Osteopathic Manipulative Treatment

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Questions and Answers

What is the recommended condition for performing OMT in any disease state?

Patient stability (correct)

Severe pain

New onset of symptoms

High fever

Where can somatic dysfunction occur in the body?

Anywhere in the body (correct)

Only at sympathetic levels

Only in the somatic region

Only at parasympathetic levels

What may cause the psoas muscle to become hypertonic?

Appendicitis (correct)

Kidney stones

Bladder infection

Gallstones

What is the goal of ME in innominate somatic dysfunction treatment?

Restore joint motion Signup and view all the answers

What does a reversible dextroscoliosis or levoscoliosis indicate?

No sagittal component present Signup and view all the answers

What is the main difference between Type I and Type II somatic dysfunction?

Improvement in flexion for Type I, no improvement for Type II Signup and view all the answers

In the Rule of 3's, what is the positioning of the tip of the spinous process for T4-6?

Lies in a plane halfway between that vertebra’s transverse processes and the transverse processes of the vertebra below it Signup and view all the answers

What is the main difference between indirect and direct treatment techniques?

Indirect treatment exaggerates the dysfunction, while direct treatment engages the barrier Signup and view all the answers

What are the characteristics of a counterstrain tender point?

Specific discrete areas of local tenderness, no radiation of pain, usually unilateral Signup and view all the answers

What is the positioning of the body part in the Functional Positional Release (FPR) technique?

Neutral position with compression applied to shorten muscle fibers Signup and view all the answers

What is the purpose of the isometric contraction in the procedure described?

To produce a palpable muscle twitch at the segmental level being monitored Signup and view all the answers

What is the next step after the patient has completely relaxed following the isometric contraction?

Reposition the patient to the edge of left side bending, left rotation, and flexion barrier Signup and view all the answers

What is the purpose of repeating steps 6 to 8 three to five times?

To maximize improvement at the dysfunctional segment Signup and view all the answers

Around which axis does the sacral base anterior and posterior motion occur?

Transverse axis Signup and view all the answers

In the standing flexion test, what indicates a positive result?

Side PSIS moves more cephalad at the end range Signup and view all the answers

Where does palpating somatic dysfunction involve distinguishing between acute and chronic presentations?

At the point of maximal tenderness Signup and view all the answers

Which part of the spinal cord is where somatic and visceral afferent nerves synapse?

Dorsal horn Signup and view all the answers

What type of motion induces side-bending in the opposite direction?

Translational motion Signup and view all the answers

What does dextroscoliosis indicate?

Neutral side-bending left, rotating right pattern Signup and view all the answers

Which component leads to tissue texture changes in somatic dysfunction?

Post-ganglionic sympathetic fibers Signup and view all the answers

What does the FABERE Test assess?

Pathology of the SI joint or hip Signup and view all the answers

What is evaluated by the Ober’s Test?

Contracture of iliotibial band or tensor fascia latae Signup and view all the answers

What does the Trendelenburg Test assess?

Gluteus medius muscle strength Signup and view all the answers

What is checked for by the Thomas Test?

Psoas muscle tension/hypertonicity Signup and view all the answers

What is the purpose of the Hoover Test?

Detect malingerers, such as drug seekers Signup and view all the answers

Which technique involves postisometric relaxation and reciprocal inhibition procedure?

Muscle Energy Technique Signup and view all the answers

Where is the peripheral sympathetic supply to upper extremity vasculature from?

T2 to T8 levels Signup and view all the answers

Which anatomical structures are linked to sympathetic and parasympathetic levels in the body?

Head and neck, heart, respiratory system Signup and view all the answers

Which ligaments play a role in stabilizing the lower lumbar spine and are commonly strained in traumatic injuries?

Iliolumbar ligaments Signup and view all the answers

Where is disc herniation, particularly posterolateral lumbar disk herniation, most common?

L4-L5 and L5-S1 levels Signup and view all the answers

Study Notes

Direct Techniques and Viscerosomatic Considerations in Osteopathic Manipulative Treatment

Direct techniques for myofascial release, soft tissue, articulatory, muscle energy, high velocity low amplitude (HVLA), springing, cranial, and Still Technique are used in osteopathic manipulative treatment.
Muscle Energy Technique involves postisometric relaxation and reciprocal inhibition procedure, with continuous monitoring of dysfunction by the physician.
Sympathetic and parasympathetic levels in the body are linked to specific anatomical structures, including the head and neck, heart, respiratory system, esophagus, and various parts of the gastrointestinal tract.
Peripheral sympathetic supply to upper extremity vasculature is from T2 to T8 levels, and to lower extremity vasculature from T11 to L2 levels.
Viscerosomatic considerations include the sympathetic supply to various organs and structures such as the kidneys, bladder, prostate, and lower extremities.
The iliolumbar ligaments, originating from the iliac crest and inserting on the transverse process of L4 and L5, play a role in stabilizing the lower lumbar spine and are commonly strained in traumatic injuries.
Lumbarization and sacralization are disc load and positioning considerations associated with poor posture and traumatic injuries.
Disc herniation, particularly posterolateral lumbar disk herniation, is most common at the L4-L5 and L5-S1 levels.
The X+1 Rule is used to determine the affected nerve root in disc herniation, and different neuro exams can be used to assess motor and sensory function.
Herniated nucleus pulposis typically occurs posterolaterally, leading to sudden acute pain and painful numbness, most commonly at the L5-S1 and L4-L5 levels.
The Babinski reflex and straight leg raise test are used to assess upper motor neuron problems and sciatic nerve involvement in herniated disc cases.
The Bragard test and contralateral straight leg raise test are additional clinical tests used to reproduce and assess radicular symptoms in patients.

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Description

Test your knowledge of direct techniques and viscerosomatic considerations in osteopathic manipulative treatment with this quiz. Explore topics such as myofascial release, muscle energy technique, sympathetic and parasympathetic levels, disc herniation, and clinical tests for radicular symptoms.