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Osteopathy in the Cranial Field
What it says on the tin: Dr. Steele's review lecture
22
Other
Professional
04/22/2010

Additional Other Flashcards

 


 

Cards

Term
What are the measurements of the Cranial Rhythm Impulse?
Definition

1) Rate

2) Amplitude

3) Symmetry

Term
How do unpaired bones in the skull move? What about paired bones? How are their movements related
Definition

Flexion and extension if unpaired. 

External and internal rotation for paired.

When unpaired bones flex, paired bones externally rotate.

When unpaired bones extend, paired bones interally rotate.

 

Term
List the unpaired bones of the skull.
Definition
  1. Ethmoid
  2. Mandible
  3. Occiput
  4. Sphenoid
  5. Vomer

One of a kind!

Term
List the paired bones of the skull.
Definition
  1. Frontal
  2. Inferior Concha
  3. Lacrimal
  4. Maxilla
  5. Nasal
  6. Palatine
  7. Parietal
  8. Temporal
  9. Zygoma
Term
List the physiological SBS strains.
Definition
  • Flexion/Extension
  • Torsion
  • Sidebending/Rotation
Term
What are the non-physiological SBS strains?
Definition

 

 

SBS vertical strains: inferior and superior

SBS lateral strains: right and left

SBS compression strains

Term
How are torsions named?
Definition
For the superior greater wing of the sphenoid.
Term
How are sidebending strains named?
Definition
For the side of the convexity.
Term
How are SBS strains named?
Definition
Direction of basisphenoid movement, which is opposite of greater wing movement.
Term
The weight bearing line should normally pass through:
Definition
  1. Just anterior to the lateral malleolus
  2. middle of tibial plateau
  3. Greater trochanter
  4. Body of L3
  5. middle of humeral head
  6. external auditory meatus
Term
The posterior static exam should check the following for levelness:
Definition
  1. Popliteal creases
  2. Greater trochanters
  3. Iliac crests/slopes
  4. Shoulders
  5. Mastoid processes
  6. Symmetry of foot rotation, arm length, arm distance from torso
Term
What is the difference between a structural and functional scoliosis?
Definition

Structural: does not reduce with sidebending toward rib hump

Functional: reduces with sidebending toward rib hump

Term
Scoliosis is a curve of the spine that is greater than ________.
Definition
10%
Term
What are the two reversible causes of idiopathic scoliosis?
Definition
  1. Short leg syndrome
  2. Trauma to the spine in an immature skeleton, if treated before the skeleton matures.
Term
How can you tell which leg is the short leg?
Definition
  1. Posterior standing exam
  2. Iliac crest height
  3. Medial maleolus levelness
  4. Lumbar side convexity points to short leg
Term
How do you measure the Cobb Arngle?
Definition
  1. Draw lines from the top and bottom most tilted vertebrae away from the apex.
  2. Draw intersecting perpendicular lines from these newly-drawn lines
Term
  • How is the severity of scoliosis classified?
Definition
  • Mild: 5-15 deg
  • Moderate: 20-45 deg
  • Severe: >50 deg
Term
What are the possible complications of other organ systems with sever scoliosis?
Definition

>50 deg = Respiratory impairment

> 75 deg = Cardiac impairment

 

Term
What is the normal measurement of the Lumbosacral or Ferguson's Angle?
Definition
40 deg +/- 2 deg
Term
How do you measure the weight bearing line on a lateral X-ray?
Definition
  1. Bisect L3
  2. Draw a vertical line
  3. It should reach the anterior 1/3 of the sacral base
Term
How do you treat scoliosis based on severity?
Definition

Mild (5-15deg) - Conservative, including OMT, exercises, & treatment of short leg

 

Moderate (20-45deg) - Same as "conservative" plus bracing and electrical stimulation

 

Severe (>50deg) - Surgical stabilization

Term
Describe heel lift orthotic treatments for a patient with a short leg.
Definition

1/8 inch lift and a lift increase at a rate no faster than 1/16 per week or 1/8 inch every 2 weeks.

 

Fragile patients:  1/16 inch lift, increase is no more than 1/16 inch per 2 weeks.

 

 

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