OPP Test 2 Review

7/27/2019 OPP Test 2 Review

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OPP Exam 2 Review


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Rib Interplay and Myofascia


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Define the rule of 3s and discuss its use in landmark identification.


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Review the anatomy of the thorax and discuss how the muscular and ligamentous

attachments contribute to thoracic, rib, and sternal somatic dysfunction


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Describe the functional unit of vertebrae-rib-sternum and why it is important in somatic

dysfunction


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List 4 functions of the thoracic cage


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5. Define and discuss true, false, and floating ribs and give examples of each

6. Define and discuss typical and atypical ribs and give examples of each

7. List which ribs articulate only with the body of its respective vertebra

8. Discuss the motion of the costotransverse joints at different vertebral/rib levels


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9. Discuss how somatic dysfunction of the 1st rib can lead to various problems in the

upper extremity and body as a whole

10. Define and discuss the 3 primary rib motions

11. Discuss principal and accessory muscle action during the various phases of

respiration in quiet and active breathing

12. Define inhalation and exhalation somatic dysfunctions and discuss the location

and role of the key rib in each


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Accessory Notes:

Chapman Reflexes - Definition: Anterior and posterior tender

points that may result from viscerosomatic reflexes. Initially,

these were studied and used clinically by Frank Chapman, DO

in the early 1900s.

In all disease processes, there is hypersympatheticactivity

Korr

"...the fascia is the place to look for cause of disease and the

place to consult and begin the action of remedies in all

diseases..."A.T. Stil l, MD, DO

An osteopath, in his search for the cause of diseases, starts

out to find the mechanical causes. -A.T. Still, 1902


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Discuss some general things that make up fascia1. Cells

2. ECM (Extracellular matrix)

What makes up the ECM?

How many types of Collagen are there?List the most common types.


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What are the different Layers of Fascia? What structures do they

cover in the body?


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What are the 4 main biophysical attributes of

connective tissue/fascia?

What is a colloid?


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What are the 3 Special Characteristics of Fascia?

What is the definition of each special characteristic?

List some examples of each


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What does Wolffs Law Say?

Now paraphrase.

What is an example of this in the body?


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What is Hookes Law?

What does this mean in the wild world of myofascia?


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Somatic Dysfunction:

Definition: Impaired or alteredfunction of related components

of the somatic (body framework)

system; includes skeletal,arthrodial, and myofascial

elements and related vascular,

lymphatic, and neural elements.


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OPP 14: Innominate and Pelvis

Biomechanics

Click on Presentation Mode Now


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But first a few words from this guy

http://www.youtube.com/watch?v=FUDHcuLnMVc
http://www.youtube.com/watch?v=FUDHcuLnMVchttp://www.youtube.com/watch?v=FUDHcuLnMVc


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1. Identify relevant anatomy of the pelvis

A. 3 major innominates of the pelvis

B. 3 true pelvic ligaments

C. 3 accessory ligaments

D. Landmarks for diagnosis/treatment

C

E

D


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2. Muscles of the posterior back inserting onthe pelvis

3. Muscles of the anterior back to the pelvis,

with origins and insertions4. Muscles of thigh inserting on the pelvis


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5. Physical examination includes these five

characteristics

6. With patient supine, check these 4 landmarks

7. With patient prone, check these 6 landmarks


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8. Standing flexion test methodology

9. Standing flexion test has motion restriction in

this direction

10.Seated flexion test methodology (isolates ?,

rules out ?)

11.Seated flexion removes the ____ as a factor


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12. What are the 3 pelvic motions?

13. Pubic motion moves about this axis

14. Pubic articulation type (what kind of joint?)15. 3 types of pubic motion

16. Etiology of superior pubic shear

17. Etiology of inferior pubic shear


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18. Ilial motions?

19. Diagnose this: ASIS inferior, PSIS superior

-etiology, other indications?20. True or False, anterior rotation of the ilium

will give an apparent increase in leg length

21. Reasoning behind the correction for anteriorrotation of the ilium (treatment!)


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22. Diagnose this: ASIS superior, PSIS superior

-etiology?

23. You need ___ landmarks to diagnose pelvicdysfunction


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Dare to Dream of Getting an A


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Integrative Medicine 1


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1. Integrative medicine is the combination of conventional medicine and

what?

2. Complementary/Alternative medicine (CAM) model includes alternative

paradigms; name three.

3. What are the factors contributing to the root cause of illness?4. Name four alternative physical therapy techniques.

5. An alternative to psychiatry are different pyscotherapies such as?

6. Name the 8 categories of Complementary/Alternative medicine (CAMs).

I t ti M di i 1


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1. Alternative systems

2. Botanicals/herbal

meds.

3. Energy meds/Biofield

bioelectromagnetics4. Manipulative/manual/t

herapeutic bodywork

5. Movement therapies

6. Mind-body interactions

7. Pharmacologic/biologic

8. Lifestyle changes

a. Diets, orthomolecular medicine(supplements)

b. Osteopathy, chiropractic, naturopathy,homeopathy, oreiental medicine, ayurveda

c. Alexander technique, pilates, yoga, tai chi,watsu, dance therapy

d. Herbalism and essential oils

e. Chelation therapy, prolotherapy, platelet richplasma (PRP)

f. OMT, craniosacral therapy, chiropracticmanipulation, therapeutic massage, triggerpoint myotherapy, rolfing, reflexology

g. OMT, acupuncture, meridian regulation, qi

gong, reiki, therapeutic touch/healing touch,jin shin, chakra therapies, magnetictherapies, polarity therapy, zero balancing,TENSCAM and other devices, acoustictherapies, color therapies.

h. Biofeedback, hypnosis, guided imagery,energy psychology, shamanism, meditation,prayer

Matching:


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1. Who founded chiropractic medicine? When?

2. What is the connection between the founder of chiropractic and AT Still?

3. What are the three main types of chiropractic medicine?

4. Who founded naturopathy? When? How many schools now?

5. What are the three principles of naturopathic philosophy?6. Who founded homeopathy?

7. What are the two laws of homeopathy?

8. Oriental medicine is 3,000 y.o. it involves taiji and yin/yang. Name three

models associated with oriental medicine?

9. Ayurveda is 5,000 y.o. and developed in . It incorporates science

philosophy and spirituality.

10. Ayurveda has two basic steps. Which are?


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Integrative Medicine 2(Random shit 2.0)


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Energy is the ability to do work and forms of energy include kinetic potential

(stored), chemical, electromagnetic, heat, elastic, gravity, sounds.

1. Bioenergetics

2. Bioenergy

3. Bioelectromagnetics

4. Bioelectromagnetism

5. Give some sources of Bioenergy.

6. Is the is about 100,000 xs strongerelectrically and up to 5,000 times stronger

magnetically than the .

a. Study of how endogenous and exogenous

energy sources/forms influence and control

living systems and their environment.

b. Study of interaction between

electromagnetic fields and biological living

systems.

c. Inherent ability of living cells, tissues, and

organisms to produce and emit electrical and

magnetic fields, and the response of cells to

electromagnetic fieldsd. Energy produced endogenously by living

systems.


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1. Define energy medicine

2. Who pioneered the use of radiowaves to treat cancer?

3. See matching slide of CAMs in Integrative medicine 1 for the different

Energy medicine things that can be done.

4. What is a biofield?5. What is biofield therapy?

6. A squid magnetometer measures what?

7. Healing effects of different frequencies (Hz): 2, 7, 10, 15/20/72, 25/50.

8. Schumann resonance at 8 Hz is similar to what wave from the human

body?


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OPP 17, Sacrum Biomechanics


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1. Review osteology of the sacrum, innominates

-segments of the sacrum? Bones of the innominate?

2. Define sacralization of L5; define

lumbarization of S1

3. True or false. There are direct muscularattachments from the sacrum to the ilium.

4. Function of the true pelvic ligaments

5. Function of the accessory pelvic ligaments


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6. Functional components of the sacral plexus

-sacral parasympathetics come from?

7. Define ganglion impar

8. Name relevant landmarks of the sacrum

9. Name the axes of sacral rotation


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10.Location, function of the sacral axes

11.Describe 4 parts of postural sacral motion

12.True or false. Sacral motion is not affected by

respiration.

13.In anatomical flexion, the base of the sacrum

moves __________, movement about the

________ axis.


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14. The sacrum rotates about the _______ axis.

15. Side bending occurs about the _______ axis.

16. How do you distinguish between sacroiliac

and iliosacral dysfunction?

17. How do you distinguish between left on left,

or right on left motion? Protocol?


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18. Diagnose this.

-Deep sulcus = LEFT

-Inferior/posterior ILA = RIGHT

-seated flexion = +LEFT

-spring test = NEGATIVE

19. Positive spring test isolates these motions?

20. Unilateral sacral flexion characteristics?

-how about sacral extension?


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NMS Evaluation 1


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NMS Evaluation 1

1. Name some components of the Osteopathic Evaluation.

2. What are the four major components of the Neuromusculoskeletal

Evaluation?

3. What are the four steps taken to actually do a NMS evaluation?

4. Information from a NMS eval helps come to a more efficient _______.5. Define: Somatic Dysfunction (this will never go away)

6. Define: Viscerosomatic dysfunction

7. Define: Reflex

8. In a nutshell the goal of OMT is to restore _______.

9. Osteopathic Physicians have a clinical template. What are the

components?


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NMS Evaluation 1

1. Restore correct ____________ relationships (correct somaticdysfunction).

2. Restore normal ______ supply (arterial).

3. Improve ____________ drainage (reduce stagnation, congestion).

4. Improve ______ function (reduce entrapments/balance ANS).

5. Remove ________ or ______ reflexes and other impedances to

homeostasis.

6. Reduce/Eliminate _____.

7. Stimulate the ______ system.

8. ______ recurrences.9. Restore ______ balance.

Goals of OMT:


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The End

OPP Test 2 Review

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