Osteopathic Principles & Practice Flashcards

After locating a counterstrain tender point in the lumbar region and placing the patient in the position of maximal ease, how long is the position typically held?

Answer: 90 seconds

Standard counterstrain holds the position of ease for 90 seconds (120 seconds for rib tender points) before slowly returning to neutral.

T4 is found to be flexed, rotated right, and sidebent right as a single-segment dysfunction. Which Fryette principle does this describe?

Answer: Type II mechanics

Type II mechanics involve a single segment in flexion or extension with rotation and sidebending to the same side.

A patient with suspected appendicitis would most likely have an anterior Chapman reflex point at which location?

Answer: Tip of the right 12th rib

The Chapman point for the appendix is at the tip of the right 12th rib.

In a post-isometric relaxation muscle energy technique, how long does the patient typically hold each contraction against physician counterforce?

Answer: 3-5 seconds

Muscle energy contractions are usually held 3-5 seconds and repeated 3-5 times, engaging a new barrier each time.

Which of the following is an absolute contraindication to cervical HVLA treatment?

Answer: Down syndrome with atlantoaxial instability

Ligamentous laxity and atlantoaxial instability, as seen in Down syndrome, make cervical HVLA absolutely contraindicated because of the risk of spinal cord injury.

In a left-on-left sacral torsion, which finding is expected?

Answer: Positive seated flexion test on the right

In a left-on-left forward torsion the seated flexion test is positive on the side opposite the oblique axis (the right), and the spring test is negative.

Parasympathetic innervation of the descending colon comes from which source?

Answer: Pelvic splanchnic nerves (S2-S4)

The vagus supplies the gut up to roughly the splenic flexure, and the pelvic splanchnics (S2-S4) supply the descending colon and beyond.