OPP Lect 25 Word Scramble
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| 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 |
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WeeG
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