| Question | Answer |
| 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 |
