Treatment Models of OMM

Question 1

The ________ model recognizes that an assessment of the patient’s health must consider the mental, emotional and spiritual elements.

Answer 1

Behavioral

Question 2

According to the Behavioral Model, one cannot show emotion without moving a _________

Answer 2

muscle

Question 3

According to the Behavioral Model, patients who are depressed have a heightened sense of ________ which is why the musculoskeletal system is heavily involved in presenting the patient’s __________

Answer 3

1. Pain
2. Mental status

Question 4

According to the Behavioral Model, stress can manifest itself as increased ____________ in the tissues

Answer 4

Tension

Question 5

The goal of the Behavioral Model is to utilize OMM to improve the body’s abilities to manage and adapt to ___________

Answer 5

stressors

Question 6

The goal of the Behavioral Model is to improve the biological, social and ________________ components of a patient’s health issues

Answer 6

psychological

Example is tobacco addiction –> COPD –> Biomechanic changes in lungs and chest wall –> hypoxia –> patient anxiety and agitation

Question 7

The goal of the Behavioral Model is to establish ________ balance and improve compensation

Answer 7

Emotional

Question 8

The ________ model views the patient from a structural or mechanical perspective.

Answer 8

Biomechanical

Question 9

The goal of the biomechanical model is to keep the body aligned without _____________

Answer 9

Somatic Dysfunctions

Question 10

The ________________ model recognizes that the body attempts to maintain a balance between energy production, maintenance, and expenditure (homeostasis).

Answer 10

Metabolic-Energy

Question 11

The Metabolic-Energy Model looks at the body’s ability to adapt to internal and external ________________ to maintain and restore health

Answer 11

Environmental Stressors

Example = arthritis –> if patient already has an underlying disease that is burdening the system, this added expenditure of the body may compromise the even more

Question 12

A goal of the Metabolic-Energy Model is to enhance self-healing, self-____________ mechanisms

Answer 12

Regulatory

Question 13

A goal of the Metabolic-Energy Model is to remove somatic dysfunctions to allow a decrease in __________________

Answer 13

Energy Expenditure

Question 14

A goal of the Metabolic-Energy Model is to enlighten the patient to a healthier lifestyle to restore _____________

Answer 14

Energy Reserves

Question 15

A goal of the Metabolic-Energy Model is to enhance the ________ system, endocrine and organ function by decreasing the burden of ____________ states

Answer 15

1. Immune
2. Disease

Question 16

A goal of the Metabolic-Energy Model is to improve cranial and ________ motions and ____________ fluctuations

Answer 16

1. Sacral
2. Fluid

Question 17

The ____________ looks at the patient’s concerns in terms of strains/impairments of neurologic function that may be brought about by mechanical stressors, metabolic abnormalities, respiratory/circulatory restrictions, or behavioral constraints.

Answer 17

Neurological Model

Question 18

A goal of the Neurological Model is to restore _________ and _________ balance

Answer 18

1. Chemical
2. Autonomic

i.e. - electrolytes, hormones/sympathetic and parasympathetic

Question 19

A goal of the Neurological Model is to address neural _________ activity AKA ____________

Answer 19

1. Reflex
2. Viscero-Somatics

Question 20

A goal of the Neurological Model is to remove ________ segments that may be tethering the normal passage of nerves

Answer 20

Facilitated

Question 21

A goal of the Neurological Model is to decrease incoming AKA ________ nerve signals and relieve pain

Answer 21

Afferent

Question 22

The ____________________ focuses on the homeostasis that must occur within the respiratory and circulatory components of the body to maintain health and respond quickly and competently to eradicate disease.

Answer 22

Respiratory-Circulatory

Question 23

Per the Respiratory-Circulatory Model, strains within the
_________ do not allow or to be removed, thus perpetuating an injury or disease

Answer 23

1. Tissues
2. Nutrition
3. Waste

i.e. - pneumonia

Question 24

The main goal of the Respiratory-Model is optimize ________ so that we can optimize ____________ which will improve our health

Answer 24

1. Respiration
2. Circulation

Question 25

According to the Respiratory-Circulatory Model, we can think of circulation as the cell's connection to the ______________

Answer 25

Outside world

Question 26

________ is defined as movement to and from or around something, especially that of fluid in a closed system.

Answer 26

Circulation

Question 27

The ***circulatory system*** is further defined as delivery of substrates through the ________ system and removal of waste products through the venous and _____ systems.

Answer 27

1. Arterial 2. Lympathic

Question 28

What 3 pumps control cardiovascular-pulmonary system? All in all, pumps need ________ to work

Answer 28

1. Heart 2. Diaphgram 3. Muscles 4. PRESSURE

Question 29

The heart is the ________ pump, the diaphragm is the _____________ pump and the muscles are the ________ pump

Answer 29

1. Pressure 2. Abdomino-thoracic 3. Peripheral

Question 30

Relative to circulation, fluid moves from areas of (high/low), also known as ____ pressure to areas of (high/low), also known as ________ pressure

Answer 30

1. High 2. Arterial 3. Low 4. Venous ## Footnote Keeping a pressure gradient is imperative!

Question 31

Arterial circulation is based on proper functioning/pumping of the ________ because it is delivering ________ to the ________

Answer 31

1. Heart 2. Blood 3. Tissues

Question 32

Venous and lymphatic circulation returns _____ and waste products from the tissues and is based on the ________________ system working

Answer 32

1. Blood 2. Respiratory

Question 33

Relative to circulation, the biomechanics of what three structures must work together to produce negative pressure to draw in oxygen?

Answer 33

1. Rib cage 2. Diaphragm 3. Thoracics

Question 34

Relative to circulation, the ________ produces pressure/resistance to flow that must be overcome

Answer 34

Vasculature ## Footnote Arteries have muscles and can contract whereas veins rely on surrounding muscles to produce pressure via contraction to allow flow back to the lungs and heart

Question 35

Relative to circulation, you cannot push fluids into an area where there is _____________

Answer 35

Resistance

Question 36

Venous return occurs through the use of ________ valves, Muscle pumps such as the ________ and 4 diaphragms which are: thoraco-abdominal, Sibson's fascia (AKA thoracic inlet), Urogenital- ____________ and tentorium cerebelli

Answer 36

1. One-way 2. Soleus 3. Pelvic ## Footnote these diaphragms are horizontal fascial planes

Question 37

Lymphatic vessels, empty lymph with ________ waste products into the __________

Answer 37

1. Metabolic 2. Venous system ## Footnote 24 hour lymph flow = 2-4 liters!

Question 38

Lymph flow depends on one-way valves, muscle pumps, diaphragms and ________________. This is the same as what system?

Answer 38

1. Smooth Muscle 2. Venous sytem

Question 39

The main drain of the body is the _____________

Answer 39

Thoracic inlet

Question 40

The movement of air or dissolved gases into and out of the lungs is called ________________

Answer 40

Respiration

Question 41

Respiration is when oxygen from the air is exchanged for ________ in the ________ and then air is exhaled

Answer 41

1. Carbon Dioxide 2. Blood

Question 42

Breathing is dependent on the proper motions of the ________ cage and its musculature

Answer 42

Thoracic

Question 43

Respiration allows for _______________

Answer 43

EXCHANGE OF GASES ## Footnote Ability for oxygen and CO2 to diffuse properly in alveoli is a huge player in respiration

Question 44

If we do not have efficient venous and lymphatic return, pressure on the ____________ side builds up and comes close to pressure on arterial side. This leads to not enough ____________ coming into cells

Answer 44

1. Venous 2. Nutrition --> ILLNESS

Question 45

The movement of 146 joints, reflex neural activity of respiratory center and fascial planes all encourage a (positive/negative) ____________ pressure and acts as a pump for venous and lymphatic return by milking the IVC and *Cysterna* __________

Answer 45

1. Negative 2. Intrathoracic pressure 3. Chyli

Question 46

When we inhale, the lungs expand and allow air flow into the lungs by which venous blood and lymphatic fluid are drawn from the periphery toward the ________________

Answer 46

Thorax

Question 47

When our biomechanics are not working properly when we inhale, we see an increase in ____ and ________ diameters of the chest

Answer 47

1. AP 2. Lateral

Question 48

The two key diaphragms for the thoracic cage are ________ and ___________

Answer 48

1. Thoraco-abdominal 2. Sibson's fascia (inlet)

Question 49

The thoraco-abdominal diaphragm attaches to the lower _ ribs, process, (left/right) crus into L1 and L2 of lumbar spine and (left/right) crus into L1 and L3 of lumbar spine and is innervated by the ________ nerve C3-___

Answer 49

1. 6 2. Left 3. Right 4. Phrenic 5. C5

Question 50

What is considered the most powerful pump in the body, even more than the heart? It is the heart of the respiratory-driven ________/ ________ circulation

Answer 50

1. Thoraco-Abdominal Diaphragm 2. Venous 3. Lymphatic

Question 51

The model we don't think about as much when it comes to synchronization of the diaphragms is the ____________ model

Answer 51

Behavioral ## Footnote think about how anxiety or anger affects your breathing

Question 52

When arterial and venous/lymphatic systems are out of balance, ________ congestion can develop

Answer 52

Passive

Question 53

Passive congestion and accumulated waste products in the interstitial spaces initiates an ____________ reaction and disease of the ____ develops

Answer 53

1. Inflammatory 2. Tissues ## Footnote Hypoxia, somatic dysfunctions and degenerative processes result

Question 54

The regional body compensations to CCp have local and global effects on the body via the ________________ system

Answer 54

Respiratory-Circulatory

Question 55

The key translational regions of the body where structural changes lead to functional changes are what four junctions?

Answer 55

1. Occipito-Atlantal 2. Cervico-Thoracic 3. Thoraco-Lumbar 4. Lumbo-Sacral ## Footnote they all have diaphragms!