OMM for the Geriatric Patient Flashcards

1
Q

True or false: a viscerosomatic pattern affects the whole structure and function of the body

A

True

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2
Q

True or false: a failure in one system affect structure, the function of other systems/the whole person

A

True

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3
Q

What are the ten steps that Klock suggests we do to treat patients?

A
  1. Treat LE tender points
  2. Pop the pubes
  3. Treat innominate rotation tender points
  4. Treat innominate rotations/up-slips
  5. Treat anterior lumbar/lumbar spinous process/sacral tender points
  6. Treat the sacrum
  7. Treat anterior thoracic/thoracic spinous process tender points
  8. Treat rib tender points
  9. Treat type II lumbar and thoracic SDs
  10. Open the inlet
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4
Q

What does it mean to use CCP as a template?

A
  • Identify out of pattern that needs treatment
  • Return pt to CCP
  • Treat CCP
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5
Q

What are the spinal levels for the lungs?

A

T1-T6

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6
Q

What are the spinal levels for the pancreas?

A

T5-T11

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7
Q

What are the spinal levels for the heart?

A

T1-T5

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8
Q

What are the spinal levels for the adrenals?

A

T10-T11

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9
Q

What are the spinal levels for the kidneys?

A

T10-L1

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10
Q

What are the four disease processes that take well to treatment with OMM?

A
  • COPD
  • URTI
  • DJD (hips, knees, hands, shoulders)
  • Spinal Stenosis (LE pain)
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11
Q

What are the two general management goals of treating the elderly?

A
  • Improved respiration and circulation

- Attain passable structure and function

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12
Q

What should you do if a patient has a structural, degenerative, or medical problem?

A

Use CCP and the r/c model!

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13
Q

If the the medical issue is HTN, DM, COPD, PVD, what should you do?

A

Use CCP and the r/cs model!

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14
Q

How many treatments without improvement is a red flag?

A

2-3 treatments

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15
Q

True or false: If subjective complaints are out of proportion to the dysfunction noted, this is a reg flag

A

True

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16
Q

True or false: gradually worsening pain despite treatment with OMM is a red flag

A

True

17
Q

True or false: acute pain with the presence of associated tender points is a red flag?

A

False–if there are no associated tender points, this is a red flag

18
Q

What are the two major goals of the rapid structural screen?

A
  • Rapidly assess the pt for SDs

- Identify areas that deserve a closer look

19
Q

What is the largest system in the body?

A

Musculoskeletal system

20
Q

How are tender points used as a diagnostic tool?

A
  • Identify SSDs

- Differentiate primary from secondary SDs

21
Q

True or false: tender points are associated with specific SDs

A

True

22
Q

What are the 10 steps of the DETAILED analysis?

A
  1. LE tender points
  2. Pop the pubes
  3. Treat innominate rotations/TTP
  4. Treat upslips/rotations
  5. Anterior Lumbar TTP
  6. Treat the sacrum
  7. Treat anterior thoracic TTP
  8. Rib dysfunctions/TTP
  9. Treaat type II Lumbar and thoracic SDs
  10. Open Thoracic inlet
23
Q

How many tender points do people usually have? How many of these should you treat?

A

18

8 should be treated

24
Q

What is the most important muscle to strengthen in the geriatric population?

A

Abdomen

25
Q

What are the significant LE tender points in old people? (3)

A
  • Gastroc
  • Soleus
  • Hamstrings
26
Q

What is the significant LE SDs in old people?

A

Fibular SDs

27
Q

What type of sacral SDs are significant in old people? (2)

A

BSTs or USFs

28
Q

Are thoracic flexions or extensions more significant SDs in old people?

A

Both equally bad

29
Q

What is the general treatment approach to treating old people?

A

Work from bottom up, and from central to peripheral

30
Q

True or false: rib SDs are usually significant in old people

A

True

31
Q

True or false: Radial head dysfunctions are usually significant in old people

A

False

32
Q

True or false: Inlet SDs are usually significant in old people

A

True