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OMM Nomenclature

Palpation Application of variable manual pressure to the surface of body to determine shape, size, consistency, position, inherent motility and health of tissues beneath
Palpation requires control of pressure build ups of sensitivity in sensory receptors of the hands can be trained over time with enough repetitions need to develop palpatory amidexterity.
Densest collection of free nerve endings are located finger pads, especially first 3 digits.
Average palpation sensitivity 50 microns
Best known palpation sensitivty 1 micron
Densest thermoreceptors are located on dorsum of second through fourth digits and on metacarpophalangeal joints. (knuckle)
qualities that you can palpate temperature, texture, humidity, elasticity, tension, turgor, shape, thickness, motion
Sagittal Plane Also Vertical. Divides body into left and right. Parasagittal - off midline
Coronal Plane Also frontal Divides body into front and back
Transverse Plane Also cross section/horizontal. Divides body into top and bottom
Axes of Motion Horizontal, Vertical, Transverse. Occurs perpendicular to the axis.
Motion in Sagittal plane occurs Around Transverse Axis
Motion in Transverse plane occurs Around Vertical Axis
Motion in Coronal Plane occurs Around horizontal access.
Proximal/Distal In reference to distance from the trunk of the body
Cephalad/Caudad Only used when referencing trunk.
Ipsilateral Two structures on same side of body
Contralateral Two structures on opposite sides of the body
Lateral Recumbent Lying on side. Right lateral recumbent - lying on right side
Flexion(trunk) Forward motion in sagittal plane around transverse axis. (lowering deadlift)
Flexion(extremities) Decreasing an angle from anatomical position
Extension(trunk) Backward motion in sagittal plane around transverse axis
Extension(extremities) Increasing an angle from anatomical position.
Sidebending(trunk only) motion in coronal plane around horizontal axis.
Abduction(extremities only) Motion in the coronal plane away from the trunk. Away. Making a T with your hands.
Adduction(extremities only) Motion in the coronal plane towards the trunk. Bringing the T to your body.
In fingers and toes, abduction/adduction applies to relation to the 3rd digit. Abduction is spreading fingers out(jazz hands). Adduction is making flat palm, like getting ready for clapping.
Rotation (trunk) motion in transverse plane around vertical axis
Internal Rotation(extremities) motion such that the anterior surfaces medially
External rotation(extremities) motion such that the anterior surface faces laterally
Circumduction Circular motion that combines flexion,extension,abduction and adduction. Arm Circles.
Pronation Medial rotation of the forearm such that the palm faces posteriorly
Supination Lateral rotation of the forearm such that the palm faces anteriorly
Inversion Movement of ankle and foot such that the sole of the foot faces medially
Eversion Movement of ankle and foot such that the sole of the foot faces laterally
Dorsiflexion Motion of ankle that decreases angle between dorsum of foot and tibia. Bringing toes back to you
Plantarflexion Motion of ankle that increases the angle between dorsum of foot and tibia. increasing angle, pointing toes, ballet pirouette.
Created by: nady