DO Osteopathic Manipulative Medicine (OMM) 1 — Questions and Answers
Question 1: Which OMM technique uses a high-velocity, low-amplitude thrust to restore joint motion?
- Muscle energy
- HVLA (Correct answer)
- Counterstrain
- Myofascial release
Correct answer: HVLA
HVLA (High-Velocity Low-Amplitude) uses a quick thrust directly into the restrictive barrier to restore joint motion.
Question 2: In muscle energy technique, the patient actively contracts their muscles against which type of resistance?
- No resistance
- Unyielding (isometric) resistance (Correct answer)
- Yielding resistance
- Gravity only
Correct answer: Unyielding (isometric) resistance
Muscle energy technique requires the patient to contract isometrically against an unyielding resistance provided by the physician.
Question 3: Counterstrain technique involves positioning the patient at the point of what?
- Maximum pain
- Minimum pain (greatest comfort) (Correct answer)
- Neutral position
- Maximum stretch
Correct answer: Minimum pain (greatest comfort)
Counterstrain places the patient in the position of greatest comfort to release hypertonic tissues and tender points.
Question 4: Which OMM technique uses slow, rhythmic passive joint motion at approximately 1-2 cycles per second to restore range of motion?
- Fascial unwinding
- Balanced ligamentous tension
- Articulatory technique (Correct answer)
- Lymphatic pump
Correct answer: Articulatory technique
Articulatory technique repetitively moves joints through their passive range of motion to stretch restrictive tissues.
Question 5: Chapman's reflex points are considered to represent which type of reflex?
- Myotatic reflexes
- Viscerosomatic reflexes in the lymphatic system (Correct answer)
- Cutaneous withdrawal reflexes
- Proprioceptive reflexes
Correct answer: Viscerosomatic reflexes in the lymphatic system
Chapman's points are gangliform contractions believed to represent viscerosomatic reflex activity within lymphatic tissue.
Question 6: Which of the following best describes somatic dysfunction?
- A fracture in the musculoskeletal system
- Impaired or altered function of the skeletal, arthrodial, and myofascial structures (Correct answer)
- An autoimmune musculoskeletal disease
- A neurological motor deficit
Correct answer: Impaired or altered function of the skeletal, arthrodial, and myofascial structures
Somatic dysfunction is defined as impaired or altered function of related components of the somatic (body framework) system.
Which OMM technique uses a high-velocity, low-amplitude thrust to restore joint motion?