OMM II Midterm Dx/Tx
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28 Terms
1
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Right Superior Ilia Shear Dx
\+ ASIS Compression Test on the right
R iliac crest is superior
R ASIS is superior
R pubic tubercle superior
R PSIS superior
ASIS equal to midline
R iliac crest is superior
R ASIS is superior
R pubic tubercle superior
R PSIS superior
ASIS equal to midline
2
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Right Superior Ilia Shear Tx
abduct & internally rotate right leg
hold proximal to the medial malleolus
apply traction with a staggered stance
instruct patient to take a deep breath & on exhalation apply HVLA to the right leg
hold proximal to the medial malleolus
apply traction with a staggered stance
instruct patient to take a deep breath & on exhalation apply HVLA to the right leg
3
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Right Inferior Ilia Shear Dx
\+ ASIS Compression Test on the right
R iliac crest is inferior
R ASIS is inferior
R pubic tubercle is inferior
R PSIS is inferior
ASIS equal to midline
R iliac crest is inferior
R ASIS is inferior
R pubic tubercle is inferior
R PSIS is inferior
ASIS equal to midline
4
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Right Inferior Ilia Shear Tx
patient stands & jumps on right leg while holding onto your arms
OR
patient sits right hip on table and uses left leg to stand up & down onto the right hip
OR
patient sits right hip on table and uses left leg to stand up & down onto the right hip
5
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Right Superior Pubic Shear Dx
\+ ASIS Compression Test on the right
R pubic tubercle is superior
everything else is equal
R pubic tubercle is superior
everything else is equal
6
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Right Superior Pubic Shear Tx
patient lies supine with right leg off the table
monitor left ASIS with one hand & the other hand is on the inside & on top of the right knee
3-5 sec for 3-5 times have the patient push their knee up & in while restricting this movement (ME) reposition to the barrier each time
monitor left ASIS with one hand & the other hand is on the inside & on top of the right knee
3-5 sec for 3-5 times have the patient push their knee up & in while restricting this movement (ME) reposition to the barrier each time
7
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Right Inferior Pubic Shear Dx
\+ ASIS Compression Test on the right
R pubic tubercle is inferior
everything else is equal
R pubic tubercle is inferior
everything else is equal
8
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Right Inferior Pubic Shear Tx
patient lies supine on the table
flex the right leg up to the 1st barrier by pushing on the right thigh while monitoring the right ischial tuberosity
3-5 sec for 3-5 times have the patient try to push against you while restricting this movement at the thigh (ME) reposition to the barrier each time
flex the right leg up to the 1st barrier by pushing on the right thigh while monitoring the right ischial tuberosity
3-5 sec for 3-5 times have the patient try to push against you while restricting this movement at the thigh (ME) reposition to the barrier each time
9
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Right Anterior Ilia Rotation Dx
\+ ASIS Compression Test on the right
R ASIS is inferior
R PSIS is superior
everything else is equal
R ASIS is inferior
R PSIS is superior
everything else is equal
10
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Right Anterior Ilia Rotation Tx
patient lies supine on the table
flex the patient’s right leg via the right knee while monitoring the iliolumbar junction to the 1st barrier
3-5 sec for 3-5 times have the patient try to push against you while resisting motion at the right knee (ME) reposition to the barrier each time
flex the patient’s right leg via the right knee while monitoring the iliolumbar junction to the 1st barrier
3-5 sec for 3-5 times have the patient try to push against you while resisting motion at the right knee (ME) reposition to the barrier each time
11
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Right Posterior Ilia Rotation Dx
\+ ASIS Compression Test on the right
R ASIS is superior
R PSIS is inferior
everything else is equal
R ASIS is superior
R PSIS is inferior
everything else is equal
12
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Right Posterior Ilia Rotation Tx
patient lies supine on the table with their right leg off the table
monitor the left ASIS with the other hand on top of the right knee
3-5 sec for 3-5 times have the patient try to push their knee up while resisting this motion (ME) reposition to the barrier each time
monitor the left ASIS with the other hand on top of the right knee
3-5 sec for 3-5 times have the patient try to push their knee up while resisting this motion (ME) reposition to the barrier each time
13
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Right Ilia Outflare Dx
\+ ASIS Compression Test on the right
R ASIS is lateral
everything else is equal
R ASIS is lateral
everything else is equal
14
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Right Ilia Outflare Tx
patient lies supine on the table
flex & push the right leg across midline via the knee while monitoring the right PSIS
3-5 sec for 3-5 times have the patient try to push their knee out against you while applying a lateral force on the right PSIS (ME) reposition to the barrier each time
flex & push the right leg across midline via the knee while monitoring the right PSIS
3-5 sec for 3-5 times have the patient try to push their knee out against you while applying a lateral force on the right PSIS (ME) reposition to the barrier each time
15
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Right Ilia Inflare Dx
\+ ASIS Compression Test on the right
R ASIS is medial
everything else is equal
R ASIS is medial
everything else is equal
16
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Right Ilia Inflare Tx
patient lies supine on the table with their right leg making a figure 4 position
monitor the left ASIS with one hand & have the other hand on their right knee
3-5 sec for 3-5 times have the patient try to push their knee in while resisting this motion (ME) reposition to the barrier each time
monitor the left ASIS with one hand & have the other hand on their right knee
3-5 sec for 3-5 times have the patient try to push their knee in while resisting this motion (ME) reposition to the barrier each time
17
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Right Unilateral Flexed Dx
\+ Seated Flexion Test on the right
Compensated L5 (Rr)
\- BBT (flexed)
R deep sacral sulcus
R ILA is posterior/caudad
Compensated L5 (Rr)
\- BBT (flexed)
R deep sacral sulcus
R ILA is posterior/caudad
18
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Right Unilateral Flexed Tx
patient lies prone on the table
abduct and slightly internally rotate the right leg
one hand goes on the R ILA with fingers pointing towards the head & the other hand monitors R sacral sulcus
5 times have the patient inhale & encourage this motion but then restrict movement during exhalation
abduct and slightly internally rotate the right leg
one hand goes on the R ILA with fingers pointing towards the head & the other hand monitors R sacral sulcus
5 times have the patient inhale & encourage this motion but then restrict movement during exhalation
19
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Right Unilateral Extended Dx
\+ Seated Flexion Test on the right
Compensated L5 (Rl)
\+ BBT (extended)
L deep sacral sulcus
L ILA is psoterior/caudad
Compensated L5 (Rl)
\+ BBT (extended)
L deep sacral sulcus
L ILA is psoterior/caudad
20
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Right Unilateral Extended Tx
patient lies prone on the table
abduct & slightly internally rotate the right leg
one hand is on the sacral base with fingers pointing towards the feet & the other hand monitors the R sacral sulcus
5 times have the patient inhale while restricting this motion & encourage motion during exhalation
abduct & slightly internally rotate the right leg
one hand is on the sacral base with fingers pointing towards the feet & the other hand monitors the R sacral sulcus
5 times have the patient inhale while restricting this motion & encourage motion during exhalation
21
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Bilaterally Flexed Sacrum Dx
Seated Flexion Test is equal
Compensated L5 (Extended)
\- BBT (flexed)
Sacral sulci are deep
ILAs are equal
Compensated L5 (Extended)
\- BBT (flexed)
Sacral sulci are deep
ILAs are equal
22
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Bilaterally Flexed Sacrum Tx
patient lies prone on the table
abduct and slightly internally rotate both legs
one hand goes on both ILAs with fingers pointing towards the head & the other hand lies ontop of it pointing towards the feet
5 times have the patient inhale & encourage this motion but then restrict movement during exhalation
abduct and slightly internally rotate both legs
one hand goes on both ILAs with fingers pointing towards the head & the other hand lies ontop of it pointing towards the feet
5 times have the patient inhale & encourage this motion but then restrict movement during exhalation
23
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Bilaterally Extended Sacrum Dx
Seated Flexion Test is equal
Compensated L5 (flexed)
\+ BBT (extended)
Sacral sulci are both shallow
ILAs are equal
Compensated L5 (flexed)
\+ BBT (extended)
Sacral sulci are both shallow
ILAs are equal
24
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Bilaterally Extended Sacrum Tx
patient lies prone on the table
abduct and slightly internally rotate both legs
one hand goes on the sacral base with fingers pointing towards the feet
5 times have the patient inhale & resist this motion but then encourage movement during exhalation
abduct and slightly internally rotate both legs
one hand goes on the sacral base with fingers pointing towards the feet
5 times have the patient inhale & resist this motion but then encourage movement during exhalation
25
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R/R Sacral Torsion Dx
\+ Seated Flexion Test on the left
Compensated L5 (N SrRl)
\- BBT (flexed)
L deep sacral sulcus
R ILA is posterior/caudad
Compensated L5 (N SrRl)
\- BBT (flexed)
L deep sacral sulcus
R ILA is posterior/caudad
26
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R/R Sacral Torsion Tx
patient lies prone on the table
flex both legs then push their left hip & bring their legs to their chest at the same time so that they are laying on their right side
place one hand on the iliolumbar junction and the other hand on their L shoulder
3-5 sec for 3-5 times have the patient push their L shoulder up towards the ceiling while resisting this movement (ME) reposition to the barrier each time
slide both legs off the table together & support the legs on top of your knee
3-5 sec for 3-5 times push their ankles towards the ground while monitoring the illiolumbar junction while they push back towards the ceiling (ME) reposition to the barrier each time
flex both legs then push their left hip & bring their legs to their chest at the same time so that they are laying on their right side
place one hand on the iliolumbar junction and the other hand on their L shoulder
3-5 sec for 3-5 times have the patient push their L shoulder up towards the ceiling while resisting this movement (ME) reposition to the barrier each time
slide both legs off the table together & support the legs on top of your knee
3-5 sec for 3-5 times push their ankles towards the ground while monitoring the illiolumbar junction while they push back towards the ceiling (ME) reposition to the barrier each time
27
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R/L Sacral Torsion Dx
\+ Seated Flexion Test on the right
Compensated L5 (SlRl)
\+ BBT (extended)
L deep sacral sulcus
R ILA is posterior/caudad
Compensated L5 (SlRl)
\+ BBT (extended)
L deep sacral sulcus
R ILA is posterior/caudad
28
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R/L Sacral Torsion Tx
patient lies on their left side & uses their left arm to grab your elbow while monitoring the iliolumbar junction, then pull their torso to de-rotate L5 (they should have their torso mostly supine & legs still stacked on top of each other with the left hip on the table)
keep one hand on the iliolumbar junction & place the other hand on their R shoulder
3-5 secs for 3-5 times have the patient push their R shoulder up towards the ceiling while resisting this movement (ME) reposition to the barrier each time
straighten the bottom leg (L) & pull the other leg (R) off the table and rest it on your thigh
3-5 secs for 3-5 times monitor the iliolumbar junction with one hand & with the other push their R knee down while they try to push their knee up towards the ceiling (ME) reposition to the barrier each time
keep one hand on the iliolumbar junction & place the other hand on their R shoulder
3-5 secs for 3-5 times have the patient push their R shoulder up towards the ceiling while resisting this movement (ME) reposition to the barrier each time
straighten the bottom leg (L) & pull the other leg (R) off the table and rest it on your thigh
3-5 secs for 3-5 times monitor the iliolumbar junction with one hand & with the other push their R knee down while they try to push their knee up towards the ceiling (ME) reposition to the barrier each time