OTM- Exam 1 Flashcards
What is OMT?
The therapeutic application of manually guided forces by an
osteopathic physician to improve physiologic function and/or
support homeostasis that have been altered by somatic
dysfunction.
manual forces that address somatic dysfunction by improving physiological function and supporting homeostasis.
What are the goals of OTM?
- reduce pain
- improve function
What is somatic dysfunction?
Impaired or altered function of related
components of the somatic (body
framework) system: skeletal, arthrodial,
and myofascial structures, and their related
vascular, lymphatic, and neural elements.
Historically: Lesion, Still Lesion, Osteopathic Lesion
Mnemonic for Diagnosis Somatic Dysfunction
TART
- Tissue Texture Abnormalities
- Asymmetry of Structure
- Restriction in Motion
- Tenderness
Any one of which must be present for the
diagnosis of somatic dysfunction
What is the indication for OMT?
SOMATIC DYSFUNCTION
used to enhance homeostatic mechanisms (influence on nervous system)
Absolute Contraindication for OMT
OMT carries significant risk of a serious adverse event
that exceeds the expected benefit and should not be used
Relative Contraindication for OMT
caution should be exercised since there is a greater than usual chance of an adverse event
may need to exclude txs, body regions, risk vs benefit, communicate with patient
General Contraindications for OMT
- Lack of Consent
- Unstable condition
- if it will delay other tx that is more important
- w/o proper history and physical
- unstable anatomy
- OMT should not be used when the physician’s skill level makes it likely they will
apply a force that overwhelms the integrity of the tissues - Making changes that exceed the metabolic capacity of the patient’s system to
adapt (dosing)
What is an adverse event?
Any unfavorable and unintended sign (including an abnormal
laboratory finding), symptom, or disease temporally associated
with the use of a medical treatment or procedure that may or
may not be considered related to the medical treatment or
procedure.
Side Effect
unintended, secondary effect of the intended
effect; may be beneficial or harmful. No longer a recommended
term.
Grading of Adverse Events
- Mild
- Moderate
- Severe
- Life-threatening/Disabling (Serious)
- Death (Serious)
What are common adverse events following OTM?
most are mild and moderate (Non-serious)
What are patient responses following OTM?
What are two general considerations for OTM?
- constant feedback between hand and tissue
- how do the tissues respond
- one technique can treat 1+ dysfunction
- more than one tx required for one dysdunction
Two aspects of Dosing
- Limited by patient’s ability to respond to treatment
- Body must have adequate time to respond and change. (this is variable)
the sicker the patient, the less the dose
novices often err on side of overdose
concentrate on key areas
chronic diseases require chronic tx
acute cases have shorter interval between treatments, increase interval as patients respond