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homeostasis
tendency to stability in the normal body states of the organism
normal response to every day changes in physiologic conditions required for survival
maintained by negative feedback
allostasis
physical and physiologic adaptations made by the body in response to stress
required for survival
Allostatic load
stress
environmental challenges causing an organism to adapt to maintain stability
activates the SNS and hypothalmic-pituitary axis
allows for survival short term (flight or fight shit)
chronic repeated allostatic load….
neuroendocrine adaptations
gradual loss of effectivness of feedback pathways
long term can cause damage to hippocampus
Damage to hippocampus
spacial awareness and amnesia
determining allostatic load burden
blood pressure waist to hip ratio (goes up) cholesterol norepinephrine/epinephrine go up etc.
High allostatic loads correlate with…
lower cognitive/physical functioning
less room for adaptation
How does increased allostatic load exert its effects…
Increase SNS activity Increase BP increase obesity--> mediated by cortisol more clot formation increased atherosclerosis (cholesterol builds up in arteries)
increased SNS activity causes
HTN
Left ventricular hypertrophy
CHF
atherosclerosis
Epigenetics and allostatic load
stress effects the expression of DNA via epigenetics
also our stress level can affect future generations
Functions of OMT
reduces allostatic load
decreases stimulation of nociceptors, mechanoreceptors and proprioceptors
how does OMT decrease allostatic load
removes mechanical barriers to flow and nerve function
balances ANS
decreased inflammatory markers
increase beta-endorphins
5 treatment models of OMT
1) Biomechanical/Postural/Structural
2) Neurological
3) Respiratory/Circulatory
4) Metabolic/Nutritional/Bioenergetic
5) Psycho-behavioral
which treatment model do i use?
Can use more than one…
type of SD
How SD was induced
Sills as osteopath
and WHAT PT WANTS
how do decrease allostatic load
nutrition, dark chocolate exercise sleep avoid toxins relationships OMT
what does somatic dysfunction do to SNS
increases SNS outflow which leads to increased allostatic load
how do allopaths look at disease continuum vs. how osteopaths look at disease continuum
Allopaths–> equal between healthy and disease
osteopaths–> larger distance between health and disease because bodies want to be healthy and work to keep us healthy
what do DO’s do
assist pt’s achieve harmony and homeostasis
we don’t really heal anyone
average expectancy of doctors
58
reccomended amount of physical activity for adults
minimum 30 min moderate/intense activity 5 days per week
OR
minimum of 20 minutes vigorous intensity aerobic activity 3 days per week
must also consider strength training, flexibility, and neuromotor exercises
how often should you do muscle strength (resistance training) exercises
2-3 days per week
8-12 repititions
rest 48-72 hours between sessions