Loss of Motion Flashcards
What is abnormal motion?
Loss of motion
Aberrant quality of motion
Excessive range of motion
Asymmetry of paired motion
How loss of motion affects a person?
Through changes in: behavior nutrition environment soma ( altering another part of the body to compensate for dysfunction
Etiologies of motion restriction
Reversible ( Muscular, fascia, articular, edema)
Irreversible
Muscular motion restriction
Hypertonicity on a muscle
Muscle contracture
Muscle spam
Etiologies of muscular hypertonicity and cramp
Pregnancy Post-exercise Muscle strain Ischemia neurological metabolic derangement
What is muscle strain?
Muscle stretched beyond its physiological limit
In acute stages respond well to myofascial release, reciprocal inhibition, counter strain
Ischemia
Muscle cramp is caused by arterial obstruction because of same muscle hypertonicity
Metabolic derangement
Altered chemical environment for cell, OMT may provide temporary relief but not permanent
Etiology of Fascial motion restriction
Fascial contracture ( physical shortening of fascia)
Effects of Fascia contracture
1-Neural ( Neural entrapments)
2-Circulatory ( compression of thin walled veins and lymphatics)
3- Biopsychosocial ( Pain and deformity affect self- image)
Why to know the etiology of motion restriction?
to help reverse the pathophysiology of the process whenever possible.
Even when the etiology of restriction cannot be changed, OMT may be of benefit to the patient through improving functional abilities and reducing pain.
Symptom Exacerbation
May not tell you the exact disease but can point you in the direction of the tissue involved as the pain generator.
Symptom Exacerbation Cervical Spine
1-Flexion
Disc Herniation
Posterior Muscle Injury or Hypertonicity
2-Extension
Facet Joint Disease
Anterior Muscle Injury or Hypertonicity
3-Sidebending
Trapezius & Levator Scapulae
4-Rotation
Splenius Capitis & Cervicis, Sternocleidomastoid
Symptom Exacerbation Thoracic Spine
1-Flexion
Posterior Paraspinal Muscles
Shoulder Girdle Muscles
Disc Herniation
2-Extension
Facet Joint Disease
3-Sidebending
Intercostal muscles
Serratus Anterior Muscle
4-Rotation
Abdominal Obliques
Symptom Exacerbation Lumbar
1-Flexion
Disc Herniation
Lumbar PVM
Lumbosacral Ligaments
2-Extension Spondylolisthesis Facet Syndrome Spinal Stenosis Psoas Spasm
3-Sidebending
Lateral Abdominal Wall
Iliotibial Band Syndrome
4-Rotation Discogenic Pain Abdominal Obliques Iliolumbar Ligaments Piriformis Syndrome
