Intro to Somatic Dysfunction

Question 1

What are the four osteopathic tenets?

Answer 1

1. The body is a unit
2. The body possesses self-regulatory mechanisms
3. Structure and function are reciprocally interrelated
4. Rational therapy is based upon the first 3 tenets

Question 2

What is somatic dysfunction?

Answer 2

Defined as the impaired or altered function of related components of the somatic system including the skeletal, arthrodial, and myofascial structures and their related vascular, lymphatic and neural elements.

Question 3

How do you diagnose somatic dysfunction?

Answer 3

TART

Question 4

What does TART stand for?

Answer 4

T: Tissue texture abnormalities
A: Asymmetry (static or active)
R: Restriction of motion
T: Tenderness

Question 5

What are some tissue texture abnormalities found in a tart exam?

Answer 5

Temperature, Drag, Texture, Edema, Bogginess, Elasticity, Dryness, Oiliness, Scars, contraction, Flaccidity, Spasm, Ropey, Stringy

Question 6

How do you diagnose Somatic dysfunction?

Answer 6

The position of a body part as determined by palpation and referenced to its defined adjacent structure.

Direction in which motion is freer= name somatic dysfunction for what it will do.

Question 7

What is acute somatic dysfunction

Answer 7

Impairment or altered function of related components of the body framework system that is characterized by one or more of the following:
Pain
Erythema
Relative warmth
increased moisture/bogginess
vasodilation
edema
tenderness
tissue contraction

Question 8

Chronic somatic dysfunction is described as?

Answer 8

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

• Itching, paresthesia, a palpable sense of tissue dryness, coolness, tissue contracture, fibrosis tenderness, pallor

Question 9

Contraction vs. Contracture

Answer 9

Contraction is the process of which a muscle becomes or is made shorter and tighter. Contracture is a fixed contraction.

Question 10

Active range of motion?

Answer 10

Patient does the moving, patient is active

Question 11

Passive range of motion?

Answer 11

Doctor does the moving, patient is passive

passive ROM is always treated than active ROM

Question 12

Physiologic barrier?

Answer 12

Limit of active motion

Question 13

What is the Anatomic barrier?

Answer 13

Limit imposed by anatomic structure

Question 14

What is the elastic range of motion barriers?

Answer 14

Range between the physiologic and anatomic barrier (end of passive motion)

Question 15

What is the restrictive barrier?

Answer 15

Functional limit that abnormally diminishes the normal physiologic range. Where motion is lost.