Opp Course Review

Front 1

Anterior glide of hip

Back 1

hip external rotation

Front 2

posterior glide of hip

Back 2

hip internal rotation

Front 3

Hip external rotation

Back 3

piriformis/gluteus

Front 4

Hip internal rotation

Back 4

hip adductors
hip internal rotators

Front 5

Hip flexion

Back 5

quads or ILIOPSOAS

Front 6

hip extension

Back 6

gluteus

Front 7

hip adduction

Back 7

gluteus medius/ greater trochanter or illiotibial band

Front 8

What does FABRE test?

Back 8

SI joint and hip joint. Flexion, Abduction, Ex Rotation, Extension.

Also known as Patrick's Maneuver

Front 9

Test flexure contraction of hip, usually illiopsoas muscle.

Back 9

Thomas Test. Dr flexes one leg; contraction of opposite leg = positive Thomas Test.

Front 10

Hip fracture, dislocation
Infection, inflammation or CA
DVT, femoral head avascular necrosis, severe hip/knee arthritis

Back 10

CI's to hip treatment

Front 11

Cervical Review

Back 11

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Front 12

Main motion of F/E

Back 12

OA

(Also SB and rotation to opposite sides)

Front 13

Main motion is Rotation

Back 13

AA

Front 14

Motion are F/E and SB/R to SAME side.

Back 14

C2-C7

Front 15

50% of cervical flexion and extension occur at which joint?

Back 15

OA

Front 16

50% of cervical rotation occurs at which joint?

Back 16

AA

Front 17

C5

DTR?
Motor?

Back 17

DTR: biceps tendon

motor: biceps m.

Front 18

C6 DTR and motor

Back 18

DTR: brachioradialis

Motor: wrist extensors

Front 19

C7 DTR and motor

Back 19

DT: triceps tendon

Motor: wrist flexors

Front 20

C8 motor

Back 20

finger flexors

Front 21

T1 motor

Back 21

interossei

Front 22

Patient Refusal, Risks > benefits, pain or intolerance during procedure

Back 22

Absolute CI's for cervical OMT

Front 23

Vertebral A. Insufficieny
Sprain
Joint INflammation
Joint Hypermobility
RA (degneration of transverse odontoid lig.)

Back 23

Relative CI's for cervical OMT

Front 24

Translating from L to R =

Back 24

Left SB

Front 25

Fryette Mechanics/Compensatory Pattern

Back 25

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Front 26

when the spine is in neutral (easy normal), sidebending and rotation are in opposite directions

Back 26

Fryette's Type 1 Mechanics

Front 27

-Occurs in neutral (facets not engaged)
-Found in thoracic and lumbar spines
-Forms long curves, multiple segments
-Compensatory

Back 27

Type 1

Front 28

when the spine is flexed or extended (non-neutral), sidebending and rotation are in the same directions.

Back 28

Type 2

Front 29

Occurs in flexion or extension
--Facets engaged
Occurs in thoracic and lumbar spines
--Type II-like motion in cervical spine
Usually single segments
Found at apices and crossovers and/or sites of viscerosomatic reflexes
Primary somatic dysfunction
--Due to strain or viscerosomatic reflex

Back 29

Type 2

Front 30

when motion introduced in one plane it modifies (reduces) motion in other two planes

Back 30

Type 3

Front 31

When a segment is brought up to a restrictive motion barrier it will move in the position of greatest ease in the other two planes.
Restriction = direction it won’t go.
Somatic dysfunction = defined by direction it will go with ease.

Back 31

Type 3

Front 32

In flexion – exaggeration of asymmetry
Left facet can open freely.
Right facet locked closed – cannot open.
Pivots around right facet.
Rotates & sidebends right.

Back 32

Type 2

Restriction = FR(L)S(L)
Somatic dysfunction = ER(R)S(R

Front 33

In extension – no asymmetry as both facets close easily.
No apparent rotation / sidebending asymmetry.
Most comfortable position for patient.

Back 33

Type 2

Restriction = FR(L)S(L)
Somatic dysfunction = ER(R)S(R

Front 34

In extension – exaggeration of asymmetry.
Left facet closes normally.
Right facet locked open – cannot close.
Causes sidebending & rotation left

Back 34

Type 2

Restriction = ER(R)S(R)
Somatic dysfunction = FR(L)S(L)

Front 35

In flexion – no asymmetry as both facets can open easily.
No apparent rotation / sidebending asymmetry.
Most comfortable position for patient.

Back 35

Type 2

Restriction = ER(R)S(R)
Somatic dysfunction = FR(L)S(L)

Front 36

Facets not engaged

Back 36

Type 1

Front 37

Facets ARE engaged

Back 37

Type 2

Front 38

Compensatory, adaptive

Back 38

Type 1

Front 39

Traumatic/ primary/ viscerosomatic

Back 39

Type 2

Front 40

Rotation towards CONVEXITY, out from under the load

Back 40

TYPE 1

Front 41

rotation towards CONCAVITY, into the load

Back 41

Type 2

Front 42

Which do you treat first, type 1 or 2?

Back 42

Type 2!