Somatic Dysfunction and Barriers Flashcards

1
Q

Tenet one of Osteopathy

A

the mind, body, and spirit are a unit

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2
Q

Tenet two of Osteopathy

A

the body is capable of self-regulation, self-healing, and health maintainence

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3
Q

Tenet three of Osteopathy

A

structure and function are reciprocally interrelated

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4
Q

Tenet four of Osteopathy

A

rational treatment is based upon understanding and implementing the other 3 tenents

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5
Q

Somatic Dysfunction

A

impaired or altered function of related components of the somatic system and their related systems

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6
Q

Osteopathic manipulative treatment

A

theraputic application of manually guided forces by an osteopathic physician to improve function or support homeostasis that has been altered by somatic dysfunction

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7
Q

Somatic dysfunction disrupts…

A

the reciprocal interrelationship between structure and function

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8
Q

Osteopathic philosophy

A

TO TREAT THE WHOLE PATIENT

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9
Q

Homeostasis

A

the level of well being of an individual maintained by internal physiologic harmony that is the result of a relatively stable state or equilibrium among the interdependent body functions

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10
Q

Acute somatic dysfunction

A
immediate or short term impairment 
vasodilation 
edema 
tenderness 
pain 
tissue contraction
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11
Q

Chronic somatic dysfunction

A

impaird or altered function related components of the somatic system.

tenderness 
itching 
fibrosis 
paresthesias
tissue contraction
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12
Q

TART

A

Tissue abnormalities
Asymmetry of structure or motion
Restriction of motion
Tenderness

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13
Q

Tissue abnormalities

A

palpable change
associated with itchiness, pain, tenderness, fibrosis

bogginess
thickining
stingy
ropey

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14
Q

Bogginess

A

a tissue texture characterized by spongy tissue due to increased fluid. content

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15
Q

Tone

A

normal feel of muscle in a relaxed state

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16
Q

Hypertonicity

A

spastic paralysis

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17
Q

Hypotonicity

A

flaccid paralysis, no tone

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18
Q

Contraction

A

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

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19
Q

contracture

A

abnormal shortening of a muscle due to fibrosis. often the result of a chronic condition. muscle can no longer reach its normal length

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20
Q

spasm

A

abnormal contraction maintained beyond physiologic need. involuntary

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21
Q

ropiness

A

hard and firm like ropes or cord like muscle tone. usually indicates chronic conditions

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22
Q

acute vascular change

A

inflammed vessel wall injury, peptide release

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23
Q

chronic vascular change

A

sympathetic tone increases vascular constriction

24
Q

acute musculature change

A

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

25
chronic musculature change
decreased muscle tone, flaccid, mushy, limited ROM
26
Asymetry
absence of symmetry of position or motion. determined by vision or palpitation
27
restriction of motion
a resistance or impediment to movement
28
Anatomical Barrier
the limit of motion imposed by anatomic structure; the limit of passive motion
29
Physiologic Barrier
the limit of active motion
30
Elastic Barrier
the range between the physiologic and anatomic barrier of motion in which passive stretching occurs before tissue disruption. The way that warms up with stretching
31
Restrictive Barrier
a functional limit that abnormally diminishes the normal physiological range
32
automatic-AROM
patient motivated
33
Passive-PROM
patient must relax and you must "block the linkage" of associated structures
34
Block the linkage
stabilizes the joints to adjacent structures
35
which is greater? PROM or AROM
PROM because muscles are relaxed
36
early muslce spasm
protective after injury
37
late muscle spasm
chronic spasm, goes with tissue changes
38
hard capsular
frozen shoulder
39
soft capsular
synovitis
40
tenderness
discomfort elicited by palpation
41
Pain
a sense of unpleasant sensation induced by noxious stimuli and nerve endings
42
actue pain
sharp, severe, cutting
43
chronic pain
dull, ache, paresthesias, tingling, itchy
44
Tenderpoints
small discrete hypersensitive areas within structure that result in localized pain
45
triger point
small discrete hypersensitive areas within structures. palpation causes REFERRED pain
46
knowledge that an osteopathich physcian must have
1. anatomy 2. TART 3. evaluation of causes 4. appropriate treatment
47
Somatic dysfunctions are names for...
their position of ease
48
the goal of OMT is to
remove somatic dysfunction and restore homeostasis
49
adverse reactions to OMT
soreness after treatment
50
Role of OMT in 5 models
``` biomechanical neurological respiratroy/circulatory metabolic behavioral ```
51
biomechanical OMT model
myofascial and joint function optimization
52
neurological OMT Model
remove imbalances adress pain
53
respiratroy/circulatory OMT model
maximize function
54
Metabolic OMT model
structure and function are reciprocally related
55
Behavioral OMT model
more cause than effect and how the other 4 are impactin
56
Direct techniques
method of action engage the restrictive barrier directly MFR, INR, ST, MET, HVLA, visceral
57
Indirect techniques
method of action involve positioning away from teh restrictive barrier MFR, INR, BLT/LAS, FPR, functional, visceral