AROM, PROM And Barriers Flashcards
Somatic dysfunction refers to impaired or altered function of related components of the somatic (body framework) system, meaning SAM and VLAN
What do SAM and VLAN stand for?
Skeletal, Arthrodial, and Myofascial structures
And their related…
Vascular, Lymphatic and Neural elements
What is the therapeutic application of manually guided forces by an osteopathic physician to improve physiologic function and/or support homeostasis that has been altered by somatic dysfunction?
OMT = osteopathic manipulative therapy
There is a somato-visceral component fo somatic dysfunction, which was studied by Irvin Korr, PhD via pseudomotor (ANS) impact of SD. How did he confirm this?
More perspiration was found in areas with somatic dysfunction, indicating ANS activation in that area
_______ is the level of well-being of an individual maintained by internal physiologic harmony that is the result of a relatively stable or equilibrium among the interdependent body functions
Homeostasis
______ somatic dysfunction refers to immediate or short-term impairment or altered function of related components of the somatic (body framework) system
Acute
What are the 2 major characteristics associated with acute somatic dysfunction that allow you to differentiate it from chronic?
Vasodilation
Edema
(You would also find tenderness, pain, tissue contraction)
_______ somatic dysfunction refers to the impairment or altered function of related components of the somatic (body framework) system.
Chronic
What are the 3 major characteristics associated with chronic somatic dysfunction that allow you to differentiate it from acute?
Itching
Fibrosis
Paresthesias
[would also find tenderness and tissue contraction]
What is the terminology for a palpable change in tissues from skin to periarticular structures?
Tissue texture abnormality
What are some types of tissue texture abnormalities, aka your “tactile vocabulary”?
Bogginess Thickening Stringiness Ropiness Firmness Temp change Moisture change
_________ is a tissue texture abnormality characterized principally by palpable sense of sponginess in the tissue, interpreted as resulting from congestion due to increased fluid content
Bogginess
How does the degree of deformation change with increased force applied to boggy tissue?
More force = less deformation
Tissue texture abnormalities represent any combination of what SIGNS?
Vasodilation Edema Flaccidity Hypertonicity Contracture Fibrosis
Tissue texture abnormalities represent any combination of what SYMPTOMS?
Itching
Pain
Tenderness
Paresthesias
______ is a TTA term referring to the normal feel of muscle in the relaxed state
Tone
__________ is extreme tone such as with spastic paralysis
Hypertonicity
______ is low tone, aka flaccid paralysis when there is no tone at all
Hypotonicity
______ is a TTA term referring to normal tone of a muscle when it shortens or is activated against resistance
Contraction
_______ is a TTA term referring to the abnormal shortening of a muscle due to fibrosis. Most often in the tissue itself, often result of chronic condition. Muscle is no longer able to reach its full normal length
Contracture
_____ is a TTA term referring to abnormal contraction maintained beyond physiologic need. Most often sudden and involuntary muscular contraction that results in abnormal motion and is usually accompanied by pain and restriction of normal function
Spasm
_____ is a TTA term referring hard, firm or cord-like muscle tone. Usually indicates a chronic condition
Ropiness
_______ vascular tissue texture change might be indicated by inflamed vessel wall injury, endogenous peptide released
(Acute vs. chronic)
Acute
______ sympathetic tissue texture change involves local vasoconstriction overpowered by local chemical release, net effect is vasodilation
(Acute vs. chronic)
Acute
______ vascular tissue texture change involves sympathetic tone increases in vascular constriction
(Acute vs. chronic)
Chronic
______ sympathetic tissue texture change involves vasoconstriction, hypersympathetic tone, and may be regional
(Acute vs. chronic)
Chronic
______ muscle tissue texture change involves decreased muscle tone, flaccid, mushy, limited ROM due to contracture
(Acute vs. chronic)
Chronic
______ muscle tissue texture change involves local increase in tone, muscle contraction, and spasm mediated by an increase in spindle activity
(Acute vs. chronic)
Acute
______ ______ = limit of motion imposed by anatomic structure, the limit of passive motion
Anatomic barrier
______ _____ = limit of active motion
Physiologic barrier
_____ ______ = the range between physiologic and anatomic barrier in which passive stretching occurs before tissue disruption; aka the area that warms up with stretching
Elastic barrier
_____ _____ = functional limit that abnormally diminishes the normal physiologic range
Restrictive barrier
What terminology for range of motion is in reference to a patient’s activity level?
AROM - patient initiated ROM, examiner visually observes
PROM - examiner initiated ROM with passive patient
PROM > AROM bc patient is relaxed
What must you do when assessing PROM?
Block the linkage!
Stabilization of associated and adjacent structures to focus movement to only the joint(s) being assessed
What is the term for the palpatory experience or perceived quality of motion when a joint is moved to its limit?
Barrier “end-feel”
