Introduction to Somatic Dysfunction Lecture Flashcards

1
Q

4 osteopathic tenets

A

body is a unit

body possesses self regulatory mechanisms

structure & function are reciprocally related

rational therapy is based on an understanding of body unit, self-regulatory mechanisms, & inter-relationship of structure & function

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2
Q

somatic dysfunction

A

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

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3
Q

consequences of somatic dysfunction

A

scoliosis-dysfunction of heart/lungs (change in anatomy)

interactions between vertebra & nerves they protect may cause change in visceral function

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4
Q

to diagnose somatic dysfunction

A

TART

tissue texture
asymmetry
range of motion
tenderness

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5
Q

Tissue Texture Abnormalities

A

temp, drag, texture, edema, bogginness, elasticity, dryness, ropey, stringy, scars, spasm

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6
Q

How do you diagnose somatic dysfunction?

A

position of body part determined by palpation & referenced to its defined adj structure

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7
Q

How do you name a somatic dysfunction?

A

name somatic dysfunction for what it WILL do

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8
Q

elbow extended somatic dysfunction

A

elbow will extend, limited to flexion

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9
Q

Acute Somatic Dysfunction

A
pain
erythema
relative warmth
increased moisture
vasodilation
edema
tenderness
tissue contraction
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10
Q

Chronic Somatic Dysfunction

A
itching
paresthesia
palpable sense of tissue dryness
coolness
tissue contracture
fibrosis tenderness
pallor
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11
Q

Contraction

A

process of which a muscle becomes or is made shorter & tighter

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12
Q

Contracture

A

abnormal, sometimes permanent contraction of muscle

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13
Q

Acute Tissue Texture Abnormalities

A
erythematous
hot
bogginess
edema
spasm
tissue contraction
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14
Q

Chronic Tissue Texture Abnormalities

A
pale
cool
ropey
stringy
scar
doughy
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15
Q

How do you treat somatic dysfunction?

A

OMT (osteopathic manipulative treatment)

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16
Q

OMT

A

therapeutic application of manually guided forces by osteopathic physician to improve physiologic function and/or support homeostasis that has been altered by somatic dysfunction

17
Q

ROM

A

active: pt does the motion
passive: physician does the motion

18
Q

Physiologic barrier

A

limit of active motion

19
Q

Anatomic barrier

A

limit imposed by anatomic structure (if go past, leads to break or injury)

20
Q

Elastic range

A

range of motion between physiologic & anatomic barrier

21
Q

Restrictive barrier

A

functional limit that ABNORMALLY diminishes the normal physiologic range

22
Q

Indications for OMT

A

somatic dysfunction

visceral dysfunction

23
Q

Why OMT?

A

OMT has been demonstrated to be effective in improving physiological functions using certain pt populations w/ clearly defined conditions

24
Q

OMT Contraindications

A

no somatic dysfunction

pt does not consent

inappropriate clinical situation (emergent)

25
Q

Avoiding Post-OMT Symptoms

A

History & PE (ascertain avoidable risks)

appropriate choice of technique (risk v benefit)

appropriate application of technique

hydration & rest