Exam I Flashcards
4 basic principles of osteopathic medicine
Principle 1: human being is a unit
Principle 2: structure and function are reciprocally interrelated
Principle 3: the body can self-regulate itself
Principle 4: treatment is based on the above
osteopathic evaluation
- history, PE, observation, palpation, motion testing, special tests, radiology, labs
definition of a primary key lesion
- the somatic dysfunction(s) that maintains a total pattern of dysfunction, including other secondary dysfunctions
secondary key lesion
- somatic dysfunction arising either from mechanical or neurophysiologic response subsequent to or as a consequence of other etiologies
SC levels of greater splanchnic
- T5-9
SC levels of lesser splanchnic
- T10-11
SC levels of least splanchnic
- T12
chapman point at right 5th intercostal space
- liver
chapman point at right 6th intercostal space
- liver and gallbladder
chapman point at left 5th intercostal space
- stomach acid
chapman point at left 6th intercostal space
- stomach peristalsis
purpose of rib raising
- normalize sympathetic tone
functions of the lymphatic system
- Purification/cleansing of tissues
Maintaining fluid balance
Defense/Immunology
Nutrition
definition of lymphangion
- the functional unit with smooth muscle, valves, and intrinsic peristalsis under autonomic (sympathetic) control; can generate enough pressure to account for intravascular lymph movement
autonomic levels to heart/lungs
- Sympathetic (T1-T5)
- Parasympathetic (Vagus)
definition of bioenergetics
- study of how endogenous and exogenous energy sources/forms influence and control living systems and their environment
definition of bioenergy
- energy produced endogenously by living systems
definition of biofield
- complex, extremely weak electromagnetic field of the organism hypothesized to involve electromagnetic bioinformation for regulating homeodynamics
definition of biofield therapy
- any therapeutic modality that interacts and changes the biofield and its manifestations
definition of bioelectromagnetics
- study of the interaction between electromagnetic fields and biological living systems.
definition of bioelectromagnetism
- inherent ability of living cells, tissues, and organisms to produce and emit electrical and magnetic fields, and the response of cells to electromagnetic fields
founder of Dynamical Medicine (fractals)
Carlisle Holland, DO
founder of CCP
- Gordon Zink
80% well people show this pattern:
OA – Left
C-T – Right
T-L – Left
L-S –Right
CCP upper cervicle
OA/AA RlSr
CCP thoracic inlet
RrSr
CCP thoracolumbar junction
– RlSl
CCP lower lumbar
RrSl
CCP piriformis spasm
-Right
CCP psoas spasm
- Left
CCP iliac crest
higher on the left
Greenmans dirty half dozen
Muscle imbalance (>95%) Type 2 SD (FRS/ERS 2:1) L-Spine Pelvic SD Pubes (75% failed backs) Short leg syndrome (65%) Innominate Shear (25%) Extended Sacrums
postures with anterior pelvis rotation
- kypholordosis and military
postures with posterior pelvis rotation
- swayback and flatback
Tonic (Postural) muscles
Facilitated
Hypertonic
Shortened
Phasic (Fast) muscles
Inhibited
Hypotonic
Weak
upper cross syndrome
Upper trap, l. scap, scalenes tight Lower trap/serratus weak Pecs short/tight Rhomboids weak Suboccipital/neck extensors/SCM tight Deep neck flexors (longus colli, cervicis) weak
lower cross syndrome
Weak glute max/tight hip flexors
Weak abs
Short e. spinae
Weak glute med, min/short TFL/QL
Anterior pelvic tilt/increased L lordosis
Hypermobility lower T/L spine
muscle firing of hip extension
Hamstrings Gluteus maximus Contra QL Ipsi QL Contra E. spinae Ipsi E. spinae
muscle firing of hip abduction
TFL
Gluteus medius
QL
E. spinae
founder of FPR
- Stanley Schiowitz
how to do FPR
- neutral, compression, ease
physiologic theory of FPR
-A sudden decrease in load on muscle spindles
Cause the Ia fibers to stop discharging
Which stops the excitatory signal being sent to motor neurons controlling the extrafusal muscle fiber (relaxes)
This resets muscle spindle reflex
founder of Still technique
- Richard Buskirk
how do to Still
- ease of motion, compression, through restriction
SC levels of superior chain ganglia
- C2
SC levels of middle chain ganglia
- C4/C5
Sc levels of inferior chain ganglia
- C6/C7
SC levels of adrenals
- T8-10
SC levels of kidneys
- T11-L1
right sympathetics to the heart innervate what
right heart and SA node
Hypersympathetic activity of these fibers predisposes to supraventricular tachyarrhythmias
left sympathetics to the heart innervate what
left heart and AV node
Hypersympathetic activity of these fibers predisposes to malignant ventricular arrhythmias.
hypersympathetic activity to the heart results in
Increased myocardial oxygen demand
Increased heart rate (chronotropy)
Increased contractility (ionotropy)
Increased cardiac irritability
Coronary artery vasospasm
right vagus innervates
- SA node
Hyperactivity of these fibers predisposes to sinus
bradyarrhythmias.
left vagus innervates
- AV node
Hyperactivity of these fibers predisposes to AV block
increased vagal tone results in
Slowing of the sinus nodal rate
Predisposition to SA nodal and AV block
SC levels associated with SD
- C6T2T6