Midterm Quick Facts Flashcards

1
Q

What are the 5 osteopathic models?

A
  1. Biomechanical (bones, muscles, tendons, ligs, fascia)
  2. Neurologic (brain/spinal cord)
  3. Respiratory/Circulatory (cardio, lymph, HEENT, genuri)
  4. Metabolic/Energy/Immune (lymph organs, endocrine)
  5. Behavioral (Biopsychosocial)
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2
Q

What stretch do you perform for pain in base of neck?

A

Levator Scapulae Stretch

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3
Q

What stretch do you perform for 1st/2nd rib SD?

A

Scalene Stretch

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4
Q

What stretch do you perform for Shoulder Extension SD?

A

Prayer Stretch Latissimus Dorsi

  • put elbows together, increase lumbar lordosis
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5
Q

What stretches can you perform for Shoulder Internal Rotation SD?

A
  1. Subscapularis (Gravity) Stretch
    • ER against gravity (inhale/exhale 3-5 cycles)
  2. Pec. Major/Minor Stretch
    • hold 10-60s
  3. Scapular Retraining
    • retrain rhomboids (chin tuck inc. stretch)
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6
Q

What stretch do you perform for Hip Flexion SD?

A

Iliopsoas/Rectus Femoris Stretch

- dorsal foot on table, dip and thrust hips forward

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7
Q

What stretch do you perform for Hip Adduction SD?

A

Lower Extremity Adductor Stretch

- arch back against wall, put feet together and abduct knees

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8
Q

What stretch do you perform for Gluteus Medius/Ab/Adductor Strengthening?

A

Clamshell Exercise

- lat. recumbant, repeat 10-15x

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9
Q

What stretch do you perform for pain/tenderness in buttock and posterior leg?

A

Piriformis Stretch

- supine, pull knee across extended leg

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10
Q

What stretch do you perform for Lumbar Sidebend SD or lower back pain?

A

Quadratus Lumborum Stretch

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11
Q

What is the Trendelenburg Sign?

A
  • weak abductors cause contralateral hip to drop
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12
Q

Stretch Guidelines

A
  • perform after workout
  • hold 10-30s or 30-60s for older adults
  • perform 2-3x/3x per week
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13
Q

Exercise Guidelines

A
  • repeat exercise 8-12x per set
  • 1-3 sets/3x per week
  • focus on technique

GOAL: perform exercise continuously for 3 minutes

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14
Q

What is somatic dysfunction?

A
  • impaired/altered function of related components of the somatic bodywork (skeletal, arthrodial, myofascial) and their related components (vascular, lymphatic, neural elements)
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15
Q

Physiological Barrier, Elastic Range, Anatomic Barrier

A

Physiological - end of active ROM

Elastic Range - between AROM and PROM

Anatomic - end of passive ROM

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16
Q

What is a restrictive barrier?

A

functional limit that abnormally diminishes normal physiological range

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17
Q

OMT Contraindications (3)

A
  1. NO somatic dysfunction
  2. NO patient consent
  3. inappropriate clinical setting
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18
Q

What are the 4 osteopathic tenants?

A
  1. The body is a unit
  2. The body possesses self-regulatory mechanisms
  3. Structure and function are reciprocally interrelated
  4. Rational treatment is based on principles 1-3
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19
Q

End Feel of Range of Motion:

  1. Elastic
  2. Abrupt
  3. Hard
  4. Empty
  5. Crisp
A
  1. rubber band
  2. osteoarthritis or hinge joint
  3. Somatic Dysfunction
  4. voluntary guarding (pt. doesn’t allow motion bc pain)
  5. involuntary guarding due to pinched nerve
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20
Q

What are the major criteria of the Brighton Score used to assess Ehlers-Danlos Syndrome?

A
  1. Beighton Score of >/= 4

2. Arthralgia for 3+ months in 4 joints

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21
Q

What are the 4 options for positive diagnosis of Ehlers-Danlos Syndrome?

A
  1. 2 major criteria
  2. 1 major and 2 minor criteria
  3. 4 minor criteria
  4. 2 minor criteria and a 1st relative who has the disease
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22
Q

What is Newton’s Third Law?

A

when 2 bodies interact, the force exerted by one is equal in magnitude and opposite in direction of the forces exerted by the other

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23
Q

What is Hooke’s Law?

A

the strain placed on an elastic body is proportional to the stress placed upon it

24
Q

What is Wolff’s Law?

A

bone will develop according to the stresses placed on it

25
Q

What is Sherrington’s Law?

A

when an agonist receives an impulse to contract, its agonists receive impulses to relax

26
Q

Hysteresis

A

energy loss from difference between loading and unloading characteristics

27
Q

What are the 4 fascial layers?

A
  1. Pannicular Fascia - outermost
  2. Axial/Appendicular - surrounds muscles, bones, tendons
  3. Meningeal - surround nervous system
  4. Visceral - surrounds body cavity
28
Q

What are the 2 ABSOLUTE contraindications for Myofascial Release and INR?

A
  1. absence of SD

2. lack of patient consent

29
Q

What are 3 indications for MFR/INR?

A
  1. somatic dysfunction
  2. when muscle energy is contraindicated
  3. when counterstrain may be difficult secondary to patient inability to relax
30
Q

What are the levels of the 4 transition zones?

  1. Tentorium Cerebelli
  2. Thoracic Inlet
  3. Thoracolumbar Diaphragm
  4. Pelvic Diaphragm
A
  1. OA, C1, C2
  2. C7, T1
  3. T12, L1
  4. L5, Sacrum
31
Q

What are the 5 indications for Articulatory Techniques?

A
  1. arthritic patients
  2. elderly/frail
  3. critically ill, post-op patients
  4. infants or very young patients
  5. patient unable to cooperate with instructions
32
Q

What are 5 factors that negatively influence Successful Muscle Energy?

A
  1. contract too hard
  2. contract in wrong direction or counterforce in wrong direction
  3. sustain contraction for too short a time
  4. not providing accurate instructions
  5. do not relax appropriately
33
Q

Eccentric Contraction vs Concentric Contraction

A

Eccentric - lengthen muscle

Concentric - shorten muscle

34
Q

Isotonic, Isokinetic, Isolytic, Isometric Contractions

A

Isotonic - Ecc/Con against constant weight

Isokinetic - concentric contraction w/ joint motion at constant rate/speed

Isolytic - eccentric contraction where concentric muscle contraction is overpowered by stronger counterforce

Isometric - muscle maintained at constant length (NEITHER ECCENTRIC NOR CONCENTRIC)

35
Q

Marcelino Oliva and William G. Anderson

A

MO: 1st minority AOA Pres (1988-1989)

WGA: 1st african american AOA president (1994-95)

36
Q

Who is Barbara Ross-Lee?

A
  • 1st female dean of a medical college (Ohio University)

- 1st DO to win Robert Wood Johnson Health Policy Fellowship

37
Q

Who is Mamie Johnston?

A
  • first graduate from KCCOS (1917)
38
Q

Who is Louisa Burns?

A
  • worked in histology and postulated CT model of somatic dysfunction
39
Q

Who is Jeanette Bolles?

A
  • 1st woman to receive the DO degree
40
Q

What year were DOs accepted into the military and who was the first?

A

1966

  • Harry J Walter
41
Q

What year did KCCOS change its name?

A

1980

42
Q

What year did the California Incident happen and what was the cause? What year did the AOA win its court battle against California?

A

1961

  • prohibit DO licenses, DOs become MDs with 12 weekend, $65 class
  • licenses were NOT recognized outside the state
    1974: Cal Supreme Court reinstated DO licensing
43
Q

What was the first free-standing, state funded DO college?

A

Oklahoma State University (1972)

44
Q

What year were osteopathic residencies first approved?

A

1947

45
Q

1917-1918 Influenza Pandemic

A
  • osteopathic care had a 0.25% mortality rate compared to MD 10% mortality rate
  • nationally publicized data
46
Q

What year was the KC COS established and by what two men?

A

1916

  • A.A. Kaiser and George Conley
47
Q

What was the first state to legally license DOs, what year was it, what state followed, and what year did Missouri do the same?

A
  1. Vermont (1896)
  2. North Dakota followed
  3. 1897
48
Q

What year was A.T. Stills born and what year did he die?

A

Born: Aug. 6th, 1828
Died: 1917

49
Q

What year did A.T. Stills use a rope to treat his headache?

A

1839

50
Q

When did A.T. Stills fling the banner of osteopathic medicine to the breeze? What other events happened in that year?

A

10 am on June 22, 1874

Other events: 1st DO treatment in Missouri, Stills kicked out of methodist church, presented thoughts to Brown University

51
Q

When was the term “osteopathy” coined?

A

1885

52
Q

What year was the American School of Osteopathy opened and what was the demographic of its first class?

A

Opened 1892

17 men, 5 women (5 students were A.T. Stills children)

53
Q

Lister, Semmelweiss, Snow, Budd

A

Lister - “Father of Antiseptic Surgery” (red. surgery mort)

Semmelweiss - dec. mortality rate w/handwashing

Snow - traced cholera outbreak in london

Budd - prove cholera came from contaminated Bristol water

54
Q

When was the AAAO established, when did it switch its name to the AOA, and when did it start inspecting schools?

A
  • established 1897
  • changes name in 1901
  • started inspecting schools in 1903
55
Q

When was the Philosophy of Osteopathy published?

A

1899