The Basics Flashcards
Somatic Dysfunction
Impaired or altered function of related components of the somatic system: skeletal, arthroidial, and myofascial structures and related vascular lymphatic and neural elements.
TART
Tissue texture changes
Asymmetry
Restriction
Tenderness
Tissue texture changes
palpable changes give insight into state of vasculature, lymphatics and neural aspects
acute vs chronic
Asymmetry
static structure asymmetry - eg. one shoulder higher than the other
Restriction
limitation in range of motion
Physiologic barrier
limitation in the Active motion in any joint
Anatomic barrier
end point of Passive motion, movement beyond will cause injury
Restrictive (or pathologic) barrier
before physiologic and anatomic barriers
prevents full range of motion
Acute vs Chronic TART changes - Tissue texture changes
Acute: vascular damage
Inflammation - edematous, erythematous, boggy w/ increased moisture
hypertonic muscles or in spasm, ropy
Chronic: Sympathetic tone increased
decreased or no edema, no erythema, cool dry skin, slight tension
decreased muscle tone, flaccid, fibrotic
Acute vs Chronic TART changes - Asymmetry
acute: present
Chronic: present w/ compensation in other areas of body
Acute vs Chronic TART changes - Restriction
Acute: present, painful with movement
Chronic: present, decreased or no pain
Acute vs Chronic TART changes - Tenderness
Acute: severe, sharp
Chronic: dull, achy, burning
Fryette’s Law 1
TONGO
Neutral position:
SIDE BENDING precedes rotation
Side bending and rotation occur to opposite sides
T3-5 N SlRr or T 3-5 SlRr
-groups of more 2 vertebral segments
Fryette’s Law 2
Non-neutral position:
ROTATION precedes side bending
Side bending and rotation occur to the same side
L4 F RrSr
alone, rarely more than 2 next to each other
Dysfunction is in relationship to vertebrae below
Fryette’s Law 3
Motion in one plane limits in all other planes
