Term
| chapman - clavicles lateral to where they cross ribs |
|
Definition
|
|
Term
| chapman - lateral humerus |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
GI - jejunum, ileum, asc colon, prox 2/3 tranverse
GU - adrenals, kidneys, upper ureters, gonads |
|
|
Term
|
Definition
GI - distal 1/3 transverse colon, desc colon, sigmoid, rectum
GU - lower ureter, bladder |
|
|
Term
| cervical sup facet orientation |
|
Definition
| BUM (backward/upward/med), |
|
|
Term
| thoracic sup facet orientation |
|
Definition
| BUL (backward/upward/lat) |
|
|
Term
| lumbar sup facet orientation |
|
Definition
| BUM (backward/upward/med) |
|
|
Term
|
Definition
| myocardium, thyroid gland, esophagus, bronchi |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| stomach peristalsis (L), liver, gallbladder (R) |
|
|
Term
|
Definition
|
|
Term
|
Definition
ulnar nerve and artery:
add/abd digits
extends PIP little finger
oppose little finger
numbness palmar 1/2 4th and 5th digit and all of dorsal 4th/5th digit
If severe entrapment --> "claw hand" (last 2 digits) |
|
|
Term
| opposition thumb, thumb flexion, forearm pronation |
|
Definition
|
|
Term
| ext of wrist/digits, forearm supinators |
|
Definition
|
|
Term
| pain with stooping over and leaning to one side, LBP centrally +/- sciatic nn irritation |
|
Definition
psoas syndrome
tx: ME of upper lumbar, then psoas mm |
|
|
Term
| iliolumbar ligament strain |
|
Definition
| referred pain in groin, SI joint, lat thigh |
|
|
Term
| Phalen's test - flex wrists for 1 min |
|
Definition
| carpal tunnel syndrome - compression of median nn: sensation palmar surface first 3 1/2 digits, wasting of thenar eminences |
|
|
Term
| Adson's test - ext/abd/ext rot arm while monitoring pulse |
|
Definition
| thoracic outlet syndrome - compression of subclavian neurovasc bundle by anomalous band of fibrous tissue (esp in with h/o radiation tx), cervical rib, or tight scalenes (weightlifters) |
|
|
Term
| Wallenberg's test - hold head in each position for 10 sec |
|
Definition
| Vertebral artery insufficiency --> dizziness, visual changes. NO HVLA!! |
|
|
Term
| Drop arm test - abd UE parallel to floor, lower arm slowly |
|
Definition
| Supraspinatus mm - 30 deg abd |
|
|
Term
| Apley's scratch test - reach behind back and head towards opp shoulder |
|
Definition
Glenohumeral joint ROM - adhesive capsulitis, worse at night, spontaneously resolves in months-yrs
Tx: Spencer technique |
|
|
Term
Spurling's test - SB & ext head to one side with pressure on top head
(+) if pain or paresthesia |
|
Definition
|
|
Term
| Speed's test - ext elbow, sup forearm, pt flex shoulder jt, physician resists while palp long head bicep tendon in bicipital groove |
|
Definition
|
|
Term
|
Definition
| De Quervain tenosynovitis - medial epicondylitis - overuse of flexor/pronator |
|
|
Term
| L5 mechanics with backward sacral torsion |
|
Definition
| Type II mechanics - L5 rot same side as axis (STRT - SB toward, rot toward axis) & toward deep sulcus |
|
|
Term
| chapman - 1" sup and lat to umbilicus |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| small bowel (jejunum, ilium) |
|
|
Term
|
Definition
|
|
Term
|
Definition
bladder AND LE
distal 1/3 transverse-rectum, prostate, lower ureter |
|
|
Term
| defect in pars interarticularis |
|
Definition
| Spondylolysis - adolescents who over-train, repeated micro trauma leading to stress fracture at the pars. Seen on oblique xray. Common causes for spondylolithesis |
|
|
Term
| ant displacement of vertebral segment relative to the one above/below |
|
Definition
| spondylolithesis - see on lat xray |
|
|
Term
| autoimmune inflamm involving spine and SI joints |
|
Definition
| ankylosing spondylitis - 20-40s, xray: fusion of vertebral segments due to chronic inflamm |
|
|
Term
|
Definition
| spondylosis - degen narrow of joint space, inc intervertabral discs (degen disc dz), zygopophyseal joints (facet syndrome) |
|
|
Term
|
Definition
supraspinatus - abd
infraspinatus - ext rot
teres minor - ext rot (primary)
subscapularis - int rot |
|
|
Term
| drop arm test - abd to 90 deg, released and return to neutral |
|
Definition
Supraspinatus tear
Def Dx: MRI |
|
|
Term
| drop arm test - abd to 90 deg, released and return to neutral |
|
Definition
Supraspinatus tear
Def Dx: MRI |
|
|
Term
| pain, pallor, paresthesia, pikilothermia, pulselessness (late finding), paralysis |
|
Definition
compartment syndrome
Tx - emergent surgical fasciotomy |
|
|
Term
| overuse of connective tissues in post compartment of leg |
|
Definition
medial tibial stress syndrome ("shin splints")
Confirm dx: nuclear med bone scan |
|
|
Term
| L5 mechanics forward sacral torsion |
|
Definition
| Type I mechanics - L5 rot OPPOSITE axis = STRA (SB toward & rot away fr axis) |
|
|
Term
| poorly localized pelvic pain, dysmenorrhea, dyspareunia, difficulty voiding, INC urgency/freq |
|
Definition
| levator ani syndrome (pelvic floor dysfxn) |
|
|
Term
| saddle anesthesia, bowel/bladder dysfxn, loss of anal sphincter tone |
|
Definition
cauda equina syndrome
Tx - urgent neurosurg consult within 48 hr |
|
|
Term
| chapman - transverse process L2 |
|
Definition
|
|
Term
|
Definition
|
|
Term
| chapman - post T11 on right |
|
Definition
|
|
Term
| chapman - ant tip 12th rib (R) |
|
Definition
|
|
Term
| chapman - prox posteromedial thigh, distal to ischial tuberosity |
|
Definition
|
|
Term
|
Definition
|
|
Term
| chapman - 7th IC space (R) |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| chapman - 7th IC space (L) |
|
Definition
|
|
Term
|
Definition
|
|
Term
| chapman - lat post margin iliotibial band |
|
Definition
|
|
Term
|
Definition
|
|
Term
| chapman - ant iliotibial band |
|
Definition
|
|
Term
| chapman - 2" sup 1" lat to umbilicus |
|
Definition
|
|
Term
| chapman - lesser trochanter |
|
Definition
|
|
Term
|
Definition
| thumb, part of forearm. weak biceps, wrist extensors |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| middle finger, weak triceps |
|
|
Term
|
Definition
| little finger, weak handgrip |
|
|
Term
| constant mm tension with change in mm length |
|
Definition
|
|
Term
| when force overcomes resistance, ie upward bicep curl |
|
Definition
|
|
Term
| controlled lengthening of mm while contracting vs external force |
|
Definition
|
|
Term
| operator's force overcoming contracting resulting in lenghtening |
|
Definition
|
|
Term
| operator and pt have same force, mm does not shorten/lengthen, ex ME |
|
Definition
|
|
Term
| mm shortens and lengthens at constant speed, ie professional swimming |
|
Definition
|
|
Term
| chapman - 5th and 6th rib mid-mamillary line |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| dec achilles reflex, sensation over lat malleolus, toes 4/5 and ankle planter flexion |
|
Definition
| S1 nn root compression fr L5-S1 herniation |
|
|
Term
| DEC patellar reflex, sensation over medial malleolus, ankle dorsiflexion |
|
Definition
| L3-4 disc herniation (L4 nn root) |
|
|
Term
| DEC sensation over dorsum foot, toes 1-3, dec big toe extension |
|
Definition
| L4-5 disc herniation (L4 nn root) |
|
|
Term
| chapman - clavicle, lateral to where they cross 1st ribs |
|
Definition
|
|
Term
| chapman - surgical neck of humerus |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| upper lung, upper extremities |
|
|
Term
|
Definition
| edema, bogginess, heat, erythema, sharp pain |
|
|
Term
|
Definition
| cool skin, mm hpotonicity, ropy, fibritic, dull achy pain |
|
|
Term
|
Definition
Levoscoliosis - apex points Left
DextRoscoliosis - apex points Right
mild - <20 deg
mod 20-45 deg
severe >45 deg
Tx: mild to mod - conservatively (OMT, exercises, orthotics, edu)
severe - surg |
|
|
Term
|
Definition
Rib 1 - lift head ant
Rib 2 - turn head 30 deg away, lift ant (post scalene)
Rib 3-5 - push ipsilat elbow toward ASIS (pec minor
Rib 6-9 - push bent ipsilat arm ant (serratus ant mm)
Rib 10-11 - push ipsi arm into adduction (latssimmus dorsi)
Rib 12 - [prone] quadratus lumborum |
|
|
Term
|
Definition
CN IX-XII - difficulty feeding, gag reflex, dysphagia, INC salivation, hoarseness, esophageal spasms, cardiospasm, gastric dysfxn
Tx - condylar decompression |
|
|
Term
| spondylolithesis grading (ant displacement in relation to one below) |
|
Definition
Grade:
1 0-25%
2 26-50%
3 51-75%
4 76-100% |
|
|
Term
| entrapment of ulnar nn at medial elbow |
|
Definition
cubital tunnel syndrome - numbness/tingling of medial 4th and 5th finger, ulnar claw (hyperext 4th/5th MCP, flexion of PIP & DIPs), inability to abd/add fingers - late
(+) Tinel's sign at elbow |
|
|
Term
| ulnar nn entrapment at medial wrist |
|
Definition
Guyon's canal syndrome - numbness/tingling of medial 4th and 5th finger, ulnar claw (hyperext 4th/5th MCP, flexion of PIP & DIPs), inability to abd/add fingers - late
(+) Tinel's sign at wrist |
|
|
Term
| median nn entrapment due to pronator teres spasm |
|
Definition
| pronator teres compression syndrome - sxs similar to carpel tunnel |
|
|
Term
| hip drop on side of glut med weakness |
|
Definition
|
|
Term
| shoot leg and back pain due to scietic nn or nn root compression |
|
Definition
| Lasegue's straight leg raise test |
|
|
Term
| raising contralat hip during hip flexion due ot tight hip flexors (iliopsoas) |
|
Definition
|
|
Term
| excessive sliding forward of tibia on femur due to ACL tear |
|
Definition
|
|
Term
| hip pain during flexion, abd, ext rot then ext due ot hip joint pathology (usually OA of hip) |
|
Definition
|
|
Term
| terrible knee triad - when lat force causes excessive medial deviation of knee joint |
|
Definition
| ACL, MCL, lateral meniscus |
|
|
Term
|
Definition
|
|
Term
| Apley's compression/distraction test |
|
Definition
| meniscal and MCL/LCL injuries |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| chapman - lesser trochanter |
|
Definition
|
|
Term
| chapman - 1" sup and 1" lat to umbilicus |
|
Definition
|
|
Term
| chapman - ant iliotibial band |
|
Definition
|
|
Term
| chapman - along lat and post margin iliotibial band |
|
Definition
|
|
Term
| chapman - 2" sup and 1" lat to umbilicus |
|
Definition
|
|
Term
| remnant of ant fontanelle |
|
Definition
| bregma - sagittal and coronal sutures meet |
|
|
Term
| remnant of post fontanelle |
|
Definition
| lambda - lambdoidal and sagittal sutures meet |
|
|
Term
| where sphenoid, temporal, parietal and front bone meet |
|
Definition
| pterion - middle meningeal aa just deep to it |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Ribs 1-5 - transverse axis |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Ribs 11-12 - vertical axis |
|
|
Term
|
Definition
Injured in order from ant to post:
- ant talofibular (ATFL)
- fibulocalcaneal
- post talofibular (TFL)
Severity:
Grade 1 (mild) - some damage to ligament fibers
Grade 2 (mod) - laxity of joint
Grade 3 (severe) - complete tear with instability |
|
|
Term
counternutate...
nutate... |
|
Definition
|
|
Term
| scoliosis resp compromise |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
perform before placing radial arterial line or drawing radial ABG to ensure blood supply to hand.
Tight fist for 30 sec, dr occludes pressure of both ulnar and radial arteries, pt opens hand, ulnar aa released (not radial) -- if blood flow returns within 10 sec then collateral circ good |
|
|
Term
| Exhalation SD Rib 1-5 ME (pump handle) |
|
Definition
| exhale fully hold breath, flex head, push down on bottom rib |
|
|
Term
| Exhalation SD Rib 6-10 ME (bucket handle) |
|
Definition
| exhale fully hold breath, reach for knee, push down on bottom rib |
|
|
Term
|
Definition
| resp assistance, reciprocal inhibition, postisometric relaxation, joint mobilization using mm force, oculocephalogyric reflex, crossed extensor reflex, isokinetic strengthening, isolytic lengthening, using mm force to move one region of body to achieve movement of another bone/region |
|
|
Term
|
Definition
0 - no contraction
1 - slight twitch or fasciculation
2 - full contraction with gravity eliminated (ex resting arm)
3 - full contraction with no added resistance
4 - contraction vs some added resistance
5 - normal vs added resistance |
|
|
Term
|
Definition
palpate radial pulse while moving upper extremity thru ROM and pt rotates head toward involved side while taking deep breath and holding it --> (+) absent pulse
Thoracic outlet syndrome --> compression of brachial plexus, subclavian aa/vv |
|
|
Term
| temporal bone external rotation |
|
Definition
| results in post displacement of mandibular fossa --> chin displaced toward side of temporal ext rot |
|
|
Term
|
Definition
1 - ant scalene
2 - post scalene
3-5 - pec minor
6-9 - serratus anterior |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
sup transverse axis - resp & craniosacral motion
middle transverse axis - postural motion
inf transverse axis - innominate rotation
right & left oblique axis - dynamic (ambulatory motion |
|
|
Term
| chapman - bet 6th and 7th rib |
|
Definition
|
|
Term
|
Definition
| tx for hypersympathetic activity of mid GI tract (duodenum - prox 2/3 transverse colon), appendix, upper ureters |
|
|
Term
|
Definition
| tx hypersympathetic activity of upper GI tract (T5-9) - distal esophagus, stomach, liver, GB, pancreas, spleen |
|
|
Term
|
Definition
| tx hypersympathic activity of lower GI (distal 1/3 transverse, rectum), lower ureters |
|
|
Term
|
Definition
| normalize hyperparasym activity of distal colon and pelvis |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| inflamm process of muscles, mm weakness, multiple remissions/relapses |
|
Definition
|
|
Term
| women 20-50 yo, pain/TPs in neck, shoulders, low back, hip, symmetric |
|
Definition
fibromyalgia
Tx - duloxetine, milnacipran, pregabalin
off-label: TCAs |
|
|
Term
| shoulder and girdle pain, >50 yo, assoc w/ temporal arteritis, elev ESR |
|
Definition
|
|
Term
| diaphyhseal fracture of distal radius w/ disruption of radioulnar joint |
|
Definition
Galeazzi's fracture
Tx - surgically with ORIF followed by casting forearm in supination |
|
|
Term
| fracture of 5th metacarpal, usually due to punching hard object |
|
Definition
Boxer's fracture
Tx - closed reduction and splint
Note: open frx - emergency surgery, abx, and tentanus shot |
|
|
Term
| fracture of ulna, usually when raises arm above head to block a blow from hard object |
|
Definition
nightstick fracture
Tx - casting if nondisplaced, open reduction internal fixation (ORIF) if displaced |
|
|
Term
| dorsally displaced fracture of distal radius, classic in elderly women with osteoporosis who fall on outstretched arm |
|
Definition
Colles' fracture (aka "dinner fork" as seen on xray)
Tx - closed reduction and arm cast.
If intra-articular or open --> surgery |
|
|
Term
| diaphyseal fracture of prox ulna, result in displacement of radial head |
|
Definition
Monteggia's fracture
Tx - ORIF of ulna, close manual reduction of radial head
Note: Open reduction internal fixation (ORIF) done in OR by making small incision thru which a rod is inserted into shaft of long bone to internally stabilize bone while its healing |
|
|
Term
| tenderness in anatomical snuff box |
|
Definition
scaphoid fracture - MC in hand, can result in avascular necrosis
Tx - thumb spica cast (non-displaced), surgery (displaced fx) |
|
|
Term
| normal cranial rhythmic impulse (CRI) range |
|
Definition
10-14/min
CRI is rhytmic cycling of primary resp mechanism (PRM) |
|
|
Term
| primary resp mechanism (PRM) |
|
Definition
CNS
CSF
motion of cranial bones
dural membranes (outer to inner: dura mater, arachnoid mater, pia mater)
involuntary reciprocal motion of sacrum during crniosacral flexion and extension |
|
|
Term
|
Definition
stress
chronic fatigue
chronic infxn
psych dz (esp depression)
poisoning |
|
|
Term
|
Definition
| named for position of ease |
|
|
Term
|
Definition
| sphenoid and occiput rot opp direction |
|
|
Term
|
Definition
| sphenoid and occiput rot same direction |
|
|
Term
|
Definition
| sphenoid shifted to one side vs occiput |
|
|
Term
|
Definition
| sphenoid shift up/down vs occiput |
|
|
Term
|
Definition
|
|
Term
|
Definition
| SBS sup, paired temporal and parietal bones ext rot, DEC AP diameter, sacral base counternutates (moves post or ext) due to dural tension of attachment of filum terminale at S2 |
|
|
Term
|
Definition
| SBS moves inf, paired bones int rot, INC AP diameter, sacral base nutates |
|
|
Term
| INC amplitude of CRI, flow of CSF and body's intrinsic ability to heal |
|
Definition
| CV4 - compression of 4th ventricle, aka "bulb decompression" |
|
|
Term
| indirect technique on sacrum or cranial vault, encourages balancing dural membranes using body's inherent force |
|
Definition
| balanced membranous tension |
|
|
Term
| gentle spreading pressure applied to sagittal, transverse, occiptal sutures to INC drainage of blood thru venous sinuses |
|
Definition
|
|
Term
|
Definition
tissue texture changes
asymmetry
restriction
tenderness |
|
|
Term
|
Definition
1-3 at level
4-6 half below
7-9 one below
10 one below
11 half below
12 at level |
|
|
Term
|
Definition
|
|
Term
|
Definition
R 8-12
note: 11-12 floating |
|
|
Term
|
Definition
"SILO"
Spinalis
Iliocostalis
LOngissimus |
|
|
Term
| no herniation thru defect - patch of hair over site, no neuro deficits |
|
Definition
|
|
Term
| herniation of meninges thru defect |
|
Definition
|
|
Term
| herniation of meninges and nerve roots thru defect, + neuro deficits |
|
Definition
| spina bifida meningomyelocele |
|
|
Term
|
Definition
| aka lumbosacral angle - intersec of horizontal line and incline of sacraum. Norm 25-35 deg |
|
|
Term
| iliopsoas flexion contracture |
|
Definition
| assoc with noneutral dysfxn of L1 or L2 |
|
|
Term
| divides greater and lesser sciatic foramen |
|
Definition
|
|
Term
| sacrum - sup ptransverse axis |
|
Definition
| respiratory and craniosacral motion |
|
|
Term
| sacrum - middle transverse axis |
|
Definition
|
|
Term
| sacrum - inferior transverse axis |
|
Definition
|
|
Term
|
Definition
"SITS"
supraspinatus
infraspinatus
teres minor
subscapularis |
|
|
Term
|
Definition
| deltoid (anterior portion) |
|
|
Term
|
Definition
|
|
Term
|
Definition
| latissimus dorsi, teres major, deltoid (posterior portion) |
|
|
Term
|
Definition
| pectoralis maojor, latissimus dorsi |
|
|
Term
|
Definition
| infraspinatus, teres minor |
|
|
Term
|
Definition
|
|
Term
|
Definition
| median nn (most), except flexor carpi unlaris - ulnar nn, orig at medial epicondyle humerus |
|
|
Term
|
Definition
| radial nn, orig at lateral epicondyle humerus |
|
|
Term
|
Definition
| biceps (musculocut nn), supinator (radial nn) |
|
|
Term
|
Definition
| pronator teres, pronator quadratus (meidan nn) |
|
|
Term
| flexor digitorum profundus |
|
Definition
| Deep finger flexors attach to DIPs |
|
|
Term
| most common injured ligament in foot |
|
Definition
| ATFL - ant talofibular ligament |
|
|
Term
| O'Donahue's triad, terrible triad, unhappy triad |
|
Definition
| ACL, MCL, medial meninscus |
|
|
Term
|
Definition
| foramen magnum, C2, C3, S2 |
|
|
Term
|
Definition
flexion of midline bones
sacral base post (counternut)
DEC AP diameter cranium
ext rot paired bones |
|
|
Term
|
Definition
ext midline bones
sacral base ant
INC AP diameter cranium
int rot paired bones |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| symp - upper GI: stomach, liver, GB, spleen, part of pancreas & duodenum |
|
Definition
T5-9
greater splanchnic nn
celiac ganglion |
|
|
Term
| symp - mid GI: part of pancreas & duodenum, jejunum, ilium, ascending coon & prox 2/3 transverse colon |
|
Definition
T10-11
lesser splanchnic nn
superior mesenteric ganglion |
|
|
Term
| symp - lower GI: distal 1/3 transverse, desc colon & sigmoid, rectum |
|
Definition
T12-L2
least splanchnic nn
inf mesenteric ganglion |
|
|
Term
|
Definition
|
|
Term
|
Definition
T10-11
sup mesenteric ganglion |
|
|
Term
|
Definition
|
|
Term
|
Definition
T10-11
sup mesenteric ganglion |
|
|
Term
|
Definition
T12-L1
inf mesenteric ganglion |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| symp - erectile tissue penis, clitorus |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| parasym - all viscera above diaphragm |
|
Definition
|
|
Term
|
Definition
entire small sys - vagus
prox half = asc & transverse -= vagus
distal half = desc & recto-sigmoid = pelvic splanchnic |
|
|
Term
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Definition
prox half = kidneys, upper ureter = vagus
distal half - lower ureter, bladder = pelvic splanchnic |
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entire GI tract
anything b4 ligament of Treitz = T5-9
bet ligament Treitz & spenic flexure = T10-11
after splenic flexure = T12-L2 |
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| 2 parallel transverse axis, sphenoid and occiput move in SAME direction |
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| 2 parallel vertical axes, sphenoid and occiput move in SAME direction |
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1 A-P axis, sphenoid and occiput move in SAME direction
2 parallel vertical axis, sphenoid and occiput move in OPPOSITE direction |
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Definition
| side bending-rotation rotation strain |
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Term
| 1 A-P axis, sphenoid and occiput move in OPPOSITE direction |
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