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64 Cards in this Set

  • Front
  • Back
Stimulation of ligament or tendon by injection
Prolotherapy
An acute or chronic painful condition of muscles and their related structures characterized by the presence of myofascial trigger points
Myofascial Pain Syndrome
The presence of a local twitch response confirms the presence of what?
A trigger point
An active trigger point in one muscle can induce an active satellite trigger point in another muscle
Inactivation of the key trigger point can inactivate satellite trigger points without actually treating them
Locally tender myofascial points that do not typically refer the pain beyond the area being compressed
Counterstrain tender point
Usually treated by shortening the muscle
Counterstrain tender point
Classically treated by stretching the muscle
Trigger point
Trigger points (2 superficial and 2 lateral) that are easily mistaken for lumbar radicular pain; Joker of Low Back Pain
Quadratus Lumborum
The more anterior the trigger point, the more lateral the referral zone; pain is often attributed to "sciatica"
Gluteus Minimus
The "Hidden Prankster" trigger point; symptoms are aggravated by weight bearing activities and relieved by recumbency
Iliopsoas
Muscle most often found to have trigger points; frequently overlooked source of temporal and cervicogenic headache
Trapezius Muscle
Trigger point that is a common source of back, shoulder, and arm pain; symptoms include secondary sensory and motor disturbance due to neurovascular entrapment
Scalene muscles
The probability and magnitude of harm or discomfort anticipated in the research are not greater in and of themselves than those ordinarily encountered in daily life or during the performance of routine physical or psychological examinations or tests
Minimal risk
Should the person running the study (principle investigator) be blinded
Yes; until the study is frozen
Head and neck
T1-T4; Vagus
Cardiovascular
T1-T5; Vagus
Respiratory
T2-T7; Vagus
Stomach, liver, gallbladder
T5-T9; Vagus
Small Intestine
T9-T11; Vagus
Ovary, testicle
T9-T10; S2-S4
Kidney, ureter, bladder
T10-T11; S2-S4
Large Intestine
T8-L2; Vagus and S2-S4
Uterus
T10-T11; S2-S4
Prostate
L1-L2; S2-S4
Going to the heart, the vagus nerve on the right goes
To the SA node
Going to the heart, the vagus nerve on the left goes
To the AV node
Going to the heart, T1-T5 region on the right goes
To the deep cardiac plexus to the SAnode
Going to the heart, T1-T5 region on the left goes
To the left cardiac plexus to the AV node
Visceral afferents and pain fibers from the left upper extremity, epigastrum, left ribs, thorax, upper back and left jaw synapse here causing referred pain
Dorsal horn
Cardiac related tissue texture changes and somatic dysfunction typically involve these four areas
Upper thoracic region, OA, AA, and C2
An area of impairment or restriction that develops a lower threshold for irritation and dysfunction
Facilitation
Chapman's points that should be treated after a heart attack
Transverse process of T2 and the medial second intercostal spaces
During respiration, what happens to the normal curves of the spine?
Inspiration - curves decrease; Expiration - curves increase
Congestion can cause temporalis tension; this is because upper respiratory dysfunction is communicated via this nerve
Trigemial Nerve (CN V3)
Increased cervical lordosis caused by congestion leads to this type of breathing
Mouth breathing
How can upper cervical treatment help with congestion?
Stimulates the vagus producing watery mucous
Surprisingly, these are ineffective treatments for an URI
Bed rest, increased fluids, antibiotics if not Strep
Must check these in a person with upper respiratory congestion or congestive headaches
T1-T5, thoracic inlet, upper cervical and temporalis somatic dysfunction
In addition to treating the somatic dysfunctions, these treatments should be added for congestion/URI
Suboccipital inhibition, trigeminal stimulation, facial effeurage, or thoracic pump
Chapman points to test if patient has shortness of breath
T3,T4 transverse processes, 3rd and 4th intercostal spaces
Is OMT recommended for pneumonia
YES!
Why would OMT be contraindicated for shortness of breath?
Pulmonary embolism, unstable congestive heart failure, unstable arrhythmia
In diagnosing headaches, these are the red flag questions
Pain level?, Associated symtoms?, Any recent changes in headache pattern?
Avoid direct action OMT of upper cervical in patients with
Rheumatologic disorders (RA) and Down's syndrome
May explain tension headaches as the dura mater is pain-sensitive
Myodural bridge
When doing an examination of the head, papilledema may be a sign of
Increased Intracranial pressure
Should you do the cranial nerve exam for every headache patient?
YES!
Headache, usually bilateral, "band of pain from the forehead to base of skull," radiation into upper back, not provoked by activity
Tension headaches
Hurts to brush hair
Points to tension headaches caused by Occipital neuralgia
3/5 out of nausea, vomiting, photophobia, phonophobia, or unable to perform usual daily tasks
Diagnostic of a migraine
The main cause of migraines
More of a biochemical rxn; vascular tone
Yes joint; flexion and extension
OA joint
No joint - primary motion is rotation
AA joint
Screening tests prior to treatment of upper cervical somatic dysfunction
Vertebral artery challenge test, cervical compression test, beighton hypermobility screen
Pain is not a diagnosis - you need to find:
The cause
Where does thoracic inlet tension limit lymphatic drainage
Limits drainage from the entire body
Where does thoracic outlet tension limit lymphatic drainage
Limits drainage from abdomen, pelvis, and lower extremities
A 55 year old woman has had nasal congestion and facial pain for the past 2 weeks. Which structural exam compenent is most pertinent?
Upper thoracic palpation
A 55 year old woman has had nasal congestion and facial pain for the past 2 weeks. What treatment is recommended?
Thoracic pump
Excessive sympathetic activity would be expected to cause this concerning nasal secretions
Vasospasm and thick nasal secretions
The first ligament to become painful with lumbosacral decompensation (Kuchera)
Iliolumbar ligament
Delineates the greater and lesser sciatic foramen
Sacrospinous ligament
Forms the medial border of the sciatic foramen
Sacrotuberous ligament
Resistance to the posteromedial pressure of the ASIS compression test indicates
Sacroiliac joint restriction on that side