Physiological Therapeutic Mechanisms of Osteopathic Treatment Flashcards
Acute Pain
pain lasts no more than 3-6 months that resolve within its normal healing time.
Nociceptive pain
that arises from actual or threatened damage to non-neural tissue and is due to the activation of nociceptors
Neuropathic Pain
pain caused by a lesion or disease of somatosensory nervous system
Chronic/Persistent
is pain/persits longer than 3months- 6months
Bottom Up Influences Biological
Neurological: Central sensitization, amplification due to threat perception, Sympathetic arousal
Tissues Factors:
Injury & Inflammation
Lack of extensibility
Postural Strain
Pain
unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage
Key Therapeutic Mechanisms
Decrease in Pain
Promote Mobility and Movement
Support tissue healing and collagen remodelling
Promote Fluid Damage
Decrease Pain which is…
via bottom up process which relates to mechanical stimulus from manual therapy may inhibit the nociceptive input to the dorsal horn
Promote Mobility and Movement which is..
joint cavitation, popping or clicking which is High Velocity- low amplitude techniques allow joint to separate.
Stretch of joint and capsular ligament and stretching the mm
Support tissue healing and collagen remodelling which is..
imrpoves mobility by breaking collagen crosslinks and connective tissue adhesions
Promote mechanotransduction in connectvie tissue, alter gene expression in fibroblasts.
Convert these mechnial signals into cellular biological events such as gene expression that promote growth and repair