Somatic Dysfunction Flashcards
Allopathy
Giving a drug that induces an environment in which the disease cannot handle
Osteopathy
Seeing the body having an inherent ability to heal itself. Fixing mechanical impediments allows for restoration of health
Somatic Dysfunction
Impaired or altered function in related components of skeletal, arthrodial, and myofascial (SOMA) compartments and their related vascular, lymphatic, and neural elements
Osteopathic Lesion
Palpatory cues and signs indicating a function disturbance that could predispose the body to disease
How do we define R in TART?
Abnormal restriction
Is tenderness subjective or objective?
Subjective (personal, emotions involved)
How do we categorize somatic dysfunction?
By tissue or structure most responsible for motion restriction
Types of Somatic Dysfunction
- Fascial-ligamentous restriction
- Arthrodial restriction
- Muscle restriction
- Edema-causing restriction
What maintains arthrodial dysfunction?
Facet structure itself
What often accompanies an arthrodial dysfunction?
Reflex muscle that guards and will not relax until articular restriction is released
5 things that can cause arthrodial dysfunction
- Acute trauma
- Repetitive motion injury (microtrauma)
- Sustained muscle hypertonicity
- Fascial or ligamentous contracture
- Poor posture
2 types of muscle restriction
- Short - 1 vertebral segment and 1 joint in peripheral skeleton
- Long - more than 1 vertebral segment and more than 1 joint in peripheral skeleton (groups)
Example of short muscle restriction
- Rotators
2. Interspinals
What determines the direction a vertebral segment can and cannot move? (fascial-ligamentous restriction)
Which ligaments shortened or lost elasticity
What is in the fascial envelope?
Contractile elements of muscles
When relaxed, what does static investing fascia do?
Stay shortened
What causes edema-causing restriction?
Pain produced from fascial stretching and compartment distension as well as presence of fluid
Articular dysfunction “end feel” is described as?
More solid
Muscle dysfunction “end feel” is described as?
Stretchy/rubbery
Ligamentous-fascial “end feel” is described as?
Very hard, abrupt w/ near total loss of tissue elasticity