Somatic Dysfunction and Barriers

Question 1

First tenet

Answer 1

mind body and spirit are a unit

Question 2

second tenet

Answer 2

body is capable of self-regulation, self-healing, and heal maintenance

Question 3

third tenet

Answer 3

Structure and function are reciprocally interrelated

Question 4

fourth tenet

Answer 4

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

Question 5

What is somatic dysfunction?

Answer 5

impaired or altered function of related components of the somatic (body framework) system and their related

Question 6

Osteopathic Manipulative Treatment OMT

Answer 6

theraputic application of manually guided forces by a DO to improve physiologic function or support homeostasis that has been altered by SD

Question 7

acute somatic dysfunction

Answer 7

immediate/short-term impairment of related components… vasodilation/edema/tenderness/ pain/ tissue contraction

Question 8

Chronic SD

Answer 8

impairment of function, tenderness, itching, fibrosis, paresthesias (tingling)

Question 9

TART

Answer 9

Tissue texture abnormalities
Assymetry
Restriction of motion
Tenderness

Question 10

anatomical barrier

Answer 10

limit of motion imposed by anatomic structure, limit of passive motion (by DO)

Question 11

physiological barrier

Answer 11

limit of active motion (by patient)

Question 12

Elastic barrier

Answer 12

range between physiologic and anatomic barrier of motion

Question 13

Restrictive barrier

Answer 13

a functional limit that abdnormally diminishes the normal physiologic range

Question 14

AROM

Answer 14

motion by patient, reaching physiological barrier

Question 15

PROM

Answer 15

motion by DO, reaching anatomical barrier

Question 16

end feel

Answer 16

palpatory experience when a joint is moved to its limit

Question 17

pain is sharp, severe, visceral function doesnt involve somatoviseral effects, visceral dysfunction may/may not be present

Answer 17

acute tenderness

Question 18

Tenderpoints

Answer 18

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

Question 19

Trigger points

Answer 19

small discrete hypersensitive areas within myofascial structures which palpation causes reffered pain away from site

Question 20

what is the goal of OMT

Answer 20

remove SD and restore homeostasis

Question 21

indications

Answer 21

SD or visceral dysfunction

Question 22

adverse reactions

Answer 22

soreness similar to workout, acute illness

Question 23

precautions

Answer 23

cancer, frailty due to disease youth or elderly

Question 24

recommendations

Answer 24

rest 1-4 days, hydration 1-2 liters per day

Question 25

5 models of OMT

Answer 25

Biochemical
Neurological
Respiratory/Circulatory
Metabolic
Behavioral

Question 26

direct techniques

Answer 26

action engaging the restrictive barrier directly

Question 27

indirect techniques

Answer 27

action involving postitioning away from the restrictive barrier