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extension dysfunction
Fryettes Principle 2
e. Rotation and sidebending always occur to the same side regardless of the
3. You examine L3 and find the right transverse process to be deeper than the left.
The findings are unchanged in flexion and become symmetrical in extension. Which
of the following is the correct diagnosis?
5. You assess C4 translation and find translation to be easier to the left. The findings
become symmetrical in flexion but not in extension. Which of the following is the
correct diagnosis?
a. Lives in exhalation
c. Limitation to inhalation
10. Which of the following findings would be expected in a right innominate anterior
somatic Dysfunction?
12. Which of the following is true regarding the seated flexion test?
b. The axis passes through the right base in a left on left torsion
16. You examine T7 and find the left transverse process to be deeper than the right.
The findings become symmetrical in flexion and are unchanged in extension. Which
of the following is the correct diagnosis?
is an extension dysfunction
a. A right unilateral sacral flexion will have a positive seated flexion test on the left
c. A right on left sacral torsion will have a deep right sacral sulcus
d. A left unilateral seated flexion will have a significantly higher ILA on the left
a. Innominate flares are named for the side on which the ASIS is closer to midline
c. The ASIS compression test will be positive on the side opposite the positive
standing flexion test
d. A positive seated flexion test is expected on the right with a right innominate
posterior
21. You evaluate the 3rd ribs bilaterally and find the following:
23. Which of the following dysfunctions will have a left positive standing flexion test
and
24. You examine L1 and find the right transverse process to be more shallow than
the left. The findings are unchanged in both flexion and extension. Which of the
following is the correct diagnosis?
25. Which of the following is true regarding a right superior innominate shear?
MODULE 2
following is the correct description for muscle energy treatment of this dysfunction?
d. Right hip externally rotated patient internally rotates hip against resistance
a. Indirect technique
c. Thrust applied after backing away from barrier for 1-2 seconds
c. HVLA treatment of C3 ERRSR C3 placed into extension, right rotation and right
sidebending
e. HVLA treatment of right unilateral sacral extension superior thrust on right ILA
6. The heart receives sympathetic innervation from which of the following levels?
a. OA
b. T1-T5 X
c. T5-T9
d. T10-L2
e. S2-S4
a. Sacral rocking
b. Rib raising for 30 seconds
c. OA decompression
e. Sacral inhibition
10. You assess C4 translation and find translation to be easier to the left. The
findings
become symmetrical in flexion but not in extension. Which of the following is the
11. You examine L3 and find the right transverse process to be deeper than the left.
The
a. Peripheral vasodilation
b. Ejaculation
c. Increased salivation X
d. Uterine contraction
e. Ureterospasm
14. The gall bladder receives sympathetic innervation from which of the following
levels?
a. OA
b. T1-T5
c. T5-T9 X
d. T10-L2
e. S2-S4
15. You are attempting to treat a right 7th rib exhalation dysfunction with
counterstrain.
a. Shaft of right 7th rib positioned closer to shaft of right 8th rib X
17. Which of the following would be most likely to inhibit uterine contractions in a
a. Sacral rocking X
b. OA decompression
e. Sacral inhibition
19. The pancreas receives parasympathetic innervation from which of the following
levels?
a. OA X
b. T1-T5
c. T5-T9
d. T10-L2
e. S2-S4
20. Which of the following would most likely directly decrease gastric secretions?
a. Sacral rocking
b. OA decompression
e. Sacral inhibition
22. You examine T7 and find the left transverse process to be deeper than the right.
The
the following is the correct starting position for a muscle energy treatment?
23. The sigmoid colon receives parasympathetic innervation from which of the
following
levels?
a. OA
b. T1-T5
c. T5-T9
d. T10-L2
e. S2-S4 X
24. You assess OA translation and find translation to be easier to the right. The
findings
persist in both flexion and extension. Which of the following is the correct position
25. Which of the following would most likely directly increase lacrimation?
a. Sacral rocking
b. OA decompression X
e. Sacral inhibition
PRETEST:
1. neutral _
2. flexion _
3. extension _
B. palpate soft tissue for TART (Tenderness, Asymmetry, Restrictions, Tissue texture change) findings
2. Piriformis muscles _
3. Paraspinal muscles _
2. Examine the sacrum for somatic dysfunction (requires at least one motion test)
B. ILA levelness _
B. ASIS heights _
C. PSIS heights _
Osteopathic Treatment: You must treat a minimum of 2 dysfunctions you found during your
examination.
1. Assume L5 FRLSL: _
Pretest
A. OA left/right translation
1. neutral X
2. flexion X
6. 3. extension X
7. B. AA rotation X
8. 2. Examine the upper thoracic spine for dysfunction (T1-T5)
1. neutral X
2. flexion X
3. extension X
1. trapezius X
2. rhomboids X
3. levator scapulae X
1. AAA, kidney stones, groin hernia, ileus, kidney/bladder CA, testicular torsion,
kidney/bladder infection, appendicitis,
2. C
3. D
Osteopathic Diagnosis: assess where you would expect to find Performed Omitt
somatic dysfunctions
1. Examine the thoracolumbar region (T10-L5) for somatic dysfunction
A. palpate transverse processes for rotation
1. neutral _
2. flexion _
3. extension _
B. palpate soft tissue for TART (Tenderness, Asymmetry, Restrictions, Tissue texture change) findings
1. Psoas muscles _
2. Piriformis muscles _
3. Paraspinal muscles _
2. Examine the sacrum for somatic dysfunction (requires at least one motion test)
A. depth at 4 corners of sacrum _
B. ILA levelness _
C. seated flexion test _
D. motion at 4 corners of sacrum _
E. motion in backward bending test _
F. respiratory motion of sacrum assess at 4 corners _
3. Examine the pelvis for somatic dysfunction
A. standing flexion test or AP compression test _
B. ASIS heights _
C. PSIS heights _
Osteopathic Treatment: You must treat a minimum of 2 dysfunctions you found during your
examination.
1. Assume L1 FRRSR: appropriate techniques to include: muscle energy, _
counterstrain, indirect, myofascial release, facilitated positional release (No HVLA)
2. Assume left on right sacral torsion: appropriate techniques to include: muscle _
energy, counterstrain/indirect, myofascial release, and facilitated positional release (No
HVLA)
3. Assume spasm/tender point in the right psoas muscle: appropriate techniques to _
include: counterstrain/indirect, myofascial release, FPR, ME
4. Assume spasm/tender point in the left piriformis muscle: appropriate techniques to _
include: counterstrain/indirect, myofascial release, FPR, ME
Osteopathic Diagnosis: assess where you would expect to find Performed Omitt
somatic dysfunctions
1. Examine the lumbar region (L1-L5) for somatic dysfunction
A. palpate transverse processes for rotation
1. neutral _
2. flexion _
3. extension _
B. palpate soft tissue for TART (Tenderness, Asymmetry, Restrictions, Tissue
texture change) findings
1. quadratus lumborum muscles _
2. Piriformis muscles _
3. Paraspinal muscles _
2. Examine the sacrum for somatic dysfunction (requires at least one motion test)
A. depth at 4 corners of sacrum _
B. ILA levelness _
C. seated flexion test _
D. motion at 4 corners of sacrum _
E. motion in backward bending test _
F. respiratory motion of sacrum assess at 4 corners _
3. Examine the pelvis for somatic dysfunction
A. standing flexion test or AP compression test _
B. ASIS heights _
C. PSIS heights _
Osteopathic Treatment: You must treat a minimum of 2 dysfunctions you found during your
examination.
1. Assume L3 FRLSL:
2. Assume left on right sacral torsion: _
3. Assume left superior innominate shear: _
4. Autonomic technique for altered parasympathetic tone:
Module 10 Minnie Driver
Pretest:
Osteopathic Diagnosis: assess where you would expect to find Performed Omitt
somatic dysfunctions
1. Examine the lumbar region (L1-L5) for somatic dysfunction
A. palpate transverse processes for rotation
1. neutral _
2. flexion _
3. extension _
B. palpate soft tissue for TART (Tenderness, Asymmetry, Restrictions, Tissue texture change) findings
1. Psoas muscles _
2. Piriformis muscles _
3. Paraspinal muscles _
2. Examine the sacrum for somatic dysfunction (requires at least one motion test)
A. depth at 4 corners of sacrum _
B. ILA levelness _
C. seated flexion test _
D. motion at 4 corners of sacrum _
E. motion in backward bending test _
F. respiratory motion of sacrum assess at 4 corners _
3. Examine the pelvis for somatic dysfunction
A. standing flexion test or AP compression test _
B. ASIS heights _
C. PSIS heights _
Osteopathic Treatment: You must treat a minimum of 2 dysfunctions you found during your
examination.
1. Assume left on right sacral torsion: appropriate techniques to include: muscle
energy, counterstrain/indirect, myofascial release, and facilitated positional release (No
HVLA)
2. Assume left innominate anterior: appropriate techniques to include: muscle energy _
counterstrain/indirect, myofascial release, and facilitated positional release (No HVLA)
3. Assume spasm/tender point in the left piriformis muscle: appropriate techniques to _
include: counterstrain/indirect, myofascial release
Osteopathic Diagnosis: assess where you would expect to find Performed Omitted
somatic dysfunctions
1. Examine the cervical region for somatic dysfunction
A. OA left/right translation
1. neutral
2. flexion
3. extension
B. AA rotation, must flex at least 45
C. C2-C7 - translation
1. neutral
2. flexion
3. extension _
2. Examine the thoracic spine for dysfunction (T1-T4)
A. palpate transverse processes for rotation
1. neutral X
2. flexion X
3. extension X
B. palpate soft tissue for TART findings
1. trapezius X
2. T1 T4 Paraspinal muscles X
Osteopathic Treatment: You must treat a minimum of 2 dysfunctions you found during your
examination.
1. Assume OA NSRRL: appropriate techniques to include: HVLA, muscle energy,
articulatory, Still, counterstrain/indirect, myofascial release, facilitated positional
release
2. Assume C4 FSLRL: appropriate techniques to include: HVLA, muscle energy,
articulatory, Still, counterstrain/indirect, myofascial release, facilitated positional
release
2. Assume T2-4 NSLRR: appropriate techniques to include: HVLA, _
muscle energy, articulatory, Still, counterstrain/indirect, myofascial
release, facilitated positional release
4. Autonomic technique for altered vagal tone: OA decompression _