OT Mod 1 Questions Flashcards

1
Q

“If you haven’t realized by now, the profession of Osteopathy is incredibly difficult to learn.” What is required of you as a student to learn Osteopathy?

A

Students of Osteopathy must commit their lives to mastering the practice and continuously examine and reflect on themselves and the practice They must have a sound understanding of the anatomy and physiology and continue to revisit the cultural, sociological and historical knowledge pervading the mindset of Still and the early American Osteopaths.

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2
Q

The earliest texts in osteopathy can be difficult to understand due to the timeframe in which they were written. What is the principle of natural law as compared to how we live today?

A

Natural law is based on the principle of Mother Nature and Father Time, from the viewpoint that all beings seek to return back to their natural state and the ideal manner in which they function. In our case as practitioners, we seek to find the Osteopathic lesion, apply principle based techniques, and then trust that Nature will guide the rest of the treatment as it needs to be delivered.

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3
Q

What are the 2 general types of practitioners?

A

Those who remain complacent and those who push forward

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4
Q

What is recommended clinically for young osteopathic practitioners?

A

It is recommended that young practitioners be logical and practical in their clinical proficiency and go from easier to more difficult cases, where they will inadvertently be introduced to failure. This will either focus or dissuade the student from the growth process.

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5
Q

What are the most important attributes to have as a future osteopath?

A

Character
Aptitude
Interest

Willingness to have these three attributes tested to make them a better Osteopath

Not based soley on your intellectual ability
Best connection will always win

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6
Q

What is required for the osteopathic profession to survive?

A

We must return to the principles found in each fragment of Osteopathy and untie them to build a strong foundation for the future.

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7
Q

What is a disservice to the practice from which the principles came?

A

Practitioners fragmenting Osteopathy and attempting to make it their own

Without a treatment’s correct application as determined by the lesion an artificial representation of Osteopathy is the result

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8
Q

What is Robert Johnston’s primary concern in this text?

A

Finding a method of delivery to provide quality information for practitioners that can we understood within its proper context that does not fragment the wholeness of Osteopathy

Removing the practice from which the principles presents a danger to the public, and both both practitioners and patients are left with a less than an ideal outcome

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9
Q

What kind of conversation do we engage in from here?

A

We begin a conversation that is free from dogma, ego and self-indulgence in the hope that others will contribute to the knowledge of osteopathy for both its sake and the sake of the public we service

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10
Q

How will the continued success of osteopathy be sustained by all of us?

A

The continued success of osteopathy will be collectively sustained by us all with a firm understanding of the anatomy, mechanics, and principles for treatment as originally intended.

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11
Q

Why is this reference to Classical necessary?

A

Because Osteopathy has changed since its inception and has become either eclectic in its approach or fanatical in its steadfastness. The eclectics (those who borrow from various Osteopathic disciplines) will always be around. The fanatics (who attach themselves to one particular ame or movement, regardless of who or what that name represents) can be dangerous to both the patient and the practice.

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12
Q

How must we always remain in our approach?

A

We must always remain critical, logical and practical in our approach. We must examine what is being presented to use and be critical of that information by using scientific reasoning. We need to see how principles withstand empirical, rational tests with an awareness that rationality is not always the most popular position to take.

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13
Q

What should we be able to do with our current scientific knowledge?

A

We should be able to use this current knowledge as part of our diagnostic toolkit to either verify or deny the theories of the past; at the same time, we must be rational enough to change our minds when needed and to defend the truths that have been revealed and supported through empirical findings.

Take information, rationalize it and see it if is evidence based

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14
Q

What does it mean to ‘serve the lesion’? Use your own words and any useful quotes from section 1.4 to create your response.

A

Operator must seek out primary lesion. No two lesions will be the same thererfore no two treatments will be the same. Intricated, effective and potent treatment.

Hunt for the cause - continues to make the cause cleared and clearer

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15
Q

What is the philosophical basis for the Body Adjustment (BA)?

A

It acknowledges the body as an integrated whole, but does so by presupposing the degree of dysfunction as reducible to the body’s rate of deformation under gravity. By recognizing how the body endures under gravity, this allows the practitioners to explore all pathological vectors, thereby eliminate the potential for disease to take root and allowing the operator to balance the lines of force that permeate the body to stave off pathologies.

Elsie Warn - credit for BA

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16
Q

What are two situations when a General Treatment (GT) may be useful?

A

To strengthen a weakened constitution of a patient

If the practitioner has not uncovered the patient’s true lesion pattern

17
Q

In relation to osteopathic treatment, AT Still recognized that the ‘microcosm served the macrocosm’. What, if anything, is relevant about this idea?

A

A.T Still lacked the understanding of the physiology of the body, however he recognized that by returning the body back to its natural constitution, it would reap results to other areas of the body. Still focused on the anatomy and recognized when the body was presenting lesions and then proceed with principle based techniques. He then relied on nature to facilitate the rest of the healing.

18
Q

Still traced Osteopathy from the anatomy to the physiology- do you think this was an intelligent approach? Explain why or why not.

A

For the resources he had available to him at the time, I do believe that it was an intelligent approach. Major health concerns and changes can always be traced back to a change or deviation in the anatomy of a patient (ie: rotation, sidebent, shortened anterior line….etc) and correcting the lesion will create a ripple effect that travels through to the physiology of a patient. A.T Still’s approach utilizes the principle of structure governing function - understand the anatomy and you will be able to identify why other health challenges are occurring.

19
Q

Is osteopathy able to control ALL physiologic variables? What do you think? What did Still believe in relation to this idea?

A

Do not believe Osteopathy can control everything

It is not Osteopathy that controls the change

20
Q

How does critical and independent thinking help you become a better operator? Use quotes from section 1.4 if necessary

A

Prevents the practitioner from painting themselves into a corner by isolating specific techniques or methods of treatment. It forces them to continue to learn and understand the anatomy and physiology and how it affects a patient. Thus allowing them to identify lesions, respond to it as dictates by their palpation, correction and reassessment.

21
Q

Still reasoned that osteopathic treatment should be customized to fit the patient. How do the principles of lever and fulcrum fit into this concept of customized treatment?

A

It allows practitioners to use both long and short levers as a diagnostic and corrective tools while teaching the operator additional body mechanics. It also establishes a context in which to evolve our understanding of Osteopathy. As proficiency increases, practitioners learn to differentiate between varying types of barriers and then to apply the proper amount of force that facilitates the functional changes to the neurophysiological mechanisms involved with those barriers.

22
Q

What 2 things should frustrated students do and why? Also provide some personal actionable examples

A

Be disciplined in their studies to identify their weaknesses and improve their progress

23
Q

What is the Barrier? And, what must you know to palpate it?

A

The barrier is part of the palpatory experience identified by our knowledge of the structure and function of the anatomy; it is either normal or abnormal in the facilitation or restriction of motion.

There are anatomical barriers that exist as the limited capacity of a joint to move before injury results. Between these end ranges of movement are physiological barriers which are based on the soft tissues that aid and protect joints from reaching their anatomical barriers and risking injury.

BARRIER TYPES:
Neuorlogical Barrier
Mechanical
Fluid Barriers

24
Q

What is a physiological barrier?

A

The area between the end ranges of the movement

Based on soft tissues that aid in protecting joints from reaching their anatomical barriers and risking injuries

25
Q

What creates restrictive or pathological barriers?

A

Repetitive strain, injury and illnesses

26
Q

What are the different levels on which lesioning may occur? Please define the terms.

A

Somatic
“Soma” meaning musculoskeletal

Organic
Organ field meaning visceral and includes the autonomic innervation

27
Q

What is the practitioners goal during treatment?

A

Determine the why
Primary, secondary & tertiary lesion
Simple, chain or complex

28
Q

If the barrier is not a single thing, what elements does it represent?

A

The barrier is a result of the communication between systems in the body - namely the blood and nervous system - because the health of the tissue is determined by the proper regulation of the supply

The barrier is an expression of dysfunction between structures that we attempt to resolve by reinstating continuity between these structures

29
Q

What are 3 useful thought processes to have when palpating bind? Why?

A

How did it get there?

How long has it been there?

What are the nature of its qualities?

30
Q

What does fully lesioned mean?

A

If the neurology is fully engaged on both the dorsal and ventral (somatic and organic) side, it is fully lesioned.

31
Q

What is the result of longstanding lesions?

A

The longer the lesion has been in existence, the less quality and quantity of motion is found in the affected area(s). The result is the subjective sensation of pain in that area and/or a pathological change to the physiology.

32
Q

What is the purpose of osteopathic treatment?

A

To bring back stability, coordination and integration of the body so as to enable the self-healing and self-regulating mechanics that already exist internally.

33
Q

What are the definitions of simple, chain and complex lesions?

A

Singular Lesions - manifests as a single pathology
Ie: change in erector mass change to D5-9, changes nerves and
Muscles over a certain region

Chain Lesions - multiple pathologies and disturbances at play

Complex Chain Lesions - More than one system involved in the lesion

34
Q

Why must we be vigilant in our approach to the body?

A

Patients should require and receive a different procedure based on their constitution, vitality and engineering of their bodies - for what might be appropriate for one patient could injure the other & vice versa.

35
Q

How do we compare barriers and compensation to construct a differential diagnosis?

A

Note if the lesion lies above or below it, looking for compensation
Then the diagnosis can be constructed by prioritizing between areas of greatest restriction to the least. This will give the practitioner a sequence by which to treat either to or from the primary area of restriction

36
Q

Why prioritize primary, secondary and tertiary findings?

A

Depending on the lesion if it is a singular, chain or complex chain lesion, addressing the primary, secondary and tertiary findings will dramatically improve the vitality and constitution of the patient and could even result in the other lesions being resolved as a result