WVSOM OPP test2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Carpal Tunnel | contains flexor tendons, median nerve
🗑
|
||||
| Carpal Tunnel syndrome | compression of the median nerve - numbness, pain in arm and hand
🗑
|
||||
| flexor retinaculum | makes the roof of the carpal tunnel (aka transverse carpal ligament)
🗑
|
||||
| median nerve | innervates all forearm flexors, sensory forearm innervation of the hand (1st 3.5 fingers)
🗑
|
||||
| EMG/nerve conduction studies | electromyogram - can confirm a diagnosis. Nerve conduction studies show increased nerve function after OMT
🗑
|
||||
| myofascial release |
🗑
|
||||
| opponens pollicus | originates from the flexor retinaculum - allows you to oppose the thumb
🗑
|
||||
| Phalen test | hands with palms together
🗑
|
||||
| tinel sign | tap on the flexor retinaculum - positive sign = pain
🗑
|
||||
| transverse carpal ligament | same as flexor retinaculum
🗑
|
||||
| double crush syndrome | carpal tunnel syndrome + thoracic outlet syndrome
🗑
|
||||
| radiculopathy (C5-C8) | nerve root pathology - impingement in the neck. Keep as a diagnostic option
🗑
|
||||
| Carpal Tunnel treatment: 3 phases | 1. release transverse carpal lig. 2. opponens roll. 3. wrist extension to pull flexor tendons into carpal tunnel
🗑
|
||||
| anterior subluxation | anterior position of the rib
🗑
|
||||
| costochondritis | aka Tietze's syndrome - inflammation of 2nd costochondral junction. Treat with steroids
🗑
|
||||
| counterstrain | can treat rib tender points: posterior tenderpoint - elevate it (stretch it out), anterior tenderpoint -depress it (bend ribcage around it)
🗑
|
||||
| depressed rib | exhalation dysfunction (inhalation restriction)
🗑
|
||||
| elevated rib | inhalation dysfunction (exhalation restriction)
🗑
|
||||
| exhalation rib | rib "stuck" in exhalation (depression)
🗑
|
||||
| inhalation rib | rib "stuck" in inhalation (elevation)
🗑
|
||||
| key rib | inhalation dysfunction - inferior ribexhalation dysfunction - superior rib
🗑
|
||||
| myofascial release |
🗑
|
||||
| posterior subluxation | "speed bump"
🗑
|
||||
| rib tip syndrome | lancinating (sharp) pain chondral mass of ribs 8-10, clicking at painful area
🗑
|
||||
| scapulocostal syndrome | radiating pain from shoulder
🗑
|
||||
| xiphoidalgia | pain/in the region of the xiphoid cartilage
🗑
|
||||
| ulnohumeral joint | true elbow joint - olecranon process of ulna + trochlea of humerus
🗑
|
||||
| radioulnar joint | allow pivot action - supination and pronation
🗑
|
||||
| radiocarpal joint | between radius an carpal bones. Carpal bones have anterior glide in extension, posterior glide in flexion
🗑
|
||||
| interosseous membrane | between 2 closely associated bones - e.g. ulna and radius. Somatic dysfunction of the interosseous membrane can perpetuate elbo/wrist pain after the injury should have healed
🗑
|
||||
| ulnar abduction somatic dysfunction | evident in flexion at end point - increased carrying angle
🗑
|
||||
| ulner adduction somatic dysfunction | decreased carrying angle - evident in extension
🗑
|
||||
| anterior radial head somatic dysfunction | stuck in supination, restricted in pronation, radial head will not glide posteriorly, from backward fall
🗑
|
||||
| posterior radial head somatic dysfunction | Stuck in pronation, radial head will not glide anteriorly, result from a forward fall
🗑
|
||||
| lateral epicondylitis | actually should be termed "lateral tendinosis of elbow" does NOT involve inflammation - tissue degeneration of tendon
🗑
|
||||
| viscerosomatic reflex |
🗑
|
||||
| deQuervian tenosynovitis | swelling of tendon sheath that surrounds abd. pollicis longus and extensor pollicis brevis tendons at the wrist. Inflammation thickens tendon sheath and constricts tendon as it glides in sheath - crepitus over tendon sheath as pt flexes and extends thumb
🗑
|
||||
| nerve compression syndromes | ulnar nerve (cubital tunnel syndrome), median nerve compression at the elbow, posterior interosseous nerve compression, pronator syndrome (muscular compression of median nerve in the proximmal forearm), radial tunnel syndrome
🗑
|
||||
| structural scoliosis | spinal curve is fixed and inflexible
🗑
|
||||
| functional scoliosis | spinal curve is flexible - correctable condition caused by postural or biomechanical factors
🗑
|
||||
| adams test | forward bending test - patient bends forward at the waist - identify a rib hump - pt sidebends toward the side of rib hump. Disappears - functional scoliosis, persists - structural scoliosis
🗑
|
||||
| rib hump | when patient is bent over, ribs protrude
🗑
|
||||
| static postural exam | look for symmetry - line passes through midline of the body. Check levelness of popliteal creases, greater trochanters, iliac crests, inferior angles of the scapula, tops of shoulders, mastoid processes
🗑
|
||||
| postural x-rays | use after finding static postural exam abnormality, structural scoliosis determined from Adam's test, OMT not successful, suspect conjenital abnormality, or to monitor progress of postural treatment regimen
🗑
|
||||
| cobb angle | line across top survace of superior vertebra, line across bottom of inferior vertebra, perpendicular lines off of both. Then angle of intersection = Cobb angle
🗑
|
||||
| lumbosacral angle (ferguson's angle) | angle between sacral base and line parallel to the ground - normally 25-35°
🗑
|
||||
| short leg syndrome | unlevel sacral base due to one leg shorter than the other leads to functional scoliosis causing the spine to compensate with a type 1 curve to keep the eyes level
🗑
|
||||
| asymmetry | can be indicative of restriction or of structural problem (i.e. short leg syndrome)
🗑
|
||||
| adductor tension | short leg syndrome can cause this
🗑
|
||||
| body of vertebra L3 | center of gravity - stays still and motion rotates around it
🗑
|
||||
| dynamic functional assessment | gait provides information on how the muscle systems interact with each other. Includes relationships of agonists and antagonists.
🗑
|
||||
| energy conservation | momentum from one stride is carried into the next
🗑
|
||||
| gait |
🗑
|
||||
| initial loading | "heel strike" - contact --> lower forefoot to ground
🗑
|
||||
| initial swing | in swing phase - accelerate thigh
🗑
|
||||
| loading response | "flat foot" - after heel strike, accept weight onto foot
🗑
|
||||
| midstance | between loading response (flat foot) and terminal stance (heel off). Stabilize the pelvis
🗑
|
||||
| midswing | clear the foot (between initial swing and terminal swing)
🗑
|
||||
| pelvic rotation | part of a normal stride
🗑
|
||||
| restriction of motion | can be observed as asymmetry in stride
🗑
|
||||
| preswing | toe off - continue to accelerate
🗑
|
||||
| propulsion | function of gait
🗑
|
||||
| sacral torsion | sacrum twists around its own longitudinal axis
🗑
|
||||
| shock absorption | function of the joints (knee and hip)
🗑
|
||||
| stance | stance phase = foot on ground (not swing phase)
🗑
|
||||
| stance stability | symmetry
🗑
|
||||
| static postural exam | observation of patient's symmetry
🗑
|
||||
| stride | 1 complete gait cycle
🗑
|
||||
| swing | swing phase - leg is in the air
🗑
|
||||
| terminal stance | "heel off stance" - before preswing (toe off) -begin to accelerate
🗑
|
||||
| terminal swing | "deceleration" - last part of swing phase before heel strike, extend knee, position foot
🗑
|
||||
| abdominal diaphragm | central tendon and muscle - along rib margin. Makes up a transverse fascial diaphragm
🗑
|
||||
| zink's fascial pattern | transverse fascial diaphragms - fascia rotates a particular way. Each fascial diaphragm alternates. 80% "healthy" people have R rotated pelvic diaphragm, L rotated abdominal dia., R rotated cervicothor., L rotated occipitoatlanto.
🗑
|
||||
| collectors | functional unit: lymphangion. + valves, 3 layers - intima, media, adventitia
🗑
|
||||
| common compensatory fascial pattern | Right rotated pelvic diaphragm, Left rotated abdominal diaphragm, right rotated cervicothoracic diaphragm, left rotated occipitoatlanto diaphragm
🗑
|
||||
| cysterna chyle | large collecting duct in the pelvis
🗑
|
||||
| edema | increased fluid in the interstitium - SYMPTOM. Disrupts anchoring filaments, disables intrinsic pumping mechanism
🗑
|
||||
| extrinsic lymphatic pumps | diaphragms, respiratory system, adjacent arteries, exercise, peristalsis, external coompression (OMT, compression stockings, bandages)
🗑
|
||||
| interstitium | space between cells
🗑
|
||||
| intrinsic lymphatic pumps | lymphangions (collectors), interstitial fluid pressure
🗑
|
||||
| lymph fluid | clear-yellow, resp. for absorbing fats from the diets (via lacteals). Contains clotting factors, lymphocytes, bacteria and viruses before filtration through org. lymph tissues
🗑
|
||||
| lymph capillaries | 1 layer "leaky" endothelium, discontinuous BM, no valves. Patency maintained by anchoring filaments
🗑
|
||||
| lymph nodes | organized lymph filtering centers - expose to immune system. Purifies lymph
🗑
|
||||
| lymphangions | functional unit of lymph collection - main transporting unit of lymphatic system
🗑
|
||||
| lymphodynamic edema | edema in normal system - accumulation of fluid bc of increased volume
🗑
|
||||
| lymphostatic/lymphedema | abnormal system accumulates fluid. Primary (congenital) or secondary
🗑
|
||||
| pre-collectors | 1-3 layers of endothelium, + valves
🗑
|
||||
| right lymphatic duct | drains the right quarter of the body's lymph. Empties into the right subclavian v.
🗑
|
||||
| thoracic duct | drains the lower body's lymph - empties into the left subclavian v. Crosses Sibson's fascia 2x.
🗑
|
||||
| left lymphatic duct | aka thoracic duct
🗑
|
||||
| thoracic inlet | opening to the rib cage
🗑
|
||||
| cervicothoracic fascia | sibson's fascia
🗑
|
||||
| uncompensated fascial compensatory pattern | zink's fascial pattern - transverse diaphragms do NOT alternate the direction they're rotated. Assoc. w. poorer health, increased constriction.
🗑
|
||||
| unorganized pathways | improvised flow of fluid - how interstitial fluid empties into the lymphatic capillaries
🗑
|
||||
| lymphatic treatment | remove restrictions to flow - treat transverse diaphragms (esp. cervicothoracic)
🗑
|
||||
| neurological model | diagnosis of viscerosomatic reflexes, , normalization of autonomic tone
🗑
|
||||
| respiratory-circulatory model | lymphatic drainage - treat thoracic inlet
🗑
|
||||
| viscerosomatic reflexes and treatment | visceral dysfunction (organ malfunctions) send afferent info. (GVA) --> WDR that affect both visceral effects (GVE) and somatic tissue (GSA) contraction
🗑
|
||||
| visceral dysfunction | OMT can be used to complement routine care for tx of visceral disease
🗑
|
||||
| treatment of sympathetic component of visceral disease | rib raise, chapman's points (dx on front, treat on back), inhibition of celiac, sup. + inf. mesenteric ganglia
🗑
|
||||
| treatment of parasympathetic component of visceral disease | cervical soft tissue (treat vagus), sacral rocking (S2-S4)
🗑
|
||||
| treatment of organ dysfunction component of visceral disease | mesenteric lifts, organ pumps, visceral manipulation
🗑
|
||||
| treatment of lymphatic component of visceral disease | fascial diaphragms, lymphatic pumps (e.g. thoracic pump), organ pumps
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
eegitto
Popular Medical sets