Outpatient

Question 1

Define somatic dysfunction.

Answer 1

Impaired or altered function of related components of the somatic system: skeletal, arthroidal, and myofascial structures, and the related vascular, lymphatic, and neural elements.

Question 2

Name 11 goals of OMT (especially the MAIN one!)

Answer 2

1. Restore anatomical/functional relationships.
2. Restore normal blood flow into an area.
3. Restore normal blood flow out of an area.
4. Restore normal lymphatic drainage.
5. Improve nervous system function by reducing or eliminating compression.
6. Reduce abnormal autonomic reflexes (viscerosomatic/somatovisceral).
7. Stimulate or balance the immune system.
8. Prevent recurrences of pain, organ, or somatic dysfunction.
9. DECREASE PAIN**
10. Restore mind-body-spirit balance.
    RESTORE HOMEOSTASIS!

Question 3

Role of OMT in outpatient setting

Answer 3

OMT can be used alone OR as part of a treatment plan.

Question 4

Approach to patients in outpatient setting

Answer 4

Do a structural exam.
ID somatic dysfunction.
Then do OMT.

Question 5

Rules for OMT treatment

Answer 5

Guided by patient’s response
Use safest and most effective techniques
Treat until you reach the clinical conclusion you desired
Make sure the risk-benefit ratio ensures that OMT will be safe and effective.
Modify any techniques as necessary (e.g. seat the patient).

Question 6

What is the best way to assess if you’ve reached the clinical objective you desire?

Answer 6

RECHECK.

Question 7

3 “Treat ___ before ____” situations.

Answer 7

Axial before extremities.
Proximal before distal (promotes lymphatic drainage)
Primary dysfunction before acute changes.

Question 8

Which 2 sets of bone are related in the body (tx of one may correct the other)

Answer 8

Upper cervicals and sacrum

Question 9

Acute cases have a _____ interval between treatment.

Answer 9

Shorter.

As they respond, interval is increased.