OPC Final Practical
Study online at https://quizlet.com/_hzu9av
1. OA diagnosis: Slight Translation of occupit in F/E. S/R always opposite.
2. AA Diagnosis: Flexion to 45 then rotation each way.
3. Cervical Diagnosis: S/R are the same direction, go to particular pillars and test translation.
4. Thoracic Inlet Diagnosis: Rotational: Under medial clavicle, the deeper side is the side rotation is
towards.
Sidebending: essentially first rib whichever side is higher, sidebending is to opposite side
5. Thoracic Diagnosis: Find sidebending trouble, then see if it gets better or worse in flexion and extension.
6. Lumbar Diagnosis: Same as thoracic, may also use pelvic roll and Iliac crest heights
7. Rib diagnosis: Find where they are even then which one does not meet the same motion as the other is the
restriction.
8. Sacrum Diagnosis: seated flexion, sacral bases, ilas
9. Innominate diagnosis: standing flexion, asis heights, psis heights
10. UE diagnosis: general ROM, seven stages
11. Seven Stages: Extension, Flexion, Circumduction no ME, add traction, abduction, IR, Pumps
12. Hip Diagnosis: FABRE, Ober, Thomas test
13. LE Diagnosis: General ROM
14. OA Muscle Energy: Flexion or extension with eyes to look up or down
15. AA ME: Rotate head then have them press into fingers
16. Cervical ME: Slight F/E at point then translation and some side bending
17. Thoracic Inlet HVLA S/R opposite: Proximal Phalanx on first rib engage barrier and force toward
opposite nipple
18. Thoracic Inlet HVLA S/R Same: Sidebending- Engage barrier of first rib and direct force toward
opposite ASIS
Rotation- Engage barrier of first rib and direct force toward opposite armpit
19. Thoracic Inlet ME: Steering wheel
20. Upper Thoracic ME: Use the neck to engage barrier, monitor
21. Lower Thoracic ME: Arm across don't use neck to engage barrier
22. HVLA for Thoracic: Arm opposite physician on top, physician opposite rotation, the at eminence on transfer
process, engage barrier, thrust
23. BLT for Thoracic: Patient prone, then put a finger on each of the 4 TPs of interest and pressure in the
direction it wants to go
24. ME Type 1 Lumbar: Use bent legs as lever to engage barrier
1/5
, OPC Final Practical
Study online at https://quizlet.com/_hzu9av
25. ME type 2 Lumbar: Arm across patient engage barrier
26. Lumbar HVLA type 1: 2 steps
Thoracolumbar- Push down high hip, pull arm out for rotation, top knee bent, monitoring but forearm on Illiac crest,
thrust
Lumbosacral- push up low hip, top knee bent, pull arm out, forearm above ischial tuberosity and monitoring
27. Lumbar HVLA type 2: same deal as the others just push the hip up with forearm below illiac crest
28. BLT for lumbar spine: Patient prone put fingers on important 4 Tranverse processes and direct where it
wants to go
29. ME for Exhaled ribs 1/2: Press hand on head and pull posterior ribs down
30. ME for exhaled ribs 3-5: Hand salute push on elbow, pull posterior ribs down
31. ME for exhaled ribs 6-8: Patient elbow up at 90 push down and pull posterior ribs down
32. ME for exhaled ribs 9/10: arm straight out push it superior my whole they adduct it, pull posterior ribs
down
33. ME for exhaled ribs 11-12: patient prone, physician pulls apart caliper ribs and hip, always help
inhalation and restrict exhalation
34. ME for inhaled Ribs 1-2: Turn head away, push anterior ribs inferior, resist inhalation help exhalation
35. ME for Inahled 2-6: Knee under head, face away, push ribs down at angle
36. ME for inahled 7-10: Arm straight out, have patient bring hip up, push ribs down
37. ME for 11-12: Push posterior ribs up
38. HVLA for exhaled ribs: stand opposite exhaled rib, push back down with thenar eminence
39. HVLA for inahled ribs: opposite side of patient, push posterior rib up.
40. blt for rib: disengage rib with hand on angle and anterior, exaggerate dysfunction, balance
41. Forward Sacral Torsion ME: LoLs or RoRs
Patient on side of axis, with sims, knees bent push both legs down off table
42. Backward sacral torsions: patient on side of axis, top knee flexed push same leg down off table
43. Unilateral Sacral F ME: push on ILA
44. Unilateral sacral E: Push on sacral base
45. Bilateral Sacral F ME: patient seated and hunched over, patient resists, push ila in
46. Bilateral sacral E ME: patient seated but extended, patient resists, push on sacral base
47. ME for superior shear: Pull leg out of socket with slight abduction, patient brings hip up
48. ME for inferior shear: butt punch
49. ME for anterior innominate rotation: knee on shoulder
2/5
Study online at https://quizlet.com/_hzu9av
1. OA diagnosis: Slight Translation of occupit in F/E. S/R always opposite.
2. AA Diagnosis: Flexion to 45 then rotation each way.
3. Cervical Diagnosis: S/R are the same direction, go to particular pillars and test translation.
4. Thoracic Inlet Diagnosis: Rotational: Under medial clavicle, the deeper side is the side rotation is
towards.
Sidebending: essentially first rib whichever side is higher, sidebending is to opposite side
5. Thoracic Diagnosis: Find sidebending trouble, then see if it gets better or worse in flexion and extension.
6. Lumbar Diagnosis: Same as thoracic, may also use pelvic roll and Iliac crest heights
7. Rib diagnosis: Find where they are even then which one does not meet the same motion as the other is the
restriction.
8. Sacrum Diagnosis: seated flexion, sacral bases, ilas
9. Innominate diagnosis: standing flexion, asis heights, psis heights
10. UE diagnosis: general ROM, seven stages
11. Seven Stages: Extension, Flexion, Circumduction no ME, add traction, abduction, IR, Pumps
12. Hip Diagnosis: FABRE, Ober, Thomas test
13. LE Diagnosis: General ROM
14. OA Muscle Energy: Flexion or extension with eyes to look up or down
15. AA ME: Rotate head then have them press into fingers
16. Cervical ME: Slight F/E at point then translation and some side bending
17. Thoracic Inlet HVLA S/R opposite: Proximal Phalanx on first rib engage barrier and force toward
opposite nipple
18. Thoracic Inlet HVLA S/R Same: Sidebending- Engage barrier of first rib and direct force toward
opposite ASIS
Rotation- Engage barrier of first rib and direct force toward opposite armpit
19. Thoracic Inlet ME: Steering wheel
20. Upper Thoracic ME: Use the neck to engage barrier, monitor
21. Lower Thoracic ME: Arm across don't use neck to engage barrier
22. HVLA for Thoracic: Arm opposite physician on top, physician opposite rotation, the at eminence on transfer
process, engage barrier, thrust
23. BLT for Thoracic: Patient prone, then put a finger on each of the 4 TPs of interest and pressure in the
direction it wants to go
24. ME Type 1 Lumbar: Use bent legs as lever to engage barrier
1/5
, OPC Final Practical
Study online at https://quizlet.com/_hzu9av
25. ME type 2 Lumbar: Arm across patient engage barrier
26. Lumbar HVLA type 1: 2 steps
Thoracolumbar- Push down high hip, pull arm out for rotation, top knee bent, monitoring but forearm on Illiac crest,
thrust
Lumbosacral- push up low hip, top knee bent, pull arm out, forearm above ischial tuberosity and monitoring
27. Lumbar HVLA type 2: same deal as the others just push the hip up with forearm below illiac crest
28. BLT for lumbar spine: Patient prone put fingers on important 4 Tranverse processes and direct where it
wants to go
29. ME for Exhaled ribs 1/2: Press hand on head and pull posterior ribs down
30. ME for exhaled ribs 3-5: Hand salute push on elbow, pull posterior ribs down
31. ME for exhaled ribs 6-8: Patient elbow up at 90 push down and pull posterior ribs down
32. ME for exhaled ribs 9/10: arm straight out push it superior my whole they adduct it, pull posterior ribs
down
33. ME for exhaled ribs 11-12: patient prone, physician pulls apart caliper ribs and hip, always help
inhalation and restrict exhalation
34. ME for inhaled Ribs 1-2: Turn head away, push anterior ribs inferior, resist inhalation help exhalation
35. ME for Inahled 2-6: Knee under head, face away, push ribs down at angle
36. ME for inahled 7-10: Arm straight out, have patient bring hip up, push ribs down
37. ME for 11-12: Push posterior ribs up
38. HVLA for exhaled ribs: stand opposite exhaled rib, push back down with thenar eminence
39. HVLA for inahled ribs: opposite side of patient, push posterior rib up.
40. blt for rib: disengage rib with hand on angle and anterior, exaggerate dysfunction, balance
41. Forward Sacral Torsion ME: LoLs or RoRs
Patient on side of axis, with sims, knees bent push both legs down off table
42. Backward sacral torsions: patient on side of axis, top knee flexed push same leg down off table
43. Unilateral Sacral F ME: push on ILA
44. Unilateral sacral E: Push on sacral base
45. Bilateral Sacral F ME: patient seated and hunched over, patient resists, push ila in
46. Bilateral sacral E ME: patient seated but extended, patient resists, push on sacral base
47. ME for superior shear: Pull leg out of socket with slight abduction, patient brings hip up
48. ME for inferior shear: butt punch
49. ME for anterior innominate rotation: knee on shoulder
2/5
