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Step III
Step III - OMM/Msk 2
| Question | Answer |
|---|---|
| What is the tenderpoint for the piriformis muscle | midline between the ILA of the sacrum and the greater trochanter of the femur |
| Sacral forward torsion is a/w a tender point for what muscle | Gluteus medius |
| How would you treat the piriformis muscle using conterstrain | patient prone, flexion right lower extremity, and leg abducted and externally rotated |
| Sidebending of L5 does what to sacrum | Engages ipsilateral oblique axis |
| Rotation of L5 causes what kind of rotation in the sacrum | Opposite |
| (+) Seated flexion test on RIGHT means oblique axis is on | LEFT (the axis is “normal”) |
| What is the posterior Chapman point for the appendix located | TP T11 |
| You are dx single segment somatic dysfxn in pt. FLEXION makes asymmetry BETTER and motion restriction DECREASES. Name the dx F/E | FLEX (better = motion of ease = dysfunction) |
| What are the sites of attachment of the dura in the cranial sacral synchronization motion theory | Foramen magnum, C2, C3, S2 |
| What is the nL rate of the CRI | 10-14 cycles/min |
| What can cause CRI to decrease | Psycho stress |
| At what axis does the sacrum rotate during pulm respiration | Superior transverse |
| Inhalation rib dysfunctions fir ribs 1-5 would show what anteriorly and posteriorly | In pump-handle ribs (1-5) you would expect to find anterior narrowing of the intercostal space directly above the bottom rib and you should feel a prominence over the superior edge of the posterior rib angle |
| Somatic dysfunction of head and neck correlate to what spinal level | T1-4 |
| What is Adson’s test looking for | Thoracic outlet syndrome |
| How is Spurling’s test done | extending the C-spine and sidebending to the side being tested and applying compression |
| What is spurling’s test looking for | narrowing of the cervical foramina |
| What are the two points used to measure leg length | ASIS and medial malleoli |
| leg length discrepancies having several structural findings. What happens to the sacral base and inominates | Unleveled where base will be lower on side of short leg; ant inom on short leg, post inom on long leg |
| what is the lumbar dysfx found in pt’s with leg length discrepancies | (type I) with sidebending away from and rotation toward the short leg |
| what is the recommendation for heel lifts in elderly | Start @1.5mm (1/16”) then incremental (1/16”) incr q2wks to reach goal |
| what is the recommendation for heel lifts in flexible ppl | Start @3.2mm (1/8”) then incremental (1/8”) incr q2wks until ½ or ¾ of goal |
| what is the goal of pedal pump | Incr thoraco-abdominal pressure |
| CI to pedal pump | Recent ab surgery, DVT, LE fractures |
| What are the bucket handle ribs | 5-9 |
| lateral narrowing of the corresponding intercostal spaces is a/w what type of ribs | Bucket handle 5-9 |
| Anterior narrowing occurs in dysfunction of ribs that move primarily by the | pump-handle trajectory 1-4 |