OT Mod 3 Questions Flashcards
List all the models that we use to understand our palpatory findings?
Mechanical stresses and strains between the upper and lower quadrants, and the polygons - as practitioners we provide a three-dimensional matrix of the lesion from a palpatory perspective
Primary, secondary and tertiary lesions
What do we know about anatomy from Still, and, what does this teach us about our practice?
The study of anatomy for the sake of anatomy is a dead end. We must have a contextual framework for our practice and this is where collective mechanics infuse anatomy with a meaning greater than the sum of its parts. Therefore our goal from the beginning has been to bridge the disciplines constituting our practice in a way that allows us to converse with the body and promote its health functioning
What has reflected in the principle that the body is a dynamic unit of function?
Our means of assessing is dynamic, focused on the body’s unity and functionality. From there, we search for what needs to be done, all based n how we understand our palpation.
As practitioners, we access and palpate with collective mechanics in mind, we are able to work through each of these pieces of paper, layer by layer, and adjust each one in relation to the others until we have a neat pile.
By knowing each layer, practitioners become complete dynamic Osteopaths who do not favor one approach over another, and two, their patients have a greater likelihood of stabilizing after treatment, mechanically and physiology
If practitioners cannot feel the multiple layers of tissues with their palpation, what risk do they run into?
Failing to stabilize the body and thereby risking the patient’s pathology persisting or even metastasizing elsewhere
Crucial that you know all the layers so that your intentions meet your actions
If we focus on technique rather than the mechanical lesion, what are some of the dangers to us as practitioners?
There is a danger that practitioners will see treatment as something fragmented and then proceed to carry out a series of manipulations from one area of the body to another, not as something based on a dynamic understanding of how the lesion and pathology communicate through our palpation over increments of time. That dynamic understanding fosters the ability to move with the tissue in such a way as to render what could then be considered an Osteopathic technique. Yet this technique if we can qualify it that way includes within its application a comprehensive understanding of the lesion in relation to its collective mechanics/
Technic - segmented
Dynamic - collective
How can we as operators use the theory of compensation to gage in our patients?
If we understand compensation as part of the body’s self-healing and self-regulating mechanisms, we can deploy it to assess the vitality of the patient by observing how well the body is compensating and how that compensation is affecting all tissues.
What structures are significant to the operator in the mechanical model?
Structures that are observable and palpable to practitioners, which means the results both before and after treatment are measurable
Looking more locally at the lumbar spine and pelvis, what pattern driven compensations might we find particularly in the coronal plane?
Side bend in the lumbar spine -> carried to the sacrum, which we find the right pole to be anterior
L5 compensates for the general sweep and for side bend/rotation in the opposite direction
Side Bend/rotation occurs because the iliolumbar ligament is attached to the sacrum, the innominate, and L4/5 has a great influence on the position of these structures
What do we typically find when we transition into the cervical spine, and, how is it mirrored?
Side bend and rotation to the left in the lower cervical unit
Vertebrae close to the CT junction may mimic characteristics of the upper dorsal spine and vice versa - should explore the structures in this area and how they move in relation to their expected motion potentials and their compensatory capacity
Mirrored within the different parts of the upper complex, where the AA is typically rotated to the right, OA is side bent and rotated left
If a patient presents with a chronic lesion of the left ankle, what would the practitioner expect to see staying within the somatic field?
Test to see the motion potential of the right knee, left SI, TL junction and the right shoulder, and a global side bend in the lower cervical complex
Once 3 key lesions are identified, the practitioner will determine the primary, secondary and tertiary lesions
If the patient presents with three key lesions, what should the practitioner be identifying, and what should they be asking?
Practitioners should be identifying which layer the lesion is on and which one is creating the greatest level of bind. They should ask: is it the fascial layer? The muscular layer? The ligamentous? The articular?
What is the purpose of a general treatment in an educational setting?
Useful for junior practitioners that are still developing motor skills necessary for improving the quality of assessment and the delivery of treatment
Learn to deliver the correct forces on the correct axes and planes, using long and short levers in each and every position
What does the prone position help the operator access, and, what is the operator able to coordinate?
Exposes the motor lines, the SI joints and the posterior attachments to the femoral head
Operator is able to coordinate the arches of the spine including the transition zones that have a significant impact on autonomic expressions
Practitioners can then deduce the nature of the lesion to a greater extent
Globally, what does the lateral recumbent position require, and what can the practitioner address?
Globally, the position requires integration whereby the internal and external frames can be coordinated to work together
The practitioner can address each limb, the high side of the thorax and the ribs
What should the practitioners be encouraged to do with all the treatment positions to achieve a long distinguished career?
Practitioners should seek to master each position in order to best diagnose and treat lesion patterns - overtime they can accomplish more with less labour
