OMM Lab B6

Chapman for Thyroid

Anterior: Intercostal space between the 2nd C 3rd ribs close to the sternum

Posterior: Posterior surface of the TP of T2, midway between the SP and the tip of the TP

Chapman for Ovaries

Anterior: Following the round ligament from superior to inferior border of pubic ramus

Posterior: Intertransverse space of T9 C T10 and T10 C T11

Chapman for Adrenals

Anterior: Area from 2-2 ½ inches above and 1 inch on either side of the umbilicus

Posterior: Intertransverse spaces of T11 C T12, midway between the SP and the tip of the T

Chapman for Pancreas

Anterior: intercostal space between rib 7 C 8 on the right side close to the approximation of the cartilages

Posterior: Intertransverse space of T7 C T8 on the right, midway between the SP and the tip of the TP

Visceral Innervation Pancreas

T5-T9 Vagus

Visceral Innervation Adrenal Medulla

T10-T11 Vagus

Visceral Innervation Gonads

T10-T11 S2-S4

Painful Arc

• (+) Subacromial impingement IF painful at 70 o -120 o
• (+) AC IF painful at 170 -180

Apley Scratch

positive result indicates loss of ROM due to rotator cuff/tight capsule problem

Napoleon

Subscapularis

Lift Off

Subscapularis

Sulcus Sign

GH Capsule and/or AC joint laxity

Spurling’s

Cervical nerve compression

Drop Arm

Supraspinatus tear

Jobe (Empty Can)

Supraspinatus pathology

Neer’s

Subacromial impingement

Hawkins

Subacromial impingment

O’Brien’s

SLAP tear

Chuck Norris

AC Joint

Cross Arm

AC Joint

Speed’s/Yergason’s

Bicep tendinitis

Apprehension 

Glenohumeral instability

Biceps Load

SLAP tear

Arterial TOS

Flow in subclavian or axillary artery obstructed secondary to compression between
• Scalene
• Bony anomaly
• Cervical rib
• Deformed first thoracic

Venous TOS

Most common in healthy young men involved in excessive UE activities (Swimming, tennis,
weightlifting, pitching) resulting in spontaneous thrombosis of the subclavian or axillary vein
• Contributing factors -Hypertrophy of the pectoral muscle, Fibrosis and thickening of damaged vessel wall
• Symptoms -Limb feels heavy, Appears edematous and cyanotic
• Pain and paresthesia due to vascular compromise

Neurogenic TOS

TOS have objective weakness and numbness
• History of neck trauma
• MVA, violent collision in sports, repetitive heavy lifting
• Symptoms - Paresthesia's or weakness of hand and arm
• Nonspecific headaches, tinnitus and vertigo

TOS Test

Adson’s and/or Roo’s

Vascular Status

Allen Test (compress wrist arteries)

Hook Test

Distal bicep tear

Resisted 3rd digit extension test

Lateral epicodylopathy

Milking

UCL tear