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OPP Lect 25

OPP Lect 25 OCF in Adults

QuestionAnswer
What type of somatic dysfunction in adults would indicate Cranial OMT 1.Cephalgia. 2.Upper Respiratory Congestion (rhinitis & sinusitis). 3.TMJ dysfunction. 4.Cranial Neuropathies.
What are the 3 Primary HA? 1.Tension Type (muscular). 2.Migraine. 3.Mixed.
What are the 3 Secondary causes of HA? 1.Post-concussive (after head injury). 2.Cervicogenic (Problem in neck, RA, herniated disc). 3.Congestive (due to rhinitis, sinusitis).
What type of treatment would you want to use to treat a CONGESTION HA? Facial Effleurage (5-10 passes in each area): 1.Neck (down the SCMs). 2.Maxillary. 3.Mandibular. 4.Frontal. **Gets better drainage from the ENTIRE face Start proximally and work distally from thoracic inlet.
List of RED FLAG symptoms (in history) for pathologic causes of HA requiring a work up 1.Pain: Explosive, "worst ever". 2.Exacerbating factors: coughing or straining, head injury. 3.Associated symptoms: Fever, sweats, confussion & dizziness, visual changes, incontenence.
List of RED FLAG symptoms (in exam) for pathologic causes of HA requiring a work up 1.New Hypertension. 2.Neurologica deficit (CNs or extremities). 3.Pupillary changes. 4.Papilledema. 5.Nuchal Rigidity. 6.Mental Status change.
What general OMT techniques would you use to treat HA 1.Suboccipital inhibition. 2.Venous sinus drainage. 3.CV-4.
3 othertexhniques besides Facial Effleurage that could be used to treat CONGESTION HAs? 1.Trigeminal stimulation. 2.Sphenopalatine ganglion stimulation (pressure stimulates watery mucous to help drainage). 3.Frontal lift.
Are OA (occipitoatlantal) Joint somatic dysfunctions considered an head or neck somatic dysfunction? BOTH. **be sure to check C1 with HA
What is the Progression of symptoms seen with TMJ dysfunction? 1.Starts out as pain with eating (opening & closing). 2.Restricted motion. 3.As it persists, Cartilage degeneration. 4.Subluxation (mandible out of joint, jaw is locked open).
What is most common cause of TMJ? Bite abnormalities. **also neck and facial muscle strain.
If a person has R TMJ tightness, which side will his jaw deviate towards when he opens his mouth? R. **Deviates towards the side of somatic dysfunction.
OMT techniques for TMJ 1.Suboccipital inhibition (push on myotendenous junction). 2.C1 treatment (AC1 counterstrain OR AO ME). 3.Temporal balancing. 4.Temporalis MFR. 5.Masseter inhibition (push on myotendenous junction). 6.TMJ Compression-decompression.
During TMJ compression-decompression, what muscle are you pushing on during compression Masseter, performing masseter inhibition.
3 common adult cranial neuropathies 1.Trigeminal Neuralgia (V). 2.Bells Palsy (VII). 3.CN VIII (tinnitus, Benign postural vertigo, meniere's syndrome)
When should you ALWAYS work the patient up? If they are having neurological loss.
What is trigeminal Neuralgia and what somatic dysfunctions could be causing it? Effects half the face (Opthlamic, maxillary, or mandibular division). 1.Sphenobasilar strains: SBS com-decom. 2.Temporal int/ext rotation: Temporal decom. 3.Maxilla int/ext rotation. 4.Mandibullar int/ext rotation: TMJ com-decom.
Which 2 types of nerve entrapment neuritis is OMT useful for? which one is it not? 1.Neuropraxia. 2.Axonotmesis. **The axon can regenerate once pressure is removed via OMT. 1.Neurotmesis. **Axon is severed and will NOT regenerate.
What is occuring in Temporal Decompression Pulling posterolateral on the earlobes to induce external rotation.
Differentiate b/w Neuralgia, Neuropathy, and Neuritis 1.Neuralgia: Mild, facial pain symptoms 2.Neuropathy: Loss of sensation along with the pain symptoms. 3.Neuritis: Inflammation is causing the pain symptoms. 1 & 3 you can treat with OMT
Facial Palsy Somatic Dysfunction & treatments One side of the face droops. 1.Sphenobasilar strain: Sphenobasilar com-decom. 2.Temporal Int/Ext rotation: Temporal decompression. 3. Occipitoatlantal, Occipitomastoid: treat the JUGULAR FORAMEN AREA.
CN VIII Somatic dysfunction & treatmenst 1.Sphenobasilar strain: Sphenobasilar com-decom. 2.Temporal Int/Ext rotation: Temporal decompression. 3.Parietal Int/Ext rotation: Parietal lift. **If they have hearing loss, need to be worked up. **Pos Romberg test would indicate cerebellum instea
Created by: WeeG