Somatic Dysfunction and Barriers Flashcards
First tenet
mind body and spirit are a unit
second tenet
body is capable of self-regulation, self-healing, and heal maintenance
third tenet
Structure and function are reciprocally interrelated
fourth tenet
rational treatment is based upon understanding and implementing the other 3 tenets
What is somatic dysfunction?
impaired or altered function of related components of the somatic (body framework) system and their related
Osteopathic Manipulative Treatment OMT
theraputic application of manually guided forces by a DO to improve physiologic function or support homeostasis that has been altered by SD
acute somatic dysfunction
immediate/short-term impairment of related components… vasodilation/edema/tenderness/ pain/ tissue contraction
Chronic SD
impairment of function, tenderness, itching, fibrosis, paresthesias (tingling)
TART
Tissue texture abnormalities
Assymetry
Restriction of motion
Tenderness
anatomical barrier
limit of motion imposed by anatomic structure, limit of passive motion (by DO)
physiological barrier
limit of active motion (by patient)
Elastic barrier
range between physiologic and anatomic barrier of motion
Restrictive barrier
a functional limit that abdnormally diminishes the normal physiologic range
AROM
motion by patient, reaching physiological barrier
PROM
motion by DO, reaching anatomical barrier
end feel
palpatory experience when a joint is moved to its limit
pain is sharp, severe, visceral function doesnt involve somatoviseral effects, visceral dysfunction may/may not be present
acute tenderness
Tenderpoints
small discrete hypersensitive areas within myofascial structures that result in localized pain
Trigger points
small discrete hypersensitive areas within myofascial structures which palpation causes reffered pain away from site
what is the goal of OMT
remove SD and restore homeostasis
indications
SD or visceral dysfunction
adverse reactions
soreness similar to workout, acute illness
precautions
cancer, frailty due to disease youth or elderly
recommendations
rest 1-4 days, hydration 1-2 liters per day
5 models of OMT
Biochemical Neurological Respiratory/Circulatory Metabolic Behavioral
direct techniques
action engaging the restrictive barrier directly
indirect techniques
action involving postitioning away from the restrictive barrier
