Function / Dysfunction Flashcards

1
Q

Somatic dysfunction

A

Impaired/altered fxn of related components of the somatic (body framework) system: skeletal, arthrodial, & myofascial structures, and related vascular, lymphatic, & natural elements

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2
Q

Somatic dysfunction is the result of

A

A stress change of the somatic tissues preventing components from returning to their resting states

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3
Q

Macro trauma/major trauma that causes somatic dysfunction

A

Accidents
Major surgery
Giving birth
Major diseases: pneumonia, abdominal diseases, ulcer, etc.

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4
Q

Microtrauma causes of somatic dysfunction

A
Gravity
Irritants to the body
Poor diet
Lack of sleep
Emotional upsets
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5
Q

Diagnosis of somatic dysfunction - TART

A

Tenderness
Asymmetry
Restriction of motion - the most common one to diagnosis
Tissue texture abnormality

Needs to be 2 or more

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6
Q

diagnosis of somatic dysfunction - STAR

A

Sensitivity
Tissue texture abnormality
Asymmetry
Restriction of motion

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7
Q

Example of tissue texture abnormality

A
Smooth/soft/rough
Localized heat/coolness
Swelling (bogginess)
Thickening
Rosiness
Stringiness
Firmness
Moisture changes
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8
Q

Can you have a somatic dysfunction on top of something else?

A

Yes

Tibia fracture (not a true somatic dysfunction) & altered musculoskeletal changes in addition to the fracture

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9
Q

Know the anatomy of a vertebrae

A

..

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10
Q

Vertebral motions

A

Flexion
Extension
Side bending (lateral flexion) - whichever side is concave is the area of side bending looking from posterior
Rotation: movement/direction of a point on anterior superior part of vertebral body

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11
Q

Motion - 2 definitions

A

A change in position w/ respect to a fixed system

An act/process of a body changing position in terms of direction, course, velocity

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12
Q

Active motion

A

Made voluntarily by patient

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13
Q

Passive motion

A

Induced by physician while patient is passive/relaxed

Typically a little bit greater than active

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14
Q

Barriers to motion

A

Limit of motion

Restriction/binding point felt when a joint is put through its range of motion

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15
Q

An accurate knowledge of normal motion is essential to

A

Diagnosis/treatment of somatic dysfunctions

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16
Q

Anatomical barrier

A

Limit of motion bc of anatomic structure; limit of passive motion

17
Q

Physiologic barrier

A

Limit of active motion; can be altered to increase range of motion by warm-up activity

18
Q

Restrictive barrier - definition & examples

A

Functional limit within the anatomic range of motion, which abnormally diminishes the normal physiologic range of motion
I.e. pain, deposits built up in joints, injury, scar tissue after surgery, swelling, tight muscle, somatic dysfunction

19
Q

Pathological barrier

A

Permanent restriction of joint motion associated with pathologic change of tissues (ex: contracture, osteophytes)

The permanent version of a restrictive barrier
(Injury that didn’t heal correctly, congenital issues, disc fusion

20
Q

Elastic barrier

A

Range b/w physiologic and anatomic barrier of motion in which passive ligamentous stretching occurs before tissue disruption

Stretching of ligaments between physiologic and anatomic

21
Q

The best way to treat a somatic dysfunction is to treat it…

A

Mechanically

22
Q

Osteopathic Manipulative Treatment

A

Therapeutic application of manually guided forces by an osteopathic physician to improve physiologic function and/or support homeostasis

23
Q

Osteopathic Manipulative Medicine

A

Application of osteopathic philosophy, structural diagnosis and the use of OMT in the diagnosis and management of a patient

24
Q

Direct technique

A

Engages the restrictive barrier & then carrying the dysfunctional component toward/through the restrictive barrier

25
Q

Indirect technique

A

Manipulative technique where the restricted barrier is disengaged; the dysfunctional body part is moved away from restrictive barrier until tissue tension is equal in one/all planes/directions
More gentle
Use on patients w/ osteoporosis, if you don’t want to stress the area, frail/elderly, if too much pain