Didactic_Lecture3

Question 1

Somatic Dysfunction

Answer 1

Impaired or altered function of related components of the somatic (body framework) system

1. skeletal
2. arthrodial
3. myofascial structures
4. related vascular, lymphatic and neural elements

Somatic dysfunction is treatable using OMT

Question 2

Primary Somatic Dysfunction

Answer 2

Initial or first somatic dysfunction to appear temporally

maintains a total pattern of dysfunction:

• including other secondary (“key lesion”)

Question 3

Secondary Somatic Dysfunction

Answer 3

Somatic dysfunction arising in response from a primary somatic

Question 4

Acute Somatic Dysfunction

Answer 4

characterized in early states by one or more of the following: pain, erythema, a palpable sense of relative warmth, moisture and bogginess, vasodilation, edema, tenderness, and tissue contraction. Identified by TART.

Question 5

Chronic Somatic Dysfunction

Answer 5

Late stage-tissue contracture

long-standing duration of related components of the body framework system characterized by one or more

of the following:

1. itching
2. paresthesias
3. a palpable sense of tissue dryness
4. coolness
5. tissue contracture
6. fibrosis
7. tenderness
8. pallor

Question 6

TART

Answer 6

Tissue Texture Abnormality

• Any palpable change in tissues from skin to periarticular structures that represent any combination of the following signs: vasodilation, edema, flaccidity, hypertonicity, contracture, fibrosis; symptoms include itching, pain, tenderness, paresthesias

Asymmetry (static or dynamic)

Restriction of Motion

Tenderness

• Discomfort or pain elicited by the physician through palpation. A state of unusual sensitivity to touch or pressure

Question 7

Anatomic Barrier

Answer 7

Limit of motion imposed by anatomic structure

limit of passive range of motion

Question 8

Physiologic Barrier

Answer 8

The limit of active motion

As far as the patient can go without assistance

Question 9

Elastic Barrier

Answer 9

range between the physiologic and anatomic barrier of motion in which passive ligamentous stretching occurs

Question 10

Restrictive Barrier

Answer 10

a functional limit [within the anatomic range of motion] that abnormally diminishes the normal physiologic range

• Cannot achieve full range of motion. Something (muscle contraction, tight ligament, other) i_s preventing normal range of motion._

Pathologic barrier: a restriction of joint motion associated with pathologic change of tissues (example: osteophytes)

Question 11

Causes of Restrictive Barrier

Answer 11

1. Joint restriction
2. Muscular contracture (not contraction)
   
   • A condition of fixed high resistance to passive stretch of a muscle, resulting from fibrosis of the tissue supporting the muscle of the joints, or from disorder of the muscle fibers
3. Ischemic contracture
   
   • Contracture and degeneration of a muscle due to interference with the circulation from pressure…or from injury or cold
4. Fascia
   
   • A thin sheath of fibrous tissue enclosing a muscle or other organ - Can cause restriction in range of motion