SD and Barriers

Question 1

4 Tenants of Osteopathic Medicine

Answer 1

The person is a unit of body, mind, and spirit

The body is capable of self-regulation, self-healing, and health maintenance

Structure and function are reciprocally interrelated

Rational treatment is based upon understanding and implementing the other 3 tenets

Question 2

Somatic Dysfunction

Answer 2

Impaired or altered function of related components of the somatic (body framework) system

Question 3

Osteopathic Manipulative Treatment (OMT)

Answer 3

Therapeutic application of manually guided forces to improve physiologic function and/or support homeostasis altered by a SD

Question 4

Acute Somatic Dysfunction

Answer 4

immediate or short-term impairment of altered function of related components of the somatic system

Question 5

Characteristics of Acute SD

Answer 5

Vasodilation
Edema
Tenderness
Pain
Tissue contraction

Question 6

Chronic Somatic Dysfunction

Answer 6

Impairment or altered function of related components of the somatic system

Question 7

Characteristics of Chronic SD

Answer 7

Tenderness
Itching
Fibrosis
Paresthesia
Tissue Contraction

Question 8

Diagnostic Criteria for Somatic Dysfunction

Answer 8

TART
Tissue texture abnormalities
Asymmetry of structure or motion
Restriction of Motion
Tenderness

Question 9

Tissue Texture Abnormalities

Answer 9

A palpable change in tissues from skin to periarticular structures
(Bogginess, thiccening, stringiness, ropiness, firmness, temp. change, moisture)

Question 10

TTA Signs and Symptoms

Answer 10

Represents any combo of signs: vasodilation, edema. flaccidity, hypertonicity, contracture, fibrosis

Associated w/symptoms: itching, tenderness, pain, parethesia

Question 11

Tone

Answer 11

Normal feel of muscle in the relaxed state

Hypertonicity and hypotonicity

Question 12

Contraction

Answer 12

Normal tone of a muscle when it shortens or is activated against resistance

Question 13

Contracture

Answer 13

Abnormal shortening of a muscle due to fibrosis. Most often in the tissue itself, often result of chronic condition. Muscle is no longer able to reach its full normal length

Question 14

Asymmetry

Answer 14

Absence of symmetry of position or motion

Dissimilarity in corresponding parts or organs on opposite sides of the body that are normally alike

Determined by vision or palpation

Question 15

Restriction of Motion

Answer 15

A resistance or impediment to movement (duh)

Question 16

Anatomic Barrier (AB)

Answer 16

Barrier to ROM

The limit of motion imposed by anatomic structure; the limit of passive motion.

Question 17

Physiologic Barrier (PB)

Answer 17

Barrier to ROM

The limit of active motion

Question 18

Elastic Barrier

Answer 18

The range between the physiologic and anatomic barrier of motion in which passive stretching occurs before tissue disruption; aka, the area that” warms ups” with stretching

Question 19

Restrictive Barrier (RB)

Answer 19

A functional limit that abnormally diminishes the normal physiologic range

Question 20

Active ROM

Answer 20

Patient initiated ROM

Question 21

Passive ROM

Answer 21

Examiner initiated ROM w/passive patient

Question 22

Tenderness

Answer 22

Discomfort or pain elicited by a palpation

A state of unusual sensitivity to touch or pressure

Pain- an unpleasant sensation induced by noxious stimuli and generally received by specialized nerve endings

Question 23

Tenderpoints

Answer 23

Small discrete hypersensitive areas within myofascial structures that result in localized pain

Question 24

Trigger Points

Answer 24

Small discrete hypersensitive areas within myofascial structure-palpation causes referred pain away from site