opp block 4 quick review
TRANSCRIPT
8/7/2019 OPP Block 4 Quick Review
http://slidepdf.com/reader/full/opp-block-4-quick-review 2/4
- Anterior glide posterior movement of distal fibula and ext. rotation of the ankle
- Posterior glide anterior movement of distal fibula and int. rotation of the ankle
Tibiotalar joint
- People with inflexible joint are 5x more at risk for sprains
o Usually plantar flexion (anterior talus)
Navicular
- External rotation = inversion
Cuboid
- Internal rotation = eversion
o Usually the cause of an inversion ankle sprain
LumbarMuscle Energy
- Lateral Recumbent
- Type I
o Posterior TP up
- Type II
o Posterior TP down
InnominateMotion
- Physiologic (normal when in motion)
o Rotation and flare- Non-physiologic (caused by some trauma)
o Innominate shear and pubic shear
- Innominate Shear
o Superior shear both ASIS and PSIS superior
o Inferior shear both ASIS and PSIS inferior
o Determine which side by flexion test
- Pubic Rami Shear
o Superior superior pubic tubercle and tender inguinal ligament
o Inferior inferior pubic tubercle and tender inguinal ligament
- Pubic Compressiono Standing flexion test +/-
o ASIS and PSIS equal
o Tender pubic rami and tender pubic symphysis
- Innominate Rotations
o Anterior rotation
Inferior ASIS, superior PSIS
8/7/2019 OPP Block 4 Quick Review
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o Posterior Rotation
Superior ASIS, inferior PSIS
- Innominate Flares
o Outflare
Lateral ASIS, medial PSIS
o Inflare
Medial ASIS, lateral PSIS
HIPLSIT (order we treat dysfunction)
- Hip
- Innominate Shears
- Pubic
- Lumbar
- Sacroiliac
- Innominate Rotations
- Thoracic
Lumbar HVLA
- Posterior TP down
- Lateral recumbent
- Localize to joint space below
PubicMuscle Energy (types of ME used; he always likes to ask this)
- Superior Innominate Shear
o Respiratory cooperation
- Inferior innominate Shear
o Post-isometric and respiratory cooperation
- Superior Pubic Shear
o Joint mobilization using muscle force
- Inferior Pubic Shear
o Post-isometric
- Pubic Symphysis Reset
o Joint mobilization using muscle force
- Anterior Innominate Rotation
o Post- isometric
- Posterior Innominate Rotation
o Joint mobilization using muscle force
- Outflared Innominate
o Post-isometric
- Inflared Innominate
o Post-isometric
8/7/2019 OPP Block 4 Quick Review
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SacralMuscle Energy
- Remember Fred Mitchell came up with this stuff
- 3 tests
o Seated flexion
o Spring testo Backwards bending
- 2 landmarks
o Sacral sulcus
o ILA
- 2 problems
o Sacral shears
o Sacral torsions
- 3 horizontal axes on sacrum
o All on S2 (top, middle, bottom)
- Shearso Non-physiologic
o Involves slippage of the sacrum around the backward C-shaped SI joint
o Occurs around middle axis
o True SI joint problem
- Torsions
o Physiologic
o L5/S1 joint problem
o Occurs around oblique axis
o Imbalance in the muscles that affect sacral motion in relation to L5 motion
- * L5 rotates to same side as deep sulcus *- Respiratory Motion
o Inhalation
Curves flatten; sacrum conternutates
o Exhalation
Sacrum nutates
HVLA Review
- Long lever and short lever
- Goal is to move 1/8 inch
- For thoracic somatic dysfunction
o Flexion
Isolate to segment below
Force is 90 posterior
o Extension
Isolate to segment below
Force is directed 45cephalad and posterior