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