Somatic Dysfunction Flashcards
Classifications of somatic dysfunction
. M99.00: cranial . M99.01: cervical . M99.02: thoracic . m99.03: lumbar . M99.04: sacral . M99.05: pelvic . M99.06: lower extremity . M99.07: upper extremity . M99.08: rib cage . M99.09: abdomen and other somatic dysfunction
Neurophysiological phenomenon w/ somatic dysfunction
. Neuronal afferents input into CNS, effects go from CNS
. Spinal segments that are chronically irritable/hyperactive cause structural impairment
. Muscles innervated by these segments may become hypertonic manifesting in somatic dysfunction
Effects of dysfunction at thoracolumbar junction
. Effect sympathetic output to intenstine
. Hypersympathetic drive, bowel less active, causes constipation, bowel obstruction, or a dynamic ileus
Effects of somatic dysfunction in sacrum
. Inc. parasympathetic drive to gut, causes inc. poops/diarrhea
Acute tension vs. chronic tension
. Acute: Increased rigidity
. Chronic: slightly increases, ropiness, stringiness
Does acute or chronic tissue texture changes have edema?
Acute
Erythema test in acute vs. chronic tissue texture changes
. Acute: redness lasts
. Chronic: redness fades quickly to skin blanches
T/F Asymmetry can confirm presence of somatic dysfunction alone
F, need tissue texture change or motion change as well
Quantity and quality of motion
. Quantity: range of motion
. Quality: compliance or resistance of motion
Viscerosomatic reflex
. Involuntary nervous system response to sensory input
. Sum total of any involuntary activity
. Localized visceral stimuli producing patterns of reflex response in segmentally related somatic structures
how do viscerosomatic reflexes clinical manifest?
. Palpable musculoskeletal findings assoc. w/ segmentally (spinal) related dysfunction or disease of viscera
Paraspinal viscerosomatic reflex descriptions
. Assoc. w/ tissue texture changes that differentiate it from normal tissue texture change
. Findings greatest at rib angles and costotransverse area
. Skin/subQ puffiness
. Reluctance to applied motion
. Barrier feels rubbery not firm and distinct (minimal motion loss lesions)
Vertebral segment
Single vertebrae
Vertebral unit
2 adjacent vertebrae and assoc. arthrodial, ligamentous, muscular, neural, and lymphatic elements
Concavity
. Inside curve: side to which sidebending occurs
Convexity
Outside curve, side opposite where sidebending occurs