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
Q

chronic musculature change

A

decreased muscle tone, flaccid, mushy, limited ROM

26
Q

Asymetry

A

absence of symmetry of position or motion. determined by vision or palpitation

27
Q

restriction of motion

A

a resistance or impediment to movement

28
Q

Anatomical Barrier

A

the limit of motion imposed by anatomic structure; the limit of passive motion

29
Q

Physiologic Barrier

A

the limit of active motion

30
Q

Elastic Barrier

A

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
Q

Restrictive Barrier

A

a functional limit that abnormally diminishes the normal physiological range

32
Q

automatic-AROM

A

patient motivated

33
Q

Passive-PROM

A

patient must relax and you must “block the linkage” of associated structures

34
Q

Block the linkage

A

stabilizes the joints to adjacent structures

35
Q

which is greater? PROM or AROM

A

PROM because muscles are relaxed

36
Q

early muslce spasm

A

protective after injury

37
Q

late muscle spasm

A

chronic spasm, goes with tissue changes

38
Q

hard capsular

A

frozen shoulder

39
Q

soft capsular

A

synovitis

40
Q

tenderness

A

discomfort elicited by palpation

41
Q

Pain

A

a sense of unpleasant sensation induced by noxious stimuli and nerve endings

42
Q

actue pain

A

sharp, severe, cutting

43
Q

chronic pain

A

dull, ache, paresthesias, tingling, itchy

44
Q

Tenderpoints

A

small discrete hypersensitive areas within structure that result in localized pain

45
Q

triger point

A

small discrete hypersensitive areas within structures. palpation causes REFERRED pain

46
Q

knowledge that an osteopathich physcian must have

A
  1. anatomy
  2. TART
  3. evaluation of causes
  4. appropriate treatment
47
Q

Somatic dysfunctions are names for…

A

their position of ease

48
Q

the goal of OMT is to

A

remove somatic dysfunction and restore homeostasis

49
Q

adverse reactions to OMT

A

soreness after treatment

50
Q

Role of OMT in 5 models

A
biomechanical 
neurological 
respiratroy/circulatory 
metabolic 
behavioral
51
Q

biomechanical OMT model

A

myofascial and joint function optimization

52
Q

neurological OMT Model

A

remove imbalances adress pain

53
Q

respiratroy/circulatory OMT model

A

maximize function

54
Q

Metabolic OMT model

A

structure and function are reciprocally related

55
Q

Behavioral OMT model

A

more cause than effect and how the other 4 are impactin

56
Q

Direct techniques

A

method of action engage the restrictive barrier directly

MFR, INR, ST, MET, HVLA, visceral

57
Q

Indirect techniques

A

method of action involve positioning away from teh restrictive barrier

MFR, INR, BLT/LAS, FPR, functional, visceral