OMM for the Geriatric Patient Flashcards
True or false: a viscerosomatic pattern affects the whole structure and function of the body
True
True or false: a failure in one system affect structure, the function of other systems/the whole person
True
What are the ten steps that Klock suggests we do to treat patients?
- Treat LE tender points
- Pop the pubes
- Treat innominate rotation tender points
- Treat innominate rotations/up-slips
- Treat anterior lumbar/lumbar spinous process/sacral tender points
- Treat the sacrum
- Treat anterior thoracic/thoracic spinous process tender points
- Treat rib tender points
- Treat type II lumbar and thoracic SDs
- Open the inlet
What does it mean to use CCP as a template?
- Identify out of pattern that needs treatment
- Return pt to CCP
- Treat CCP
What are the spinal levels for the lungs?
T1-T6
What are the spinal levels for the pancreas?
T5-T11
What are the spinal levels for the heart?
T1-T5
What are the spinal levels for the adrenals?
T10-T11
What are the spinal levels for the kidneys?
T10-L1
What are the four disease processes that take well to treatment with OMM?
- COPD
- URTI
- DJD (hips, knees, hands, shoulders)
- Spinal Stenosis (LE pain)
What are the two general management goals of treating the elderly?
- Improved respiration and circulation
- Attain passable structure and function
What should you do if a patient has a structural, degenerative, or medical problem?
Use CCP and the r/c model!
If the the medical issue is HTN, DM, COPD, PVD, what should you do?
Use CCP and the r/cs model!
How many treatments without improvement is a red flag?
2-3 treatments
True or false: If subjective complaints are out of proportion to the dysfunction noted, this is a reg flag
True
True or false: gradually worsening pain despite treatment with OMM is a red flag
True
True or false: acute pain with the presence of associated tender points is a red flag?
False–if there are no associated tender points, this is a red flag
What are the two major goals of the rapid structural screen?
- Rapidly assess the pt for SDs
- Identify areas that deserve a closer look
What is the largest system in the body?
Musculoskeletal system
How are tender points used as a diagnostic tool?
- Identify SSDs
- Differentiate primary from secondary SDs
True or false: tender points are associated with specific SDs
True
What are the 10 steps of the DETAILED analysis?
- LE tender points
- Pop the pubes
- Treat innominate rotations/TTP
- Treat upslips/rotations
- Anterior Lumbar TTP
- Treat the sacrum
- Treat anterior thoracic TTP
- Rib dysfunctions/TTP
- Treaat type II Lumbar and thoracic SDs
- Open Thoracic inlet
How many tender points do people usually have? How many of these should you treat?
18
8 should be treated
What is the most important muscle to strengthen in the geriatric population?
Abdomen
What are the significant LE tender points in old people? (3)
- Gastroc
- Soleus
- Hamstrings
What is the significant LE SDs in old people?
Fibular SDs
What type of sacral SDs are significant in old people? (2)
BSTs or USFs
Are thoracic flexions or extensions more significant SDs in old people?
Both equally bad
What is the general treatment approach to treating old people?
Work from bottom up, and from central to peripheral
True or false: rib SDs are usually significant in old people
True
True or false: Radial head dysfunctions are usually significant in old people
False
True or false: Inlet SDs are usually significant in old people
True
