Board Review I Flashcards
What is the technical definition of a SD?
impaired or altered function of any part of the soma
What is the only way to diagnose SDs?
Palpation
What are the components of TART? Which are the two most important?
TTP
Asymmetry
Restricted ROM
Tissue texture changes
How many components of TART are needed for a SD diagnosis?
2 or more, but if TTP, then need 3
Acute or chronic tissue texture changes:
- Edema
- Erythema
- Cool
- Dry
- boggy
- ropy
- tension
- Edema (acute)
- Erythema (acute)
- Cool (chronic)
- Dry (chronic)
- boggy (acute)
- ropy (chronic)
- tense (chronic)
How does asymmetry found in acute SDs compare to those found in chronic?
- Acute = single one present
- Chronic = present with other compensatory changes
Which has painful RROM acute or chronic SDs?
Acute–chronic has painless RROM
Which has sharp pain, and which has dull/achy pain: acute or chronic SDs?
Sharp = acute Chronic = dull/achy
When naming vertebrals SDs, how are they named: with respect to the segment above or below?
Below
What is elastic deformation?
The quality of the tissue to return to its resting state after being deformed
What is hysteresis?
The time between elasticity and creep
What is creep?
The capacity of fascia to lengthen when subjected to a constant tension load, resulting in less resistance to a second load application
What is an elastic barrier?
The difference between anatomic and physiologic
What is a restrictive barrier?
the functional limit within the anatomic ROM which abnormally diminishes the normal physiologic ROM
What are the muscles that maintain type I SDs? Type II?
Type I = Long restrictors
Type II = Short restrictors
How does rotation occur with type I vs type II SD in regard to the rotation into the convexity/concavity
Type I = rotation into the convexity
Type II = rotation into the concavity
Which is caused by postural problems, and which traumatic problems: type I vs Type II SDs?
Type I = postural
Type II = traumatic
What is the third law of physiologic motion?
Inducing motion in one plane reduces the motion in the other two planes
How are the superior facets oriented in the cervical, thoracic, and lumbar spinal vertebrae?
BUM
BUL
BUM
What are the four major CNs that are a part of the PNS?
3
7
9
10
True or false: manipulation of the organ will cause nerves to travel back up into the brain
True?
What are the components of the plumb line?
- Posterior aspect of the coronal suture
- External auditory meatus
- Shoulder joint
- Posterior aspect of the hip
- Anterior axis of knee
- Anterior to lateral malleolus
What sacral axis is being utilized with the walking cycle?
Oblique axis on the ipsilateral side of the planted foot
What way does the lumbar spine side bend to with a stride?
Ipsilateral to the planted side
What is the goal of the biomechanical model of osteopathic care?
Attempt to prevent/relieve pain
What is the goal of the neurological model of osteopathic care?
Attempt to normalize the nervous system
What is the goal of the behavioral model of osteopathic care?
Attempt to break the pain-anxiety-pain cycle
What is the goal of the bioenergetic (metabolic) model of osteopathic care?
Attempt to balance the inherent energies of the body
What is the goal of the RC model of osteopathic care?
-Improve thoracic diaphragm and cage motion
Review 12 CCP points
Review
What are the components of the V-FIRST mnemonic?
Vascular Fracture Infx Radicular Spinal Tumor
What are indirect techniques?
barrier is disengaged and moved to a point of balance
Direct or indirect: HVLA
Direct