Models Of Treatment

Question 1

Behavioral Model

Answer 1

Consider mental, emotional, spiritual elements

Musculoskeletal system intimately involved in presenting mental status
stress= inc tension tissues OR
SD’s enhance psych concerns

Question 2

Goals of Behavioral

Answer 2

Improve ability to manage/compensate/adapt to stressors
Improve biological /psych/social components of health
Est emotional balance and improve compensation

Question 3

Biomechanical Model

Answer 3

POV: structural or mechanical
SD’s alter posture/ease of motion = impede vascular/lymphatic/metabolic/endocrine/neuro

Question 4

Goals of Biomechanical

Answer 4

Keep body aligned w/o SD’s by
remove restrictions
restore joint mobilization
relieve fascia barriers to enhance motion
relieve pain

Question 5

Metabolic-Energy Model

Answer 5

Balance b/t energy production + maintenance + expenditure AKA homeostasis
Ability to adapt to internal/external stressors and restore health

Question 6

Goals of Metabolic-Energy

Answer 6

Enhance self regulation/ healing
Remove SD’s to dec energy expenditure
Educate proper nutrition/exercise/sleep to restore energy reserves
Enhance immune system/endocrine and organ function to dec burden of disease
Improve cranial/sacral fluid fluctuations

Question 7

Neurological Model

Answer 7

Strains of neuro function from mechanical stressors, metabolic abnormalities, reps/circ restrictions, behavioral

Question 8

Goals of Neurological

Answer 8

Restore chem balance
Est autonomic balance AKA para/sympathetic
Address viscero-somatics AKA reflex activity
Remove facilitated segments / SD’s
Dec afferent/incoming nerve signals to relieve pain

Question 9

What do the models of osteopathic care let us do?

Answer 9

approach pt’s from different pov
change thru pt lift
template for treatment

Question 10

Respiratory-Circulatory Model

Answer 10

focus on homeostasis to maintain health and respond quickly to eradicate disease

strains in tissue = no nutrition in or waste out

Question 11

Goals of R-C Model

Answer 11

reduce work of breathing
proper motion of diaphragm and thoracic cage
remove obstructions

basically OMM > respiration > circulation > improve health

Question 12

Circulation

definition

Answer 12

delivery of substrates thru arterial system
removal waste through venous/lymph

in closed system

Question 13

3 pumps of cardiovascular-pulmonary system

Answer 13

heart (pressure pump)
diaphragm (ab-thoracic pump)
muscles (peripheral)

Question 14

Circulation

mechanism

Answer 14

fluid from high pressure (arterial) by heart
to lower pressure (venous) by respiratory sys

gradient required- if too close then more difficulty

Question 15

Difference b/t arteries and veins

pressure

Answer 15

arteries have muscles = inc P
veins need surrounding muscles

Question 16

Venous return

Answer 16

1. one way valves
2. muscle pumps (soleus)
3. 4 diaphragms

soleus acts as second heart

Question 17

4 diaphragms

Answer 17

1. tentorium cerebelli
2. thoracic inlet
3. thoraco-abdominal
4. lumbo-pelvic

Question 18

lymphatic vessels

function

Answer 18

collect and drain lymph from tissue
filter thru nodes
empty into venous system

lymph contains metabolic waste
same pumps as veins

Question 19

terminal drainage of lymphatics

Answer 19

thoracic inlet

Question 20

respiration

definiton

Answer 20

movement of air or dissolved gas into and out of lungs
aka exchange of oxygen for carbon dioxide

Question 21

respiration depends on

Answer 21

volume and distribution of blood
volume and distribution of ventilation (breathing)
diffusion characteristics across barrier in alveoli

Question 22

respiration

mechanism

Answer 22

146 joints
reflex activity (vagus nerve, phrenic nerve, intercostal nerves, carotid body)
fascial planes

Question 23

inhalation

Answer 23

ribs up
vertical(AP, sagittal) and lateral/transverse diameters inc
diaphragm down
lungs expand
air flow into lungs

negative intrathoracic pressure

Question 24

exhalation

Answer 24

lungs recoil passively
ribs down
sagittal and transverse diameters dec
diaphragm up
air out of lungs

positive intrathoracic pressure

Question 25

most important diaphragms for thorax pressure

Answer 25

cervicothoracic/inlet
thoracoabdominal

inlet also called sibson’s fascia

Question 26

Sibson’s fascia

cervico-thoracic

Answer 26

part of the scalene fascia into neck and base of skull
promotes superficial V/L return from head/neck

V/L venous lymphatic

Question 27

most powerful pump of body

Answer 27

thoracoabdominal diaphragm
drives and collects from other smaller diaphragms

Question 28

what causes inflammatory rxn

Answer 28

passive congestion and accumulated waste products