Exam 1 Flashcards
For any disease state, the patient must be ____ before performing OMT
New onset of ____ or ____ is not a time for OMT
Stable
Chest pain
SOB
Somatic dysfunction can occur anywhere in the body at:
____
____
____
Sympathetic levels
Parasympathetic levels
Some (not autonomic related)
Viscerosomatic reflexes occur at
____
____
Sympathetic levels
Parasympathetic levels
Facilitated segments ONLY occur at ____
Sympathetics
Treatment for temporal arteritis is ____
Steroids
Sometimes muscle hypertonicity, contraction, spasm can be caused by ____ of what is overlaying the muscle
Direct irritation
If there is a renal lithiasis, it may cause the ____ to become hypertonic and you would have a positive ____ test
Psoas
Thomas
If there is appendicitis, it may cause the ____ to become hypertonic and you would have a positive ____ test
Psoas
Thomas
If there are inflamed lymph nodes, this may make the muscle they are touching to become hypertonic such as ____
SCM
After obtaining a history, you perform a physical exam: ____ is one of the first things you do in a physical exam
Observation
A reversible dextroscoliosis or levoscoliosis means there is no ____ component present so it follows Fryette type ___ mechanics
A dextroscoliosis would have the convex side pointing to the ____, therefore indicating a ____ pattern for the vertebrate
Sagittal
1
Right
NSLRR
A left lateral convexity means the vertebrae are sidebent ____
A right lateral convexity means the vertebrae are sidebent ____
Right
Left
When treating a group dysfunction with OMT, go for the ____ of the group curve
Apex
Type II dysfunction would usually occur at the ____ of the group curve. However, reversible dextro/levoscoliosis that do not have a ____ component and would not have a type ____ mechanics present
Apex
Sagittal
II
The body is a unit; the person is a unit of mind, body, and spirit
I.e. gastric ulcer causes thoracic tissue texture changes
Principle 1
The body is capable of self-regulation, self-healing and health maintenance
I.e. healed fracture
Principle 2
Structure and function are reciprocally interrelated
Principle 3
Rational treatment is based upon an understanding of the basic principles of body unity, self-regulation, and the inter-relationship of structure and function
Principle 4
Anatomy of muscles, spine, extremities; posture, motion
OMT directed toward normalizing mechanical somatic dysfunction, structural integrity, physiological function, homeostasis
Biomechanical (structural, postural)
Emphasizes CNS, PNS, and ANS that control, coordinate and integrate body functions
Proprioceptive and muscle imbalances, facilitation, nerve compression disorders, autonomic reflex, and visceral dysfunctions, brain/CNS dysfunctions
Neurological
Emphasizes pulmonary, circulatory, and fluid (lymphatic, CSF) systems
Lymphatic techniques
Respiratory/Circulatory
Regulates through metabolic processes
Metabolic/Nutritional
Focuses on mental, emotional, social, and spiritual dimensions related to health and disease
Behavioral (Psychobehavioral)
Localized somatic stimuli producing patterns of reflex response in segmentally related somatic structures
I.e. rib somatic dysfunction from an innominate dysfunction
Somatosomatic reflex
Localized somatic stimulation producing patterns of reflex response in segmentally related visceral structures
I.e. triggering an asthmatic attack when working on thoracic spine
Somatovisceral reflex
Localized visceral stimuli producing patterns of reflex response in segmentally related somatic structures
I.e. gallbladder disease affecting musculature
Viscerosomatic reflex
Localized visceral stimuli producing patterns of reflex response in segmentally related visceral structures
I.e. MI and vomiting
Viscerovisceral reflex
____ ganglionic sympathetic fibers lead to tissue texture changes such as hypertonicity, moisture, erythema, etc
Post
____ of the spinal cord is where somatic and visceral afferent nerves synapse giving viscerosomatic reflex
Dorsal horn
Sharp and severe localized pain
Warm, moist, sweaty skin
Boggy, edematous tissue
Erythematous
Local increase in muscle tone, contraction, spasm, increased muscle spindle firing
Normal or sluggish ROM
May be minimal or no somatovisceral effect
Acute somatic dysfunction
Dull, achy, diffuse pain Cool, smooth, dry skin Possible atrophy Fibrotic, ropy feeling tissue Pale/skin pallor Decreased muscle tone, contracted muscles, sometimes flaccid Restricted ROM Somatovisceral effects are more often present
Chronic somatic dysfunction
Orientation of superior facets:
Cervical:
Thoracic:
Lumbar:
BUM
BUL
BM
Orientation of inferior facets
Cervical:
Thoracic:
Lumbar:
AIL
AIM
AL
When side-bending is attempted from neutral position, rotation of vertebral bodies follows to the opposite direction
Typically a group of vertebrae
No sagittal component
Side-bending precedes rotation
Side-bending occurs towards the concavity of the curve
Rotation occurs towards the convexity of the curve
Fryette Law 1
Type I dysfunction
When side-bending is attempted from non-neutral position, rotation must precede side-bending to the same side
Typically applies to a single vertebra
Occurs on a sagittal component
Rotation precedes side-bending
Rotation of the vertebra occurs into the concavity of the curve
May be describes as a traumatic injury
Fryette Law 2
Type II dysfunction
If ____ treatment used: exaggerate/augment the dysfunction
If ____ treatment used: engage the barrier/reverse the dysfunction
Indirect
Direct
SD is exaggerated or augmented
SD is taken the way it likes to go
Restrictive barrier is disengaged
Dysfunction is taken into position of injury
Uses inherent forces
Uses a compressive, tractional, or torsional component
Indirect technique
SD is taken the way it does not like to go
Restrictive barrier is engaged
Uses external forces
Direct technique
Myofascial release Soft tissue Articulatory ME HVLA Springing Cranial Still technique (ending position)
Examples of direct techniques
Muscle Energy: ____
Patient is instructed to gently push AWAY from the barrier
Postisometric relaxation
Muscle Energy: ____
Patient is instructed to gently push TOWARDS the barrier
Reciprocal inhibition
A longitudinal or parallel traction technique in which the origin and insertion of the myofascial structures being treated are longitudinally separated
Stretching
A perpendicular traction technique in which a rhythmic, lateral stretching of a myofascial structure, where the origin and insertion are help stationary and the central portion of the structure is stretched like a bowstring
Kneading
A deep inhibitory pressure, which is a sustained deep pressure over a hypertonic myofascial structure
Inhibition
Gently stroking of congested tissue used to encourage lymphatic flow
Effleurage
Involves pinching or tweaking one layer and lifting it or twisting it away from the deeper areas
Petrissage
Striking the belly of a muscle with the hypothenar edge of the open hand in rapid succession in order to decrease it’s tone and arterial perfusion. A hammering chopping percussion of tissues to break adhesions and/or encourage bronchial secretion
Tapotement
Counterstrain FPR BLT Functional technique Myofascial release Cranial Still technique (initial position)
Examples of indirect techniques
Root C4
Sensation:
Motor:
Reflex:
Shoulder
None
None
Root C5
Sensation:
Motor:
Reflex:
Lateral elbow
Biceps
Biceps
Root C6
Sensation:
Motor:
Reflex:
Thumb, index finger
Wrist extensors
Brachioradialis
Root C7
Sensation:
Motor:
Reflex:
Mid finger
Triceps
Triceps
Root C8
Sensation:
Motor:
Reflex:
Ring finger, pinky
Wrist flexors
None
Root T1
Sensation:
Motor:
Reflex:
Medial elbow
Interossi
None
Head and Neck (Sympathetics)
T1-T4
Heart (Sympathetics)
T1/T2-T5/T6
Respiratory (Sympathetics)
T1/T2-T6/T7
Esophagus (Sympathetics)
T2-T8
Upper GI Tract (Sympathetics)
Stomach, Liver, Gallbladder, Spleen, Pancreas, Duodenum
T5-T9
Middle GI Tract (Sympathetics)
Pancreas, Duodenum, Jejunum, Ileum, Ascending Colon, Right Transverse Colon, Kidney, Upper Ureter, Gonads
T10-T11
Lower GI Tract (Sympathetics)
Left Transverse Colon, Descending Colon, Sigmoid Colon, Rectum, Prostate, Bladder, Lower Ureter
T12-L2
Appendix (Sympathetics)
T10-T11
Kidneys (Sympathetics)
T10-T11
Adrenal Medulla (Sympathetics)
T10
Upper Ureters (Sympathetics)
T10-T11
Lower Ureters (Sympathetics)
T12-L1
Bladder (Sympathetics)
T12-L2
Gonads (Sympathetics)
T10-T11
Uterus and Cervix (Sympathetics)
T10-L2
Erectile Tissue (Sympathetics)
T11-L2
Prostate (Sympathetics)
T12-L2