SD And Barries Flashcards
Four tenets of osteopathic medicine
- Mind body and spirit are a unit
- The body is capable of self-healing, regulation, and health maintenance
- Structure and function are reciprocally interrelated
- Rational treatment is based upon understanding and implementing the 3 other tenets
Somatic dysfunction
Impaired or altered function of related components of the somatic (body framework) system including: Skeletal, arthrodial, myofascial structures [SAM] and their related vascular, lymphatic, and neural elements [VLN]
- treatable with OMM
Osteopathic manipulative treatment
- therapeutic application of manually guided forces by a DO to improve physiological function and support homeostasis that has be altered by SD
Effects of somatic disfunction
- disrupts the unity of body, mind,and spirit
- impairs body’s capability for self-regulation, self-healing, and health maintenance
- disrupts reciprocal interrelationship between structure and function
Osteopathic philosophy
- symptoms
- illness
- clinical exam findings
- pain
- psychosocial cause of disease
- additively the whole patient
Homeostasis
Level of well-being individual maintained by internal physiological harmony that is a result of a relatively stable state or equilibrium among the interdependent body functions
Acute somatic dysfunction
- immediate or short-term impairment or altered function of related components of somatic system
- Characterized by: vasodilation, edema, tenderness, pain, tissue contraction
Chronic somatic dysfunction
- impairment or altered function of related components of the somatic system
- characterized by: tenderness, itching, fibrosis, paresthesias, tissue contraction
TART
- diagnosis criteria for somatic dysfunction
- Tissue texture abnormality
- Asymmetry of structure or motion
- restriction of motion
- tenderness
Tissue texture abnormality
Palpable change in tissues from skin to periarticular structures
Includes: bogginess, thickening, firmness, etc
Bogginess
A tissue texture abnormality characterized principally by a palpable sense of sponginess in the tissue, interpreted as resulting from congestion due to increased fluid content
Tissue texture abnormality signs
-vasodilation,edema, flaccidity, hypertonicity, contracture, fibrosis
Tissue texture abnormality Sx
- itching
- pain
- tenderness
- pareshesias
Tone
Normal feel of muscle in the relaxed state
Hypertonciity
At the extreme, spastic paralysis
Hypotonicity
Flaccid paralysis when no tone at all
Contraction
Normal tone of muscle when it shortens or is activated against resistance
Contracture
abnormal shortening of a muscle due to fibrosis. Chronically- muscle is no longer able to reach it’s full length
Asymmetry
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.
Restriction of motion
Resistance or impediment to movement
Anatomic Barrier
The limit of motion imposed by Anatomic structure, the limit of passive motion
Physiologic Barrier
The limit of active motion
Elastic barrier
The range between the physiological and Anatomic barrier of motion in which passive stretching occurs before tissue disruption, AKA the area that warms up with stretching
tissue texture: spasm
abnormal contraction maintained beyond physiologic need. Most often sudden and involuntary muscular contraction that results in abnormal motion and is usually accompanied by pain and restriction of normal function
tissue texture: ropiness
hard, firm, rope-like or cord-like muscle tone. usually indicates a chronic condition
acute vascular tissue texture change
inflamed vessel wall injury, endogenous peptide released