os final Flashcards

1
Q

What was the major OMT technique taught prior to the 1970s?

A

HVLA

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2
Q

HLVA employs a ___, therapeutic force of brief duration that travels a ____ within the anatomic range of a joint and that engages the restrictive barrier to elicit release of restriction

A

rapid, short distance

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3
Q

HVLA employs a rapid, therapeutic force of brief duration that travels a short distance within the ____ of a joint and that engages the _____ to elicit release of restriction

A

anatomic range, restrictive barrier

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4
Q

physiologic barrier - end ROM achieved during ____ motion in the absence of SD

A

active

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5
Q

anatomic barrier - end ROM achieved during ___ motion in the absence of SD

A

passive

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6
Q

restrictive barrier is a functional limit that abnormally diminishes the normal ____ range

A

physiologic

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7
Q

When is cervical HVLA contraindicated?

A

if the vertebral artery is occluded by thrombosis/compromised

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8
Q

What three planes of motion is range of motion measured in?

A

mid-sagittal, coronal and transverse

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9
Q

quality refers to?

A

a palpatory sense of how smoothly a joint can be moved through its ROM

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10
Q

end feel refers to

A

a quality of motion of a joint when it is brought passively to its final barrier of motion

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11
Q

What is a firm and distinct end feel?

A

mechanical type arthroidal dysfunction

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12
Q

When is HVLA particularly effective (regarding measuring ROM)?

A

when there is a distinctive barrier with a firm end feel

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13
Q

What is the neurophysiology of HVLA? 5 steps

A
  1. thrust through the restrictive barrier
  2. restoration of motion at articulation
  3. restoration of normal proprioceptive input
  4. reflex relaxation of muscles
  5. improvement of TART findings
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14
Q

True or false: joint noise is necessary for successful treatment

A

false

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15
Q

True or false: osteopathic physicians adjust/put segments back into place

A

false

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16
Q

What is the goal of OMT in regards to the mechanism of treatment?

A

to restore motion loss and restore neutral point back to normal

17
Q

What are the 6 steps to HVLA?

A
  1. Correctly diagnose SD
  2. localize segment
  3. engage the RB in all 3 planes of motion - stacking
  4. release enhancing maneuver (breathing)
  5. mobilizing force -corrective thrust
  6. reassess
18
Q

What does a vertebral unit consist of?

A

two adjacent vertebrae with their associated disc, arthroidal , ligamentous, muscular, vascular, lymphatic and neural components

19
Q

Where are the forces localized at a vertebral unit?

A

facet joints

20
Q

What are the benefits of HVLA?

A
  1. its well tolerated and efficient
  2. modality of choice for SDs with distinct firm barrier
  3. patient feels immediate relief, decreased pain and increased ROM
21
Q

what are the indications for HLVA?

A
  • articular somatic dysfunction

- joint motion restriction with a firm articular barrier

22
Q

is HVLA a safe treatment option?

A

yes

23
Q

what do you avoid when addressing the cervical spine?

A

avoid hyperextension and excessive rotation when positioning the patient

24
Q

what are the two main absolute contraindications of HVLA?

A

rheumatoid arthritis and down syndrome because of alar ligament instability

25
Q

what are some absolute contraindications of HVLA?

A
  • local metastases
  • osseous or ligamentous disruption
  • severe osteoporosis
  • rheumatoid arthritis
  • down syndrome
    osteomyelitis int he area being treated
    -joint replacement in the area being treated
  • vertebrobasilar insuffiency
  • severe herniated disc with radiculopathy
26
Q

What are some relative contraindications?

A
  • acute herniated nucleus pulposus
  • acute radiculopathy
  • acute whiplash/severe muscle spasm/strain/sprain
  • osteopenia/osteoporosis
  • spondylolisthesis
  • metabolic bone disease
  • hypermobility syndromes