Models Of Care Flashcards
5 Ostheopathic Models of Care
Neurologic - Anatomic
Respiratory/Circulatory - fluid
Structural - Biomechanical
Metabolic - Energy
Behavioral - Biopsychosocial
Neurological Model
PNS - maintains visceral and homeostasis throughout body
Maintains unconscious and involuntary organs gland and smooth muscle function eg respiration, heart rate, blood pressure, body temperature
Autonomic Nervous system
SNS fight or flight originates from T1-L2
PNS Rest and Digest originates from brainstem (CN III, VII, IX, and X) and from S2-S4
Facilitated segments
The maintenance of pool of neurons in a state of partial or subthreshold excitation
Caused by TART somatic dysfunction at spinal level associated with sympathetic innervation of somatic or visceral structure
Changes resting membrane potential
Excitation occurs sooner
Perpetuated by normal CNS activity
Chronic pain distress
Nurological reflexes Arcs
Somato Somatic eg Sacral dysfunction causing gastrocnemius muscle hypertonicity
Somato Visceral eg Back pain causing diarrhea
Viscero Visceral eg Gastrocolic reflex
Viscero Somatic eg MI causing back pain T1 -T5 and kidney infection causing backpain between T11-L1
Neurologic Model Sympathetic Innervation
Each organ system has an autonomic innervation
Neck: T1-T4
Heart: T1-T5
Lungs: T1-T6
Esophagus: T2-T8
Neurologic Model Sympathetic Innervation
Foregut: T5-T9
Midgut: T10-T11
Hindgut: T12-L2
Neurologic Model Sympathetic Innervation
Appendix: T10-12
Upper ureters: T10-T11
Lower ureters: T12-L1
Adrenal medulla: T10
Kidneys: T11-L1
Bladder:T11-L2
Uterus and Cervix: T10-L2
Prostate: L1-L2
Upper extremities: T5-T7
Lower extremities: T10-L2
Neurologic Model Sympathetic Innervation
Vagus (CN X)
Heart
Lungs
Upper GI
Small Intestine
Kidney
Pelvic Splanchnic (S2-S4)
distal colon to rectum
Distal ureter
Bladder and Urethra
Genital and Urethra
Genital tract
OMT for ANS
Normalize or balance autonomic tone
OA decompression or Sacral rock
Parasympathetic tone comes from brainstem and sacrum
Rib raising
Sympathetic comes from T1-L2
Diaphragmatic restrictions
Transverse planes obstruct longitudinal flow of fluids eg tentorium cerebelli, thoracic inlet, respiratory/abdominal and pelvic diagrams. Better respirations stasis is bad
OMT techniques: Cranial manipulation, ligamentous articular strain, myofascial release and lymphatic pumps
Biomechanical structural Model
OMT techniques HVLA, ME, Counterstain, myofascial release
Metabolic Energy Model
Enhance the self regulatory and self healing mechanisms foster energy conservation and optimal nutritional status
Behavioral Biopsychosocial Model
CBT
OMT: targets body ability to effectively manage compensate or adapt to these stressors
