Putting it all together Flashcards
5 Models of Evaluation, Treatment and Management
Biomechanical Respiratory-Circulatory Neurological Metabolic-Energetic Behavioral
Models of Treatment
Axial to Peripheral Pelvis to top Feet to top Top to feet AGR – non-physiological strains Sympathetic/Parasympathetic Zink Model - treat what is out of pattern (This will be discussed in detail in OPP III.)
Axial to Peripheral
Good when treating upper or lower extremity
Case: An administrative assistant complains of numbness and tingling in her fingers after typing for more than an hour.
Case: A soccer player twisted their ankle while trying to kick the ball away from an opponent.
Pelvis to top
Good for a quick approach to treatment
Useful for family practice, GYN or internal medicine as this focuses on viscerosomatic reflexes.
(Good for patients without legs)
Case: Patient presents with a cold.
Which treatment model should be used?
What areas need to be evaluated?
What needs to be treated first?
Which techniques are best?
Circulatory/Respiratory
C & T spine, OA, Sibson’s fascia, ribs, diaphragm
Sibson’s fascia, thoracic inlet
The ones you are most skilled at performing and that the patient can tolerate
Case: Patient presents with congestive heart failure.
Which treatment model should be used?
What areas need to be evaluated?
What needs to be treated first?
Which techniques are best?
Circulatory/Respiratory
C & T spine, OA, Sibson’s fascia, ribs, diaphragm, vagus nerve
Sibson’s fascia, thoracic inlet
The ones you are most skilled at performing and that the patient can tolerate
Feet to top
Addresses posture
If the sacrum is the “keystone” of the pelvis, then the muscles of the lower extremities are analogous to cables in a suspension bridge.
Top to feet
Perhaps illustrated best by chiropractors who believe treating the OA is sufficient for a whole body treatment.
Key Lesion
The somatic dysfunction that maintains a total dysfunction pattern, including other secondary dysfunctions.
AGR – non-physiological strains
AGR – motion testing of the spine
Global/Local listening – a method of detecting myofascial strain in the body
Fix the biggest problem and the others may self-correct.
Sympathetic/Parasympathetic
Addresses viscerosomatic reflexes
Can be diagnostic as well as treatment modality
Case: Patient complains of shoulders aching. Related that husband needs a serious surgery, brother is dying of cancer and daughter’s engagement just ended.
What is the patient’s biggest problem?
How much treatment can they tolerate?
Should you avoid any particular techniques?
Stress, shoulder pain
Probably not much
Avoid MET, HVLA
