Omsi - Omm Ii Midterm - Integrated Question

Front 1

What are the major landmarks used to assess motion of the anterior pelvis?

Back 1

Illiac Crests
ASIS
Pubic Tubercles
Medial Malleoli
(PSIS)

Front 2

What is the axis for anterior/posterior rotation of the ilia?

Back 2

Inferior Transverse Axis (ITA)

Front 3

What motion occurs at the superior transverse axis (STA)?

Back 3

The flexion/extension that is associated with respiration / cranial motion

Front 4

What motion occurs at the middle transverse axis (MTA)?

Back 4

Postural flexion & extension

Front 5

What is the purpose of the standing flexion test?

Back 5

To assess iliosacral function (anterior pelvis)

Front 6

What is a positive standing flexion test result?

Back 6

The side with the superior displacement of the PSIS (monitored by examiner's thumb)

Front 7

What does a positive standing flexion test indicate?

Back 7

The side of dysfunction in the anterior pelvis

Front 8

What are the major landmarks used to assess motion of the sacrum?

Back 8

L5
Bilateral Sacral Sulcus
Bilateral Inferior Lateral Angles (ILA)

Front 9

What is the only muscle that originates from the sacrum?

Back 9

Piriformis

Front 10

Describe motion of the sacrum with respiration.

Back 10

With inspiration, the base of the sacrum moves posterior (into extension).
With exhalation, the base of the sacrum moves anterior (into flexion)

Front 11

Do you use the standing or seated flexion test for sacral diagnosis?

Back 11

Seated

Front 12

If the deep sulcus and the posterior ILA are on the same side, what kind of sacral dysfunction do you have?

Back 12

Unilateral

Front 13

What are three TRUE ligaments of the sacrum?

Back 13

Anterior sacroiliac
Posterior sacroiliac
Interosseous sacroiliac

Front 14

What are three accessory ligaments of the sacrum?

Back 14

Iliolumbar
Sacrotuberous
Sacrospinous

Front 15

If the deep sulcus and the posterior inferior lateral angle (ILA) are on the opposite side, what kind of sacral dysfunction do you have?

Back 15

Sacral Torsion

Front 16

What are the motion tests for SACRAL diagnosis?

Back 16

L5 Rotation
Seated Flextion Test (SeFT)
Backward Bending Test (BBT) or Sphinx
Lumbar Spring

Front 17

What does L5 rotation tell you about sacral dysfunction?

Back 17

L5 needs to be rotated opposite the sacrum = compensated

Front 18

What does the Seated Flexion Test (SeFT) tell you about sacral dysfunction?

Back 18

the PSIS that "rides up" indicates the side of dysfunction.

Front 19

What does Backward Bending Test (BBT) or Sphinx tell you about sacral dysfunction?

Back 19

Test the ability of the sacrum to move into flexion.

(If both sides of the sacral base can flex, then findings get better, and you know you have a flexed dysfunction. If only one side goes into flexion, findings appear worse, and you have extended dysfunction.)

Front 20

What does Lumbar Spring tell you about sacral dysfunction?

Back 20

Tests the flexibility of the lumbar spine.

Sacral extension restricts lumbar flexibility, so good spring = flexed, poor spring = extended.

Front 21

What does LIPLSIP stand for?

Back 21

Lower extremities
Innominates
Pubes
Lumbars (L5)
Sacrum
Ilia
Psoas/Iliopsoas

Front 22

What are the major landmarks used to assess motion of the anterior pelvis?

Back 22

Iliac Crests, ASIS, Pubic Tubercles, Med

Front 23

ASIS (anterior superior iliac spine) compression test

Back 23

1. A test for lateralization of somatic dysfunction of the sacrum, innominate or pubic symphysis. 2. Application of a force through the ASIS into one of the pelvic axes to assess the mechanics of the pelvis.

Front 24

backward bending test

Back 24

1. This test discriminates between forward and backward sacral torsion/rotation. 2. This test discriminates between unilateral sacral flexion and unilateral sacral extension.

Front 25

counternutation

Back 25

Posterior movement of the sacral base around a transverse axis in relation to the ilia.

Front 26

sacral extension

Back 26

posterior movement of the base of the sacrum in relation to the ilia.

Front 27

sacral flexion

Back 27

anterior movement of sacral base in relation to the ilia

Front 28

seated flexion test

Back 28

a screening test that determines the side of sacroiliac somatic dysfunction (motion of the sacrum on the ilium).

Front 29

standing flexion test

Back 29

a screening test that determines the side of iliosacral somatic dysfunction (motion of ilium on the sacrum).

Front 30

ilium

Back 30

the expansive superior portion of the innominate (hip bone or os coxae).

Front 31

iliosacral motion

Back 31

Motion of one innominate (ilium) with respect to the sacrum. Iliosacral motion is part of pelvic motion during the gait cycle.

Front 32

innominate

Back 32

The os coxae is a large irregular shaped bone that consists of three parts: ilium, ischium and pubis, which meet at the acetabulum, the cup shaped cavity for the head of the femur at the hip (femoroacetabular) joint. Also called the innominate bone or pelvic bone. See also hip bone.

Front 33

innominate rotation

Back 33

Rotational motion of one innominate bone relative to the sacrum on the inferior transverse axis.

Front 34

anterior innominate rotation

Back 34

a somatic dysfunction in which the anterior superior iliac spine (ASIS) is anterior and inferior to the contralateral landmark. The innominate (os coxae) moves more freely in an anterior and inferior direction, and is restricted from movement in a posterior and superior direction.

Front 35

inferior innominate shear

Back 35

a somatic dysfunction in which the anterior superior iliac spine (ASIS) and posterior superior iliac spines (PSIS) are inferior to the contralateral landmarks. The innominate (os coxa) moves more freely in an inferior direction, and is restricted from movement in a superior direction.

Front 36

inflared innominate

Back 36

a somatic dysfunction of the innominate (os coxae) resulting in medial positioning of the anterior superior iliac spine (ASIS). The innominate moves more freely in a medial direction, and is restricted from movement in a lateral direction.

Front 37

outflared innominate

Back 37

a somatic dysfunction of the innominate (os coxae) resulting in lateral positioning of the anterior superior iliac spine (ASIS). The innominate moves more freely in a lateral direction, and is restricted from movement in a medial direction.

Front 38

posterior innominate rotation

Back 38

a somatic dysfunction in which the anterior superior iliac spine (ASIS) is posterior and superior to the contralateral landmarks. The innominate (os coxae) moves more freely in a posterior and superior direction, and is restricted from movement in an anterior and inferior direction.

Front 39

superior innominate shear

Back 39

a somatic dysfunction in which the anterior superior iliac spine (ASIS) and posterior superior iliac spines (PSIS) are superior to the contralateral landmarks. The innominate (os coxa) moves more freely in a superior direction, and is restricted from movement in an inferior direction.

Front 40

nutation

Back 40

Nodding forward; anterior movement of the sacral base around a transverse axis in relation to the ilia.

Front 41

torsion

Back 41

1. A motion or state where one end of a part is twisted about a longitudinal axis while the opposite end is held fast or turned in the opposite direction. 2. An unphysiologic motion pattern about an anteroposterior axis of the sphenobasilar symphysis/synchondrosis.

Front 42

symphyseal shear

Back 42

The resultant of an action or force causing or tending to cause the two parts of the symphysis to slide relative to each other in a direction parallel to their plane of contact. It is usually found in an inferior/superior direction but is occasionally found to be in an anterior/posterior direction.

Front 43

spring test

Back 43

1. A test used to differentiate between backward or forward sacral torsions/rotations. 2. A test used to differentiate bilateral sacral extension and bilateral sacral flexion. 3. A test used to differentiate unilateral sacral extension and unilateral sacral flexion.

Front 44

shear

Back 44

An action or force causing or tending to cause two contiguous parts of an articulation to slide relative to each other in a direction parallel to their plane of contact.

Front 45

screen

Back 45

The initial general somatic examination to determine signs of somatic dysfunction in various regions of the body.

Front 46

sacrum, inferior lateral angle (ILA) of

Back 46

The point on the lateral surface of the sacrum where it curves medially to the body of the fifth sacral vertebrae (Gray’s Anatomy).

Front 47

sacroiliac motion

Back 47

Motion of the sacrum in relationship to the innominate(s) (ilium/ilia).

Front 48

sacral torsion

Back 48

1. A physiologic function occurring in the sacrum during ambulation and forward bending. 2. A sacral somatic dysfunction around an oblique axis in which a torque occurs between the sacrum and innominates. The L5 vertebra rotates in the opposite direction of the sacrum. 3. If the L5 does not rotate opposite to the sacrum, L5 is termed maladapted. 4. Other terms for this maladaption include: rotations about an oblique axis, anterior or posterior sacrum and a torsion with a non-compensated L5 (Archaic use).

Front 49

sacral sulcus

Back 49

A depression just medial to the posterior superior iliac spine (PSIS) as a result of the spatial relationship of the PSIS to the dorsal aspect of the sacrum.

Front 50

sacrum, somatic dysfunctions of

Back 50

any of a group of somatic dysfunctions involving the sacrum. These may be the result of restriction of normal physiologic motion or trauma to the sacrum.

Front 51

vertical (y) axis (longitudinal)

Back 51

the axis formed by the intersection of the sagittal and coronal planes.

Front 52

transverse (z) axes

Back 52

axes formed by intersection of the coronal and transverse planes about which nutation/counternutation occurs.

Front 53

superior transverse axis (respiratory)

Back 53

the hypothetical transverse axis about which the sacrum moves during the respiratory cycle. It passes from side to side through the articular processes posterior to the point of attachment of the dura at the level of the second sacral segment. Involuntary sacral motion occurs as part of the craniosacral mechanism, and is believed to occur about this axis. 2. A term described by Fred Mitchell, Sr, DO.

Front 54

respiratory axis

Back 54

See sacrum, superior transverse axis (respiratory)

Front 55

postural axis

Back 55

See sacrum, middle transverse axis (postural)

Front 56

oblique axis (diagonal)

Back 56

a hypothetical functional axis from the superior area of a sacroiliac articulation to the contralateral inferior sacroiliac articulation. It is designated as right or left relevant to its superior point of origin. 2. A term described by Fred Mitchell, Sr, DO.

Front 57

pelvic rotation

Back 57

Movement of the entire pelvis in a relatively horizontal plane about a vertical (longitudinal) axis.

Front 58

pelvic sideshift

Back 58

Deviation of the pelvis to the right or left of the central vertical axis as translation occurs along the horizontal (z) axis. Usually observed in the standing position.

Front 59

pelvic tilt

Back 59

Pelvic rotation about a transverse (horizontal) axis (forward or backward tilt) or about an anterior- posterior axis (right or left side tilt).

Front 60

pelvis

Back 60

Within the context of structural diagnosis, the pelvis is made up of the right and left innominates, (hip bone or os coxae) the sacrum and coccyx.

Front 61

rotation of sacrum

Back 61

movement of the sacrum about a vertical (y) axis (usually in relation to the innominate bones).

Front 62

sacral base

Back 62

1. In osteopathic palpation, the uppermost posterior portion of the sacrum. 2. The most cephalad portion of the first sacral segment (Gray’s Anatomy).

Front 63

sacral movement axis

Back 63

any of the hypothetical axes for motion of the sacrum

Front 64

anterior-posterior (x) axis

Back 64

axis formed at the line of intersection of a sagittal and transverse plane

Front 65

inferior transverse axis (innominate)

Back 65

the hypothetical functional axis of sacral motion that passes from side to side on a line through the inferior auricular surface of the sacrum and ilia, and represents the axis for movement of the ilia on the sacrum. 2. A term described by Fred Mitchell, Sr, DO.

Front 66

longitudinal axis

Back 66

the hypothetical axis formed at the line of intersection of the midsagittal plane and a coronal plane, See sacral motion axis, vertical (y) axis longitudinal.

Front 67

middle transverse axis (postural)

Back 67

the hypothetical functional axis of sacral nutation/counternutation in the standing position, passing horizontally through the anterior aspect of the sacrum at the level of the second sacral segment. 2. A term described by Fred Mitchell, Sr, DO.