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75 Cards in this Set
- Front
- Back
Internally rotated temporal bone can cause?
Initial Presentation? |
- ipsilateral facial spasms due to pressure on facial nerve
- Starts as Myokymia (involuntary eyelid contraction) |
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Still technique naming and Tx positions?
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start where you name it and end up where the restriction is
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Cranial Rhythmic impulse (CRI) Tx?
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CV4
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Chapman point:
Prostate |
posterior lateral margin of IT band
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Chapman point:
Colon |
anterior IT band from trochanter to knee
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Chapman point:
Rectum |
anterior point is lesser trochanter
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Chapman point:
Adrenal anterior and posterior? |
- anterior point is 2” superior 1” lateral to umbilicus
- posterior T11-T12 b/t spinous and transverse processes |
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Chapman point:
Kidney anterior and posterior? |
- anterior point is 1” superior and 1” lateral to umbilicus
- posterior T12-L1 b/t spinous and transverse processes |
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Chapman point:
Appendix anterior and posterior? |
- Anterior is tip of 12th rib
- posterior is transverse process of T11 |
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Chapman point:
Bladder |
periumbilical region
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Chapman point:
2nd intercostal space: |
thyroid
esophagus bronchi |
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Chapman point:
3rd intercostal space: |
upper lung, upper extremities
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Chapman point:
5th intercostal space: |
Liver (R)
stomach acidity (L) |
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Chapman point:
6th intercostal space: |
- gallbladder (R)
- stomach peristalsis (L) |
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Chapman point:
7th intercostal space: |
- spleen (L)
- pancreas (R) |
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Sacrospinous ligament divides what 2 areas?
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- the greater and lesser sciatic foramen
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Respiratory motion of the Sacrum:
What Axis? Inhalation? Exhalation? |
- around superior transverse axis (S2)
- inhalation=posterior movement - exhalation=anterior movement of sacral base |
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Craniosacral motion of the Sacrum:
Flexion? Extension? |
- flexion=moves posterior (counternutates)
- Extension=moves anterior (nutates), “nod forward” |
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Motion of Cranial Bones w/ Flexion?
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counternutation, decreased AP diameter, external rotation of paired bones
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Motion of Cranial Bones w/ Extension?
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nutation, increased AP diameter, internal rotation of paired bones
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Sacral Torsion Rules:
Whichever way L5 is Sidebent? |
sacral oblique axis is engaged on the same side as side bending
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Sacral Torsion Rules:
Whichever way L5 is Rotated? |
sacrum rotates in the opposite way on an oblique axis
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Sacral Torsion Rules:
Seated flexion test? |
opposite side of oblique axis
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Forward Sacral Torsions:
L on L |
+ seated flexion on R
deep R sulcus L ILA posterior L5 SLRR |
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Forward Sacral Torsions:
R on R |
+ seated flexion test L
deep L sulcus R ILA posterior L5 SRRL |
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Backward Sacral Torsions:
R on L |
+ seated flexion test R
shallow R sulcus L ILA Anterior L5 F/E RLSL |
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Backward Sacral Torsions:
L on R |
+ seated flexion test L
shallow L sulcus R ILA Anterior L5 F/E RRSR |
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5 components of primary respiratory mechanism:
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- Fluctuation of CSF
- Mobility of intracranial and intraspinal membrane - Articular mobility of cranial bones - Involuntary mobility of sacrum b/t ilia - Inherent motion of brain and spinal cord |
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Parasympathetic Innervation:
CN III: |
pupils
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Parasympathetic Innervation:
CN VII: |
lacrimal, nasal, submandibular, and sublingual glands
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Parasympathetic Innervation:
CN IX: |
parotid gland
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Parasympathetic Innervation:
CN X: |
- heart, lungs
- GI down to transverse colon - gonads - kidney and upper ureter |
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Parasympathetic Innervation:
Pelvic Splanchnics (S2-S4) |
Descending colon to rectum
- uterus - prostate - genitalia - lower ureter and bladder |
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Sympathetic Innervation:
head and neck |
T1-T4
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Sympathetic Innervation:
Heart |
T1-T5
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Sympathetic Innervation:
Lungs |
T2-T7
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Sympathetic Innervation:
Esophagus |
T2-T8
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Sympathetic Innervation:
Upper GI |
T5-T9
Stomach to duodenum including pancreas |
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Sympathetic Innervation:
Middle GI |
T10-T11
Duodenum to first 2/3 transverse colon |
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Sympathetic Innervation:
Lower GI |
T12-L2
Distal 1/3 of transverse colon to rectum |
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Sympathetic Innervation:
Appendix |
T12
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Sympathetic Innervation:
Kidneys |
T10-T11
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Sympathetic Innervation:
Adrenals |
T10
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Sympathetic Innervation:
Upper Ureters |
T10-T11
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Sympathetic Innervation:
Lower Ureters |
T12-L1
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Sympathetic Innervation:
Bladder |
T11-L2
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Sympathetic Innervation:
Gonads |
T10-T11
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Sympathetic Innervation:
Uterus and Cervix |
T10-L2
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Sympathetic Innervation:
Erectile tissue of penis/clitoris |
T11-L2
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Sympathetic Innervation:
Prostate |
T12-L2
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Sympathetic Innervation:
Arms |
T2-T8
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Sympathetic Innervation:
Legs |
T11-L2
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Herniated discs presentation:
L3-L4 |
- absent patella reflex
- decreased sensation to medial malleolus |
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Herniated discs presentation:
L4-L5 |
- decreased toe extension
- numbness dorsal aspect foot |
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Herniated discs presentation:
L5-S1 |
- decreased Achilles reflex
- numbness lateral malleolus |
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Scalene muscle attachments?
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- Anterior and middle scalenes attach to 1st rib
- posterior attaches to 2nd |
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Rib motion:
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- Pump-handle: ribs 1-5
- Bucket-handle: ribs 6-10 - Caliper motion: ribs 11-12 |
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Key Rib for tx:
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BITE
- Below Inspiration - Top Exhalation |
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Spina bifida oculta presentation?
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no herniation, rough patch of hair only sign of defect
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Spina bifida menignocele presentation?
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hernation of meninges through defect
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Spina bifida meningomyelocele presentation?
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herniation of meninges and nerve roots through defect
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Spondylosis:
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degenerative change within intervertebral disc and ankylosing of adjacent vertebrate
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Spondylolysis:
Presentation? Dx? |
- defect of pars interarticularis W/O anterior displacement of vertebral body
- Dx w/ Oblique Xray, shows fracture better, “collar on scotty dog” |
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Spondylolisthesis:
Presentation? Dx? |
- defect of pars interarticularis W/ anterior displacement of vertebrate, MC at L4 or L5
- Dx w/ lateral film |
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Tinnitus MC associated w/ what cranial dysfunction?
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temporal bone dysfunction
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Sphenobasilar Synchondriosis (SBS):
Components and purpose? |
- made up of the Sphenoid and Occipital bones
- which facilitate cranial motion |
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Freyette’s Laws:
Law 1 |
in neutral position, side bending and rotation are in opposite directions
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Freyette’s Laws:
Law 2 |
in flexion/extension, side bending and rotation occur in the same direction
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Freyette’s Laws:
Law 3 |
any motion in one plane will decrease the motion in the other 2
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Superior facet orientation:
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BUMBULBM
- Cervical: BUM, backward, upward, medial - Thoracic: BUL, backward, upward, lateral - Lumbar: BM, backward, medial |
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Erector spinae muscles:
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SILO
Spinalis, Iliocostalis, Longissimus |
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Scoliosis:
Dextro vs. Levo? |
- Dextro: curve to the right
- Levo: curve to the Left |
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Scoliosis:
Tx? |
- >20 degrees (moderate), add brace to conservative exercises and OMT
- >50 degrees (severe), surgery |
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MC dysfunction of post-partum pt?
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Bilateral sacral flexion
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Dural matter attaches where?
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foramen magnum, C2, C3, and S2
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