(Test #1) Integration of the 5 Models of Treatment Flashcards
Illness
Illness = Host + Disease
- We made a mistake by developing a disease focused approach to OPP and trying to blend Osteopathy into the allopathic model.
- I don’t treat diseases with OMT. I treat the PATIENTS who have the disease so the NORMAL HOMEOSTATIC MECHANISMS can start to properly function in the patient.
** The body can HEAL ITSELF given the PROPER ENVIRONMENT!!!!!***
Health
- A.T. Still said: ‘First find the Health.’
- The basic tenets of Osteopathy address this at a certain level
◦ UNITY, STRUCTURE/ FUNCTION & Self-Healing are aspects of ‘HEALTH’.
◦ There are many definitions of ‘Health’.
Health by the WHO
“A complete state of Physical, Mental and Social WELL-BEING, and not merely the absence of disease or infirmity”
One definition of Health
Environment:
◦ Physical Environment
◦ Social/Emotional
◦ Community
INTERNAL:
◦ Systems/Whole
◦ Psychoemotional
- HARMONY implies CAPACITY TOA DJUST TO STRESSORS!!!!!!!!!!!!
The CV and Lymphatics are comprised of several elements
◦ HIGH pressure: Arterial
◦ LOW pressure:
- Venous
- Lymphatic (lowest pressure)
The Nervous System is comprised of many elements
◦ CENTRAL: Brain and spinal cord
◦ PERIPHERAL:
- Autonomic
a) SNS
b) PNS - Nociceptors
- Proprioceptors
Biomechanics
- Biomechanics can change the pressure on Nerves and Fascias, thus affecting Nerve function and Fluid Mobility;
- Biomechanics is NOT the only thing that affects these aspects of Bodily function, so the Overlap is NOT COMPLETE
Somatic Dysfunction
- S.D. overlaps each of these realms and to the degree that it relates to the person’s diagnosed problems, its treatment can assist in their recovery/ healing.
** Oftentimes, it all comes together in the Somatic Dysfunction Diagnoses: Disturbances in the Nervous system, Fluid Dynamics & Biomechanical considerations.
Korr
- ‘A segment in view is a segment in trouble.’
- It is also telling you about influences upon segmentally related vicera, and other related somatic structures.
Visceral Dysfunction
“Impaired or Altered MOBILITY or MOTILITY of the visceral system and the combined fascias, the neurological, vascular, skeletal and lymphatic elements.”
What can be treated with Manipulation
1) Osteopathic Lesion - antiquated term
2) Somatic Dysfunction – preferred term
3) Chiropractic Subluxation – implies tissue disruption
4) Joint Lock
5) Joint Blockage
6) Loss of Joint Play
7) Minor Intervertebral
8) Derangement
Manipulation
- “Skillful or dexterous treatment by the hands”
- The use of the hands in a patient management process using instructions and maneuvers to achieve maximum painless, movement of the musculoskeletal (motor) system postural balance.
Models of Osteopathic Treatment
1) Postural Structural
2) Neurological
- Direct and Indirect Stimuli
- Muscle Pain
3) Respiratory Circulatory
- Arteries and Veins come together at Capillaries and Lymphatics
4) Bioenergy
- Mind
- Body
- Spirit
5) Psychosocial
6) (Maybe) Organ System
Diagnose ‘TART’
- “T” for Tenderness elicited by palpation
- “A” for asymmetry, discerned by observation and palpation.
- “R” for range of motion abnormality, particularly decreased range, discerned by active and passive motion testing combined with observation.
- “T” for tissue texture abnormality alterations in the palpatory characteristics of the soft tissues.
Somatic Dysfunction Defined
- IMPAIRED or ALTERED FUNCTION of the somatic (body framework) system: skeletal, arthrodial, and myofascial structures; and related vascular, lymphatic, and neural elements.
