systems screening OMT integration Flashcards
tissue texture changes
warm, moist, red, inflamed
acute
skin quality
no trophic changes
acute
skin quality
trophic changes
-dry, scaly, cold, pale, shiny, hairless, pimples, folliculitis
chronic
abnromal shortening of a muscle due to fibrosis
muscle cannot reach full length
contracture
abnormal contraction mantained beyone physiologic need
spasm
increaed fluid in hypertonic muscle
bogginess
hard, firm, cord like muscle tone
-indicates what coniditon
roppiness
chronic
tissues:
boggy edema
acute
vascular
inflammation, vessel wall injury, endogenous peptide release
acute
vascular
sympathetic tone increases vascular constriction
chronic
sympathetics
vasoconstriction, hypersympathetic tone, may be regional
chronic
sympathetics
sympathetic activity, but local vasoconstriction overpowered by local chemical realease, net effect is vasodilation
acute
musculatrure
decreased muscle tone, flaccid, mushy, limted ROM bc of contractures?
local increase in muscular tone, muscle contratcion, spasm, increased tone of muscle spindle?
chronic
acute
mobility
ROM sluggish, may be guarding?
limited ROM, but motion itself feels normal?
acute
chronic
late muscle spasm think what
chronic spasm, chronic tissue changes
pathologic barrier is called
restrictive barrier
diff btwn anatomic and physiologic barrier
elastic barrier
anatomic barrier
PROM
physiologic barrier
AROM
visceral function
minimal somatovisceral effects?
somatovisceral effects common?
acute
chronic
12 steps of evaluation
1) test gait
2) postural assessment in 3 planes
3) TTP on iliolumbar ligament, this is 1st tender pt with postural decompensation pattern
4) AROM and PROM shoulder
5) scoliosis test
6) seated flexion test
7) spinal motion testing all motions
8) acromion drop test
9) hip drop test, screens for lumar side bending restrictions
10) pelvic side shift test to assess fascial connection btwn lumbo-pelvic-hip complex
11) elavuate 1st rib, rib anlge, rib resp motion
12) straight leg test
