OMM In Family Medicine Flashcards
What are the two specialties where certification includes competency in OMT if one wishes to get this distinction?
Family medicine
Neuromusculskeletal medicine
Factors that influence disease
Genetic predisposition
Inappropriate immune responses
Dietary insufficiencies or indiscretions
Emotional disturbances
Familial, social, economic or environmental stressors
MSK disturbances
What is the objective of osteopathic family medicine doctors?
Restore and maintain patients balance of heath
- its beyond treating acute illnesses and more about longitudinal health maintenance
if disease is not reversible, then stabilization is the goal of treatment
What is the best foundation for clinical decision making in medicine?
History taking and physical examination
- narrows the differential and decreases the need for additional tests or diagnostics
What can OMT doctors add to the history taking and physical examination to better provide additional information for diagnosis and treatment?
Palpatory diagnosis
- chapman points
- visceralsomatic reflexes
- etc.
helps narrow it down even more
Review 5 models of OMT
Biochemical-structural model
Respiratory-circulatory model
Neurological model
Metabolic- nutritional model
Behavioral- biopsychosocial model
Is somatic dysfunction pathology?
No, but it is always present in conjunction with present pathology
Psychosocial considerations in family medicine
Economic factors
Availability of insurance
Over-complexity of the medical system
Personal and family beliefs
Cultural beliefs
Physical symptoms of psychological stress
Headache
Muscle tension
Ab discomfort
Palpitations
How much more likely are patients who are satisfied with their physicians to follow a prescribed regiment
3 times more
what is it called when you are trained in osteopathic diagnosis and treatment and board certified in OMT?
AOA board certified
What reflex is associated with the question “how is the MSK dysfunction affecting the physical function?”
Somatosomatic reflexes
What reflex is associated with both of the following questions
“How are the MSK and fascial dysfunctions affecting the patients response to the disease process?”
“How is circulatory stasis affecting the patient?”
Mechanical somatic dysfunction reflexes
Ex: patient with COPD who develops a thoracic somatic dysfunction that decreases his ability to move air
What reflex is associated with the following question
“What sympathetic somatovisceral mechanisms are present?”
Somatovisceral reflex
Ex: increased heart rate related to upper rib dysfunction due to increased sympathetic activity
What reflex is associated with the following question
“What parasympathetic viscerovisceral mechanisms are present?”
Viscerovisceral reflex
Ex: increased vagal tone in patients with GERD
