Lesion Mod 1 Questions Flashcards

1
Q

What did A.T Still consider when naming his newfound method of treating?

A

“Still considered the words “pathology” and “bone” after examining the Greek word Osteon (Bone) and Pathos (Suffering). He coined and adopted the word “Osteopathy.” (pg.3)”

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2
Q

When was the first College of Osteopathy established and where was it charted.

A

The first college of osteopathy was established in 1892.

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3
Q

What was the statutory definition of medicine and osteopathy?

A

“The system, method, or science of treating diseases of the human body, commonly
known as osteopathy, and as taught and practiced by the American School of Osteopathy of Kirksville,

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4
Q

What is the definition of Osteopathy as a school of medicine?

A

“Osteopathy is a complete system of therapy based on two fundamentals; (1) the
normal, living body creates its own remedies against infection and other toxic agents; (2) the body is a vital machine, and correct adjustment is necessary if these remedies are able to be created and applied where needed.”

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5
Q

What is Osteopathic diagnosis comprised of?

A

The osteopathic diagnosis comprised physical
examination of the entire body- Skeletal, somatic, and visceral, nervous, and glandular, its distinguishing feature being an intensive search for and study of the osteopathic lesion. Physical findings, chemical, x-ray and other laboratory procedures have a definite place in osteopathic diagnosis. Osteopathy includes the treatment of diseases of women and children, of the eye, ear, nose, throat, and other special parts of the body. From its inception, obstetrics and surgery have been part of osteopathy. (Pg.6)”

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6
Q

According to the American illustrated Medical Dictionary, what is the definition of osteopathy?

A

“That system of healing art that places the chief emphasis on the structural integrity of the body mechanism, as being the most important single factor to maintain the well-being of the organism in health and disease. (Pg.7)”

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7
Q

What is the osteopathic concept?

A

The body produces its own healing substances.” 2, “Health depends on structural integrity.” 3, “Perverted structure is a fundamental cause of disease.”

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8
Q

In 1892, A.T Still wrote “Osteopathy as a philosophy is unanswerable, ________.

A

“Osteopathy as a philosophy is unanswerable, and as a system of healing disease it has no equal.

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9
Q

List 10 things to discuss the osteopathic concept.

A

The normal living body creates the forces and fluids necessary for its growth and
life and for its protection against disease. It manufactures the remedies and forces
necessary for its own recovery from the effects of disease and injury.”

b. “The body is a vital machine and must be in correct structural adjustment.”

c. “A tendency to normal is a constant factor and may, unaided, be all that is necessary
to restore health.”

d. “Injury and disease may attack certain parts with such force that the body cannot,
unaided, bring about a return to normal.”

e. “Nerves controlling all tissues of the body are in intimate relation with spinal cord
centers; therefore, examination into the nature of body disorders, leads to the spine
and to the tissues of the spinal joints.”

f. Pathological conditions, functional or organic, mechanical or chemical, nervous or
mental, may be caused or aggravated by the osteopathic lesion.”

g. “A traumatic joint-lesion as the direct cause of disorder is frequently found.”

h. “Either with or without the presence of a traumatic joint lesion, a reflex spindle
lesion usually results from any disease or injury.”

i. “Further, as soon as such reflex spinal lesion is established, it of itself becomes
causative of disorder in that part or in some other part of the body.”

j. “Manual adjustment of the spinal and extra-spinal joints and other parts of the body
as indicated and is effective.”

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10
Q

What was A.T Still’s discovery of the spinal joint lesion?

A

The spinal-joint lesion, which fitted directly into his concept of health and disease.

“Any alteration in the normal position or excursion of the bony tissues of a spinal joint. (Pg.11). 2; “any alteration in the normal functioning of the soft tissue (muscle, ligaments, nerves, capillaries, nerve centers and ganglia) of the joint, which causes or is caused by, local or remote tissue disturbances.

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11
Q

What did H. I. Magoun say about the Sacro-iliac joint?

A

In my experience the Sacro-iliac lesion causes much tonic tension and many reflex
symptoms; lesions of the feet and of the acromioclavicular joints to a lesser degree

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12
Q

What is Hulett’s definition of the osteopathic lesion?

A

The Osteopathic lesion is any structural perversion which by pressure produces or
maintains functional disorder.

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13
Q

According to the signs and symptoms of the osteopathic lesion, what are perversions of movement?

A

An osteopathic lesion is a functional perversion of a freely movable articulation within or beyond its physiological range but at all times, within its anatomical limits. (Pg.18)”

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14
Q

What are deductive signs of an osteopathic lesion?

A

“a disease process discovered remote from the spine is an indication to search for spinal lesions as an etiological factor. (P.25)”

If the disease is functional or organic, we search for:
- First a causative bony lesion
- second a reflex lesion complicating the bony.

If the disease is acute infectious, we search for:
- First a reflex lesion as a result
- second a bony lesion complicating and reflex. (P.25)”

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15
Q

What are the Objective signs of the osteopathic lesion?

A

1) Rigidity of vetebral joints, (Musc/Lig/Fascia)
2) Malpostions of bone
3) Perversion of Mvmt (Amount, Direction, Position)
4) Thicking of deep tissues (Oedema, Fibrotic)
5) Contracture
6) Contraction
7) Impaired resilience of joint
8) Posture stress
9) Localized edema
10) Redness
11) Palor/ Col
12) Dialation
14) Rough skin
15) Relaxartion of spine

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16
Q

What is the Osteopathic greater lesion complex?

A

“The osteopathic greater lesion complex (the physiological lesion) is a term that includes disturbances in all the segmentally related tissues: nervous, glandular, vascular, somatic, and visceral, wherever found in the body and influenced by abnormal reflex stimuli. (P.26)”

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17
Q

What does the term spinal lesion or spinal joint refer to?

A

“The term spinal lesion or spinal joint lesion refers to lesion pathology between
adjacent vertebra, or between a vertebra and occiput, the pelvis, or a rib. (P.26)”

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18
Q

What does the term articular lesion refer to?

A

The term articular lesion refers to lesion pathology in one of the several
articulations within a spinal joint. (P.26)”

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19
Q

What position is the tip of the spinous process in a flexion lesion?

A

“the spinous process is raised and separated from the tip below which causes it to be prominent and appear posterior- the posterior lesion. (26)”

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20
Q

What term is given if the upper of the two vertebra is forcibly side bent?

A

If the upper two vertebra is forcibly rotated (with side-bending following), we have a rotation side-bending lesion. If the upper of the two vertebra is forcibly side-bent (with rotation following), we have a side-bending rotation lesion. (26)”

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20
Q

What is a bony lesion?

A

The bony lesion is the lesion presenting a deviation in bony alignment. It is usually
of traumatic origin.

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21
Q

What are the signs of a group lesion?

A

When two or more adjacent spinal joints are affected with lesion symptoms of
similar nature, we speak of the presence of a group lesion. Rigidity and malposition are prominent signs of this lesion.

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22
Q

What are the 4 classifications of rib lesions?

A
  1. The Intervertebral lesion with rib involvement.
  2. The intervertebral lesion in the 2nd to 9th Dorsal region, without rib involvement is not found.
  3. The rib lesion with intervertebral joint involvement.
  4. The rib lesion without intervertebral joint involvement.
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23
Q

What causes secondary lesions?

A

Reflex lesion, Complimentary, supplying a deficency 27

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24
Q

What are the three classifications of lesions?

A
  1. Fixed, requiring manipulation to
    produce flexibility.
  2. Hypermobile, requiring rest, fixation, and constitutional treatment.
  3. Normally movable, (apparently) but having other lesion symptoms
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25
Q

Tissues of the field of influence of the reflex arcs which are disturbed by a lesion are conveniently referred to by the term ________?

A

Locus Minoris Resistentiae

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26
Q

How are spinal lesions named?

A

The location of a lesion it is named for the upper, or supported vertebra of the two involved.

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27
Q

In the OA lesion, what are the findings of a lateroflexed or rotated OA joint?

A

This lesion is one in which the occipital condyle on the same side of the produced convexity passes super-laterally and posteriorly and the occipital condyle on the side of the concavity passes infero-medially and anteriorly.

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28
Q

What is a torsioned Sacro-iliac lesion?

A

Condition in which the sacrum is rotated between the ilia around an axis which approximates the longitudinal axis of the sacrum.

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29
Q

What are Clavicular lesions?

A
  1. Anterior Clavicle when the superior aspect of the clavicle is rotated anteriorly. 2. Posterior Clavicle when the superior aspect of the clavicle is rotated posteriorly. These terms, anterior and posterior, apply to the sternoclavicular and to acromioclavicular lesions.
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30
Q

What are Clavicular lesions Where are they?

A

The clavicle can be in lesion at both ends simultaneously, or it can be lesioned at
either end independently of one another.

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31
Q

What are the four greatest classes of Osteopathic spinal lesions?

A

(1) To their cause
(2) Respeci to their age

“there are two great classes of spinal lesions, (1) traumatic and (2) Reflex. (P.35)” In the age category “there are two other great classes, (3) Acute and (4) Chronic.. (Either traumatic or reflex)

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32
Q

What are the characteristics of a traumatic lesion?

A

“Instantly upon its formation, has reflex symptoms caused by impulses from spinal cord centers in relation. The traumatic lesions may be either acute or chronic

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33
Q

What is a characteristic of a chronic lesion?

A

“The Chronic lesion is often the result of several acute lesions having at various intervals succeeded one another in certain segments. (P.36)”

Fibrous Contracture, Cumulative formation of fibrotic tissue in muscle fascilui and in ligament fibers

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34
Q

What is a fibrous contracture?

A

repeatedly occurring in the tissues of a certain joint is cumulative, and formation of fibrous tissue in muscle fasciculi and ligament-fibres is stimulated.

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35
Q

What is a causative lesion?

A

“The traumatic
lesion is sometimes called the causative lesion

reflex lesion becomes causative as soon as it is formed. If it were not, it would not be an osteopathic lesion.

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36
Q

Are bone malposition’s more frequent in traumatic or reflex lesions?

A

Traumatic

37
Q

What are Subjective symptoms of traumatic lesions?

A

Sensitive points
Fatigue in back
Functional capacity impaired
History

38
Q

What are signs of disturbance in the spine?

A

Rigidity in muscles of the joint, Malposition of bony parts

Symptoms: Tender points in the muscle (especially over articular facets)

39
Q

What are a few examples of chronic effects?

A

Short segmental muscles are tense, bony parts malpositioned, perversion of movement and posture

40
Q

What are the effects of a reflex spinal lesion?

A

“reflex motor stimuli from
irritated nerve endings in remote tissue.

Examples: “Disturbances in nerve impulses leaving the segments, and Acute postural stresses. (P.41)

41
Q

What are some examples of reflex lesions in functional disease?

A

In the sub-occipital regions by eye strain.

In the cervical and dorsal regions by pathological worry of fear. (P.42)”

42
Q

What are some examples of reflex lesions in organic disease?

A

In the mid-dorsal region by gastric ulcer

At the 12th dorsal by uterine and ovarian inflammation. (P.42)”

43
Q

What are some examples of reflex lesions in toxic conditions of blood?

A

“By pathological worry or fear”

By absorption of toxins from the digestive tract, from devitalized teeth, from diseased tonsils

44
Q

Give some examples of effects on the spinal disc when the bone is diseased.

A

“Tuberculous: Disc Destroyed,

Carcinoma: metastatic disc intact

Sarcoma: Disc soon attacked,

Myeloma: tumor of bone marrow. Old age, usually women.

45
Q

What are 3 examples of bone being produced by disease?

A

Arthritis, Syphilis, Benign bone tumors.

46
Q

What are some congenital deviations from so-called “Normal”?

A

Spinal Bifida, Supernumerary ribs, Variation in number of vertebrae, Sacralization of the 5th lumbar vertebra, Ankylosis of the 5th lumbar vertebra on the sacrum, Ankylosis of two or more vertebra, Various other deformities.

47
Q

What are signs of Kummell’s disease?

A

“Kummell’s disease: old age, discs intact.” “Wedge vertebra found long after a trauma. (P.44)”

48
Q

Where can fractures of vertebra occur?

A

If a disc remains intact a fracture can occur at the

“(1) Body, (2) Spines, (3) Transverse Processes, (4) Laminae.

49
Q

When is force applied to a spinal lesion more damaging?

A

Torsionally applied (49)

50
Q

What happens to the receptors in the facet surfaces and in the muscles and ligaments of the joint with a spinal lesion?

A

Receptors in the facet surfaces and in the muscles and ligaments of the joint receive abnormal (continuous) irritation from the pressure of abnormal position and from pressure of tension in the muscle and ligaments.

51
Q

What are the changes to the impulses from these receptors?

A

Impulses, abnormal in quality, * volume, intensity, persistence, or continuousness,
stream from these receptors in through the foramen of the intervertebral foramina to the nerve centers of the related spinal cord segment

52
Q

What happens to vasomotor signals as abnormal impulses pass out from the cord to the joint muscle fibres?

A

Abnormal vasomotor impulses are passing to all the blood vessels of the joint.

53
Q

What are the causes of nerve ending irritations?

A

Toxic chemical products irritating nerve endings

Pressure of edema

54
Q

What is diapedesis as described by Louisa Burns?

A

Seepage of blood corpuscles into the space about the congested capillaries.

55
Q

What happens to the receptors due to this pressure?

A

The sensitivity of receptors and the conductivity of nerve-fibrils are altered by the change in pressure and also by the chemical change in lymph.

56
Q

What did McManis believe would happen when recepors experience pressure?

A

Insulation of nerve-fibers in the lesion is dusturbed, causing a disturbance in the Distribution of impulses

57
Q

What does abnormal pressure to receptor nerve endings and pressure on the capillaries in the joint tissue cause? (7) (A,O,L,O(e), I,H,F)

A

1) abnormal Pressure
2) Obstructed blood supply
3) Lowered alkalinity
4) Oedema
5) Intracellular pressure
6) Hemmorage
7) Fibrosis

58
Q

Wallace M. Pearson finalizes his summary with

A

“Many remedial
measures are unsuccessful because the pathology and abnormal tension of the osteopathic lesion are not relieved. The removal of this pathology and these tensions is in the work of the osteopathic physician. (P.51)”

59
Q

What is the cause of the abnormal nerve flow from a lesioned segment? (rinciple troublesome factor in all osteopathic lesions. - Who said this?)

A

The abnormal nerve impulses pouring out to the muscles of the joint, producing in the involuntary muscle-fibres an abnormally high and continuous tonic tension, constitute, according to V. E. LeRoy, the principle troublesome factor in all osteopathic lesions.

60
Q

What two kinds of fibres are voluntary muscles are made up of? (Who said?)

A

Pottenger

(1) those
that respond to voluntary nerve messages

(2) those that respond to involuntary message

61
Q

What is a contraction?

A

“Contraction is a shortening of the voluntary fibres in a muscle. Muscles can remain so but a short time owing to the possibility of exhaustion. The shortening results from the fusion of a series of simple muscle twitches. The simple muscle twitch is the “unit of contraction” and represents the complete discharge of energy of a muscle cell. (P.52)”

62
Q

What is a contracture?

A

“a shortening of
involuntary fibres in a muscle. They can remain in this condition indefinitely. The longer they remain so, the more fixed is the contracture. (P.52)”

63
Q

What does Howell say about Contracture?

A

“Contracture”
is meant a state of maintained contraction, or, looking at it from another point of view, a state of retarded relaxation. In contracture the muscle is held in a state of maintained contraction of tonicity. (P.52)

64
Q

What kind of stress causes mal adjustment in spinal tissues too great to be automatically returned to normal?

A

Mal adjustments in the spinal tissues that are too great to return to normal is a result of stress that is either

(1) too sudden and unexpected
(2) too great in force
(3) applied over a too long period of time
(4) applied torsionally. (P.53)

65
Q

What does Trenery say about fractures to the lumbar transverse processes?

A

“Fractures of the lumbar transverse processes due solely to muscular activity are consistently to be watched for; and that he has found a number of them.

66
Q

What did Albert E Guy say about the results of force being directly applied?

A

Fracture, Dislocation, or contusion is likely to occur

67
Q

What may trauma be? What does trauma imply?

A

“Trauma” implies that a force is too great for the structure of that joint normally to
meet with safety is delivered directly to it by muscles or is passed along to it by and through ligaments. (P.54)”

68
Q

What are the 2 causitive factors of spinal joint trauma?

A

Trauma, and Reflex irritions

69
Q

What are three ways sudden violence can be delivered to the bones and other tissues?

A

(1) through contracting muscles. It may also be delivered

(2) through the anatomical lever of the spinal ligament with the muscles relaxed, or it may be transmitted

(3) through spinal bones.

70
Q

How does prolonged strain act in creating a spinal lesion?

A

1) Directly through the anatomical lever of spinal ligaments and bones or, as more common

(2) through prolonged repetition of contractions in voluntary, superficial, back muscles.

71
Q

What are the immediate results of abnormal strain in the spinal joint?

A

(1) violent rotational-side-bending of a vertebra upon the vertebra below

(2) articular processes move to or beyond the normal range

(3) facet surfaces become “angulated”

(4) involuntary fibers in the short, deep, intrinsic muscles of the joint instantaneously go into an abnormal degree of tonic shortening and so remain.

72
Q

What happens to a rib when it is in lesion?

A

When a rib head is in lesion with a vertebral body or when a rib tubercle is in lesion with a transverse process, the rib “rolls” in its position and the articular surface on the rib becomes “Angulated.”

One side of the bone is approximated to and impinhes on the articulating surface of another

73
Q

What produces most traumatic spinal lesions?

A

“Most traumatic spinal lesions as seen in practice, have been produced by force applied by one or more of the heavy groups of back muscles and localized in a certain section or in a single spinal joint. This muscle force is made possible by and comes through the legs and arms.

74
Q

What happens after in the twist if a fall to the heavy long muscles of the back when they contract to pull the falling torso back into position?

A

In the twist of a fall the heavy, long muscles of the back contract to pull the falling torso back into position.” (P.56)

75
Q

What does powerful outside force applied to one part of the body cause when the spinal muscles are relaxed pass through?

A

A powerful outside force applied to one part of the body when the spinal muscles are relaxed through the spinal ligaments to a joint whose auricular facets receive and angular twist; and before the intrinsic muscles of the joint can contract to protect the joint, rotation-side-bending goes too far and articular facets are forced out if normal apposition and are angulated, one upon another.”

76
Q

What does rapid cooling or exposure of the back chilling drafts cause?

A

The rapid cooling or the exposure of the back to chilling drafts, acting through nerve receptors in the skin, in muscles, or in blood vessels, is in some instances the cause of abnormal tension is too high tonic shortening of the involuntary fibres in deep, intrinsic, spinal joint muscles. (P.57)”

77
Q

What are the possible results of a too forceful or an uncontrolled thrust given to a spinal joint?

A

A too forceful or an uncontrolled thrust given a spinal joint by the hand of a physician not osteopathically trained in diagnosis and treatment is not uncommonly the cause of a spinal lesion or of the serious irritation of an existing lesion. (P.57)”

78
Q

What is Strain?

A

“Strain is effort exerted on a bone and through it to ligaments and muscles.

79
Q

Where can Sprain occur?

A

“Sprain may happen in muscle tissues, in subflavous, longitudinal, and rib head ligaments,

80
Q

Can a Sprain occur in the capsule?

A

Undetermined

81
Q

What are predisposing causes of lesions?

A

“Trauma of an earlier period of life has left a disability in the tissues of the joint and has prepared. It to be the site of the lesion.

Inherent weakness at certain points in the spine together with the injuries of childhood are predisposing factors to spinal lesions.

82
Q

What happens to blood vessels and nerve fibrils if rupture occurs between ligaments or muscle fibres?

A

If rupture of the fibers occurs, then blood-vessels and nerve fibrils also must be ruptured.

If the trauma is twist and strain, the pressure developed must act directly on blood vessels and nerve endings within the substance of the muscle or ligament.

83
Q

What does normal motion of the spine mean?

A

Normal motion in a spinal joint means that the joint can flex, extend, side-bend, and rotate through the movements required of it that the bones of the joint adjust themselves baturally un the sinus cerves of the spine

84
Q

When does a gross lesion cause problem?

A

stress, or mal- alignment, present when the patient is at rest in a reclined position.

85
Q

What does compensation mean?

A

When a joint is prevented by any cause from taking a normal position, joints above and below are called upon to compensate by adding to their function the lost function of the lesioned joint. (P.60)”

86
Q

Why does compensation lead to secondary lesions?

A

“are not always able to do without themselves showing the effects of too great stress.” (P.60)

87
Q

What are six characteristics of perverted movement?

A

Muscular tension, Ligamentous rigidity, Malposition of bony parts, Perversion of movement, Perverted nerve activities, Vascular stasis or oedema.

88
Q

What are characteristics of perversion of movement?

A

(1) deficient
in amount, (2) restricted in certain directions, (3) restricted in certain positions, and (4) there may be relaxed tissues and too free movement. (P.61)”

89
Q

What is the cause of limitation of movement in most spinal lesions?

A

“limitation of articular motion is not primary but secondary to muscular tension and to a disarrangement of coordination in the four opposing groups of spinal muscles- right and left, anterior and posterior. (P.61)”