain technique.

Back 49

1. Identify a significant tenderpoint
2. Establish tenderness scale (starting pain is 10)
3. Continuously monitor that point for pain, tenderness, tissue texture.
4. Position the patient passively so as to most reduce the tenderness at that point, reduced from a 10 to a 3 or less.
5. Maintain position for 90 seconds, periodically retesting for tenderness every 30 seconds.
6. Slowly return patient passively to pretreatment position, still monitoring tender point.
7. Re-evaluate for resolution of tenderness and tissue abnormality.

Front 50

What percentage of patients experience a treatment reaction after Counterstrain?

Back 50

20-30%

Front 51

If a patient is restricted in inhalation in the left rib, where is a likely tenderpoint?

Back 51

Along the anterior axillary line

Front 52

What treatment position would one use for left anterior axillary line?

Back 52

Flexion, left sidebending, left rotation

Front 53

What would produce right sidebending in a seated patient?

Back 53

Placing the left ankle under the right knee.

Front 54

The third anterior thoracic tender point is located where?

Back 54

Sternum midline at the level of the same numbered rib.

Front 55

The sphenobasilar synchondrosis is the articulation between which two bones?

Back 55

Sphenoid and occiput

Front 56

What would be a relative contraindication for counterstrain?

Back 56

A patient who cannot voluntarily relax or follow instructions.

Front 57

What would you advise a patient after receiving counterstrain for the first time?

Back 57

Drink a lot of water

Front 58

What tender point is located just inferior to spinous process of C2?

Back 58

PC3

Front 59

How would one treat the right posterior first cervical inion tender point?

Back 59

Flexion, left rotation, left sidebending

Front 60

If a patient experiences pain when taking them into right rotation to ease a tender point, what is the next positional movement?

Back 60

Rotate them to the left and retest the tender point.

Front 61

If the sacrum is rotated left, what is the likely rotation of L5?

Back 61

L5 is rotated right

Front 62

If there is sacral torsion, what is the positive side on lateralization tests and the oblique axis relative to the torsion?

Back 62

The positive side is opposite the sacral torsion, indicates the side of the axis. If the right side is positive, it is a right oblique axis.

Front 63

The standing forward bend test checks for what?

Back 63

Movement of the innominate on the sacrum

Front 64

The seated forward bend test checks for what?

Back 64

Movement of the sacrum on the innominate.

Front 65

What are the findings possible with a Sphinx test?

Back 65

1. The sulci can move symmetrically, indicating no restriction.
2. The sulci are asymmetric and become more symmetrical then the base is stuck in flexion.
3. If asymmetrical at start and become more asymmetrical, base is extended.
4. If symmetrical and stuck, then base is bilaterally extended.

Front 66

Pelvic "Rock" or ASIS/Anterior Lateralization Test - what is the positive side?

Back 66

The positive side resists compression.

Front 67

Describe the significance of the MTA.

Back 67

MTA corresponds with the 2nd sacral segment, sacral malfunctions are palpated around this axis. Transforms during the gait cycle into oblique axes.

Front 68

Describe the significance of the ITA.

Back 68

ITA corresponds to one finger width below the MTA, and the 3rd sacral segment. Innominate rotations occur about this axis also, innominate dysfunctions.

Front 69

Describe the significance of the STA.

Back 69

STA corresponds to one finger width above the MTA, and the 1st sacral segment. Craniosacral motion is most easily palpated about this axis.

Front 70

In what order does one treat dysfunctions of the innominate and the sacrum?

Back 70

1. Pubic Shears
2. Innominate Shears
3. Sacral Shearing/Torsion
4. Innominate Rotation
5. Innominate Inflare/Outflare