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115 Cards in this Set

  • Front
  • Back
AC1, rotation, uncoupled dysfunction
location: posterior surface ascending ramus of mandible between earlobe and angle of mandible (gonion)

Treatment: rotate head away, fine tuning with side bending, usually away

RA

N&N p136
AC2, type II dysfunction
Location: anterior aspect transverse process C2

Treatment: flex to level of C2, side bend away, rotate away

F RA SA

N&N p 138
AC3 Type II dysfunction
Location: Anterior aspect transverse process C3

Treatment: flex to level of C3, side bend away, rotate away

F RA SA

N&N 138
AC4, type II dysfunction
Location: Anterior aspect transverse process C4

Treatment: flex to level of C4, side bend away, rotate away

F RA SA

N&N p138
AC5, type II dysfunction
Location: anterior aspect transverse process C5

Treatment: flex to level of C5, side bend away, rotate away

F RA SA

N&N p 138
AC6, type II dysfunction
Location: anterior aspect transverse process C6

Treatment: flex to level of C6, side bend away, rotate away

F RA SA

N&N p138
AC7, type I dysfunction of C7 or sternocleidomastoid
Location: anterior at origin of clavicular division of sternocleidomastoid, approximately 2 cm lateral to sternoclavicular joint

Treatment: flex to level of C7, side bend toward, rotate away

F ST RA

N&N p139
AC8, type II dysfunction of C7
Location: origin of sternal division of sternocleidomastoid muscle at medial head of clavicle at sternal notch

Treatment: flex, but less than C7, side bend away, rotate away

F SA RA

N&N p140
PC1 Inion
Location: 2 cm below inion, pushing laterally into muscle mass

Treatment: flexion of occipitoatlantal articulation, additional cervical flexion may be necessary

F

N&N p142
PC1 lateral
Location: halfway between PC2 and mastoid process associated wtih splenius capitis muscle

Treatment: extension of occipitoatlantal articulation with mild compression on head to reduce myofascial tension of suboccipital tisues, slight side bending and rotation away as needed


E Sa Ra

N&N p143
PC2 Lateral
Location: within semispinalis capitis muscle associated with greater occipital nerve

Treatment: extension of occipitoatlantal articulation with mild compression on head to reduce myofascial tension of suboccipital tissues, slight side bending and rotation away as needed

E Sa Ra

N&N p143
PC2 midline
Location: superior lateral surface spinous process C2

Treatment: extension of occipitoatlantal articulation with mild compression on head to reduce myofascial tension of suboccipital tissues, slight side bending and rotation away as needed

E Ra

N&N p141
PC3 Midline
Location: Inferior surface spinous processes C2

Treatment: extend to level of C2, minimal to moderate side bending, minimal to moderate rotation away

E Sa Ra

N&N p144
PC4 Midline
Location: Inferior surface spinous process C3

Treatment: extend to level of C3, minimal to moderate side benidng, minimal to moderate rotation away

E Sa Ra

N&N p144
PC5 Midline
Location: inferior surface spinous process PC4

Treatment: extend level of C4, minimal to moderate side bending, minimal to moderate rotation

E Sa Ra

N&N p144
PC6 Midline
Location: inferior surface spinous process C5

Treatment: extend to level of C5, minimal to moderate side bending, minimal to moderate rotation

E Sa Ra

N&N p144
PC7 Midline
Location: inferior surface spinous process C6

Treatment: extend to level of C6, minimal to moderate side bending, minimal to moderate rotation

E Sa Ra

N&N p144
PC8 Midline
Location: Inferior spinous process C7

Treatment: extend level C7, minimal to moderate side bending, minimal to moderate rotation

E Sa Ra

N&N p144
PC3 Lateral
Location: posterior lateral surface articular process C3

Treatment: extend to level C3, minimal to moderate side bending, minimal to moderate rotation

E SA RA

N&N p145
PC4 Lateral
Location: posterior lateral surface articular process C4

Treatment: extend to level C4, mimimal to moderate side bending, minimal to moderate rotation

E SA RA

N&N p145
PC5 Lateral
Location: posterior lateral surface articular process C5

Treatment: extend to level C5, minimal to moderate sidebending, minimal to moderate rotation

E SA RA



N&N p145
PC6 Lateral
Location: posterior lateral surface articular process C6

Treatment: extend to level C6, minimal to moderate side bending, minimal to moderate rotation

E SA RA


N&N p145
PC7 Lateral
Location: posterior lateral surface articular process C7

Treatment: extend to level C7, miminal to moderate side bending, minimal to moderate rotation

E SA RA


N&N p145
AT1
Location: midline episternal notch, rib 1

Treatment: flexion to midline episternal notch/rib 1

F


N&N p147-148
AT2
Location: midline, sternal angle/rib 2

Treatment: flexion to sternal angle/rib 2

F

N&N p147-148
AT3
Location: midline level rib 3

Treatment: flexion to level rib 3

F

N&N p 148-149
AT4
Location: midline to level rib 4

Treatment: flexion to level rib 4

F


N&N p148-149
AT5
Location: midline level rib 5

Treatment: flexion to level rib 5

F


N&N p148
AT6
Location: midline xiphoid-sternal junction/rib 6

Treatment: flexion to xiphoid-sternal junction/rib 6

F


N&N p148
AT7
Location: midline or inferolateral tip xiphoid

Treatment: flexion to tip xiphoid, side beding toward, rotation away

F St RA


N&N p150
AT8
Location: 3 cm below xiphoid at level T12, midline or lateral

Treatment: Flexion to level T12, flexion to level of T12, side bending toward, rotation away

F St RA


N&N p150
AT9
Location: 1-2 cm above umbilicus level of L2, midline or 2-3 cm lateral

Treatment: flexion to level L2, side bending toward, rotation away

patient seated- side bend thorax
patient prone-flex hip and knees, pull knees towards, pull feet towards if type I, push feet away if type II

R St RA


N&N p150-151
AT10
Location: 1-2 cm below umbilicus level L4, midline or 2-3 cm lateral

Treatment: hip flexion 90-135 degrees, slight side bending, rotation toward (type I) or side bending toward, rotation away (type II)

patient seated- side bend thorax
patient prone-flex hip and knees, pull knees towards, pull feet towards if type I, push feet away if type II

F St RT, F St RA

N&N p151
AT11
Location: 5-6 cm below umbilicus below level iliac creats at superior L5 level, midline, or 2-3 cm lateral

Treatment: hip flexion 90-135 degrees, slight side bending, rotation toward (type I), or side bending toward, rotation away (type II)


patient seated- side bend thorax
patient prone-flex hip and knees, pull knees towards, pull feet towards if type I, push feet away if type II

F St RT, F St RA

N&N p151
AT12
Location: superior, inner surface iliac crest at mid axillary line

Treatment: hip flexion 90-135 degrees, slight side bending, rotation toward (type I), side bending toward rotation away (type II)


patient seated- side bend thorax
patient prone-flex hip and knees, pull knees towards, pull feet towards if type I, push feet away if type II

R St RT, R St RA


N&N p151
PT1
Location: midline or inferolateral tip spinous process (side opposite rotational component) or over transverse process (on side of rotational component) T1

Treatment: extend to level T1 (avoid over extending), minimal side bending, minimal rotation as apppropriate

eE SA RT-type I
eE ST RT-type II
physician preference may be SARA

N&N p153-154 (midline), p152 (lateral)
PT2
Location: midline or inferolateral tip spinous process (side opposite rotational component) or over transverse process (on side of rotational component) T2

Treatment: extend to level T2 (avoid over extending), minimal side bending, minimal rotation as apppropriate

eE SA RT-type I
eE ST RT-type II
physician preference may be SARA
PT3
Location: midline or inferolateral tip spinous process (side opposite rotational component) or over transverse process (on side of rotational component) T3

Treatment: extend to level T3 (avoid over extending), minimal side bending, minimal rotation as apppropriate

eE SA RT-type I
eE ST RT-type II
physician preference may be SARA

N&N p153-154 (midline), p152 (lateral)
PT4
Location: midline or inferolateral tip spinous process (side opposite rotational component) or over transverse process (on side of rotational component) T4

Treatment: extend to level T4 (avoid over extending), minimal side bending, minimal rotation as apppropriate

eE SA RT-type I
eE ST RT-type II
physician preference may be SARA

N&N p153-154 (midline), p156-157 (lateral)
PT5
Location: midline or inferolateral tip spinous process (side opposite rotational component) or over transverse process (on side of rotational component) T5

Treatment: extend to level T5 (avoid over extending), minimal side bending, minimal rotation as apppropriate

eE SA RT-type I
eE ST RT-type II
physician preference may be SARA

N&N p154 (midline), p156-157 (lateral)
PT6
Location: midline or inferolateral tip spinous process (side opposite rotational component) or over transverse process (on side of rotational component) T6

Treatment: extend to level T6 (avoid over extending), minimal side bending, minimal rotation as appropriate

eE SA RT-type I
eE ST RT-type II
physician preference may be SARA
PT7
Location: midline or inferolateral tip spinous process (side opposite rotational component) or over transverse process (on side of rotational component) T7

Treatment: extend to level T7 (avoid over extending), minimal side bending, minimal rotation as apppropriate

eE SA RT-type I
eE ST RT-type II
physician preference may be SARA

N&N p154 (midline), p156-157 (lateral)
PT8
Location: midline or inferolateral tip spinous process (side opposite rotational component) or over transverse process (on side of rotational component) T8

Treatment: extend to level T8 (avoid over extending), minimal side bending, minimal rotation as apppropriate

eE SA RT-type I
eE ST RT-type II
physician preference may be SARA

N&N p155 (midline), p156-157 (lateral)
PT9
Location: midline or inferolateral tip spinous process (side opposite rotational component) or over transverse process (on side of rotational component) T9

Treatment: extend to level T9 (avoid over extending), minimal side bending, minimal rotation as apppropriate

eE SA RT-type I
eE ST RT-type II
physician preference may be SARA

N&N p155 (midline), p156-157 (lateral), p158
PT10
Location: midline or inferolateral tip spinous process (side opposite rotational component) or over transverse process (on side of rotational component) T10

Treatment: extend to level T10 (avoid over extending), minimal side bending, minimal rotation as apppropriate

eE SA RT-type I
eE ST RT-type II
physician preference may be SARA

N&N p158
PT11
Location: midline or inferolateral tip spinous process (side opposite rotational component) or over transverse process (on side of rotational component) T11

Treatment: extend to level T11 (avoid over extending), minimal side bending, minimal rotation as apppropriate

eE SA RT-type I
eE ST RT-type II
physician preference may be SARA

N&N p158
PT12
Location: midline or inferolateral tip spinous process (side opposite rotational component) or over transverse process (on side of rotational component) T12

Treatment: extend to level T12 (avoid over extending), minimal side bending, minimal rotation as apppropriate

eE SA RT-type I
eE ST RT-type II
physician preference may be SARA

N&N p158
AR1, Exhaled Rib
Location: below clavicle on first chondrosternal articulation

Treatment: flexion, side bending toward, rotated away

patient supine
f-F St RT

N&N p160
AR2, Exhaled Rib
Location: on second rib at midclavicular line

Treatment: flexion, side bending toward, rotated away

patient supine
f-F St RT

N&N p160
AR3, Exhaled Rib
Location: anterior axillary line on rib 3

Treatment: flexion, side bending toward, rotated away
patient seated f ST RT

N&N p161
AR4
Location: anterior axillary line on rib 4

Treatment: flexion, side bending toward, rotated away
patient seated f ST RT

N&N p161
AR5
Location: anterior axillary line on rib 5

Treatment: flexion, side bending toward, rotated away
patient seated f ST RT

N&N p161
AR6
Location: anterior axillary line on rib 6

Treatment: flexion, side bending toward, rotated away
patient seated f ST RT

N&N p161
PR1 Inhaled Rib
Location: cervicothoracic angle, just anterior to trapezius

Treatment: extension, side bend away, rotated toward
patient seated e SA Rt

N&N p163
PR2 Inhaled Rib
Location: superior surface rib 2

Treatment: extension, side bend away, rotated toward; flexion, side bend away, rotated away
patient seated f ST RT or F SA RA

N&N p164
P3 Inhaled Rib
Location: superior surface rib angle on rib 3

Treatment: flexion, side bend away, rotated away
patent seated f SA RA

N&N p164
PR4 Inhaled Rib
Location: superior surface rib angle on rib 4

Treatment position: flexion, side bend away, rotated away
patient seated f ST RT or F SA RA

N&N p164
PR5 Inhaled Rib
Location: superior surface rib angle on rib 5

Treatment position: flexion, side bend away, rotated away
patient seated f ST RT or F SA RA

N&N p164
PR6 Inhaled Rib
Location: superior surface rib angle on rib 5

Treatment position: flexion, side bend away, rotated away
patient seated f ST RT or F SA RA

N&N p164
AL1
Location: Medial to ASIS

Treatment: patient supine with
phyisician stands on side of tenderpoint
bend patients hips and knees
physician pull knees and feet towards them

patient supine with hip and knee in flexion
Type I: F TS RA or SA RT
Type II: F SA Ra

N&N p166
AL2
Location: Medial to AIIS

Treatment: patient supine
phyisician stands on opposite side of tenderpoint
bend patients hips and knees
physician pull knees and feet towards them

patient supine with hip and knee in flexion
type I: f-F SA RT
type II: f-F SA RA

N&N p167
AL3
Location: Lateral to AIIS

Treatment: patient supine
phyisician stands on side of tenderpoint
bend patients hips and knees
physician pull knees and feet towards them

patient supine with hip and knee in flexion
type I: f-F SA RT
type II: f-F SA RA

N&N p 168
AL4
Location: Inferior to AIIS

Treatment: patient supine
phyisician stands on side of tenderpoint
bend patients hips and knees
physician pull knees and feet towards them

patient supine with hip and knee in flexion
type I: f-F SA RT
type II: f-F SA RA

N&N p 168
AL5
Location: Anterior aspect pubic bone 1 cm lateral to pubic symphysis just inferior to prominence


Treatment: patient supine
phyisician stands on side of tenderpoint
bend patients hips and knees
physician pull knees towards them and pushes feet away

patient supine with hip and knee in flexion
type I: f-F SA Rt
type II: f-F SA Ra


N&N p169
PL1, midline
Location: inferolateral aspect spinous process L1

Treatment: patient prone, hip extension and slight external rotation, slight adduction or abduction as needed
e SA Ra-A


N&N p171-172
PL1, Lateral
Location: transverse process L1

Treatment: patient prone, hip extension and slight external rotation, slight adduction or abduction as needed
e SA RA

N&N p171-172
PL2, Midline
Location: inferolateral aspect spinous process L2

Treatment: patient prone, hip extension and slight external rotation, slight adduction or abduction as needed
e SA Ra-A

N&N p171-172
PL2, Lateral
Location: transverse process L2

Treatment: patient prone, hip extension and slight external rotation, slight adduction or abduction as needed
e SA RA

N&N p171-172
PL3, Midline
Location: inferolateral aspect spinous process L3

Treatment: patient prone, hip extension and slight external rotation, slight adduction or abduction as needed
e SA Ra-A

N&N p171-172
PL3, Lateral
Location: transverse process L3

Treatment: patient prone, hip extension and slight external rotation, slight adduction or abduction as needed
e SA RA

N&N p171-172
PL3, Lateral Gluteus (iliac crest)
Location: Halfway between UPL5 (superior surface PSIS) and PL4 (transverse process L4) and inferior aspect of posterior iliac crest near gluteus medius/minimus

Treatment: patient prone
E er add

N&N p173
PL4, Midline
Location: inferolateral aspect spinous process L4

Treatment: patient prone, hip extension and slight external rotation, slight adduction or abduction as needed
e SA Ra-A

N&N p171-172
PL4, lateral
Location: transverse process L4

Treatment: patient prone, hip extension and slight external rotation, slight adduction or abduction as needed
e SA RA

N&N p171-172
PL4, Lateral Gluteus (iliac crest)
Location: posterolateral pelvic edge halway between greater trochanter and iliac crest at gluteus maximus

Treatment: patient prone
E er add


N&N p173
PL5, Midline
Location: inferolateral aspect spinous process L5

Treatment: patient prone, hip extension and slight external rotation, slight adduction or abduction as needed
e SA Ra-A

N&N p171-172
PL5, lateral
Location: transverse process L5

Treatment: patient prone, hip extension and slight external rotation, slight adduction or abduction as needed
e SA RA

N&N p171-172
UPL5
Location: superior surface PSIS

Treatment: patient prone, hip extension
E er add


N&N p171-172
LPL5
Location: 2 cm below PSIS on ilium

Treatment: patient prone, hip flexed off table, slight adduction
F IR add

N&N p174
Iliacus Dysfunction/Tender Point
Location: 2-3 cm inferior to point halway between ASIS and midline, deep on dysfunctional side

Treatment: patient supine

F ER of hips, abduction of knees-->frog legs

N&N p175
PIR (Pelvic/Piriformis Dysfunction)
Location: 7-10 cm medial to and slightly cephalad to greater trochanter on side of dysfunction, near to sciatic notch)

Treatment: patient lies prone

flex hip to 135 degrees, abducted, externally rotated

F abd-ADD er-ER

N&N p176
Supraspinatus
Location: mid supraspinatus muscle just superior to spine of scapula

Treatment: flex shoulder to 45 degrees, abduct 45 degrees, external rotate

N&N p177
Infraspinatus
Location: 2 cm medial to tendinous portion at lateral shoulder joint insertion or 2-4 cm inferior to spin of scapula

Treatment: flex shoulder 150 degrees, internally rotate, abduct

N&N p178
Levator Scapulae
Location: superior angle of scapula

Treatment: head rotated away, internally rotate shoulder, mild to moderate traction, minimal abduction

N&N p179
trapezius
Location: midway between point of shoulder and base of neck
be sure to differentiate from supraspinatus tenderpoint

Treatment: patient supine
side bend neck towards, flex shoulder 150-170, apply traction cephalad

lab 1 autonomics in action 8/6/10
masseter
Location: 1.5-2 cm superior to angle of mandible, press posteriorly towards anterior border ascending ramus

Treatment: patient supine, jaw relaxed
move jaw posteriorly, inferiorly, and towards tenderpoint

lab 1 autonomics in action 8/6/10
lateral pterygoid
Location: 1 cm anterior to neck of condyle or lower edge greater wing of sphenoid, press medially and posterior (on inferior aspect zygomatic arch)

Treatment: patient supine, jaw relaxed
move jaw posteriorly, inferiorly, and away from tenderpoint

lab 1 autonomics in action 8/6/10
rhomboid
Location: medial border scapula, press medial to lateral

Treatment: abduct shoulder, extend slightly

handout: lab 1 autonomics in action 8/6/10
scalene
Treatment: elevate shoulder using humerus or axilla, slight internal rotation

handout: lab 1 autonomics in action 8/6/10
Flexors/extensors of hand and wrist
Location: In the flexor or extensor compartment from hand to humerus

Treatment: Flex/extend as needed; fine tune with rotation

Osteopathic treatment for elbow, wrist, and hand 10/28/09 P15
Pectoralis Minor
Location: Inferior to coracoid process

Treatment: 90o flex shoulder, internally rotate and abduct

10/29/10 Case Studies/FPR/Prep for RAM Clinic @1:11:50
Teres minor
Treatment: 30o extend shoulder, slightly adduct, markedly externally rotate

OMS II lab 14: shoulder, arm wrist 11/5/10 p7
Pronator teres
Treatment: Markedly flex elbow and pronate forearm; externally rotate humerus; dorsal hand and wrist against lateral chest wall

OMS II lab 14: shoulder, arm wrist 11/5/10 p7
Latissimus dorsi
Location: Inferior to inferior angle of scapula

Treatment: 30o extension shoulder, internal rotate, slightly adduct, traction humerus

OMS II lab 14: shoulder, arm wrist 11/5/10 p7
Lateral epicondylitis
Location: Anterolateral surface proximal head of radius

Treatment: Fully extend, supinate, abduct forearm

OMS II lab 14: shoulder, arm wrist 11/5/10 p8
Medial epicondylitis
Location: Inferior and lateral to medial epicondyle

Treatment: Full flex and pronate forearm, flex wrist

OMS II lab 14: shoulder, arm wrist 11/5/10 p8
Flexed ankle/dorsiflexors
Location: Medial to tendon of extensor digitorum longus as it crosses ankle joint

Treatment: Patient prone, flex knee, dorsiflex foot

11/12/10 Common Foot and Ankle Sports Injuries p3
Extended Ankle/plantarflexors
Location: Medial and lateral heads of gastrocnemius, inferolateral popliteal fossa; medial and lateral aspects Achilles tendon at attachment to calcaneus

Treatment: Patient prone; plantar flex foot

11/12/10 Common Foot and Ankle Sports Injuries p3
Medial ankle
Location: 2 cm inferior to medial malleolus

Treatment: Invert foot, fine tune with internal rotation

11/12/10 Common Foot and Ankle Sports Injuries p4
Lateral ankle
Location: Inferior 3 cm anterior to lateral malleolus

Treatment: Evert foot

11/12/10 Common Foot and Ankle Sports Injuries p4
Talus
Location: 2 cm anterior to medial malleolus

Treatment: Invert foot, fine tune with internal rotation

11/12/10 Common Foot and Ankle Sports Injuries p5
Plantar fasciitis
Location: Attachment on inferior lateral aspect calcaneus

Treatment: Plantar flex ankle, flex toes, fine tune with supination or pronation

11/12/10 Common Foot and Ankle Sports Injuries p5
Tensor Fascia Lata
Location: Inferior to ASIS

Treatment: Flex hip 60-90o, abduct and internally rotate hip

11/19/10 Hip and Knee p12
Iliotibial band
Location: Below trochanter on lateral side of femur, anywhere along band

Treatment: Flex hip 30o, abduct hip, fine tune with internal/external rotation

11/19/10 Hip and Knee p12
Adductors brevis/longus
Location: Attachment below pubic ramus

Treatment: Patient supine, flex and adduct hip

11/19/10 Hip and Knee p13
Obturator internus
Location: Medial to ischial tuberosities

Treatment: Flex knee 90, externally rotate hip

11/19/10 Hip and Knee p13
inguinal ligament
Location: Lateral surface pubic bone, pectinous muscle belly

Treatment: Patient supine, flex hip and knee 90o, internal rotation and adduction of hip

11/19/10 Hip and Knee p13
Biceps femoris
Location: Posterior thigh, lateral to midline

Treatment: Patient prone, flex knees 90o, extend and internally rotate hip

11/19/10 Hip and Knee p14
Lateral meniscus
Location: Lateral to patella on tibial plateau

Treatment: Patient sitting, elevate knee, push inferior and medial , abduction ankle, make knee valgus

11/19/10 Hip and Knee p14
Medial meniscus
Location: Medial to patella on tibial plateau

Treatment: Elevate knee, push inferiorly and laterally, adduction ankle, make knee varus

11/19/10 Hip and Knee p14
Medial hamstring tendon
Location: Superior to medial attachment on posteromedial surface tibial

Treatment: Patient supine, flex hip and knee 90o, interiorly rotate tibia

11/19/10 Hip and Knee p14
Lateral hamstring tendon
Location: Lateral tendon, attachment to posterior lateral surface proximal fibula

Treatment: Patient supine; extends hip, flex knee, fine tune with abduction and external rotation

12/3/10 Catch Up Lab p3
Vastus lateralis
Location: Lateral thigh between trochanter and lateral aspect knee

Treatment: Patient supine; flex hip, hyperextend knee, externally rotate thigh

12/3/10 Catch Up Lab p3
Vastus medialis
Location: Anterior medial lower thigh

Treatment: Patient supine; flex hip, hyperextend knee, internally rotate thigh

12/3/10 Catch Up Lab p3
Rectus femoris
Location: Anterior surface thigh

Treatment: Patient supine, flex hip, hyperextend knee

12/3/10 Catch Up Lab p3
Psoas
AL1, AL2

Flexion, internal rotation hip

2/17/11 OMT in Pregnancy