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115 Cards in this Set
- Front
- Back
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AC1, rotation, uncoupled dysfunction
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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 |
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AC2, type II dysfunction
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Location: anterior aspect transverse process C2
Treatment: flex to level of C2, side bend away, rotate away F RA SA N&N p 138 |
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AC3 Type II dysfunction
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Location: Anterior aspect transverse process C3
Treatment: flex to level of C3, side bend away, rotate away F RA SA N&N 138 |
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AC4, type II dysfunction
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Location: Anterior aspect transverse process C4
Treatment: flex to level of C4, side bend away, rotate away F RA SA N&N p138 |
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AC5, type II dysfunction
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Location: anterior aspect transverse process C5
Treatment: flex to level of C5, side bend away, rotate away F RA SA N&N p 138 |
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AC6, type II dysfunction
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Location: anterior aspect transverse process C6
Treatment: flex to level of C6, side bend away, rotate away F RA SA N&N p138 |
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AC7, type I dysfunction of C7 or sternocleidomastoid
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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 |
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AC8, type II dysfunction of C7
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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 |
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PC1 Inion
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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 |
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PC1 lateral
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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 |
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PC2 Lateral
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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 |
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PC2 midline
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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 |
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PC3 Midline
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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 |
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PC4 Midline
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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 |
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PC5 Midline
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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 |
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PC6 Midline
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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 |
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PC7 Midline
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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 |
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PC8 Midline
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Location: Inferior spinous process C7
Treatment: extend level C7, minimal to moderate side bending, minimal to moderate rotation E Sa Ra N&N p144 |
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PC3 Lateral
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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 |
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PC4 Lateral
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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 |
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PC5 Lateral
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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 |
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PC6 Lateral
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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 |
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PC7 Lateral
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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 |
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AT1
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Location: midline episternal notch, rib 1
Treatment: flexion to midline episternal notch/rib 1 F N&N p147-148 |
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AT2
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Location: midline, sternal angle/rib 2
Treatment: flexion to sternal angle/rib 2 F N&N p147-148 |
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AT3
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Location: midline level rib 3
Treatment: flexion to level rib 3 F N&N p 148-149 |
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AT4
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Location: midline to level rib 4
Treatment: flexion to level rib 4 F N&N p148-149 |
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AT5
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Location: midline level rib 5
Treatment: flexion to level rib 5 F N&N p148 |
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AT6
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Location: midline xiphoid-sternal junction/rib 6
Treatment: flexion to xiphoid-sternal junction/rib 6 F N&N p148 |
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AT7
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Location: midline or inferolateral tip xiphoid
Treatment: flexion to tip xiphoid, side beding toward, rotation away F St RA N&N p150 |
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AT8
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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 |
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AT9
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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 |
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AT10
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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 |
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AT11
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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 |
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AT12
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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 |
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PT1
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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) |
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PT2
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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 |
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PT3
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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) |
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PT4
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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) |
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PT5
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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) |
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PT6
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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 |
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PT7
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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) |
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PT8
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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) |
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PT9
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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 |
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PT10
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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 |
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PT11
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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 |
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PT12
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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 |
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AR1, Exhaled Rib
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Location: below clavicle on first chondrosternal articulation
Treatment: flexion, side bending toward, rotated away patient supine f-F St RT N&N p160 |
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AR2, Exhaled Rib
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Location: on second rib at midclavicular line
Treatment: flexion, side bending toward, rotated away patient supine f-F St RT N&N p160 |
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AR3, Exhaled Rib
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Location: anterior axillary line on rib 3
Treatment: flexion, side bending toward, rotated away patient seated f ST RT N&N p161 |
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AR4
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Location: anterior axillary line on rib 4
Treatment: flexion, side bending toward, rotated away patient seated f ST RT N&N p161 |
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AR5
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Location: anterior axillary line on rib 5
Treatment: flexion, side bending toward, rotated away patient seated f ST RT N&N p161 |
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AR6
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Location: anterior axillary line on rib 6
Treatment: flexion, side bending toward, rotated away patient seated f ST RT N&N p161 |
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PR1 Inhaled Rib
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Location: cervicothoracic angle, just anterior to trapezius
Treatment: extension, side bend away, rotated toward patient seated e SA Rt N&N p163 |
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PR2 Inhaled Rib
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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 |
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P3 Inhaled Rib
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Location: superior surface rib angle on rib 3
Treatment: flexion, side bend away, rotated away patent seated f SA RA N&N p164 |
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PR4 Inhaled Rib
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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 |
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PR5 Inhaled Rib
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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 |
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PR6 Inhaled Rib
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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 |
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AL1
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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 |
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AL2
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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 |
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AL3
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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 |
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AL4
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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 |
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AL5
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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 |
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PL1, midline
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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 |
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PL1, Lateral
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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 |
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PL2, Midline
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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 |
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PL2, Lateral
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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 |
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PL3, Midline
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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 |
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PL3, Lateral
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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 |
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PL3, Lateral Gluteus (iliac crest)
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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 |
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PL4, Midline
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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 |
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PL4, lateral
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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 |
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PL4, Lateral Gluteus (iliac crest)
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Location: posterolateral pelvic edge halway between greater trochanter and iliac crest at gluteus maximus
Treatment: patient prone E er add N&N p173 |
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PL5, Midline
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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 |
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PL5, lateral
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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 |
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UPL5
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Location: superior surface PSIS
Treatment: patient prone, hip extension E er add N&N p171-172 |
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LPL5
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Location: 2 cm below PSIS on ilium
Treatment: patient prone, hip flexed off table, slight adduction F IR add N&N p174 |
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Iliacus Dysfunction/Tender Point
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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 |
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PIR (Pelvic/Piriformis Dysfunction)
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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 |
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Supraspinatus
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Location: mid supraspinatus muscle just superior to spine of scapula
Treatment: flex shoulder to 45 degrees, abduct 45 degrees, external rotate N&N p177 |
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Infraspinatus
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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 |
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Levator Scapulae
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Location: superior angle of scapula
Treatment: head rotated away, internally rotate shoulder, mild to moderate traction, minimal abduction N&N p179 |
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trapezius
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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 |
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masseter
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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 |
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lateral pterygoid
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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 |
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rhomboid
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Location: medial border scapula, press medial to lateral
Treatment: abduct shoulder, extend slightly handout: lab 1 autonomics in action 8/6/10 |
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scalene
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Treatment: elevate shoulder using humerus or axilla, slight internal rotation
handout: lab 1 autonomics in action 8/6/10 |
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Flexors/extensors of hand and wrist
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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 |
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Pectoralis Minor
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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 |
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Teres minor
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Treatment: 30o extend shoulder, slightly adduct, markedly externally rotate
OMS II lab 14: shoulder, arm wrist 11/5/10 p7 |
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Pronator teres
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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 |
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Latissimus dorsi
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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 |
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Lateral epicondylitis
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Location: Anterolateral surface proximal head of radius
Treatment: Fully extend, supinate, abduct forearm OMS II lab 14: shoulder, arm wrist 11/5/10 p8 |
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Medial epicondylitis
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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 |
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Flexed ankle/dorsiflexors
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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 |
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Extended Ankle/plantarflexors
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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 |
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Medial ankle
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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 |
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Lateral ankle
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Location: Inferior 3 cm anterior to lateral malleolus
Treatment: Evert foot 11/12/10 Common Foot and Ankle Sports Injuries p4 |
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Talus
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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 |
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Plantar fasciitis
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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 |
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Tensor Fascia Lata
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Location: Inferior to ASIS
Treatment: Flex hip 60-90o, abduct and internally rotate hip 11/19/10 Hip and Knee p12 |
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Iliotibial band
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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 |
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Adductors brevis/longus
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Location: Attachment below pubic ramus
Treatment: Patient supine, flex and adduct hip 11/19/10 Hip and Knee p13 |
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Obturator internus
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Location: Medial to ischial tuberosities
Treatment: Flex knee 90, externally rotate hip 11/19/10 Hip and Knee p13 |
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inguinal ligament
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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 |
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Biceps femoris
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Location: Posterior thigh, lateral to midline
Treatment: Patient prone, flex knees 90o, extend and internally rotate hip 11/19/10 Hip and Knee p14 |
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Lateral meniscus
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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 |
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Medial meniscus
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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 |
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Medial hamstring tendon
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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 |
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Lateral hamstring tendon
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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 |
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Vastus lateralis
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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 |
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Vastus medialis
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Location: Anterior medial lower thigh
Treatment: Patient supine; flex hip, hyperextend knee, internally rotate thigh 12/3/10 Catch Up Lab p3 |
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Rectus femoris
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Location: Anterior surface thigh
Treatment: Patient supine, flex hip, hyperextend knee 12/3/10 Catch Up Lab p3 |
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Psoas
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AL1, AL2
Flexion, internal rotation hip 2/17/11 OMT in Pregnancy |
