Savarese CH 1: The basics Flashcards
What is the definition of Somatic Dysfunction?
“Somatic dysfunction is an impairment or altered function of related component of the somatic (body framework) system: Skeletal, arthroidial, and myofascial structures and related vascular, lymphatic, and neural elements.”
Somatic dysfunction presents as:
TART: Tissue Texture Changes Asymmetry Restriction Tenderness (subjective)
TART in an Acute Injury:
T: Edematous, erythematous, boggy w/increased moisture. Muscles hypertonic.
A: Present
R: Present, painful with movement
T: Severe, sharp
TART in a Chronic Injury:
T: Decreased or no edema, no erythema, cool dry skin with slight tension. Decreased muscle tone, flaccid, ropy, fibrotic.
A: Present with compensation in other areas of the body
R: Present, decreased or no pain
T: Dull, achy, burning
What is Fryette’s Law #1
In the neutral position: Side bending precedes rotation, side bending and rotation occur to OPPOSITE sides. For GROUP curves of thoracic and Lumbar (Neutral means no flexion or extension)
Describe Fryette’s Law #2
In an Non-neutral (flexed or extended) position:
Rotation precedes sidebending;
Sidebending and rotation occur to the SAME side.
SINGLE vertebrae segments
Who proposed Fryette’s Law #3
C.R. Nelson in 1948
What is Fryett’es law #3?
“Initiating motion at any vertebral segment in any one plane of motion will modify the mobility of that segment in the other two planes of motion.”
Write the Diagnosis:
L2 is restricted in F, SB to the right and R to the left.
L2 E RL SL
Write the Diagnosis:
T5-10 is restricted in SB to the left and R to the right
T5-10 N SR RL
If a vertebrae is rotated right, and your thumbs level out when the patient is in flexion, what does this mean for the diagnosis?
The segment is flexed. F Rr Sr
What is the orientation of the superior facets in cervical vertebrae?
Backward, Upward, Medial
mnemonic: BUM
What is the orientation of the superior facets in the thoracic vertebrae?
Backward, upward, lateral
Mnemonic: BUL
What is the orientation of the superior facets in the lumbar vertebrae?
Backward, medial
Why is it important to know facet orientation?
Facet orientation will determine the motion of the vertebral segments
What is an Isotonic muscle contraction?
Muscle contraction that results in the approximation of the muscle’s origin and insertion WITHOUT a change in its tension. In such a case the operator’s force is less that the patient’s force.
What is an Isometric Contraction?
Muscle contraction that results in the INCREASE in tension WITHOUT an approximation of origin and insertion. In such a case, the operator’s force and the patient’s force are equal.
What is an Isolytic muscle contraction?
Muscle contraction against resistance WHILE FORCING the muscle to lengthen. In such a case, the operator’s force is more than the patient’s force.
What is a concentric muscle contraction?
Muscle contraction that results in the approximation of the muscle’s origin and insertion.
What is an eccentric muscle contraction?
Lengthening of muscle during contraction due to an external force.
Is Myofascial Release Direct or Indirect and Active or passive?
Direct and indirect (Both) and active and passive (both)
Is Coutnerstrain Direct or Indirect and Active or passive?
Indirect, passive
Is Facilitated Positional Release Direct or Indirect and Active or passive?
Indirect, Passive
Is Muscle Energy Direct or Indirect and Active or passive?
Direct (rarely indirect), active
Is High Velocity Low Amplitude Direct or Indirect and Active or passive?
Direct, Passive
Is Osteopathy in the Cranial Field Direct or Indirect and Active or passive?
Both, Passive
Is lymphatic Treatment Direct or Indirect and Active or passive?
Direct, Passive
Is Chapman’s reflexes Direct or Indirect and Active or passive?
Direct, Passive
