Lecture 1: Osteopathic Thinking and the 5 Models

Question 1

What are the 5 joint mobilization methods?

Answer 1

1. Direct
2. Indirect
3. Combined
4. Physiological
5. Exaggeration

Question 2

What are the anatomical correlates of the Biomechanical model?

Physiological functions?

Answer 2

• Postural muscles, spine and extremities
• Posture and motion = physiological functions

Question 3

What are the anatomical correlates of the Respiratory-Circulatory model?

Physiological functions?

Answer 3

• Thoracic inlet, thoracic and pelvic diaphragms, tentorium cerebelli, costal cage
• Respiration, circulation, venous and lymphatic drainage

Question 4

What are the anatomical correlates of the Metabolic-Energy model?

Physiological functions?

Answer 4

• Internal organs and endocrine glands
• Metabolic processes, homeostasis, energy balance, regulatory processes; immunological activities and inflammation and repair; digestion, absorption, removal of waste; reproduction

Question 5

What are the anatomical correlates of the Neurological model?

Physiological functions?

Answer 5

• Head (organs of special senses), brain, spinal cord, ANS, and peripheral nerves
• Control, coordination, and integration of body functions; protective mechanisms; sensation

Question 6

What are the anatomical correlates of the Behavioral model?

Physiological functions?

Answer 6

• Brain
• Psychological and social activities i.e., axiety, stress, work, family
• Habits i.e., sleep, drug abuse, sex, exercise
• Values i.e., attitudes and beliefs

Question 7

What are the 3 major systems which interface to produce SD?

Answer 7

1. Fluid dynamics
2. Nervous system
3. Biomechanical

Question 8

3 main steps for approaching systemic disease with concerns of fluid congestion?

Answer 8

1. Delineate the drainage pathway for the area, viscus joint, or other area and follow this to its terminal drainage
2. Describe/portray the anatomic/physiologic ‘choke points’ that may impede drainage
3. Suggest OMM interventions that may assist in fluid drainage

Question 9

3 main steps for approaching systemic disease with nervous system concerns?

Answer 9

1. Delineate the innervation for the area, viscus joint, or other. Follow its course to the spinal cord
2. Describe anatomic factors/influences along course of innervation that change the SNS function
3. Suggest possible OMM interventions that may assist in normalization of the nervous system

Question 10

3 main steps for approaching systemic disease with relevant biomechanical concerns?

Answer 10

1. Delineate the local and regional biomechanical concerns
2. Delineate the inter-regional biomechanical concers
3. Suggest possible OMM that may assist in normalization of biomechanical influences

Question 11

3 main steps for approaching systemic disease with visceral concerns?

Answer 11

1. Delineate the innervation/vascular/lymphatic elements for the visuc relevant to the pt problem. Follow its course to related anatomic sources.
2. Describe the anatomic factors/influences along the course of innervation/vascular/lymphatic elements that can change visceral function
3. Suggest possible OMM interventions thar may assist in normalization