Comlex Omm 4-6

Front 1

main reason why lumbar area is prone to herniation?

Back 1

narrowing of the post. long. lig.

Front 2

lumbar nerves exit above or below correspoding level?

Back 2

below (cervical exit above)

Front 3

iliopsoas attachements?

Back 3

origin: T12-L5 vert. bodies
insertion: lesser trochanter of femur
motion: primarly flexor of hip

Front 4

umbilicus level with which vertebral level?

Back 4

L3 and L4

Front 5

most common anomaly in lumbar spine?

Back 5

facet trophism- facets in coronal plane rather than saggital

Front 6

which is more common? lumbarization or sacralization?

Back 6

sacralization

Front 7

herniation of meninges and spinal chord?

Back 7

spinal meningomyelocele

Front 8

lumbosacral angle?

Back 8

ferguson's angle horizontal through ASIS and diag at incline of sacrum
NL: 25-35 degrees

Front 9

lumbar disc herniation between L4 and L5, which nerve is impaired?

Back 9

L5

Front 10

tx. of herniation?

Back 10

conservative, bed rest for no more than 2 days

Front 11

4 signs of psoas syndrome?

Back 11

non neutral L1 or L2 dysfunc, pos. pelvic shift and pyriformis spasm on contraside, sacral dysfunc. on oblique axis

Front 12

which view can be used to dx. spondylolysis?

Back 12

oblique view of scottie dog

Front 13

dextroscoliosis has a spine sidebent which way?

Back 13

left

Front 14

levoscoliosis has a spine sidebent which way?

Back 14

right

Front 15

which angle used to measure spinal curvature?

Back 15

cobb angle horizontal from end of curve and angle created by the perpendiclar lines

Front 16

angle measurements for severity of scoliosis?

Back 16

mild: 5-15
moderate: 20-45
severe: >50

Front 17

at what angle is respiratory function compromised in scoliosis?

Back 17

>50

Front 18

at what angle is cardiac function compromised in scoliosis?

Back 18

>75

Front 19

name of excercise to help decompensated scoliosis?

Back 19

konstancin excercise

Front 20

three dysfunction associated with short leg?

Back 20

sacral base unleveling, vert. sidebend away and rotation toward, ant. innominate rotation of short leg

Front 21

most common cause of anatomical short leg?

Back 21

hip replacement surgery

Front 22

which ligaments get irritated in short leg?

Back 22

iliolumbar, then SI

Front 23

when to consider heel lift tx. in short leg?

Back 23

after OMM fails and femur head difference is >5mm

Front 24

heel lift therapy protocol?

Back 24

1/16" for fragile every two weeks
1/8" for flexible every two weeks
max to 1/2"

Front 25

ligament that divides the greater and lesser foramen?

Back 25

sacrospinous ligament

Front 26

ligament that is painful first in lumbosacral decompensation?

Back 26

iliolumbar

Front 27

piriformis attachments?

Back 27

origin: inf. aspect of sacrum
insert: greater trochanter of femur
action: ext. rotates, ext. and abduct when hip flexed
innervation: S1-S2

Front 28

two primary pelvic muscles?

Back 28

levator ani and coccygeus

Front 29

which axis does innominate rotate on in dysfunction?

Back 29

inf. transverse axis

Front 30

which motion(s) occurs about the superior transverse axis of sacrum at S2?

Back 30

respiratory and inherent

Front 31

sacrum moves about middle transverse axis with?

Back 31

postrual motion. posteriorly at extreme flexion

Front 32

dynamic motion about which sacral axis?

Back 32

obilques. left wt. bearing moves about left oblique axis

Front 33

tight quads can cause what innominate dysfunc?

Back 33

ant. rotation (long leg ipsilateral)

Front 34

tight hamstrings an cause what innominate dysfunc.?

Back 34

post. rotation

Front 35

static findings on sup. pubic shear?

Back 35

ipsi pubis sup., others NORMAL

Front 36

static findings on innominate inflare?

Back 36

ASIS distance from umbilicus shorter on ipsi, ischial tuberosity more lat. ipsi.

Front 37

sacral motion is named in relation to what?

Back 37

L5