OPP Exam 2 Review

Rib Interplay and Myofascia

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

Review the anatomy of the thorax and discuss how the muscular and ligamentous attachments contribute to thoracic, rib, and sternal somatic dysfunction

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

List 4 functions of the thoracic cage

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

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

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 hypersympathetic activity 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. Still, MD, DO An osteopath, in his search for the cause of diseases, starts out to find the mechanical causes. -A.T. Still, 1902

Discuss some general things that make up fascia 1. Cells

2. ECM (Extracellular matrix) What makes up the ECM?

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

What are the different Layers of Fascia? What structures do they cover in the body?

What are the 4 main biophysical attributes of connective tissue/fascia?

What is a colloid?

What are the 3 Special Characteristics of Fascia?

What is the definition of each special characteristic?

List some examples of each

What does Wolffs Law Say?

Now paraphrase.

What is an example of this in the body?

What is Hookes Law?

What does this mean in the wild world of myofascia?

Somatic Dysfunction: Definition: Impaired or altered function of related components of the somatic (body framework) system; includes skeletal, arthrodial, and myofascial elements and related vascular, lymphatic, and neural elements.

OPP 14: Innominate and Pelvis Biomechanics

Click on Presentation Mode Now

But first a few words from this guy

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

1. Identify relevant anatomy of the pelvis

A. B. C. D. 3 major innominates of the pelvis 3 true pelvic ligaments 3 accessory ligaments Landmarks for diagnosis/treatment

C E

2. Muscles of the posterior back inserting on the pelvis 3. Muscles of the anterior back to the pelvis, with origins and insertions 4. Muscles of thigh inserting on the pelvis

5. Physical examination includes these five characteristics 6. With patient supine, check these 4 landmarks 7. With patient prone, check these 6 landmarks

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

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

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 anterior rotation of the ilium (treatment!)

22. Diagnose this: ASIS superior, PSIS superior -etiology? 23. You need ___ landmarks to diagnose pelvic dysfunction

Dare to Dream of Getting an A

Integrative Medicine 1

Integrative Medicine 1
1. 2. 3. 4. 5. 6. Integrative medicine is the combination of conventional medicine and what? Complementary/Alternative medicine (CAM) model includes alternative paradigms; name three. What are the factors contributing to the root cause of illness? Name four alternative physical therapy techniques. An alternative to psychiatry are different pyscotherapies such as? Name the 8 categories of Complementary/Alternative medicine (CAMs).

Integrative Medicine 1
Matching:

1. 2. 3. 4. 5. 6. 7. 8.

Alternative systems Botanicals/herbal meds. Energy meds/Biofield bioelectromagnetics Manipulative/manual/t herapeutic bodywork Movement therapies Mind-body interactions Pharmacologic/biologic Lifestyle changes

a. b. c. d. e. f. g.

h.

Diets, orthomolecular medicine (supplements) Osteopathy, chiropractic, naturopathy, homeopathy, oreiental medicine, ayurveda Alexander technique, pilates, yoga, tai chi, watsu, dance therapy Herbalism and essential oils Chelation therapy, prolotherapy, platelet rich plasma (PRP) OMT, craniosacral therapy, chiropractic manipulation, therapeutic massage, trigger point myotherapy, rolfing, reflexology OMT, acupuncture, meridian regulation, qi gong, reiki, therapeutic touch/healing touch, jin shin, chakra therapies, magnetic therapies, polarity therapy, zero balancing, TENSCAM and other devices, acoustic therapies, color therapies. Biofeedback, hypnosis, guided imagery, energy psychology, shamanism, meditation, prayer

Integrative Medicine 1
1. 2. 3. 4. 5. 6. 7. 8. Who founded chiropractic medicine? When? What is the connection between the founder of chiropractic and AT Still? What are the three main types of chiropractic medicine? Who founded naturopathy? When? How many schools now? What are the three principles of naturopathic philosophy? Who founded homeopathy? What are the two laws of homeopathy? 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?

Integrative Medicine 2
(Random shit 2.0)

Integrative Medicine 2
Energy is the ability to do work and forms of energy include kinetic potential (stored), chemical, electromagnetic, heat, elastic, gravity, sounds. 1. 2. 3. 4. Bioenergetics Bioenergy Bioelectromagnetics Bioelectromagnetism
a. Study of how endogenous and exogenous energy sources/forms influence and control living systems and their environment. Study of interaction between electromagnetic fields and biological living systems. Inherent ability of living cells, tissues, and organisms to produce and emit electrical and magnetic fields, and the response of cells to electromagnetic fields Energy produced endogenously by living systems.

b.

c.

d.

5. 6.

Give some sources of Bioenergy. Is the is about 100,000 xs stronger electrically and up to 5,000 times stronger magnetically than the .

Integrative Medicine 2
1. 2. 3. 4. 5. 6. 7. 8. Define energy medicine Who pioneered the use of radiowaves to treat cancer? See matching slide of CAMs in Integrative medicine 1 for the different Energy medicine things that can be done. What is a biofield? What is biofield therapy? A squid magnetometer measures what? Healing effects of different frequencies (Hz): 2, 7, 10, 15/20/72, 25/50. Schumann resonance at 8 Hz is similar to what wave from the human body?

OPP 17, Sacrum Biomechanics

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 muscular attachments from the sacrum to the ilium. 4. Function of the true pelvic ligaments 5. Function of the accessory pelvic ligaments

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

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.

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?

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?

NMS Evaluation 1

NMS Evaluation 1
1. 2. 3. 4. 5. 6. 7. 8. 9. Name some components of the Osteopathic Evaluation. What are the four major components of the Neuromusculoskeletal Evaluation? What are the four steps taken to actually do a NMS evaluation? Information from a NMS eval helps come to a more efficient _______. Define: Somatic Dysfunction (this will never go away) Define: Viscerosomatic dysfunction Define: Reflex In a nutshell the goal of OMT is to restore _______. Osteopathic Physicians have a clinical template. What are the components?

NMS Evaluation 1
Goals of OMT:
1. 2. 3. 4. 5. 6. 7. 8. 9. Restore correct ____________ relationships (correct somatic dysfunction). Restore normal ______ supply (arterial). Improve ____________ drainage (reduce stagnation, congestion). Improve ______ function (reduce entrapments/balance ANS). Remove ________ or ______ reflexes and other impedances to homeostasis. Reduce/Eliminate _____. Stimulate the ______ system. ______ recurrences. Restore ______ balance.

The End