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OMM II Final Practical Flashcards

Counterstrain Still ME (49 cards)

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1
Q

Counterstrain - Anterior Cervicals: Describe Tx for

  1. AC-1 - mandible
  2. AC 2-6 – transverse processes
  3. AC 7 (maverick) - mid clavicle
  4. AC 8 - sternal notch
A
  1. F SaRa
  2. F SARA
  3. F StRa
  4. F SaRA
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2
Q

Counterstrain: Describe treatment for Anterior Cervical AC 7 (maverick) located mid-clavicle

A

F StRA

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3
Q

Counterstrain - Posterior Cervicals: Describe Tx for

PC 1 (Inion) - maverick
PC 3 (spinous process; maverick)
A

PC1 - F

PC 3 - F SARA

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4
Q

Counterstrain - Posterior Cervicals: Describe Tx for Posterior Cervicals

PC 1 (lateral)
PC 2 (lateral - occiput)
PC 2 (spinous process)
A

E SARA

NOTE: PC1 inion, PC 1 lateral (labeled 2 in manual); PC 2 lateral (labelled 3 in manual)

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5
Q

Counterstrain - Posterior Cervicals: Describe Tx for Posterior Cervicals

PC 3-7 (lateral; articular pillars)
PC 4-8 (spinous processes)

A

E SARA

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6
Q

Counterstrain - Anterior Lumbars, Pelvis, Posterior Sacrum: You must palpate the following: Psoas, Iliacus, AL 1-5, Low Ilium, Inguinal, Sacrum

Describe Tx for Anterior Lumbars

AL 1 (medial to ASIS)
AL 2 (medial to AIIS)
AL 3 (lateral to AIIS)
AL4 (inferior to AIIS)
AL 5 (pubic ramus)
A

AL 1 - F STRA
AL 2-4 - F SART
AL 5 - F SARA

  • 2, 3, 4 across the floor (physician opposite of dysfxn)
  • 1, 5, same side
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7
Q

Counterstrain - Anterior Lumbars, Pelvis, Posterior Sacrum: You must palpate the following:

  1. Psoas
  2. Iliacus
  3. AL 1-5
  4. Low Ilium
  5. Inguinal
  6. Sacrum

Describe Tx for Psoas (2/3 from ASIS to midline)

A

F ST

  • physician same side
  • ankles towards physician
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8
Q

Counterstrain - Anterior Lumbars, Pelvis, Posterior Sacrum: Describe Tx for Iliacus (1/3 ASIS to midline)

A

F ER

*meditation pose/indian style

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9
Q

Counterstrain - Anterior Lumbars, Pelvis, Posterior Sacrum: You must palpate the following:

  1. Psoas
  2. Iliacus
  3. AL 1-5
  4. Low Ilium
  5. Inguinal
  6. Sacrum

Describe Tx for Low ilium

A

F

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10
Q

Counterstrain - Pelvis, Sacrum, Lumbars: Describe Tx for Inguinal

A

F ADD IR

  • one knee meditation pose; ADD, internally rotate,
  • physician = same side as dysfxn
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11
Q

Counterstrain - Anterior Lumbars, Pelvis, Posterior Sacrum: Describe Treatments for Posterior Sacrum

PS 1 bilateral
PS 2-4 midline
PS 5 bilateral

A

PS1: Ant. pressure to contralateral ILA

PS 2-4:
2 - extend
3 - F/E
4 - Flex (ant. pressure to midline)

PS 5: ant. pressure to contralateral base

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12
Q

Counterstrain - Posterior Cervicals: Describe Tx for

PC 1 (Inion) - maverick
PC 3 (spinous process; maverick)
A

PC1 - F

PC 3 - F SARA

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13
Q

Counterstrain - Posterior Cervicals: Describe Tx for Posterior Cervicals

PC 1 (lateral)
PC 2 (lateral - occiput)
PC 2 (spinous process)
A

E SARA

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14
Q

Counterstrain - Posterior Cervicals: Describe Tx for Posterior Cervicals

PC 3-7 (lateral; articular pillars)
PC 4-8 (spinous processes)

A

E SARA

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15
Q

Counterstrain - Lumbars: Describe Tx for Anterior Lumbars

AL 1 (medial to ASIS)
AL 2 (medial to AIIS)
AL 3 (lateral to AIIS)
AL4 (inferior to AIIS)
AL 5 (pubic ramus)
A

AL 1 - F STRA
AL 2-4 - F SART
AL 5 - F SARA

  • 2, 3, 4 across the floor (physician opposite of dysfxn)
  • 1, 5, same side
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16
Q

Counterstrain - Pelvis, Sacrum, Lumbars: Describe Tx for Psoas (2/3 from ASIS to midline)

A

F ST

  • physician same side
  • ankles towards physician
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17
Q

Counterstrain - Pelvis, Sacrum, Lumbars: Describe Tx for Iliacus (1/3 ASIS to midline)

A

F ER

*meditation pose

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18
Q

Counterstrain - Pelvis, Sacrum, Lumbars: Describe Tx for Low ilium

A

F

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19
Q

Counterstrain - Pelvis, Sacrum, Lumbars: Describe Tx for Inguinal

A

F ADD IR

  • one knee meditation pose; ADD, internally rotate,
  • physician = same side as dysfxn
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20
Q

Counterstrain - Extremities: List the extremities that need to be assessed

Study These Flashcards
A
  1. Supraspinatus
  2. Infraspinatus
  3. Subscapularis
  4. Levator scapulae (patient prone)
  5. Short Head Bicepts
  6. Long Head biceps
  7. Pectoralis minor
  8. Radial head
    9.
21
Q

Counterstrain - Extremities: List the extremities that need to be assessed

Study These Flashcards
A
  1. Supraspinatus
  2. Infraspinatus
  3. Subscapularis
  4. Levator scapulae (patient prone)
  5. Short Head Bicepts
  6. Long Head biceps
  7. Pectoralis minor
  8. Radial head
  9. Medial epicondyle
  10. Lateral epicondyle
  11. Tensor fascia lata
  12. ACL
  13. PCL
  14. Lateral ankle (malleolus)
  15. Medial ankle (malleolus)
  16. Gastrocnemius
  17. Calcaneous
22
Q

Counterstrain - Extremities: Describe treatment for the supraspinatus

Study These Flashcards
A

F ABd Ext. rotate

*lady liberty pose

23
Q

Counterstrain - Extremities: Describe treatment for the Infraspinatus

24
Q

Counterstrain - Extremities: Describe treatment for the subscapularis

Study These Flashcards
A

E IR

“go bowling”

25
Counterstrain - Extremities: Describe treatment for the Levator scapulae
IR Abd traction *being restrained
26
Counterstrain - Extremities: Describe treatment for the Short head of the biceps
F Add ir "hold opposite shoulder"
27
Counterstrain - Extremities: Describe treatment for the long head of the biceps
F Abd ir "hand on forehead, block out the sun"
28
Counterstrain - Extremities: Describe treatment for the radial head (lateral side)
E SUP Val
29
Counterstrain - Extremities: Describe treatment for the medial epicondyle
F PRO ADD "flamingo hand"
30
Counterstrain - Extremities: Describe treatment for the tensor fascia lata (TFL)
f ABD *leg straight out
31
Counterstrain - Extremities: Describe treatment for the gastrocnemius
Flex knee, plantarflex foot
32
Counterstrain - Extremities: Describe treatment for the calcanous
Flex foot
33
Counterstrain - Extremities: Describe treatment for the ACL
1. Pillow under distal femur (pillow high under thigh) | 2. Push below knee
34
Counterstrain - Extremities: Describe treatment for the PCL
1. Pillow below knee | 2. Push down above knee
35
Counterstrain - Anterior Ribs and thoracics: List the tenderpoints that must be assessed
``` AR 1-2 AR 3-6 AT 1-6 midline AT 7-9 bilateral AT 10-12 bilateral ```
36
Counterstrain - Anterior Ribs and thoracics: Describe treatment for AR 1
F St RT
37
Counterstrain - Anterior Ribs and thoracics: Describe treatment for AR 2
F St RT
38
Counterstrain - Anterior Ribs and thoracics: Describe treatment for AR 3-6
F ST RT "mermaid legs" *mermaid legs on same side as dysfunction
39
Counterstrain - Anterior Ribs and thoracics: Describe treatment for AT 1 (sternal notch)
F (rest head in arms)
40
Counterstrain - Anterior Ribs and thoracics: Describe treatment for AT2 (angle of Louis)
F (rest head in arms)
41
Counterstrain - Anterior Ribs and thoracics: Describe treatment for AT 3-6
F (arms hand down off table)
42
Counterstrain - Anterior Ribs and thoracics: Describe treatment for: AT 7 (1/4 distance between xiphoid and umbilicus) AT 8 (1/2 distance) AT 9 (3/4 distance)
F ST RA "patient hugs your knee away from tenderpoint"
43
Counterstrain - Anterior Ribs and thoracics: Describe treatment for AT 10 (1/4 b/t umbilicus and pubic symphysis) AT 11 (1/2...) AT 12 (iliac crest)
F St Ra * physician same side * patient on back, legs flexed toward physician
44
Muscle Energy: What is a test for the piriformis?
FAIR test
45
Muscle Energy: What is a test for the psoas?
Thomas test | Pelvic side shift
46
Muscle Energy: What is a positive pelvic side shift?
positive side is the side with freer translation *psoas syndrome: preference of pelvic shift to contralateral side (e.g. if R side is stiff -- will shift easier to left)
47
Muscle energy: If patient's fibular head is held posterior, what is the treatment?
DEA - dorsiflex, externally rotate * want it to move forward
48
Muscle energy: If patient's fibular head is held anterior, what is the treatment?
PIP plantarflex, internally rotate
49
Lower Extremity: Knee and Fibular Head List the steps for the OMM practical
1. Do not forget to inspect/palpate knee 2. Check ROM 3. Perform 1 special test 4. Fibular head and Tx
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