5-Models Questions Flashcards

1
Q

5 Models for community acquired pneumonia

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OMT, percussion hammer to break up consolidation

Respiratory/circulatory — rib raising, lymphatics

Neurologic — paraspinal inhibition T1-7, CV4

Metabolic/energetic — Antibiotics, tapotement

Behavioral — hydration, proper nutrition

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2
Q

5 Models for low back pain in pregnancy

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OCMM, OMT, NSAIDs

Respiratory/circulatory — lymphatics, warm compress

Neurologic — paraspinal inhibition, sacrum OMT

Metabolic/energetic — NSAIDs, address possible constipation

Behavioral — sleep hygiene, lower back support

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3
Q

5 Models for rotator cuff injury

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OMT, imaging

Respiratory/circulatory — ice/heat, hydration

Neurologic — sympathetics T2-7, EMG to r/o plexopathy

Metabolic/energetic — NSAIDs, lymphatics

Behavioral — stretching/strengthening exercises, splint/sling

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4
Q

5 Models for lateral or medial epicondylitis

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OMT, immobilization brace

Respiratory/circulatory — lymphatics, hydration

Neurologic — sympathetics T2-7, CV4

Metabolic/energetic — NSAIDs, steroid injections

Behavioral — rest, exercise modifications

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5
Q

5 Models for short leg syndrome

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — shoe lift, OMT, imaging

Respiratory/circulatory — lymphatics, hydration

Neurologic — paraspinal inhibition, sacral OMT

Metabolic/energetic — NSAIDs, eat a healthy diet

Behavioral — shoe lifts, arch supports, gait training

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6
Q

5 Models for TMJ

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OMT, botox

Respiratory/circulatory — hydration, lymphatics

Neurologic — ANS OMT, CV4

Metabolic/energetic — NSAIDs, lymphatics

Behavioral — anxiety/depression screening, CBT

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7
Q

5 Models for psoas syndrome

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OMT, stretching

Respiratory/circulatory — lymphatics, hydration

Neurologic — ST direct inhibition, paraspinal inhibition

Metabolic/energetic — NSAIDs, muscle relaxants, consider visceral causes (constipation, nephrolithiasis, etc)

Behavioral — address ergonomics, home stretching

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8
Q

5 Models for thoracic outlet syndrome

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OMT, imaging

Respiratory/circulatory — lymphatics, hydration

Neurologic — EMG, sympathetics T2-7

Metabolic/energetic — NSAIDs, muscle relaxants

Behavioral — postural training, home stretching

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9
Q

5 Models for nephrolithiasis

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OMT, patient positioning, NSAIDs

Respiratory/circulatory — lymphatics, hydration

Neurologic — ANS OMT, collateral ganglia

Metabolic/energetic — address constipation if present, lymphatics

Behavioral — increase fluid fluid intake, dietary modifications as needed

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10
Q

5 Models for otitis media

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OMT, consider tympanostomy tubes if recurrent

Respiratory/circulatory — hydration, lymphatics

Neurologic — ANS T1-5, OA/AA, CV4

Metabolic/energetic — antibiotics, NSAIDs

Behavioral — daily antihistamine, hand hygiene

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11
Q

5 Models for postop ileus

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OMT, PT or OT

Respiratory/circulatory — hydration, lymphatics

Neurologic — paraspinal inhibition, OA/AA

Metabolic/energetic — rib raising, avoid opioids for pain management

Behavioral — dietary adjustments as needed, exercise as tolerated

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12
Q

5 Models for sinusitis

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OMT, netipot

Respiratory/circulatory — hydration, lymphatics

Neurologic — ANS T1-5, OA/AA, CV4

Metabolic/energetic — antibiotics, NSAIDs

Behavioral — daily antihistamine, hand hygiene

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13
Q

5 Models for GERD

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OMT, barium swallow

Respiratory/circulatory — hydration, rib raising

Neurologic — viscerosomatics T5-9, sympathetic ganglia tx (celiac)

Metabolic/energetic — lymphatics, vitamin supplements

Behavioral — identify and avoid triggers (i.e., smoking, alcohol), meditation to decrease stress

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14
Q

5 Models for lumbar degenerative disc disease (osteoarthritis or herniated disc)

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OMT (HVLA relatively contraindicated), consider surgery, imaging

Respiratory/circulatory — lymphatics, hydration

Neurologic — refer for pain management, NSAIDs, paraspinal inhibition

Metabolic/energetic — TCAs, steroid injections, vitamin D and calcium supplementation

Behavioral — screen for anxiety/depression, stretching/strength exercises

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15
Q

5 Models for common fibular nerve entrapment neuropathy

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OMT, accupuncture

Respiratory/circulatory — hydration, rib raising

Neurologic — EMG, T11-L2 sympathetics

Metabolic/energetic — NSAIDs, lower extremity effleurage

Behavioral — train sitting posture, heat/ice

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16
Q

5 Models for piriformis syndrome

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — radiographs, OMT, physical therapy

Respiratory/circulatory — lymphatics, innominate OMT, hydration

Neurologic — EMG, botox, paraspinal inhibition

Metabolic/energetic — NSAIDs, consider visceral causes, muscle relaxants

Behavioral — stretching, address ergonomics (wallet in back pocket, long drives, etc)

17
Q

5 Models for degenerative knee osteoarthritis

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OMT, imaging

Respiratory/circulatory — hydration, lymphatics

Neurologic — sympathetics T11-L2, CV4

Metabolic/energetic — NSAIDs, vitamin D and calcium supplementation

Behavioral — exercise modifications, screen for anxiety/depression

18
Q

5 Models for tension headache

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OMT, accupuncture

Respiratory/circulatory — hydration, rib OMT

Neurologic — analgesics and NSAIDs, ANS OMT

Metabolic/energetic — sleep hygiene counseling, lymphatic OMT

Behavioral: identify and address triggers, biofeedback

19
Q

5 Models for ankle sprain

Biomechanical
Respiratory/circulatory
Neurologic
Metabolic/energetic
Behavioral
A

Biomechanical — OMT, imaging, splint

Respiratory/circulatory — hydration, lymphatics

Neurologic — T11-L2 sympathetics, CV4

Metabolic/energetic — NSAIDs, LE effleurage

Behavioral — splint, exercise restriction, ice