CPA1 Flashcards

1
Q

Osteopathic Tenets

A
  1. the body is a unit
  2. the body possesses self-regulatory mechanisms
  3. Structure and function are reciprocally interrelated
  4. Rational therapy is based upon understanding of body unity, self-regulatory mechanisms, and interrelationship of structure and function
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2
Q

Somatic Dysfunction

A

the impaired or altered function of related components of the somatic system including Skeletal, Arthrodial, and Myofascial structures

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3
Q

How do you diagnose Somatic Dysfunction?

A
Tissue Texture Abnormalities
Asymmetry
Restriction of motion
Tenderness
(need two to confirm dysfunction)
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4
Q

Tissue Texture abnormalities

A

temperature, drag, texture, edema, bogginess, elasticity, dryness, oiliness, scars, contraction, flaccidity, spasm, ropey, stringy

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5
Q

How to name Somatic Dysfunction

A

Direction in which the motion is freer= Name Somatic dysfunction for what it will do

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6
Q

Acute Somatic Dysfunction

A

Pain, erythema, relative warmth, increased moisture/bogginess, vasodilation, edema, tenderness, tissue contraction

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7
Q

Chronic Somatic Dysfunction

A

Itching, paresthesia (pins and needles), tissue dryness, coolness, tissue contracture, fibrosis tenderness, pallor

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8
Q

Contraction

A

process of which a muscle becomes shorter and tighter

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9
Q

Contracture

A

abnormal permanent contraction

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10
Q

OMT

A

therapeutic application of manually guided forces by an osteopathic physician to improve physiologic function and support homeostasis that has been altered by somatic dysfunction

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11
Q

Active ROM

A

patient does the moving

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12
Q

Passive ROM

A

doctor does the moving

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13
Q

Sagittal ROM

A

Flexion/extension

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14
Q

Frontal ROM

A

Sidebending, abduction/adduction

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15
Q

Horizontal ROM

A

Rotation

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16
Q

Who many types of synovial joints?

A

6

  1. Pivot
  2. Ball and Socket
  3. Condyloid
  4. Plane
  5. Saddle
  6. Hinge
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17
Q

Cervical Flexion and Extension

A

45-90 degrees

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18
Q

Thoracic flexion and Extension

A

25-30 degrees

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19
Q

Lumbar flexion and Extension

A

Flexion: 40-90
Extension: 20-45

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20
Q

Lumbar side bending

A

15-30 degrees

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21
Q

Lumbar rotation

A

3-18 degrees

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22
Q

Elbow flexion and extension

A

flexion: 140-150 degrees
Extension: 0 to -5 degrees

23
Q

Elbow Pronation and Supination

A

pronation: 90 degrees
supination: 90 degrees

24
Q

Wrist flexion and extension

A

Flexion: 80-90 degrees
Extension: 70 degrees

25
Q

Wrist Adduction and Abduction

A

Adduction: 30-40 degrees
Abduction: 20-30 degrees

26
Q

Knee Flexion and Extension

A

Flexion: 145-150 degrees
Extension: 0 degrees

27
Q

Ankle Dorsiflexion and Plantarflexion

A

Dorsiflexion: 15-20 degrees
Plantarflexion: 50-65 degrees

28
Q

Ankle inversion and eversion

A

10-20 degrees

29
Q

Cervical Rotation

A

70-90 degrees

30
Q

Cervical Sidebending

A

20-45 degrees

31
Q

Ulnohumeral adduction/abduction

A

5 degrees for both

32
Q

Arm Flexion and extention

A

flexion: 180
extension: 60

33
Q

Arm Adduction and Abduction horizontally

A

130-140 degrees for both

34
Q

Arm Abduction

A

180 degrees

35
Q

Arm internal and external rotation

A

90 degrees for both

36
Q

Hip flexion (knee straight)

A

90 degrees

37
Q

Hip flexion (knee flexed)

A

120-135 degrees

38
Q

Hip extension

A

15-30 degrees

39
Q

Hip internal rotation

A

30-40 degrees

40
Q

Hip external rotation

A

40-60 degrees

41
Q

Hip abduction and adduction

A

abduction: 45-50 degrees
adduction: 20-30 degrees

42
Q

Viscoelastic Material

A

Any material that deforms according to rate of loading and deformity

43
Q

Hysteresis

A
  • difference between the loading and unloading characteristics represents energy that is lost in connective tissue
  • energy loss
44
Q

Bind

A

palpable restriction of connective tissue mobility

45
Q

Hooke’s Law

A

strain placed on an elastic body is in proportion to the stress placed upon it

46
Q

Wolff’s Law

A

Bone will develop according to the under stresses placed on it

47
Q

Sherrington’s Law

A
  • when a muscle (agonist) receives a nerve impulse to contract, its antagonists simultaneously receive an impulse to relax
48
Q

TART

A

T-Tissue Texture Abnormalities
A- Asymmetry of structure
R- Restriction of Motion
T-Tenderness

49
Q

Fascia

A
  • complete system with blood supply, fluid drainage and innervations
  • composed of irregularly arranged fibrous elements of varying density
  • involved in tissue protection and healing of surrounding systems
50
Q

Visceral Fascia

A

-Surrounds the body cavities

51
Q

Reasons to not do OMM (soft tissue)

A
  • fracture or dislocation
  • Neurologic entrapment syndromes
  • serious vascular compromise
  • local malignancy
  • Local infection
  • bleeding disorders
52
Q

Reasons to not do OMM (MFR/INR)

A
  • infection of soft tissue or bone
  • fracture, avulsion, or dislocation
  • metastatic disease
  • open wounds
  • Rheumatologic condition involving instability of cervical spine
  • DVT
53
Q

Inherent Force

A
  • uses the body’s natural tendency to seek homeostasis

- inherent force is the rhythmic activity in all tissues

54
Q

10 Types of Childhood trauma

A
  1. Physical abuse
  2. Verbal abuse
  3. Sexual abuse
  4. Physical Neglect
  5. Emotional Neglect
  6. Parent who is an alcoholic
  7. Mother who is victim of domestic violence
  8. Family member in jail
  9. Family member diagnosed with a mental illness
  10. Disappearance of parent through divorce, death, and abandonment