5: Somatic Dysfunction Flashcards
Somatic Dysfunction definition
The impaired/altered function of related components of the somatic system, including skeletal, arthrodial, and myocardial structures and their related vascular, lymphatic, and neural elements
What is implicit in the term “somatic dysfunction”
The notion that manipulation is appropriate, effective, and sufficient to treat it
Acronym for somatic dysfunction diagnosis and what each letter stands for
TART Tissue texture abnormalities Asymmetry Restriction of motion Tenderness
What are some examples of tissue texture abnormalities?
Temperature, drag, elasticity, scars, ropiness, stringy-ness, edema, boginess, dryness, oiliness, contraction, flaccidity, spasms
How to name a somatic dysfunction
Name it for what the body WILL do, which motion is more free (ex: if there is a restriction in elbow flexion, the somatic dysfuction would be elbow extension somatic dysfunction)
Eight characteristics that are possible to characterize acute somatic dysfunction
- Pain/tenderness
- Tissue contractions
- Erythema
- Warmth
- Increased moisture
- Bogginess
- Edema
- Vasodilation
Seven characteristics that are possible to describe chronic somatic dysfunction
- Itching
- Parasthesia
- Fibrotic tenderness
- Dryness
- Coolness
- Pallor
- Tissue contracture
Active vs passive ROM
Active ROM: patient does the moving
Passive ROM: physician does the moving
Which barriers can pt move to in active and passive ROM?
Active: physiological barrier
Passive: anatomic barrier
Which is greater, active or passive ROM?
Passive ROM
Elastic range
Range between the physiologic and anatomic barriers
Two major OMT contraindications
- No somatic dysfunction
2. Patient does not consent
Common post-OMT symptoms
Muscle soreness, tiredness, irritability in children
How to avoid post-OMT symptoms
- Appropriate choice and application of the OMT technique
- Avoid certain contraindications
- Hydration and rest post-OMT
Three domains of a philosophy of medicine
Health, disease, patient care
