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OMM > 5 Models Of Osteopathic Tx > Flashcards

5 Models Of Osteopathic Tx Flashcards

1
Q

A.T. Still mission statement

A

The object of osteopathy is to improve upon the present systems or surgery, midwifery, and treatment of general diseases.

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2
Q

Osteopathic philosophy

A 
Concept of health car supported by expanding scientific knowledge that embraces the concept of unity of a living organism’s structure (anatomy) and fxn (physiology)
1. Human being dynamic unit of fxn
2. Body has self-regulation mechanisms
3. Holistic emphasis
4. Care directed toward finding and restoring health
  A. Comprehensive health care
   1. Interventional
   2. Preventative
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3
Q

10 basic coordinated body fxns

A
  1. Control of posture and movement
  2. Respiration
  3. Circulation
  4. H2O regulation and electrolyte balanace
  5. Digestion and absorption of nutrients and waste elimination
  6. Metabolism and energy balance
  7. Protective mechanisms
  8. Sensory system
  9. Reproduction
  10. Consciousness and behavior
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4
Q

ECOP 5 basic integrative and coordinated body fxns and coping strategies

A
  1. Posture and motion
    A. Structural and biomechanical reliability
  2. Gross and cellular resp and circ factors
  3. Metabolism
    A. Endocrine-mediated
    B. Immune-regulation
    C. Nutrition reg. Biomechanical processes
  4. Neurologic integration
    A. Central
    B. Peripheral
    C. Autonomic
    D. Neuroendocrine
    E. Neurocirculation
    F. Reflexes
  5. Psychosocial, cultural, behavioral, and spiritual elements
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5
Q

Biomechanical model

A
  1. Structures: postural muscles, spine, and extremities
  2. Fxn: posture and motion
  3. Health: efficient and effective posture and motion
  4. Disease:
    A. Somatic dysfxn: inefficient posture, joint restriction or hypermobility and instability
    B. Alternative postural mechanics:
    1. Affect dynamic fxn
    2. Inc energy use
    3. Alter proprioception
    4. Change joint structure
    5. Impede vascular, lymphatic, and neurologic fxn
  5. Pt. Care: alleviate somatic dysfxn w/ OMT -> normal motion and fxn
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6
Q

Respiratory-circulatory model

A
  1. Structure: thoracic inlet and diaphragms, costal cage, heart, lungs, vasculature, lymphatics
  2. Fxn: resp, circ, venous and lymphatic drainage, maintain IC and EC envir. W/ O2 and nutrient delivery and waste elimination
  3. Health: efficient and effective arterial supply, venous and lymph drainage, effective resp
  4. Disease: vascular compromise, edema, tissue congestion, poor gas exchange
  5. Pt. Care: remove resp and circ impediments, dec congestion and edema, and inc drainage
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7
Q

Metabolic energy model

A
  1. Structure: internal organs, endocrine glands
  2. Fxn:
    A. Metabolism
    B. Homeostasis
    C. Energy balance
    D. Reg. Processes
    E. Immune activity and inflammation
    F. Nutrient
    G. Waste removal
    H. Reproduction
  3. Health:
    A. Improved cellular metabolism
    B. Energy use and exchange
    C. Endocrine reg
    D. Immune reg
  4. Disease:
    A. Dec energy
    B. Fatigue
    C. Ineffective metabolism
    D. Toxin build up
    E. Inflammation
    F. Infection
    G. Poor healing
    H. Poor nutrition
    I. ADE to meds
    J. Dec endocrine control of vital fxns
  5. Pt. Care: presort metabolic processes and bioenergetics, dec inflammation and infection, inc healing and endocrine controls
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8
Q

Neurological model

A
  1. Structure: head, brain, spinal cord, peripheral n.
  2. Fxn:
    A. Control coordination
    B. Integrate body fxns
    C. Protective mech
    D. Sensation
    E. ANS and viscerosomatic reflexes
  3. Health: effective and efficient
    A. Sensory processing
    B. Neural integration and control
    C. Autonomic balance
    D. CNS and PNS fxn
  4. Disease:
    A. Abnormal sensation
    B. Autonomic fxn imbalance
    C. Central and peripheral sensitization/malfunction
    D. Pain syndromes
  5. Pt. Care: restore
    A. Normal sensation
    B. Neuro processes and control
    C. Dec pain
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9
Q

Behavioral model

A
  1. Structure: brain
  2. Fxn: psych and social activities
  3. Health:
    A. Mental
    B. Emotional
    C. Spiritual
    D. Healthy lifestyle choices
    E. Social support system
  4. Disease
    A. Drug abuse
    B. Environmental chem exposure/trauma
    C. Poor life-style choices
    D. Can’t adapt to stress
  5. Pt. Care: treat whole person
    A. Individualized pt care
    B. Self-responsibility for lifestyle
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10
Q

Treatment options

A
  1. OMT
  2. Pharmacology (meds and supplements)
  3. Surgery
  4. Diet and exercise
  5. Lifestyle
  6. Behavioral counseling, mind-body medicine
  7. Spiritual support
  8. Use combo as appropriate
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11
Q

Biomechanical model OMT

A

Target spine and extremities

  1. HVLA
  2. ME
  3. MFR
  4. CS
  5. Still
  6. BLT
  7. FPR
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12
Q

Respiratory-circulatory model OMT

A

Target transverse diaphragms:

  1. Cranial
  2. MFR
  3. Lymphatic pumps
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13
Q

Metabolic energy model OMT

A
  1. Lymphatic pumps

2. Visceral

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14
Q

Neurological model OMT

A

Reduce stress, balance neural inputs, eliminate nociceptive drive

  1. Inhibition
  2. Counterstrain
  3. Chapman points
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15
Q

Behavioral model OMT

A

Address rxns to biopsychosocial stresses

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16
Q

HVLA

A
  1. Rapid, therapeutic force
  2. Short distance
  3. Engages restrictive barrier of articular somatic dysfxn -> release restriction
17
Q

Muscle energy

A
  1. Direct method
  2. Muscles used from controlled position
    C. Dr. Counterforce
18
Q

Lymphatic techniques

A

Remove lymph circ impediments

19
Q

Counterstrain

A
  1. Dx w/ myofascial tenderpint
  2. Indirect tx
  3. Spontaneous release while monitoring tenderpoint
20
Q

MFR

A
  1. A. T. Still
  2. Continuous palpatory feedback
  3. Dec restriction
  4. Direct or indirect
21
Q

Soft tissue

A
  1. Direct
  2. Kneading, stretching, deep pressure, inhibition, and traction
  3. Monitor tissue response
  4. Historically MFR
22
Q

Visceral

A
  1. Historically = ventral technique

2. Dx and treat viscer and supportive structures

23
Q

Cranial manipulative technique

A
  1. Use primary resp mechanism an balanced membrane and lig tension
  2. William G. Sutherland, DO

OMM (16 decks)

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