SD And Barries Flashcards

1
Q

Four tenets of osteopathic medicine

A
  1. Mind body and spirit are a unit
  2. The body is capable of self-healing, regulation, and health maintenance
  3. Structure and function are reciprocally interrelated
  4. Rational treatment is based upon understanding and implementing the 3 other tenets
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2
Q

Somatic dysfunction

A

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

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3
Q

Osteopathic manipulative treatment

A
  • therapeutic application of manually guided forces by a DO to improve physiological function and support homeostasis that has be altered by SD
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4
Q

Effects of somatic disfunction

A
  • 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
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5
Q

Osteopathic philosophy

A
  • symptoms
  • illness
  • clinical exam findings
  • pain
  • psychosocial cause of disease
    • additively the whole patient
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6
Q

Homeostasis

A

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

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7
Q

Acute somatic dysfunction

A
  • immediate or short-term impairment or altered function of related components of somatic system
  • Characterized by: vasodilation, edema, tenderness, pain, tissue contraction
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8
Q

Chronic somatic dysfunction

A
  • impairment or altered function of related components of the somatic system
  • characterized by: tenderness, itching, fibrosis, paresthesias, tissue contraction
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9
Q

TART

A
  • diagnosis criteria for somatic dysfunction
  • Tissue texture abnormality
  • Asymmetry of structure or motion
  • restriction of motion
  • tenderness
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10
Q

Tissue texture abnormality

A

Palpable change in tissues from skin to periarticular structures

Includes: bogginess, thickening, firmness, etc

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11
Q

Bogginess

A

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

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12
Q

Tissue texture abnormality signs

A

-vasodilation,edema, flaccidity, hypertonicity, contracture, fibrosis

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13
Q

Tissue texture abnormality Sx

A
  • itching
  • pain
  • tenderness
  • pareshesias
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14
Q

Tone

A

Normal feel of muscle in the relaxed state

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15
Q

Hypertonciity

A

At the extreme, spastic paralysis

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16
Q

Hypotonicity

A

Flaccid paralysis when no tone at all

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17
Q

Contraction

A

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

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18
Q

Contracture

A

abnormal shortening of a muscle due to fibrosis. Chronically- muscle is no longer able to reach it’s full length

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19
Q

Asymmetry

A

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.

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20
Q

Restriction of motion

A

Resistance or impediment to movement

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21
Q

Anatomic Barrier

A

The limit of motion imposed by Anatomic structure, the limit of passive motion

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22
Q

Physiologic Barrier

A

The limit of active motion

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23
Q

Elastic barrier

A

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

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24
Q

tissue texture: spasm

A

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

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25
Q

tissue texture: ropiness

A

hard, firm, rope-like or cord-like muscle tone. usually indicates a chronic condition

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26
Q

acute vascular tissue texture change

A

inflamed vessel wall injury, endogenous peptide released

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27
Q

chronic vascular tissue texture change

A

sympathetic tone increases, vascular contriction

28
Q

acute sympathetic tissue texture changes

A

local vasoconstriction, overpowered by local chemical release, net effect is vasodilation

29
Q

chronic sympathetic tissue texture change

A

vasoconstruction, hypersympathetic tone, may be regional

30
Q

acute musculature tissue texture change

A

local increase in tone, muscle contraction, spasm- mediated by increased spindle activity

31
Q

chronic musculature tissue texture change

A

decreased muscle tone, flaccid, mushy, limited ROM d/t contracture

32
Q

restrictive barrier (RB)

A

a functional limit that abnormally dimishes the normal physiological range

33
Q

Active ROM

A

patient initiated ROM, examiner visually observes

34
Q

Passive ROM

A

examiner initiated ROM with passive patient

- passive ROM > active ROM because muscles are not being used

35
Q

barrier “end feel” characteristics

A

the palpatory experience or perceived quality of motion when a joint is moved to its limit- abarrier is approached Normal end feel

  • three examples:
    1) bone to bone (elbow extension)
    2) soft tissue approximation (knee flexion)
    3) tissue stretch (ankle dorsiflexion)
36
Q

early muscle spasm

A
  • Examples of restricted ROM and abnormal end-feel
  • protective spasm after injury
  • aka: empty end feel or guarding
37
Q

late muscle spams

A
  • Examples of restricted ROM and abnormal end-feel

- chronic spasm with chronic tissue changes

38
Q

hard capsular

A
  • Examples of restricted ROM and abnormal end-feel

- frozen shoulder

39
Q

soft capsular

A
  • Examples of restricted ROM and abnormal end-feel

- synovitis (swelling of the knee after injury)

40
Q

tenderness

A
  • discomfort or pain elicited by an osteopath through palpation
  • state of unusual sensitivity to touch or pressure
41
Q

pain

A

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

42
Q

acute pain desciption

A
  • sharp, severe, cutting
43
Q

chronic pain desciptions

A

dull, ache, paresthesias

44
Q

acute tissue texture abnormalities

A

red, swollen, boggy, increased tone

45
Q

chronic tissue texture abnormalities

A

dry, cool, ropy, pale, decreased tone

46
Q

Asymmetry: acute vs. chronic

A

acute: present
chronic: present with compensation

47
Q

restriction: acute vs chronic

A

acute: present, painful with motion
chronic: present or maybe not, guarded or “empty”

48
Q

tender points

A

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

49
Q

trigger points

A

small discrete hypersensitive areas witin myofascial structures– palpation causes referred pain away from site

50
Q

Five things osteopath must have knowledge in

A

1) anatomy, physiology, and pathophysiology
2) palpatory skills for TART
3) diagnosis of somatic dysfunction
4) evaluation of causes
5) treatment- correct and removal of obstructions to health

51
Q

somatic dysfunctions are named for:

A
  • position of ease, “where they like to live”
52
Q

Goal of OMT

A

remove somatic dysfunction and restore homeostasis

53
Q

OMT indications

A

somatic dysfunction and/or visceral dysfunction

54
Q

OMT adverse reactions

A

soreness similar to workout or massage soreness and other symptoms similar to an acute illness//exacerbation of current physical complaints

55
Q

precautions/contraindications

A

cancer, frailty d/t severity of disease, youth, and/ or elderly

56
Q

recommendations

A
  • rest (1-4 days)

- hydration (1-2 liters/day for otherwise healthy individuals)

57
Q

role of OMT in biomechanical model

A

myofascial and joint functional optimization

58
Q

role of OMT in neurological model

A

remove neurologic imbalances; address nociception

59
Q

role of OMT in respiratory/circulatory model

A

maximize function

60
Q

role of OMT metabolic model

A

structure and function are reciprocally related

61
Q

role of OMT in behavioral model

A

more of cause than effect; prescription for exercise teaches patients to treat themselves

62
Q

direct techniques

A

method of action engage the restrictive barrier directly

63
Q

indirect techniques

A

method of action involve positioning away from the restrictive barrier

64
Q

Direct OMT techniques

A
  • MFR
  • INR
  • ST
  • MET
65
Q

Combination OMT techniques

A
  • MFR
66
Q

Indirect OMT techniques

A
  • MFR

- INR